BOTOX® Cosmetic

BOTOX® Cosmetic
 When we frown for any reason, we gather the tissue between our eyebrows into a fold. In some of us, this causes a chronic furrow that produces a frustrated, discouraged and angry look on our face that can be distracting to others and a bother to ourselves. Dynamic movement of the facial skin which continuously creates a crease in the same location may also produce a permanent “etching” into the skin. Horizontal lines on the forehead and crows feet around the eyes often makes the person look tired and aged, especially during dynamic expression.

Now you can treat these and other expression lines without surgery and without scars with a simple treatment of BOTOX® Cosmetic.*

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is the trade name of Botulinum Type A, a purified toxin produced by the bacterium Clostridium botulinum. In large amounts, this toxin blocks the nerve impulses to muscles, causing a form of paralysis called botulism.*

By using extremely small doses of injection directly into a specific muscle, only the action of that muscle will be paralyzed.* Therefore, the problem that muscle causes (like a twitch, spasm or frown line) will be stopped.*

What if I’m new to injectables?

If you are new to injectables, we’ve put together this helpful Beginner’s Guide to Injectables, detailing everything you need to know before your treatment.


Why is it helpful?

BOTOX® Cosmetic is the only way, short of drastic surgery, to slow down the formation of wrinkles caused by the muscle movements of facial expression.* Its use on the forehead and for frown lines gives a more open look to the face that previously required major surgery.* Younger people can benefit by regular use to prevent their unwanted frowning or forehead wrinkling from getting “etched” into their skin.* Complementary procedures such as Restylane and Laser PhotoFacial can be performed to create a younger overall appearance without surgery.* Dr. Rubinstein strives to give a natural look to the face while maintaining the wrinkle improvement from BOTOX® Cosmetic.*

Where do you inject the BOTOX® Cosmetic?

The frown line between the eyebrows is caused by the action of a muscle called the corrugator supercilii. You can feel this as a thickening just below the inside of your eyebrows when you purposefully make yourself frown.

Injecting BOTOX® Cosmetic directly into this corrugator muscle stops your ability to draw your eyebrows together when you frown.* Once the muscle is paralyzed, it cannot contract and the frown line gradually fades away.*

BOTOX® Cosmetic is also an effective treatment for crow’s feet, forehead wrinkles and neck folds.* It can also help with a “puckered lip” a bit and is very helpful with the “bubble wrap” puckered chin look.*

Will it last?

The actual treatment takes only a few minutes and the injection takes full effect in 1-2 weeks.* Gradually, over several months, the Botox effect will fade and the muscle action will return.* When the frown line starts to reappear, a simple repeat treatment is all that is necessary to maintain the desired result.* We recommend treatments every four months to maintain maximum improvement.*

How has BOTOX® Cosmetic been tested?

BOTOX® Cosmetic has been in use since 1980 for the treatment of strabismus (lazy eye) and blepharospasm (uncontrolled eye blinking). The use of BOTOX® Cosmetic for forehead wrinkles was pioneered in 1989 by Dr. Carruthers of Vancouver. A major study of this technique was completed in 1995, with the review published in the Journal of the American Academy of Dermatology. BOTOX® Cosmetic received official FDA approval in 2002. Dr. Rubinstein conducted a BOTOX® Cosmetic research project with Allergan, the manufacturer of BOTOX® Cosmetic.

Are there any side effects?

The side effects of BOTOX® Cosmetic are related to the local injection of the solution. There will be a slight discomfort from the needle entering the skin and a small chance of a bruise at the site of the injection.* There are no reports of damage to the eye with injections to the eyelid.* There have been no permanent side effects from the use of Botox.* Less than 1% of patients will develop a slight lowering, or ptosis, of one eyelid.* This is temporary and may not even be noticed by the patient.*

Do treatments hurt?

Very tiny needles are used for the injections and most patients tolerate the small pinpricks very well with no anesthetic. About half of our patients choose to use one of several topical anesthetic creams, which are applied shortly before treatment. This makes the treatment almost painless.* Just ask our staff.

Can BOTOX® Cosmetic help with anything else?

BOTOX® can also be used to reduce sweating of the underarms, palms, and soles.* For patients with severe sweating who do not respond to prescription antiperspirants, BOTOX® can be the answer to ruined clothes and embarrassment.* Injections need to be given approximately twice a year. Botox has also been found to help reduce the frequency and intensity of tension and migraine headaches.*

Botox Injections in the greater Los Angeles area

Dr. Rubinstein performing a Botox injection in Los Angeles

Anyone with a professional medical license can perform an injection of BOTOX® Cosmetic. HOWEVER – Skillful BOTOX® Cosmetic treatment can only be performed by experienced clinicians who properly dilute and inject authentic BOTOX® Cosmetic developed and distributed in the US by Allergan, a Pharmaceutical company in Irvine, CA. Dr. Rubinstein, a Board Certified Dermatologist, personally performs all BOTOX® Cosmetic injections at our practice. His skillful technique achieves a natural look without the lines but with some dynamic movement of the face.*

We only purchase and inject GENUINE BOTOX® Cosmetic, made in the USA and distributed and sold by Allergan. How can you be sure? Dr. Rubinstein is a Platinum Level Provider which means he purchases a high volume of BOTOX® Cosmetic only from the manufacturer.

Confidentiality: Dr. Rubinstein’s celebrity clientele includes members of the television and motion picture industry. On-screen or off, members of the entertainment industry find our practice to be convenient and discrete. Confidentiality is important to us.

When should I return for treatments?

Don’t wait until your wrinkles return. As soon as you feel muscle movement, return for a treatment. Eventually, this may extend the desired effect of BOTOX® Cosmetic as well as prevent the formation of deeper lines.*

Consider complementary cosmetic procedures such as laser PhotoRejuvenation on your return visits to maintain a youthful appearance.* This may prevent or delay unnecessary cosmetic surgery for years!*

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Before and after photos

Before (frowning)
Before (frowning)
After (trying to frown)
After (trying to frown)

*Individual results may vary and are not guaranteed.

Before Botox treatments
After Botox treatments

*Individual results may vary and are not guaranteed.

*Individual results may vary; not a guarantee.

BOTOX® Cosmetic is Used to Treat:

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We're happy to answer any questions you may have, feel free to call us at
(818) 505-9300