BOTOX® Cosmetic in San Francisco

Learn More about Neuromodulators, Including Dysport® and Xeomin®

Botox® Cosmetic, Dysport and Xeomin for Patients in the Bay Area, including San Francisco, San Jose and Palo Alto
Since its rise to popularity in the mid-2000s, BOTOX® Cosmetic treatment has become the most commonly utilized cosmetic procedure in the United States for a reason: It works. It appeals to so many women and men because it is a quick and easy treatment that can have a profoundly positive impact on your appearance.

When it comes to BOTOX®, San Francisco Bay Area patients have a lot of options. For the Face - Lieberman and Parikh Plastic Surgery focuses exclusively on facial procedures and treatments. The practice's two doctors and team of facial specialists focus on one area of the body, giving them particular insight into the details of facial anatomy and the cosmetic treatments available, including wrinkle-smoothing injectables.

How Does Botox® Cosmetic work?

BOTOX® Cosmetic is derived from a natural nerve blocker, botulinum toxin type A. The active ingredient literally prevents targeted muscles from receiving the message to move. Synthesized in a safe and highly regulated environment, this agent can be placed into selected muscles of facial expression to temporarily inhibit their movement.

When injected correctly, BOTOX® Cosmetic can relax these muscles and reduce facial wrinkles and folds that contribute to an aged appearance. Only a highly trained professional can accomplish this while preserving facial expressions and keeping the overall result subtle, powerful, and enhancing.

Note that this treatment works on what are known as "dynamic wrinkles," which appear over time on the face due to repeated muscle use. Years of raised eyebrows or a constantly furrowed forehead create increasingly visible and life-long lines that are made obvious with every new contraction. If the muscles that create these wrinkles can't move, the lines lose their pronounced power.

While the main benefit of BOTOX® Cosmetic is in temporarily preventing wrinkles from showing, it can also improve the appearance of facial lines long term, since less muscle use means fewer opportunities for the grooves to more deeply etch into your skin. Some people opt for preventative treatments before significant forehead lines develop. Injections can keep muscle activity low and the related skin smooth and unlined for as long as possible.

What are known as "static wrinkles" develop as the skin loses valuable proteins and carbohydrates to the natural aging process and environmental damage, such as UV radiation from the sun. Muscle contractions do not impact these in the same way as dynamic wrinkles, so other treatments are available to address them.

What Areas Are Treated with BOTOX® Cosmetic?

Commonly treated areas include the following:

  • Frowning wrinkles: the wrinkles and creases between the eyebrows (glabella) are often referred to as frown lines and may make a person look "angry"; treatment can soften their appearance
  • Forehead lines and wrinkles: if injected correctly, Botox® Cosmetic treatment can soften horizontal lines and wrinkles in the forehead and even lift the sides of the eyebrows, ("Botox® Brow Lift") rejuvenating the appearance of the eyes; softly arched brows make the eyes look larger and more beautiful
  • Eyes: injections can soften "crow's feet," the fine lines around the eyes, and can open the eyes to make them look larger and more youthful
  • Mouth: lines and wrinkling around the mouth due to muscle activity from smiling or smoking can be softened with appropriate BOTOX® Cosmetic injections; many people may also require dermal filler injections (such as Juvéderm® or Restylane®) to restore volume in this area
  • Platysmal cords or bands in the neck area
  • Facial slimming: Botox® Cosmetic can be injected into the chewing muscles to slim a wide/square face
  • Sweaty palms or excessive underarm perspiration
  • Migraine headaches

Visit our blog for more details on how many units of Botox® are needed for each treatment.

*Individual patient results may vary

BOTOX® Cosmetic, Dysport®, and Xeomin® Injections by The For The Face Team

Achieving excellent results from your BOTOX® Cosmetic, Dysport®, and Xeomin® injections requires unique skills, qualifications and experience. While Drs. Lieberman and Parikh often treat patients with injectables, our highly trained nurse practitioner, Moira Lundquist, RN, performs many of the treatments. She was handpicked by the doctors for her expertise and keen aesthetic sense. She underwent a rigorous training program with the doctors to learn their techniques and high level of standards for facial rejuvenation. At For The Face, you benefit from the combined skills of a nurse injector with an advanced degree in nursing and two board-certified and fellowship-trained surgeons, all specializing exclusively in facial rejuvenation.


Why choose the For the Face team?

  • specialized training
  • education and research
  • focus on natural results
  • commitment to quality patient care
Dr. Parikh

What Should I Expect from a BOTOX® Cosmetic Treatment Session?

Once you decide to proceed with treatment, we will carefully analyze your face and devise a comprehensive treatment plan that takes on a global approach. We will suggest very specific refinements to enhance your beauty without the worry of surgery or downtime. Using a very small needle, BOTOX® Cosmetic is injected into targeted areas. The entire treatment session can take as little as 10 to 15 minutes, and many patients are able to return to work after their treatment.

Every patient experience is different, but in our experience, there is rarely much discomfort, and redness at the BOTOX® Cosmetic injection sites is expected to subside within an hour. Bruising is infrequent, but when present can last for a few days and be camouflaged with makeup. The treatment takes effect between three and seven days after injection, and the results can last up to six months.*

Patients interested in continuing the look provided by BOTOX® Cosmetic can return for maintenance treatments every several months, if desired. The For the Face team will explain the minimum time allowed between injections, depending on the region treated and the number of units used to achieve the desired effect. Over time, some patients find that fewer injections are necessary to get the results they seek, as their muscles as “trained” to relax by the regular injections.

*Individual patient results may vary
*Individual patient results may vary

Why Choose For the Face for BOTOX® in the San Francisco Bay Area?

