BOTOX® in San Diego


You make a variety of faces every day, but one of the inevitable side effects of this method of expression is the formation of wrinkles. At first, these lines appear only when you squint, frown or smile. Unfortunately, the lines will become etched into the skin over time, so they are visible all the time. Wrinkles around the forehead and eyes can make you look angry, worried or tired even when you don’t feel that way at all.

Dermacare Laser & Skin Care Clinics has performed thousands of Botox injections under the direction of Dr. Jeff Birchall. This anti-aging treatment is an excellent choice for patients looking to reduce lines and wrinkles in the upper portion of the face, including around the eyes and brow line. Procedures are quick, relatively painless and the results can last for many months before another treatment session is needed.

How does Botox Work?

Botox is a prescription medication that contains tiny amounts of botulinum toxin A, a substance that can effectively relax various muscles of the body. Before it came on the scene as a cosmetic treatment, Botox was used to address different medical disorders, including uncontrollable eye twitching and a painful condition of the neck known as cervical dystonia. Today, it continues to be used for these conditions, as well as chronic migraines, hyperhidrosis (excessive sweating) and some types of bladder leakage.

As a cosmetic treatment, the botulinum toxin works to relax the facial muscles that form the wrinkles when certain expressions are made. By easing the muscles, we can smooth out the lines to create a more youthful appearance.

What does it Treat?

Because Botox specifically targets facial muscles, it tends to be recommended for dynamic wrinkles, the lines that form with certain facial expressions. Treatment areas include:

  • Horizontal creases across the forehead
  • Vertical lines between the eyebrows (glabellar lines or frown lines)
  • Subtle lines that feather out from the corners of the eyes (crow’s feet)
  • Horizontal wrinkles at the top of the nasal bridge (bunny lines)
  • An upper lip that exposes the gums above the teeth (gummy smile)

Dr. Birchall and his expert team at Dermacare Laser & Skin Care Clinics will evaluate your concerns and aesthetic goals to determine whether Botox is the best treatment for you. With a wealth of options in his arsenal, Dr. Birchall is prepared to tailor your treatment to your precise needs, ensuring the best possible results. If Botox will not give you the results you want, he has other nonsurgical treatments that can be customized to each patient.

How is it Administered?

Before Dr. Birchall administers the Botox injection, he will assess the specific wrinkles you would like to have treated. Instead of focusing on the lines themselves, he will address the muscle responsible for creating those lines. He will strategically place injections into the skin where they will block the nerve impulses that cause the muscle to contract, relaxing the muscle and smoothing away the resulting wrinkles.

While Botox will not offer the same results as a facelift or brow lift, it will relax the muscles at about 75 percent, which leads to a marked improvement in the appearance of lines and wrinkles. Many of our patients have noticed reduced activity in the sweat glands of the forehead as well, which can be beneficial if you tend to sweat excessively in this area. The reduced sweat gland activity may also minimize acne flare-ups in some patients.

Are There Risks Associated with Botox Injections?

As with any skin treatment, there are some risks associated with Botox treatment. However, these side effects tend to be very rare, since the amount of neurotoxin in the formulation is minuscule. In fact, we have never observed our patients at Dermacare Laser & Skin Care Clinics experience significant reactions to the medication. You may see some slight swelling and bruising around the injection sites, which should subside within a few days.

How Soon Will I See Results?

Results from a Botox treatment are often evident right away, although your outcome is likely to improve further in the days following your session. The quick results make Botox a good option if you want to spruce up your appearance before a special event, without worry of side effects that will belie the fact you just had a cosmetic treatment performed.

How Long Does Botox Last?

Botox injections last anywhere from three to four months, as the body slowly restores the function of the nerve to allow for contraction of the muscle once again. Because the results are not permanent, you can rest assured that if you don’t like your new look, it will wear off rather quickly. If you are pleased with your outcome, you can maintain it by repeating your Botox injections every few months. Some patients find that with regular injections, they can begin to go a bit longer between treatments without compromising results. The longer period between sessions could be because the medication actually “trains” the muscles to relax, allowing for the positive look to endure longer.

If you are ready to say goodbye to telltale lines and wrinkles in the upper face but are not ready to explore surgical options, Botox might be the right treatment for you. Dr. Birchall has achieved Black Diamond status for his administration of Botox injections, ensuring your procedure will be both safe and effective. To learn more about this procedure, contact our Carlsbad office 760-448-8100 or San Diego office 858-487-3376 today to schedule your consultation.