San Francisco, CA

(415) 292-6350

BOTOX® Cosmetic

Botox® San FranciscoYour face moves thousands of times each day, as you express yourself. Over time, these movements can become wrinkles and fine lines that can make you look older, sad, angry, or tired, even when your face is at rest. If you’re bothered by these signs of aging, BOTOX® Cosmetic treatments in San Francisco at Bay Area Cosmetic Dermatology can help. These simple injections can smooth out lines and wrinkles to leave you looking younger and revitalized.

If you are ready to find out whether treatment with BOTOX® Cosmetic is right for you, contact us using our online form, or call our office at (415) 292-6350 to schedule a consultation today.

Meet Our Doctors

Our board-certified dermatologists have the training and credentials to address your skincare concerns. Learn more about their backgrounds.

Kathleen M. Welsh, MD
Andrea M. Hui, MD

Meet Our Doctors

Our board-certified dermatologists have the training and credentials to address your skincare concerns. Learn more about their backgrounds.

Kathleen M. Welsh, MD
Andrea M. Hui, MD

Why should I come to Bay Area Cosmetic Dermatology for BOTOX® Cosmetic?

Stanford and Harvard alumna Dr. Kathleen Welsh is one of the top providers of BOTOX® Cosmetic in the San Francisco Bay Area and the nation. She has performed more than 50,000 treatments in the past 15 years of cosmetic dermatology practice. Her colleague Dr. Andrea Hui has also received years of extensive training in cosmetic dermatology, including neuromodulators such as BOTOX®, and is a national educator in neuromodulator treatments. Together with their skilled staff of nurses, Dr. Welsh and Dr. Hui perform more than 5,000 BOTOX® Cosmetic treatments per year. Dr. Welsh is also one of fewer than 100 physicians selected to participate in Allergan’s Women in Dermatology Conference multiple years in a row.

Dr. Welsh has personally trained all of the nurses on her staff that inject BOTOX® Cosmetic: Mary Krempa, Yvonne Faucher, Katie McCormick, Stacey Baenen, and Jane Thomas. Each of these practitioners is skilled at determining the proper placement and volume of BOTOX® Cosmetic to help you achieve your desired results. The results are natural and subtle — no one will ask you if you just had BOTOX®, but they may notice that you look rested and refreshed.

What can BOTOX® Cosmetic treatments do for me?

BOTOX® Cosmetic is one of the most requested services at our office because it is a quick way to restore a rested, rejuvenated look with minimal downtime. Common areas we address with BOTOX® treatments include:

  • Horizontal forehead lines
  • Frown lines between the brows (also known as the 11’s)
  • Crow’s feet beneath and around the eyes
  • Vertical platysmal bands on the neck
  • Bunny lines on the nose

BOTOX Treatment Areas

In addition to its cosmetic purposes, BOTOX® has successfully been used to treat migraines, sweating, back and jaw pain, and muscle spasms. Dr. Welsh and her nurses also specialize in BOTOX® treatments for excessive sweating (hyperhidrosis).

What is BOTOX® Cosmetic?

BOTOX® is the brand name for onabotulinumtoxinA, a proprietary form of botulinum toxin A, which is a therapeutic muscle-relaxing agent derived from the bacteria Clostridium botulinum. BOTOX® was originally approved by the FDA for the treatment of eye muscle spasms. It works by blocking nerves from contracting muscle. People sometimes call this effect “paralysis,” but it is actually a temporary block; BOTOX® wears off over time.

What is the difference between BOTOX® and Dysport®?

Dysport®, approved for use in the U.S. in 2009, is in the same class of products as BOTOX®, called neuromodulators. Both products contain botulinum toxin A and work in a similar manner to relax the muscles and allow the overlying skin to smooth out. Improvements from Dysport® tend to extend farther from the injection site and appear a day or 2 earlier than BOTOX®. Unless you have a specific preference, we will help you determine which product is best suited to your aesthetic goals.

What is the difference between BOTOX® and fillers?

BOTOX® smoothes out wrinkles indirectly, by suspending the muscle contractions that squeeze or pull on the skin. Injectable fillers such as JUVÉDERM® replace volume to smooth out wrinkles and folds from underneath the skin. Because these 2 types of products provide complementary benefits, we often combine them to provide a more complete rejuvenation.

Am I a good candidate for BOTOX® Cosmetic?

