Botox & Dysport

Botox® & Dysport® Treatments in San Francisco

Immensely popular around the world, Botox® Cosmetic and Dysport® are safe, effective wrinkle minimizers. These tiny, amazing purified proteins work by relaxing the muscles that are responsible for many of our facial lines and wrinkles. In addition to aging us, these lines and wrinkles often cause us to look – and sometimes feel – more angry, stressed, sad, or tired than we would like. Botox® Cosmetic and Dysport® can help smooth away these lines, while still allowing you to make natural facial expressions. The result is a refreshed, NOT frozen look.

The many uses of Botox® Cosmetic and Dysport®

You might know these wrinkle minimizers best for their ability to soften the frown lines (or “the 11s”) between your brows. But Botox® Cosmetic and Dysport® can also work wonders erasing your horizontal forehead lines and crow’s feet. In fact, there are a surprising number of ways Botox® Cosmetic and Dysport® can help you look and feel your best!

Areas that can be treated with Botox® Cosmetic and Dysport® by Lisa Leung, NP in San Francisco

  • Frown lines between the eyebrows
  • Forehead lines
  • Crow’s feet or smile lines at the corners of the eyes
  • Droopy eyebrows
  • Lines at the top of the nose or “bunny lines”
  • Lower eyelid fine lines
  • Neck bands
  • Droopy corners of the mouth
  • Pebbly chin skin
  • Vertical lip lines or smoker’s lines
  • Underarms for excessive sweating
  • Jaw for teeth grinding and jaw slimming

Botox & Dysport treatment in San Francisco

Maximum frown before & after

What to expect during treatment

Both first-time patients and long-time fans of Botox® Cosmetic and Dysport® are frequently surprised by how easy their treatment is with Aesthetic Nurse Practitioner Lisa Leung. Lisa’s expertise and gentle touch make your visit a quick and pleasant one. No anesthetic is required and any discomfort is usually minimal and brief. Lisa uses a very fine needle to inject Botox® Cosmetic and Dysport® into the area being treated. This takes about 15 minutes and most patients return to work or their normal activities after their treatment.

When do I see results and how long do they last?

You may start to see the effects of your Botox® Cosmetic or Dysport® treatment in a couple of days; however, your final results can take 1-2 weeks to fully “settle in.” The duration of Botox® Cosmetic and Dysport® can vary, depending on your own individual anatomy/physiology, the amount of Botox used, and where it is placed. However, most people can expect their Botox® Cosmetic or Dysport® to last around 3-6 months. Repeated treatments in problem areas of the face will allow for progressive recovery and improvement of the skin over time. Furthermore, Botox® Cosmetic and Dysport® have a preventative role in decreasing the formation of new lines and wrinkles!

How much Botox do I need?

The quantity of Botox® Cosmetic or Dysport® that you will need depends on many factors, including the goals you are trying to achieve, the size of the area(s) being treated, the strength of your muscles, your personal anatomy, and of course your age. Because every patient is unique, we recommend an in-person consultation with Lisa to evaluate how much Botox® Cosmetic or Dysport® is appropriate for your particular needs. Lisa will discuss your concerns and treatment goals with you and suggest an individualized treatment plan that is tailored to your skin.


What are some of the unconventional areas where fillers and Botox can be used?

1) BOTOX for the Depressor Anguli Oris (DAO)

Patients are familiar with treatment for marionette lines with Juvederm/Restylane, but it is also beneficial to have small amounts of Botox injected in a group of muscles called the DAO. By doing so, this can subtly raise the corners of the mouth. When combined with fillers the benefits are enhanced with tissue support and muscle relaxation to prevent a downward pull.

Depressor Anguli Oris diagram

2) Fillers for the temples

Noticeable hollowing of the temples is a common sign of aging that can be helped by the use of dermal fillers. Juvederm, Radiesse and Sculptra are all great options for filling out the contours and restoring a youthful appearance to the face. Fillers in the temples tend to last longer compared to other areas of the face due to the lack of movement. Sculptra has results that can last up to two years with Juvederm/Radiesse lasting about a year. It is an often overlooked area that can make a significant difference when addressed.

3) Botox for extreme sweating

BOTOX helps control the symptoms of severe underarm sweating by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don’t receive chemical signals, the severe sweating stops. BOTOX is expected to temporarily stop the production of excessive sweat in the treated areas only. Your sweat doesn’t go anywhere or get backed up because the sweat simply is not produced in the areas treated with BOTOX. Remember, the rest of your body is free to produce moisture normally.

During the procedure at the doctor’s office, a small amount of BOTOX is injected into the affected underarm area through a very fine needle. The actual procedure takes about 10 to 15 minutes and lasts up to seven months. You should notice a significant reduction in underarm sweating within four weeks of your first treatment

4) Bunny Lines

Bunny lines are wrinkles formed on the sides of the nose when a patient animates. Depending on each individual’s unique expressions, some bunny lines are more apparent than others. Small amounts of Botox (two to four units) can be injected into these muscles to relax and prevent the deepening of lines over time.

5) Non Surgical Rhinoplasty

Fillers can be used to augment the nasal bridge without having to go through an invasive surgical procedure. A small amount of filler is used to create height and definition with immediate results.

Can Botox be used for forehead lines on a 21-year-old?

A: No age limitations, but 21 years old is pretty young for Botox.

There are no absolute age limitations although 21 years old is pretty young for Botox. If you receive treatment, I would be conservative in the amount used at first. I have treated some young patients with really severe frown lines (between the eyebrows) but not so much for horizontal forehead lines. It would all depend on an examination and evaluation though. Good luck!