Miami Botox is priced per unit, typically US$14–US$22 per unit. A standard full-face treatment uses 40–60 units, putting most Miami patients at US$600–US$1,200 per visit. With a typical 3–4 visits per year for full-time toxin maintenance, the annual Miami spend lands at US$1,800–US$4,800.
Elyzea charges S/800 (~US$229) for full face — flat rate, all units included, no consultation fee, no per-area surcharges. Two visits per year: US$458 vs US$1,800–US$4,800 in Miami. The annual maintenance economics are the math that actually matters here, not the single-visit comparison.
Below: the unit-by-unit breakdown, why Miami's per-unit model inflates real spend, what Elyzea's flat-rate covers, and the annual + 5-year maintenance math.
Miami's per-unit pricing trap
Miami clinics advertise low per-unit rates (US$10–US$13) but typical patients require 40–60 units for full-face coverage:
- Glabella (frown lines): 16–24 units
- Forehead (frontalis): 8–16 units
- Crow's feet (lateral canthi): 8–24 units (4–12 per side)
Full-face protocols at the lowest end: 40 units × $14 = $560. At the high end: 60 units × $22 = $1,320. Add the consultation fee (US$50–$150) and the upsell to combine with filler, and most first-time Miami patients leave having spent over US$1,000.
Elyzea pricing — flat-rate, no surprises
Flat-rate full-face neuromodulator (botulinum toxin type A): S/800 (~US$229). Units, consultation, and 2-week follow-up all included. Performed by Dra. Geldres, board-certified plastic surgeon.
If you want a single-area touch-up (forehead only or crow's feet only), pricing is per the consultation — typically about half the full-face rate.
Brand options
Elyzea uses high-quality FDA-equivalent neuromodulators. The active molecule (botulinum toxin type A) is the same family used worldwide. We can also explain the differences between Botox vs. Dysport vs. Xeomin vs. Jeuveau and what's available in Lima.
For most patients, brand differences are minor. Specific situations where brand matters:
- Onset speed (Dysport faster, Botox standard, Xeomin slowest)
- Spread profile (Dysport spreads more — useful for forehead, less precise for crow's feet)
- Antibody resistance (Xeomin's pure formulation may matter for patients who've become resistant to Botox over years)
Trip math (toxin-only visit)
Botulinum toxin needs ~7 days to fully kick in but causes no swelling or downtime. A toxin-only Lima trip is feasible as a 3-day visit: arrive day 1, treatment day 2 morning, fly home day 2 afternoon or day 3.
| Item | Cost (off-peak) |
|---|---|
| Round-trip MIA-LIM | $350–$600 |
| 2 nights Miraflores hotel | $200–$400 |
| Food + transit (3 days) | $80–$150 |
| Toxin treatment (Elyzea) | ~US$229 |
| Total trip | ~US$860–US$1,380 |
Comparable to a typical Miami treatment alone, with Lima sightseeing as a bonus. Single-trip math is roughly break-even. The real economics show up in annual maintenance.
Annual + 5-year maintenance economics
Toxin frequency = every 4–5 months for most patients (3 visits/year). Two-trip-per-year cadence (every 6 months) is the more common Lima pattern.
| Year | Miami (2 visits/year) | Lima (2 visits/year + travel) |
|---|---|---|
| 1 | $1,500–$2,400 | ~$2,000 (incl. 2 round-trip flights + 4 hotel nights) |
| 2–5 | $1,500–$2,400/year | ~$2,000/year |
| 5-year total | $7,500–$12,000 | ~$10,000 |
For toxin-only trips, the math is closer to break-even than for high-cost procedures like HIFU/Morpheus8. Toxin alone isn't where you save dramatically. Toxin combined with other treatments per visit (filler, HydraFacial, peel) is where the trip math becomes overwhelming.
Why combining toxin with other treatments transforms the math
Most Miami toxin patients also routinely get filler, HydraFacial, or other treatments. Each of these has dramatic Lima savings:
- Toxin + 1 syringe lip filler. Miami: ~$1,500. Lima: ~US$472. Filler costs
- Toxin + HydraFacial. Miami: ~$1,400. Lima: ~US$286. HydraFacial costs
- Toxin + 1 syringe filler + HydraFacial. Miami: ~$2,000. Lima: ~US$529
- Toxin + HIFU + filler (annual refresh package). Miami: ~$5,000. Lima: ~US$758
Two visits per year combining toxin with 1–2 other treatments per visit produces dramatic annual savings — easily US$3,000–US$8,000/year vs comparable Miami protocols.
Pre-treatment prep for Miami-based patients
If you're flying down for toxin specifically, follow the standard 1-week-before protocol:
- Stop blood-thinning supplements (fish oil, vitamin E, ibuprofen) 1 week before to reduce bruising
- Continue prescribed medications (don't stop blood thinners without doctor approval)
- Avoid alcohol 48 hours before
- Hydrate normally
Same-day flying after toxin
Stay upright for 4 hours minimum. After 4 hours, short-haul flights are fine. Long-haul (5+ hours): 24 hours post-treatment is more comfortable. Detailed timing.
For 3-day Miami → Lima trips, the typical pattern is: arrive day 1 evening, treatment day 2 morning, fly home day 2 evening or day 3.
Frequently asked questions
Will the brand of toxin be the same as my Miami clinic uses?
Possibly. Most reputable clinics globally use Botox, Dysport, or Xeomin. Brand selection is reviewed at the consultation based on patient history.
How long until I see results?
First effects 3–7 days. Full effect at 14 days.
What if I have asymmetry afterward?
Free 2-week follow-up. If asymmetry remains at day 14, a small touch-up is included.
How do I know how many units I'll need?
Doesn't matter at flat rate. The full-face price covers whatever's needed.
Can I get masseter Botox in the same visit?
Yes. Masseter (jaw clenching reduction) is typically a separate add-on at consultation pricing.
Is the Lima toxin sterile and safe?
Yes. Toxin is stored refrigerated, reconstituted with sterile water, and used within 24 hours. Same protocols as US clinics.
What about preventive Botox in my 20s/30s?
Preventive toxin guide. Lima makes preventive Botox more economically accessible.Bottom line
Miami toxin pricing per unit is reasonable on the surface but inflates dramatically with full-face protocols and the upsell pattern. Elyzea's flat-rate ~US$229 full-face is roughly 25 % of typical Miami spend on toxin alone.
Single-trip math for toxin-only visits is roughly break-even with Miami. The real Lima value is combining toxin with 1–2 other treatments per visit — the trip-stacking economics produce US$1,000–US$5,000 per-visit savings vs. comparable Miami protocols.