Botox in San Diego

Treatment of dynamic wrinkles and more! We’re proud to offer professional Botox Rancho Bernardo residents love.

Procedure Summary

Indications: Improvement of the look of fine lines and wrinkles caused by muscle movement in the face and neck. Also used to treat gummy smiles, large jaw muscles and other issues.
Downtime: None
Anesthetic Needs: None
Typical Package: Your Botox injections in San Diego can be scheduled every 3 months or more to maintain results.

You make a variety of facial expressions every day, but one of the inevitable side effects of this natural movement is the formation of wrinkles. At first, these lines may appear only when you squint, frown or smile. Unfortunately, these dynamic lines will become etched into the skin over the years, 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. Inevitably, these unwanted aging signs can affect our confidence and our mood, affecting our daily quality of life in subtle and not-so-subtle ways. The good news is that Botox Carlsbad loves can help.

Dermacare Laser & Skin Care Clinics has performed thousands of Botox injections under the direction of Dr. Jeff Birchall, helping men and women of all ages conquer their aging symptoms and enjoy long-lasting results. 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, and regain a refreshed, relaxed and youthful appearance. We’re proud to provide the skin treatments and Botox Rancho Bernardo residents adore.

Botox in Carlsbad can also be used in other ways to reduce the look of prominent jaw muscles, platysmal bands in the neck, and a gummy smile. Procedures are quick and relatively painless, and the results can last for many months before another treatment session is needed. Best of all, our Botox in San Diego can help many patients delay invasive procedures, sometimes indefinitely.

What Are Dynamic Wrinkles?

Botox is most effective in treating specific kinds of wrinkles, commonly known as “dynamic wrinkles.” Dynamic wrinkles form as the result of repeated facial expressions, such as squinting, smiling or laughing. Despite being the natural result of our vibrant and jovial facial expressions, for many people, they are a source of discomfort, and a sign that they are aging that can make them feel older than they actually are.

While these symptoms can begin to appear gradually, they can quickly deepen, becoming permanent. At this stage, many people might turn to doctors to help them restore a youthful appearance.

Dynamic wrinkles most frequently occur in the face’s upper areas, in places such as:

To learn more about how we provide the Botox Rancho Bernardo residents love, give us a call today.

Dynamic Wrinkles Vs. Static Wrinkles

It’s important to understand the difference between dynamic wrinkles and their counterpart, static wrinkles. While dynamic wrinkles are caused by the repeated stress on the skin due to repeated muscle movements, static lines tend to form due to collagen depletion, another natural and inevitable result of aging. As less and less collagen is available to the skin, the underlying structures that give the skin its tightness and tone tend to weaken, leading to a loose and sagging skin and lines and wrinkles.

The location of these symptoms is also different. Most of these aging signs tend to occur in the mid or lower portion of the face, around the nose, mouth and chin. While Botox will not improve these kinds of problems, you can improve them with alternative injectable treatments that you can have along with Botox during the same treatment session.

Dr. Birchall can help you select the ideal combination of treatments to help you achieve your facial rejuvenation goals.

Preventative Botox

For some patients, Botox can also be used to prevent the formation of wrinkles in the first place. If you have noticed deepening lines when you make certain facial expressions, Botox can reduce the stress your muscles have on the skin in these key areas, preventing new wrinkles from forming and keeping your existing lines from being etched even further into your skin. This injectable treatment offers patients multiple benefits and the chance to keep invasive procedures at bay for a long time to come.

What symptoms does Botox treat?

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

Botox 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 in Rancho Bernardo 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.


Botox has been approved by the FDA to treat cosmetic concerns in adults (both men and women). You may be a candidate for Botox if you are between the ages of 18 and 65 and in overall good health. This injectable is categorized as safe for both cosmetic and other medical uses as discussed above. One of Botox’s many advantages is that it is safe for individuals of all skin tones and types, making Botox as versatile as it is effective.

Botox can also effectively treat many other conditions. You should talk to Dr. Birchall about these problems, if you have them, during your in-person consultation.

Issues that Botox can also address include:

  • Headaches
  • Backaches
  • Dimples in the chin
  • Skin bands around the neck
  • Bunny lines (wrinkles appearing at the top of the nose)
  • Muscle spasms
  • Hyperhidrosis (excessive perspiration)

Botox, like any medication, has a few contraindications that patients should be aware of and discuss with Dr. Birchall if they are at risk.

