BOTOX® Cosmetic

best of san francisco master injector award winnerBOTOX® Cosmetic targets one of the underlying causes of frown lines, crow’s feet and forehead lines—repetitive muscle contractions from squinting and frowning. Botox temporarily reduces this muscle activity so you’ll begin to notice a visible smoothing of these lines. Results typically last three to five months.

BOTOX is also FDA-approved for temporarily controlling excessive underarm sweating, known as hyperhydrosis.  Small doses are injected to the underarm areas to temporarily block the nerves that stimulate sweating. Results last from seven to nine months.

newbeauty magazine 2023 award winnerBotox was a winner of the coveted NEWBEAUTY Best-of Awards four years in a row, and again in 2023!
2021 – Best Neurotoxin
2020 – Best Neurotoxin
2019 – Best Wrinkle Erasing Injectable
2018 – All Star Wrinkle Eraser

>>>Cosmetic Uses of Botox

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What is BOTOX Cosmetic?

It’s the first FDA-approved treatment to temporarily reduce moderate to severe frown lines, crow’s feet, and forehead lines in adults. Botox injections contain botulinum toxin, a neurotoxin that relaxes muscles to smooth out lines and wrinkles. Botox is not a surgical procedure nor a dermal filler and it is not permanent.

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Am I a good candidate? Yes, if:

• You have moderate to severe facial wrinkles.
• The wrinkles are located in areas that Botox can treat, such as around or between the eyes, on the forehead, or around the neck.
• Your general health is good.
• You have realistic expectations for improvement.
• Botulinum toxin should not be used in pregnant or lactating women.

What can I expect after the treatment?

Most people see results within a few days, but it may take up to a week to see the full effect. Botox usually lasts three to five months.

How do I prepare for treatment?

A complimentary consultation is required if BOTOX Cosmetic is new to you. However there is nothing you need to do prior to your consultation or treatment.

What happens during treatment?

We may use a cold pack or anesthetic cream depending upon the areas to be injected and your sensitivity. A tiny needle will be used to inject the Botox into the muscles that cause lines and wrinkles. The number of injections you receive will depend on the severity of your wrinkles and their location on your face. The actual injection process takes about ten minutes but your appointment may last 45 minutes or so if you opt for a numbing cream.

Is post-treatment care needed, and is there any downtime?

There is no recovery time with Botox injections. It’s often called a lunchtime treatment. You can return to your normal activities right away. Avoid rubbing the areas that were injected as it could cause the botulinum toxin to migrate to other areas of your face, causing temporary facial weakness or drooping. Slight bruising may occur at the injection sites which will subside like any other small bruises.

Can this treatment be used as part of a combo therapy?

As with most of our treatments, the application of Botox can be combined with filler injections or laser treatments depending upon your overall needs and goals, though not always at the same time.

What’s the science?

Botulinum toxin can be injected in extremely small concentrations and works by preventing signals from the nerve cells reaching muscles, therefore paralyzing them.

In order for muscles to contract, nerves release a chemical messenger, acetylcholine (a neurotransmitter), at the junction where the nerve endings meet muscle cells. Acetylcholine attaches to receptors on the muscle cells and causes the muscle cells to contract or shorten.

Injected botulinum toxin prevents the release of acetylcholine, preventing contraction of the muscle cells. Botulinum toxin causes a reduction in abnormal muscle contraction, allowing the muscles to become less stiff.

››››› More Frequently Asked Questions

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Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Suzanne P.
Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical and Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical & Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Kathleen F.
Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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