We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.





Is Botox Only Good for Certain Face Wrinkles and Lines?
Quick Answer: Botox CANNOT be used to correct all facial wrinkles and lines. Thank you for your question. In our San Francisco Bay Area practice we frequently use Botox as an effective way to soften the appearance of many wrinkles on the face. Botox works to correct wrinkles that are a result of muscle activity and not all wrinkles are caused by muscle activity. Most commonly the wrinkles between the eyebrows, on the forehead and the outer portion of the eyes (crow’s feet) are treated effectively with Botox, but Botox is not limited to these areas. An example of a line not caused by muscle movement, and therefore not treated effectively with Botox are the lines from the nose to the corner of the mouth (nasolabial folds). These lines are caused by fat in the cheeks decreasing and/or shifting and are corrected with products that create volume such as fillers (ex. Restylane, Juvederm, Sculptra) or fat injections.
Clinical Context
Two lines can sit in nearly the same spot on the face and still need opposite treatments. A forehead crease and a static brow furrow, for instance, can look similar at rest but behave differently on animation. The simplest way to tell them apart is to watch what happens when the face goes fully still: a line that disappears is being pulled by muscle contraction, while one that stays put is a structural fold from lost volume or skin laxity. This distinction matters because treating a structural line with a muscle relaxant does little, and treating a dynamic line with filler can look overfilled or unnatural.

