BOTOX® in San Diego

At Dermacare of San Diego, under the direction of Dr. Birchall, we have performed over twenty-eight thousand Botox injections for patients looking to reduce signs of premature aging around the eyes and in the brow line. Botox or onabotulinumtoxinA is known all over the world as the original injectable to smooth out the wrinkles that cause men and women to appear aged beyond their years. Whether or not you’re sure about the mechanics of why and how wrinkles form, the problem is facial movement. When we talk about facial movement, we mean the formation of facial expressions that display our emotions and what we feel so that we can accurately convey that to others in conversation.

However beneficial expression and facial movements are for basic life function, wrinkles are an inevitable side effect. However small, wrinkles tend to change the appearance of the face at rest to make us all appear unapproachable or upset. In consultation with Dr. Birchall, he will ask you to look into the mirror and squint; as soon as you see the wrinkles form in between the brows, at the top of the nose and around the corners of the eyes, you’ll know why you need to find a solution to relax the skin. This is where Botox injections will make all the difference in your look.

Botox Addresses:

  • Glabellar lines
  • Crow’s feet
  • Bunny lines
  • Gummy smile

How does Botox work and how is it applied?

Before Dr. Birchall administers the Botox injection, he will assess the area and particular wrinkles you want to be treated; he doesn’t focus on the lines specifically, but the muscle that creates those lines. In just five injection points—tiny pokes into the skin—Dr. Birchall injects onabotulinumtoxinA directly into the muscle, blocking any nerve impulses that cause the muscle to contract.

While Botox will not offer the same results as a facelift or brow lift, it will relax the muscle at about 75 percent which is a marked improvement. Many of our patients have noticed reduced activity from sweat glands in the forehead as well which can be beneficial if you’re someone that sweats more than you would like. As a result of reduced sweat gland activity, acne flare- up’s are minimized.

Are there risks associated with Botox injections?

As with any skin treatment, there are some risks, but in our time offering the Botox injection we have never observed our patients having any significant reactions. However, in some cases, you may notice some slight bruising. Dr. Birchall explains the mechanics of Botox within your consultation and always refers to Botox as a protein-based formula to reduce any concern about its neurotoxin distinction.

How long does Botox last?

Botox injections last anywhere from 3-4 months as the body repairs the change in the nerve to muscle communication. The more important thing about Botox is that it isn’t permanent so if you don’t like the results, it will wear off.

If you would like to find out more about our Botox injection treatment for the smoothing out of wrinkles and fine lines, call our San Diego office to schedule your consultation today at 858-943- 2443.

BOTOX® Cosmetic and Dysport® are simple, nonsurgical treatments that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age.

Procedure Summary:


Indications: Reduction of Lines and Wrinkles

Downtime: None

Anesthetic Needs: None

Typical Package: Repeat treatments every 3-4 months

BOTOX® Cosmetic and Dysport® are simple, nonsurgical, physician-administered treatments that can temporarily smooth moderate to severe frown lines between the brows. Both treatments are approved by the Food and Drug Administration (FDA).

One 10-minute treatment—a few tiny injections—and within days there’s a noticeable improvement in moderate to severe frown lines between the brows, which can last up to 4 months. Results may vary.

Best Botox ever!!!”

“Dr. Birchall is the BEST INJECTOR I have ever experienced in ten years.”

BOTOX® Cosmetic and Dysport® are composed of the purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.