What is Botox® Cosmetic?
Botox ® Cosmetic (Botox) 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 Botox, injected directly into a specific muscle, only the action of
that muscle will be paralysed. Therefore, the problem that muscle causes, like a twitch, spasm or
frown line, will be stopped.

Why is Botox so helpful?
Botox 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.

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

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

Botox is also effective in the treatment of 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 Botox takes effect in one to two weeks.
Gradually over three to five 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 been tested?
Botox has been use since 1980 for the treatment of strabismus (lazy eye), and blepharospasm
(uncontrolled eye blinking). The use of Botox for forehead wrinkles was pioneered in 1989 by Dr.
Carruthers of Vancouver. A major study of this technique was completed in 1995, and a review
published in the Journal of the American Academy of Dermatology. Botox Cosmetic received official
FDA approval in 2002.  
Dr. Rubinstein conducted a Botox research project with Allergan, the
manufacturer of Botox.  

Are there any side effects?
The side effects of Botox 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.

Does Botox 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.

Who Can Perform Botox?
Anyone with a professional medical license can perform an injection of Botox.  HOWEVER - Skillful
Botox treatment can only be performed by experienced clinicians who properly dilute and inject
authentic Botox(R) 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 injections in our practice.  His skillful technique achieves a natural look without the lines but
with some dynamic movement of the face.

Can Botox help 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.
Gene Rubinstein, M.D.
Skin Rejuvenation - BOTOX
Serving Los Angeles  |  Beverly Hills  |  Studio City  |  Hollywood
SKIN REJUVENATION
OTHER SERVICES
.
.
.
(818) 505-9300
DERMATOLOGIST AND LASER SPECIALIST
Gene Rubinstein, M.D., F.A.A.D.
(818) 505-9300
Who Can Perform Botox
Injections?
Anyone with a professional
medical license can perform an
injection of Botox.  HOWEVER -
Skillful Botox treatment can only
be performed by experienced
clinicians who properly dilute and
inject authentic Botox(R) 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 injections in
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, an Irvine, CA
based company.  
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 clienetele
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.  Your confidentiality is
important to us.
Q:    
When should I return for Botox
treatments?

A:
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 as well as
prevent the formation of deeper
lines.   

Consider complimentary 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!

Ask us a question
Botox  | Los Angeles | Studio City
Performed by a Board Certified Dermatologist

Before (frowning)
After (trying to frown)
After (trying to frown)
Before (frowning)
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. This produces a frustrated, discouraged, 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 eliminate these and other expression lines without surgery and without scars, by
a simple treatment with Botox.
.
Dr. Rubinstein is a
PLATINUM LEVEL
BOTOX INJECTOR
and is one of the few
offices to offer
What this means for you is
that he is one of the top
Botox injectors in Los
Angeles.  This program
also offers patients special
rewards and benefits.
 

We only purchase and
inject GENUINE Botox
Cosmetic
, made in the
USA and distributed and
sold by Allergan, an Irvine,
CA based company.  
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.
.
.
.