Botox in Houston gets administered everywhere from board-certified dermatology practices to dedicated medical spas, and who's actually holding the needle varies more than most patients realize. Between them, the botox providers in Houston below have logged over 2,500 Google reviews, and every single one sits at 4.9 stars or higher. At that level, the real differences are who's injecting, what else they treat, and how the visit itself runs.
Short answer: Elite Dermatology & Plastic Surgery leads with 1,007 reviews at 4.9 stars, a physician-owned dermatology practice with multiple Houston-area locations. Dream Aesthetics Medspa and Sisu Clinic Houston both hold strong ratings above 4.9 with several hundred reviews apiece, and both are named specifically for Botox and Dysport treatments by their reviewers. Expect a consultation before any injection, and ask upfront who at the practice will actually be doing your treatment.
#1 Overall🕑 Open 5 days/wk↩ Responds to reviews
Elite Dermatology & Plastic Surgery
4.9★★★★★1,007 Google reviews
Elite Dermatology & Plastic Surgery is a physician-owned dermatology practice with multiple Houston-area locations, including its River Oaks office. Its site describes itself as one of the few truly independent, physician-led dermatology groups in the region, offering medical, cosmetic, and surgical dermatology alongside plastic surgery and hair transplant services. Reviewers specifically credit Dr. Carly Dunn for cosmetic dermatology visits at this location.
What people praise
- Reviewers describe the check-in process as fast and modern, largely handled by tablet
- Dr. Dunn is repeatedly praised for taking time with patients and explaining diagnoses clearly, without rushing
- Clean, well-organized facility mentioned across multiple reviews
- Physician-led model means clinical decisions come from doctors rather than a corporate structure
Worth knowing
- One reviewer described confusion over whether a visit would be submitted to insurance, worth clarifying billing details upfront
Reputation scorecardrank in Houston
Review volume1,007 · 98th
Info completenesssite · phone · hours
Rating breakdown97% 5-star
✓ VerifiedSource: Google
Our take: The highest review count on this list by a wide margin, and the only name here built around a full physician-led dermatology and plastic surgery practice rather than a dedicated medspa.
📍2571 Kirby Dr, Houston, TX 77019
#2🕑 Open 6 days/wk↩ Responds to reviews
Dream Aesthetics Medspa
5.0★★★★★464 Google reviews
Dream Aesthetics Medspa in the Studemont area of Houston is a medical spa offering facial aesthetics including Tox treatments, dermal fillers, PRP therapy, and a range of laser and skincare services. Reviewers specifically name both Botox and Dysport when describing their injectable visits here.
What people praise
- Reviewers specifically credit staff members Salta and Goldie by name for thorough consultations before treatment
- Praised for taking time to explain treatment options without making patients feel rushed
- Lip filler results described by one reviewer as matched carefully to her face shape
- Friendly, informative staff mentioned consistently across reviews
Reputation scorecardrank in Houston
Info completenesssite · phone · hours
Rating breakdown98% 5-star
✓ VerifiedSource: Google
Our take: A perfect 5.0 rating across 464 reviews, with injectable-specific praise that goes beyond generic five-star comments.
📍1515 Studemont St Ste 208, Houston, TX 77007
#3🕑 Open 6 days/wk
Sisu Clinic Houston
4.9★★★★★465 Google reviews
Sisu Clinic Houston on Westheimer Road is a medical spa and clinic offering Botox and related aesthetic treatments. Several reviewers describe it as an ongoing routine, coming back every few months specifically for Botox maintenance rather than a one-time visit.
What people praise
- Reviewers who return every few months praise the speed and low discomfort of the treatment itself
- Injectors credited by name (Dana, Diana) for a comfortable, unhurried process
- No pressure to add extra services beyond what the patient came in for, per multiple reviewers
- Clean facility with friendly front-desk staff mentioned repeatedly
Worth knowing
- One reviewer described a pricing mismatch between an advertised promotional rate and what was charged at the visit, worth confirming current pricing before booking
Reputation scorecardrank in Houston
Info completenesssite · phone · hours
Rating breakdown97% 5-star
✓ VerifiedSource: Google
Our take: A near-perfect 4.9 rating built substantially on repeat Botox patients, which is a meaningful signal for a treatment people come back for every few months.
📍888 Westheimer Rd Unit 129, Houston, TX 77006
#4🕑 Open 7 days↩ Responds to reviews
Rose Milk Aesthetics
5.0★★★★★371 Google reviews
Rose Milk Aesthetics in the Houston Heights area is a medical spa offering injectables, including Botox placement, alongside facials and broader aesthetics services. Reviewers specifically describe consultations around Botox placement as methodical and detailed.
