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botoxBOTOX® injections are a great way to eliminate or reduce wrinkles and frown lines. The areas frequently treated are the forehead, the lines between the eyebrows, and the crow’s feet around the eyes. These lines can make you appear older, tired, and angry. It is also useful in some migraine patients to help reduce headaches. With the active outdoor lifestyle we lead in the Bay Area, squinting in the sun can make wrinkles worse. Botox can help.

Botox is a non-surgical skin care treatment I do in my Palo Alto office. It takes only minutes to perform the injection, and usually brings results within 72 hours. Botox is botulinum toxin. It paralyzes specific facial muscles, immobilizing the muscle for three to five months. As a result of the muscle not moving, the skin lying on top of the muscle relaxes and wrinkles fade. The effect is a rested and more youthful appearance. Over several months as the muscle action gradually returns and lines reappear, a simple follow up skin care treatment is all that is necessary to regain the desired result.

You look smoother, younger, the perpetual frown is gone, and, if you’re lucky, there will be a slight lift to your brows, which helps open up the area around your eyes. But you won’t look like you’ve had anything done. You will look like you, and you will have the full range of expression.”
– O.S., Belmont

doctor administered, fresh botox

It is important you go to a doctor well versed in administering Botox injections for a natural, smooth result. Otherwise droopy eyelids, a “frozen” face, or severe bruising may occur. I perform the botulinum toxin injections myself – “doctor administered Botox” – I do not use nurses or assistants. Though some advocate an open vial of botox is good for a week, from personal experience I believe fresh botox is more effective. If you are doing two areas (which is 48 units at my office) you can have a botox injection on any clinic day.  Some places that do botox daily use old botulinum toxin, which is not as effective- I believe it takes longer to kick in and does not last as long. I offer a discount for multiple areas and try to have other promotional specials.

If you want to be on our mailing for those specials, please contact my office.

For more information, visit www.botox.com.


Dysport, also known by Reloxin, is the new competitor to Botox.  Its effect is the same.  There are questions about whether it works more quickly and lasts longer.  There is some concern that it ? may spread to places farther than you injected.  Dysport has been on trial in the US for the glabellar (area between the brow) only.  Dysport is used more in Europe.  GOOD NEWS: It will likely lower the price of Botox type injections.  WHAT I AM DOING: Waiting.  I have heard stories of complications because it spreads past where it is injected. It was not studied on the forehead or eye area.  I will let others try it out first… after six months of new injections of Dysport, we will know the real pros and cons versus Botox.

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