Your 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.
Our board-certified dermatologists have the training and credentials to address your skincare concerns. Learn more about their backgrounds.Kathleen M. Welsh, MD
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.
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:
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).
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.
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.
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.
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.
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.
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*
Photos courtesy of Allergan, Inc. *Your results may vary.
To ensure you receive the highest level of safety, quality, and effectiveness when having your BOTOX® treatment:
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.