Botulinum Toxin

Whether you like Botox, Dysport or Xeomin, these wrinkle relaxers or neuromodulators relax dynamic lines. It works by blocking the neurotransmitter responsible for muscle contraction.  Common areas treated include the forehead and glabellar region, as well as around the eyes, mouth and neck. Can be used to slim the face. Can also be used to help relieve symptoms associated with TMJ as well as excessive sweating (hyperhidrosis).

What to expect during treatment?

Targeted areas will be mapped out. The skin is cleansed and the neuromodulator is injected over the muscle. Generally, this procedure is well tolerated, most describe it feeling like a prick. If worried about pain, a topical anesthetic or ice can be used before treatment.

What to expect after treatment?

Some redness may occur over the injection site, in some cases mild bruising may occur.

How many treatments are needed?

Generally, repeat treatment is every 3 months. However, those who get this type of treatment regularly may see effects last even longer as targeted muscles have not been engaged, leading to less severe wrinkles. 

When will I see results?

Full effects are seen around day 7-10. 

Risks associated with treatment

If wrinkles directly above the eyebrows are injected, it may cause the eyelid to droop. If an eyelid droop were to occur, eye drops may be prescribed, or an injection may be given in an area to help elevate the brow. The same can happen around the mouth. If injected incorrectly, it may cause facial droop. Thankfully, neuromodulators are not permanent and symptoms totally resolve after 3 months.

Botulinum Toxin can help:

  • Lines along the forehead and between the brows
  • Crows feet around the eyes
  • Lines along the neck

  • Pebbling over the chin

  • TMJ, grinding

  • Slimming of the jawline

  • Gummy smile
  • Excessive sweating (hyperhidrosis)



  • Stop alcohol 24 hours prior to treatment.


  • Avoid non-steroidal anti-inflammatory agents (ie: ibuprofen, aspirin), Vitamin A, Vitamin E, Gingko Biloba, Garlic, Flax Oil, Cod liver, Omega 3 Fatty Acids 1 week prior to your treatment as this can increase bruising and bleeding.


  • Avoid hot tubs, saunas for 48 hours after treatment as this can dissipate the produce.

  • Avoid bending for 12-24 hours after treatment as this may dissipate the product.

  • Avoid exercise for 24 hours after treatment as this can dissipate the product and increase bruising.


  • Can apply Arnica cream over any areas with bruising.


  • Do not rub the areas that were injected for at least 4 hours.

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Alle and Aspire Partner

3195 Danville Blvd Suite 4
Alamo, CA 94507


The World of Fillers

The World of Fillers

Fillers are comprised of hyaluronic acid, which restores volume and improves the overall texture of the skin. As we age, we lose fat in the face, the muscle wears down and even the bone structure changes. This all contributes to an ageing face. In our youth, the face is shaped like an upside-down egg, wider at the top and narrower at the bottom. As we age, this flip around. We become narrower up top having lost volume around the temples and wider at the bottom. This is because of the changes we mentioned above – loss of subcutaneous fat, muscle atrophy, and changes in bone structure.

When tackling volume loss, we start with the midface. It fills the cheeks, elevates the midface, and in doing so can improve the hollowing of the eyes and smooth the lines around the mouth. Filler can restore definition to the jawline. Not only can it plump the lips, but also restore its color and hydration too. Don’t forget the hands, always a dead giveaway of our age. The hands can also be filled, we use Restylane Lyft for this area. With the correct type of filler and amount used most won’t know what you’ve had done, just that you look rested, refreshed, youthful.

Prior to coming to the clinic there are a few things you should do to prepare. Avoid alcohol and Ibuprofen 48 hours prior to injection as this will minimize bruising. Of course, there still is a risk of bruising as we have hundreds of thousands of blood vessels in our face but taking this precaution will help. We locally anesthetize the area and in some, perform a nerve block. Other practices just use a topical anesthetic. We do not find this to be as effective. After your procedure you should avoid strenuous activity for a few days. Sleeping upright can help with swelling. Keeping hydrated and using a topical hyaluronic serum is great to support your treatment at home. By staying hydrated and using a good skin care regimen, we support and maintain our results following treatment.

We love Galderma’s Restylane line of fillers. Their line of fillers with XpresHAn technology integrates into the tissues and moves with the face keeping a natural look. We’ve included a list of Restylane’s line of filles and areas we like to use them:

Restylane Refyne – can be used anywhere on the face
Restylane Defyne – lower face such as nasal labial folds (laugh lines), chin
Restylane Contour – midface
Restylane Lyft – midface, temples, jawline, hands
Restylane – L – can be used anywhere on the face, lips
Restylane Kysse – lips, wrinkles around the mouth

We are happy to answer any questions you may have! Consultations are complimentary. Call or schedule online at

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