Anyone in good physical health, not pregnant or nursing, and without any neuromuscular disorders can receive BOTOX® Cosmetic injections. It is important to have a realistic conversation with our providers about what BOTOX® treatments can do. Please discuss the results you want with Dr. Welsh, Dr. Hui, or one of our nurses to ensure that the results you want can be achieved — and that BOTOX® is the best way to achieve them.

What happens in a BOTOX® appointment?

Once you have given consent for your BOTOX® Cosmetic treatment, a medical assistant will apply a topical numbing cream to your skin that will sit for about 5 to 15 minutes. Then Dr. Welsh, Dr. Hui, or one of our nurses will use a very fine needle to inject the BOTOX® into the specific muscles that cause your lines and wrinkles. The injections themselves may create brief and mild discomfort, but they take only a few minutes to complete. You can expect to recover in minutes, going on with your normal daily activities such as returning to work.

What results can you expect?

Immediately following the treatment, the BOTOX® will begin to set in your muscles. Within approximately the first 3 to 5 days, your wrinkles will begin to fade. You will attain your final results within 7 to 14 days. The improvements from BOTOX® treatments typically last from 3 to 4 months. Keep in mind that results vary between patients. After several BOTOX® treatments, the results may last longer.

Before & After BOTOX*
Botox Before and After
Botox Before and After 2
Botox Before and After Male
Photos courtesy of Allergan, Inc. *Your results may vary.

How can I be sure I’m getting real BOTOX®?

To ensure you receive the highest level of safety, quality, and effectiveness when having your BOTOX® treatment:

  • Choose a provider from Allergan’s Find a Doctor tool.
  • Ask your provider to show you the packaging, both the vial and the box, of BOTOX® Cosmetic that will be used for your treatment. Make sure the lot number on the vial matches the one on the box. The vial will have the BOTOX® Cosmetic logo, list the ingredient onabotulinumtoxinA, and display a holographic Allergan image.

What are the risks and side effects of BOTOX®?

Side effects of BOTOX® Cosmetic are rare and are usually mild and temporary. The most common side effects are headaches, temporary redness, or bruising of the skin at the site of injection. In rare cases, slight drooping of an eyelid or asymmetry of expression may occur. The risks of complication can be reduced by choosing a qualified and experienced physician or nurse.

From the Blog
Our Latest BOTOX® Blog Posts

  • Before and After Gallery: Injectables (Fillers and Neurotoxins)

    Are you interested in injectables? Fillers and neurotoxins, known in our industry as “injectables,” are often the easiest way to rejuvenate and refresh your face. The neurotoxins we offer at our San Francisco practice (like BOTOX® Cosmetic, and Dysport®) work to temporarily freeze muscles that are causing the skin to wrinkle in certain spots. By freezing the muscle, the overlaying skin is…
    Read On
  • When It Comes to Appearance, Men Give Up First

    A recent study from Benenden Health, a healthcare company in the UK, found that men give up on their health and appearance by the age of 46, while women work to improve their appearance and general fitness until at least 59. The study surveyed 2,000 men and women and found that 7 out of 10 men don’t worry about the…
    Read On
  • Is It Ever Too Early to Start Fighting Wrinkles?

    Recently, some friends of mine were asking if I thought that getting BOTOX® Cosmetic in your 30’s was premature. They teased me for giving them a “sales line” when I told them that actually, BOTOX is a wrinkle preventative. It’s not just a sales pitch. It turns out the science backs up my claim: it is highly effective to fight…
    Read On
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2299 Post St. Suite 312
San Francisco, CA 94115

Call Today: (415) 292-6350

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San Francisco (415) 292-6350

Bay Area Cosmetic Dermatology
2299 Post Street #312
San Francisco, CA 94115

(415) 292-6350

Monday, Friday: 8 a.m.–5 p.m.
Tuesday, Thursday: 7:30 a.m.–5 p.m.
Wednesday: 8 a.m.–4 p.m.

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Bay Area Cosmetic Dermatology is a cosmetic dermatology clinic serving the San Francisco metro area. The board-certified dermatologists, Dr. Kathleen M. Welsh, Dr. Andrea M. Hui, and their staff perform BOTOX® Cosmetic, JUVÉDERM®, Restylane®, CoolSculpting®, vascular laser treatments, and intense pulsed light (IPL) for San Francisco, Bay Area, Belvedere, Greenbrae, Mill Valley, and Oakland-area men and women.