Our Palo Alto office is proud to offer BOTOX for patients seeking a nonsurgical wrinkle treatment. BOTOX is an injectable medication known as a “muscle relaxer”. It has been safely used for more than 17 years to treat a wide array of medical conditions, but most commonly, it treats facial wrinkles, lines and furrows in the forehead area. Once injected, BOTOX relaxes the muscles under the skin by blocking the release of a chemical neurotransmitter that causes the muscles to contract. The effects are localized and do not affect the ability to smile, laugh, or otherwise show expression. The result is a smoother, softer skin appearance that decrease, and in some cases, removes facial lines. During a consultation with Dr. Schendel, he may suggest combining BOTOX with another treatment to maximize results.
"Dr. Schendel is helping me feel like myself again after a tumor changed my life. - I am 28F and was diagnosed with a rare pituitary tumor resulting in a condition called acromegaly in 2015. Because of this condition my brow grew, the soft tissue in my face increased and the right side of my jaw grew asymmetrically which resulted in a quickly developed underbite. After surgically controlling the tumor by an SF neurosurgeon to ensure no more growth would occur, my husband and..."- B. / RealSelf / Apr 28, 2017
"Best decision I ever made! - Best decision I ever made was to have a mid-face lift with Dr. Schendel. He listened to my concerns and came up with a strategy that I would be pleased with. Dr. Schendel has a great bedside manner and put my fears to rest pre-surgery. He and his staff were very attentive post surgery as well. I look renewed and refreshed not "done". I no longer cringe when I look in the mirror. Thank you for giving me a decade+ back."- C. / RealSelf / Mar 24, 2017
"Dr. Schendal is a consummate professional with a warm caring disposition. He is held in very high regard by everyone I spoke to at Stanford Hospital. I had absolute confidence in him and my surgery held no surprises due to the care he took in explaining everything and setting realistic expectations. His post op care was just as good."- L.G. / Healthgrades / Oct 23, 2016
"Dr. Schendel is a great doctor. My family and I have been fortunate enough to be under Dr. Schendel's care for many years. He has been helping me look and feel beautiful since my 50th bday... many years ago. He and his staff are wonderful in every way. His office manager, Carol Oderio, and everyone in his office treat you with the greatest care and make sure everything is perfect:) Dr. Schendel is able to enhance your beauty in an amazing way, all while looking very natural."- J.H. / Yelp / Mar 14, 2016
"I've been getting Botox from Dr. Schendel for several years - and I still look forward to my appointments because he always manages to make me smile and laugh. The office is clean, easily located by the freeway, and the staff is courteous and always prompt."- C.R. / Yelp / Nov 01, 2015
BOTOX is administered during an in-office appointment that typically takes about 30 minutes. The depth, length, quantity and location of wrinkles varies for each patient. Therefore, the injection treatment, including the dosage and injection location, is tailored during the procedure. Patients will be marked for the specific areas on the face that are going to be treated. The injection is given through a syringe to localized areas on the face. Patients will feel a small prick as the needle inserts through the skin, but any pain or discomfort is controlled with a cold compress.
What to Expect
Immediately following a series of BOTOX injections, there will be some mild swelling and redness at the injection site. This will subside a few hours after the procedure. Patients can resume their normal activities immediately, but exercise should be avoided for a few hours. It is also recommended that patients keep their heads elevated for the first 8-10 hours. Results following BOTOX will become apparent within 4-7 days. About a week after treatment, patients will notice an inability to fully move portions of their forehead. With limited movement, wrinkles will cease to appear. The result is skin that appears smooth and soft.
BOTOX treatment costs will vary depending on how much of the medication is used (the number of syringes). Most practices charge $350 for one full syringe of BOTOX. A treatment session typically takes 1-3 syringes. Therefore, the cost can range between $350-$700 per session.
Plan Your Procedure
- Average Cost
- $350 - $700
- Recovery Time
- 1-2 Days
- Average Procedure Time
- 30 Minutes
- Post-op Follow-up
- 30 Days
- Procedure Recovery Location
Is it Safe?
BOTOX is approved by the FDA and has a long, safe history. It is administered in over 75 countries and consistently ranks as the most popular cosmetic procedure in America. However, even with its popularity, BOTOX is a drug and should only be administered by a qualified medical practitioner. Individuals who receive injections by someone inexperienced run the added risk of bruising, over medicating and ultimately, obtaining undesirable result.
In 2009, BOTOX gained competition when Dysport (abobotulinumtoxinA) was developed, approved by the FDA, and made available to the general public. Both drugs are used to relax the facial muscles that cause wrinkles and frown lines. Some practices lean towards BOTOX to address forehead lines, while considering Dysport for crow’s feet. There has been much debate as to which drug is superior. Both have their advantages. Some distinct differences can be discussed during the consultation.
BOTOX or Filler?
Injectable fillers such as Restylane, Juvederm and Perlane help decrease wrinkles by adding volume to certain facial structures, which creates the appearance of smooth skin. BOTOX, which temporarily freezes the underlying muscle, offers a similar result with a different approach. A skilled practitioner will be able to determine if a filler material or a product like BOTOX would garner the best results.
Individuals who wish to soften and decrease facial lines and wrinkles may be candidates for BOTOX. The most common age to receive BOTOX injections is between 30-55. However, it is also common for patients younger and older to receive injections.
BOTOX is not a permanent fix. Results will last for several months - sometimes longer - but they will not last forever. Qualified injectors will tell you there is good news and bad news when it comes to BOTOX. The good news is, if you are not happy with your results, the results will only last a few months. Likewise, the bad news is, if you love your results (which most people do), the results will only last a few months. Regardless, many patients recognize even the temporary results are worth feeling and looking younger.