What people praise
- One reviewer specifically praised how carefully Botox placement was planned out and explained during the visit
- Staff described as highly educated and continuing their own training in the field
- Multiple payment options mentioned as helpful for accessibility
- Friendly front-desk support noted alongside the treatment itself
Reputation scorecardrank in Houston
Info completenesssite · phone · hours
Rating breakdown100% 5-star
✓ VerifiedSource: Google
Our take: A perfect 5.0 rating with a smaller but consistent review base. A solid option if you want injectable work paired with ongoing skincare or facial treatments at the same practice.
📍6815 N Main St Ste A, Houston, TX 77009
#5🕑 Open 6 days/wk↩ Responds to reviews
ZO Skin Centre Houston
5.0★★★★★284 Google reviews
ZO Skin Centre Houston, also operating as Houston Skin Health, is a medical spa physician-led by Dr. Mark Khorsandi, offering Botox and Dysport alongside laser treatments, facials, and ZO Skin Health protocols. Reviewers include long-term patients who've been coming for a decade, tracking their Botox results over years rather than a single visit.
What people praise
- One reviewer with 10 years as a patient specifically describes natural-looking Botox results that still look like herself
- Multiple injectors (Dr. Khorsandi, Mini) named individually for gentle, patient technique
- Reviewers repeatedly emphasize no pressure to add treatments beyond what was requested
- Physician-led model with a board-certified surgeon overseeing care
Reputation scorecardrank in Houston
Info completenesssite · phone · hours
Rating breakdown98% 5-star
✓ VerifiedSource: Google
Our take: A perfect 5.0 rating with some of the longest-tenured patient reviews on this list, several spanning years of repeat Botox visits at the same practice.
📍810 Waugh Dr Ste 101, Houston, TX 77019
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Health information disclaimer: This directory is informational only and not medical advice. Rankings reflect publicly available Google ratings and review volume, not clinical outcomes. Verify any practitioner’s credentials and registration with the relevant medical board before booking.
How we score
Rating is the live Google average for each business. Review volume measures how many customers actually left a review, ranked against the others here. Confidence weighs the rating by that volume, since over a thousand reviews at 4.9 says more than a few dozen. Recency checks how recently people are still reviewing, and completeness checks whether a working website, phone, and posted hours are all on file. No business can pay to change any of these numbers.
How much does Botox cost in Houston? (2026)
Botox pricing in Houston is typically charged per unit, and the total cost depends on the treatment area, how many units are needed, and whether the injector is a physician, nurse practitioner, or registered nurse. We don’t have a reliably cited local range to publish here, so ask for a written, per-unit quote at consultation.
Serving all of Houston
These providers are spread across Houston’s core neighborhoods, from River Oaks and Upper Kirby to the Heights and Westheimer corridor, with some practices operating additional locations further out toward Fulshear, Kingwood, and Pearland. If you’re searching for botox near me in Houston, ask whether your preferred injector works across multiple locations before you book.
What to ask before you book Botox
- Who will actually be administering the injection, a physician, nurse practitioner, or registered nurse?
- What’s the per-unit price, and roughly how many units does my treatment area typically need?
- Is a consultation required before the first treatment, and is it complimentary?
- How long do results typically last, and when should I expect a follow-up visit?
- What are the possible side effects, and how are they handled if they occur?
- Is pricing submitted to insurance, or is this strictly a self-pay cosmetic service?
Frequently asked questions
Are these rankings paid?
No. Rankings come from public Google data. A business can pay to be a Featured Partner (badge and top placement), but that never changes another business’s score or position.
How did you choose these providers?
We start from real Google Business Profiles for dermatology practices and medical spas serving Houston that offer Botox, then weigh rating, review volume, recency, and how complete each listing is (working site, phone, posted hours).
Is Botox the same as Dysport?
No, though they’re both injectable neuromodulators used for similar cosmetic purposes. Several providers on this list, including Dream Aesthetics and Sisu Clinic, offer both, and reviewers mention each by name.
Do I need to see a doctor for Botox, or can a nurse administer it?
Requirements vary by state and practice. Some names on this list are physician-led practices where doctors are directly involved, while others use licensed nurse injectors under medical supervision. Ask directly who will be treating you.
How often is this updated?
This page reflects Google ratings and review data verified in July 2026. We recheck listings periodically as new reviews come in.
The bottom line
Elite Dermatology & Plastic Surgery is the safest default, backed by the highest review count on this list and a physician-led practice model across multiple Houston locations. If you want a dedicated medspa experience built specifically around injectables, Dream Aesthetics Medspa and Sisu Clinic Houston both carry strong, injectable-specific reviews. Whichever you choose, confirm who’s actually administering the treatment before you book.