BOTOX® Cosmetic can be found in many locations outside of a facial plastic surgeon's office. We are always surprised by how many different types of doctors, nurses, and technicians are selling treatments. While much of the time discounted treatment by less experienced practitioners may not harm patients, occasionally disastrous results can occur due to inadequate training or practice.

We have dedicated our career exclusively to the enhancement of the face, and have undergone extensive training in all aspects of facial rejuvenation, including all forms of injectable treatments. Even something as simple as BOTOX® Cosmetic can be overdone and look unnatural. With any of the muscle-relaxant therapies such as BOTOX® Cosmetic, Dysport®, and Xeomin®, the intent should always be to produce a youthful and natural result by preserving facial expressions while reducing wrinkles to soften and enhance your appearance. Our goal is to accentuate each patient's attractive features right in the comfort of the office with minimal downtime.

The For the Face team emphasizes a commitment to both safety and creating an environment and rapport with patients to provide the best aesthetic outcome possible. We stay up to date on the latest medical and cosmetic developments and techniques, holding ourselves to high standards. While we see multiple hundreds of patients each year, we also realize that a cosmetic treatment, such as BOTOX®, is not necessarily routine to you. You have one face, so we give you our full attention and the weight of our combined experience and talents for your treatment session.

What Are the Differences Between BOTOX® Cosmetic and Dysport®?

Dysport® is an alternative to the popular BOTOX® Cosmetic and is used in a similar way to treat wrinkles in the face. They both contain the same active ingredient: botulinum toxin type A. The notable differences are:

  • Dysport® was shown in studies to take effect in one to two days versus the three to seven days for BOTOX® Cosmetic
  • Dysport® can last longer in some patients
  • Dysport® can spread farther from the injection site than BOTOX® Cosmetic, which can reduce the number of injection points but also may reduce the accuracy of placement
  • Dysport® can be a more economical choice for some patients

Combining Dermal Fillers and Toxins For the Face ("Liquid Facelift")

During your consultation you may wish to discuss the benefits of dermal fillers such as Juvéderm® or Restylane®. We will examine your face in detail and use pictures to formulate a personalized treatment plan. We aim to combine an artistic eye with our knowledge of facial anatomy to help each of our patients.

BOTOX® Cosmetic and fillers are often combined with the goal of making powerful yet subtle enhancements to your face and have been referred to as a "facelift." BOTOX® Cosmetic can improve wrinkles caused by movement of the facial muscles, while dermal fillers can enhance a wider variety of areas of the face by increasing volume and thereby reducing wrinkles, shadows, creases, and depressions of the face. Dermal fillers are also helpful for minimizing nasolabial folds, smile lines, and lip lines, and they can add volume to the cheek, lips, and under-eye area. Read more about the differences between BOTOX® Cosmetic and dermal fillers on our blog.

How Safe is BOTOX® Cosmetic?

Put simply, BOTOX® Cosmetic is considered a safe treatment, with millions of injections administered to great success each year.

BOTOX® gained worldwide recognition for its cosmetic applications, but before that, the injectable had long been used as a safe and effective solution to a variety of medical problems. Its health-based applications include treatment for chronic migraines, overactive bladders, muscle spasms, and more. As a cosmetic, BOTOX® has been rigorously studied as the subject of clinical trials and years of worldwide use. Reported side effects included eyelid drooping in just three percent of the patients who participated in frown line studies and eyelid swelling in one percent of the patients who participated in crow's feet studies.

If patients report side effects in relation to BOTOX® Cosmetic, they are most typically minimal and temporary, and include dry mouth or eyes, injection-site pain or discomfort, headaches, or blurred or double vision. Talk to the For the Face team at your consultation to learn more about safety and what to watch for in the days after your treatment to ensure that everything is working as it should. Your injector can answer your questions and explain any details.

Beyond BOTOX® for Facial Rejuvenation

BOTOX® Cosmetic is a San Francisco Bay Area favorite for patients seeking a temporary solution to their desire for a refreshed, younger appearance. Ultherapy® offers another option for those who want to focus their cosmetic treatments on the brow, tightening and lifting the forehead area with ultrasound energy.

As noted above, dermal fillers can add volume to areas of the face where it has been lost, leading to sagging and hollows. They can also address certain wrinkles, with results that last for months to years, depending on the specific product used and area treated.

More involved methods to achieve facial rejuvenation are available. A brow lift and eyelid lift both address signs of aging on the uppermost portion of the face. The two are frequently combined to raise descended eyebrows, smooth out deep forehead wrinkles and frown lines, and lift drooping lids that can give a face a tired or angry appearance.

BOTOX® Cosmetic can also complement a variety of procedures, and patients who see a younger-looking self in the mirror after an injection session are frequently inspired to make further changes, such as a facelift. This surgery addresses tissues lower on the face, not to correct wrinkles, but with an intent to produce more youthful and defined contours.

The For the Face team approaches each treatment not as a distinct injection or surgery, but as one element of a comprehensive effort to give you the best look possible. The approach depends on the patient, and each procedure or combination of procedures is tailored to the person.

BOTOX® Cosmetic Injections by Facial Plastic Surgery Specialists

We have dedicated our entire practice to rejuvenation of the face and neck. Our focus is only on the face, which we believe gives us a unique advantage and understanding that helps us achieve the results we achieve. BOTOX® Cosmetic treatment can be a safe, easy and effective way to reduce facial wrinkles and create a more youthful appearance.* An experienced professional you trust should perform the treatment. If you are concerned about BOTOX® Cosmetic cost, we have several payment options. In addition, we offer our patients financing through CareCredit, the nation's leading payment program for aesthetic services.

Our core objective is to provide a safe, comfortable surgical experience that aspires to restore your appearance and aims to produce natural results. We have provided BOTOX® Cosmetic before and after photos of our patients to help you visualize the possibilities.