Dr. Hand’s Marin County practice offers BOTOX® injections, one of the most popular cosmetic procedures available today. BOTOX® Cosmetic is a biological toxin (Botulinium Toxin Type A) transformed into a therapeutic agent. Work with BOTOX® began in the late 1960s to treat neurological disorders. Today, BOTOX® is used for the treatment of frown lines, forehead furrows, “crow’s feet”, lines and wrinkles of the lower face, neck bands and even the nasal muscles to decrease nostril flaring and “snarl” lines. The treatment is minimally invasive and nonsurgical, requiring no recovery time.

During treatment, Dr. Hand will first apply a topical anesthetic cream followed by a few tiny injections directly into the muscles responsible for the areas of concern. BOTOX® works by blocking nerve impulses, which reduce the ability for the facial muscle to contract. With less movement, the skin surface gradually smoothes out, and lines begin to fade. Untreated facial muscles can still continue to contract in a normal fashion, so that normal facial expressions are not affected.
Normal activities may be resumed immediately. The results of BOTOX® generally last from 3 to 4 months beginning 3 to 14 days after injection. Follow-up injection should be scheduled when muscle pleating begins to reocur. Repetitive injections should assist in smoothing the area further.


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ASAPS Position

The American Society for Aesthetic Plastic Surgery (ASAPS) maintains that BOTOX® injections for aesthetic purposes appear to be safe and effective. Patients, who show early signs of aging, as well as those who may not be suitable candidates for more extensive aesthetic facial surgery, may also be good candidates. Certain medications (anti-inflammatories and aspirin) and even some vitamins and herbs may increase bleeding and bruising at the time of injection. Pregnant or nursing women should postpone undergoing this procedure.