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
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
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
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.
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
performs all Botox injections
in our practice. His skillful
technique achieves a natural
look without the lines but with
some dynamic movement of
We only purchase and inject
GENUINE Botox Cosmetic,
made in the USA and
distributed and sold by
Allergan, an Irvine, CA based
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
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.
When should I return for Botox
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.
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
|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
What this means for
you is that he is one of
the top Botox and
Juvederm injectors in
We only purchase and
inject GENUINE Botox
Cosmetic, made in the
USA and distributed
and sold by Allergan,
an Irvine, CA based
How can you be
sure? Dr. Rubinstein
is a Diamond Level
Provider which means
he purchases a high
volume of Botox
Cosmetic only from the
|Gene Rubinstein, M.D.
Dermatologist and Harvard Trained Laser Specialist
Medical and Cosmetic Dermatology