Contraindications for Botox include:

  • Allergies to any of Botox’s ingredients
  • Diagnosed nerve or muscle disorders
  • Women who are currently pregnant or breastfeeding
  • Any active infection at the treatment site
  • Past history with bleeding, swallowing or breathing
  • Recent surgery or imminent surgery

Complications rarely arise from Botox treatments due to the comprehensive in-person consultation that you will have with Dr. Birchall prior to having your Botox treatment. Any possible issue with having Botox will be discovered and addressed and, if necessary, an alternative treatment can be planned to achieve your goals. Your safety, as well as your look, are in extremely well-qualified hands at Dermacare. We work hard to provide the Botox Rancho Bernardo and Carlsbad residents can count on.

How is Botox 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 our Botox in Rancho Bernardo 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.

Who should administer your Botox injections?

Botox is one of the most commonly available cosmetic treatments on the market today. You can have your Botox treatment performed by a doctor, dermatologist, surgeon or other trained cosmetic technicians. However, patients should always strive to choose a very highly qualified, trained and experienced medical professional when choosing to have Botox injections in San Diego. Your safety and results depend on it. Further, when choosing a Botox provider, you should determine whether they have a substantive knowledge of facial anatomy, which can play a huge role in whether you get the most effective results from your Botox injections in San Diego.

Ultimately, patients wish to achieve subtle improvements that enhance and complement their existing facial features and bring out their true personality. At Dermacare, we believe in helping our patients look refreshed, not frozen. A light and experienced hand is key – our expert injectors have decades of experience and can tailor and oversee an appropriate course of treatment to give patients these kinds of results.


Having Platinum Plus status with Allergan means a provider has extensive experience with Allergan products like Botox. Platinum Plus providers generally have the highest level of expertise with Botox in Rancho Bernardo, meaning they are skilled in its administration and know how to achieve the best results for a variety of patients while avoiding unwanted side effects.

Dermacare Laser & Skin Care Clinic of San Diego is a Platinum Plus level provider of Botox in San Diego, and our skilled injectors understand how Botox works with a person’s facial anatomy to achieve ideal results.


After Botox, you won’t need any downtime, but there are things to avoid to promote optimal results and minimize the risk of side effects. First, don’t lie down or bend over for more than a few seconds during the first three hours after your treatment, as this can cause the formula to spread and result in bruising. Avoid sweating and raising your body temperature and blood pressure by refraining from exercise, sunbathing and using saunas, steam rooms, hot tubs and tanning booths for 24 hours.

Sweat can potentially irritate your skin at the injection site and cause an infection if it enters the puncture from the Botox needle before it heals. Heat can increase the chance of developing bruising in the treatment area.


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. You may see some slight swelling and bruising around the injection sites, which should subside within a few days and can be reduced by following our post-treatment recommendations. For any other severe reaction, patients should contact their provider and be seen right away.


After Botox, you can expect to see smoother, more youthful skin with reduced fine lines and wrinkles.


There is a common misconception that Botox will make you appear frozen, unnatural or plastic. However, that’s just what it is: a misconception. Botox relaxes the muscles in the treatment area, but this does not mean your face will look frozen or unnatural. In the hands of an educated, experienced provider, Botox results look very natural. You can look years younger and leave people wondering what your secret is.

There are cases where inexperienced (and sometimes illegal) practitioners perform Botox and bring on abnormal or even disastrous results. The media also tends to highlight celebrities who have had too much Botox or filler injected into their face, which a reputable cosmetic practitioner would refuse to do. This is why choosing your Botox provider wisely is essential to achieving the natural results you want.

How soon will I see Botox results?

Results from your Botox in San Diego can become evident in as little as one to three days after treatment, 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 the worry of side effects that will reveal the fact you just had a cosmetic treatment performed.

How long does Botox last?

Botox injections in San Diego 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 the outcome of your Botox injections in San Diego, 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, more youthful look to endure longer.


The total cost of your treatment will depend on how many units are needed to achieve your ideal results. At your personalized Botox consultation, we can evaluate your concerns and provide you with the specific price of your Botox in Rancho Bernardo or Carlsbad.