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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.
Skin Rejuvenation
Tutorial
WHAT'S RIGHT
FOR ME?
Purchase Dermatologist
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Care Products in our
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Gene Rubinstein, M.D.
Certified by the American Board of Dermatology
Studio City, CA
(818) 505-9300

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In-Office SPECIAL
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with 2 areas of Botox (min 40 units)
Question:    
When should I return for
Botox treatments?

Answer:
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
Gene Rubinstein, M.D.
Skin Rejuvenation - BOTOX
Serving Los Angeles  |  Beverly Hills  |  Studio City  |  Hollywood
(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.  

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.
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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 and his staff offer patients the latest advances in dermatology for skin rejuvenation, skin care, and the maintenance of healthy skin.  Our office and
state-of-the-art laser center are equipped with numerous lasers including the Lumenis IPL | V-Beam Perfecta | Fraxel II | LightSheer Hair Removal Laser | Aluma Skin
Tightening | as well as other lasers for applications which include psoriasis | tattoo removal | hyperpigmentation | melasma | skin tightening | Dr. Rubinstein is Certified
by the American Board of Dermatology.  Our office is located in close proximity to Encino| Sherman Oaks | Studio City | Burbank | Los Angeles | West Hollywood | Toluca
Lake | Tarzana | Woodland Hills | Van Nuys | and anywhere else in San Fernando Valley or Los Angeles Counties and just a short drive from Calabasas and Camarillo.  

In Los Angeles Botox and Restylane have become the most popular procedures.  Dr. Rubinstein combines Botox and other fillers like Radiesse, Restylane, Juvederm,
Sculptra and Artefill to create a natural look.  We also offer the best laser treatments for acne and acne scars in Los Angeles with the Fraxel II 2 1500 Laser as well as
Laser Tattoo Removal Los Angeles with the Revlite laser.  Dr. Rubinstein personally performs all Photofacial Los Angeles treatments wit IPL: and lasers.  Our skincare
consultant and Paramedical aesthetician offers clear skin solitions through miscrodermabrasion, chemical peels, oxygen facials and pigmentation treatments.