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BOTOX® Cosmetic

Hear What This Bride Did to Help Her on Her Big Day

Real patients. Results may vary. Photo Courtesy Kate Austin.

Now newlyweds, Kate Austin and Sarah Sulsenti reflect back on their romantic journey, leading up to the most important milestone of their lives.

Please see Approved Uses and Important Safety Information aboutBOTOX® Cosmetic, including Boxed Warning below.

Kate Austin (she/her) and wife Sarah Sulsenti (she/her) have been on a long journey to the altar. Starting off as a long-distance couple, Kate and Sarah found one another and began to fall in love instantly simply by sharing the most simplest and authentic moments together. All of their time together has lead to the moment where they could finally say "I do." Using their lifestyle videos and platform, Kate and Sarah have created a loving space for other LGBTQ+ people. Now married, the couple sits down with Out to discuss all the details of their wedding, including the preparation that made their day special.

Your wedding just looked so beautiful. Before we talk about it, I have to ask, when did you know that you two were in love?

Sarah: I remember when we first said it to each other, to be honest, I think it was two months after we met.

Kate: Which is very 'U-Haul Lesbian' of us.

Sarah: But I was sitting on my couch, my parents' couch because I lived at home at the time, drinking coffee. And we were on FaceTime.

Kate: And I counted down before I said it in my head. But I was so scared. She was sending me flowers twice a week. I was like, 'I know she loves me, but I'm not sure.' It's like it's scary to say. But it was very soon! We started dating and then literally two weeks after, we said it. But it was just like, there was no question about it, we just knew.

That would be so nerve-wracking! When did you each know that you wanted to spend the rest of your lives together and get married?

Kate: So this is so cliché, but the first time she came to visit me in August 2014, I was driving in front of her, and she was behind me obviously because I was driving in front of her, and I looked in my mirror. I forget what those mirrors are called.

Sarah: The side mirror?

Kate: I looked in my side mirror and she was like hanging, it was the summer and she was hanging with her arm out, and I blew her a kiss, and she caught it and put it to her heart. I was like, 'Oh, my God. I'm going to marry this girl.' And we did just that.

Sarah: And it's funny that this is a question because our friend who wed us asked us the same exact question. We didn't answer it together. We answered them separately, and we both put that exact experience down. So for me, it's the same.

That's so cute that you both knew at the same moment you were meant to be together. I'd love to hear about your wedding. Tell us more about the venue and theme.

Kate: So, we got married this past April, April 22 in East Brunswick, New Jersey at a place called Park Chateau. And it was the first venue we visited. As soon as we pulled up we were like, 'We literally have to get married here.' It's super fairytale-like and really grand, and it's Parisian-inspired. And when I proposed to Sarah, it was in Paris. It's like her favorite city.

Sarah: We set the bar pretty high, and they also had a brand new hotel built next to the venue on the estate, which was really nice for our guests.

And what was the prep like for the wedding?

Kate: I have been getting regular BOTOX® Cosmetic treatments for the last five years now. The results are predictable, and I knew I could trust the treatment to temporarily improve my frown lines, crows feet, and forehead lines for my wedding day. I get treated by Kaitlyn Nelson, MS, PA-C.

What did you like most about the BOTOX® Cosmetic treatment you received?

Kate: Thinking back on my wedding day, I mean, the one thing was that I didn't want to look back on photos and regret not getting treated. I wanted to make sure my lines were temporarily looking better for pictures. I love that my results were natural looking* and that I still looked like myself but with fewer lines.

Well that certainly helps remove one stress from such a busy and memorable day. How did you both keep the day stress free?

Sarah: Well, the staff was unbelievable. They went above and beyond to make sure that we didn't have to worry about literally anything. So for us, we truly only had to worry about ourselves in the moment that we were in.

Kate: I have a different answer. I planned the entire thing, that's why it wasn't stressful for Sarah! I planned every detail and really made sure that everything was outlined so that there was no room for uncertainty. I planned my BOTOX® Cosmetic treatment several weeks in advance of my big day so that there was enough time to see full results. I worked with my provider Kaitlyn, and she has been the one who's done all of my treatments since I started getting them. I knew she was going to be my biggest help on our big day.

Kate and Sarah may not agree on how they kept their wedding stress free, but what they do know is that their wedding was unforgettable. With all the devotion they put into their wedding, from BOTOX® Cosmetic treatments to planning out everything important for the ceremony months in advance, these two are the perfect example of wedding prep done right.

Talk to your doctor about BOTOX® Cosmetic and whether it's right for you. There are risks with this product. The effects of BOTOX® Cosmetic may spread hours to weeks after injection causing serious symptoms.

Please see additional Important Safety Information Below.

*Full results in 30 days. Patients combined from two studies treated for their forehead and frown lines reported being "Mostly or Very Satisfied" with the natural-looking result of treatment. In two clinical trials, 90% and 82% of patients reported they were "Mostly or Very Satisfied" (top 2 out of 5 responses) with their treatment results at Day 60.

BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

* Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.

* Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow's feet lines, and/or forehead lines.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig's disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.

Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc® , Dysport® , or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® Cosmetic include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows, swelling of your eyelids and dry eyes.


BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow's feet lines, and frown lines between the eyebrows in adults.

For more information refer to the Medication Guide or talk with your doctor.

To report a side effect, please call Allergan at 1-800-678-1605.

Please see BOTOX® Cosmetic full Product Information, including Boxed Warning and Medication Guide.

BCT160658 01/23

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