Botox® Cosmetic

Botox ® Cosmetic, or Botulinum Toxin, is traditionally used to remove or reduce facial lines or wrinkles such as frown or worry lines of the forehead, lines between the eyebrows, crows feet, laugh lines or other wrinkles. Dr. Rajagopal is a platinum injector and trainer for Allergan. Mentoring and training several protégés, who have built flourishing careers of their own thanks to her guidance and tutelage.

Soften your look

Botox is one of the most widely prevalent methods used for regaining smooth, younger-looking facial skin while helping to combat the signs of aging and wrinkles.

Baby Botox (Preventative Botox) in Your 20s

Common uses for Botox

Muscle contraction causes wrinkles, lines, creases, Crow’s feet around the eyes, etc., which increases as you age. Botox, a protein complex, has the ability to slow down the rate of contractions. Commonly used in the ’11’ lines or frown lines. It can also be used to lift the eyebrow, which can help your eyes to open wider, causing you to look more rested and awake.  As well as used to plump your lips, giving you a much sought after pout. Botox has many uses and is administered in the form of injections and is often used for cosmetic purposes.

What do Botox injections entail?

Botox is injected into specific facial muscles with the aid of a tiny, sophisticated needle. Although this technique doesn’t cause enough pain to require an anesthetic, you tend to experience a stinging sensation due to the needles. However, the target areas are cooled with ice or numbing cream before the injections to reduce discomfort. The effects might be noticeable from the next day itself, but in most cases it takes about 4 to 7 days.


Dr Usha Rajagopal is a Platinum Injector and Trainer for Allergan!

We are proud to have prominent San Francisco Plastic surgeon Dr. Usha Rajagopal on board. Usha Rajagopal, MD. is a platinum injector and trainer for Allergan (the makers of Botox). When you visit Dr. Rajagopal, you can rest assured that you’re in good hands. With more than 20 years of experience she has treated thousands of patients to  date.

READ: Questions about Botox


*Above: After photo taken three months after first treatment. There are still three months left until the face slimming procedure will be complete.

*Disclaimer: Results are not guaranteed and may vary from person to person.


As seen on Channel 5 Eye on the Bay:


*Disclaimer: Results are not guaranteed and may vary from person to person.

Botox® Cosmetic can also be used to:

At the San Francisco Botox® Cosmetic Center, our product is guaranteed to be fresh and concentrated, not diluted, and most importantly from the U.S. and not illegally imported.

The Best Candidates For Botox® Cosmetic

The best candidates for the procedure are those between ages of 25 and 65. In many cases, wrinkles in people over 65 are not caused by muscle pull but rather sun damage; however, each person is different and must be evaluated.

Botox® for jaw line reduction (Parotid hypertrophy)

Dr. Usha Rajagopal, Plastic Surgeon of the San Francisco Plastic Surgery & Laser Center, performs non-invasive facial and jaw line contouring and slimming by using BOTOX® Cosmetic.

Angular jaw lines and round faces are very common facial features, especially in Asian ethnicities and particularly in individuals of Korean, Chinese, and Japanese decent. In Asia, jaw bone reduction surgery has been increasing in popularity for slimming down prominent, round faces. However, BOTOX® Cosmetic, which is well known for treating wrinkles and frown lines, can alternatively be used for facial contouring. Instead of undergoing invasive and complicated jaw bone reduction surgery with a plastic surgeon, using BOTOX® injections to contour the face and jaw line requires no downtime afterward and it is safer, faster, and less expensive. The full slimming effect becomes apparent approximately two weeks after the treatment and these results can last anywhere from four to eight months. The cost for using BOTOX® for facial slimming can range from $800-$1200.

Watch the first treatment for BOTOX® facial slimming / jaw bone reduction:

*Disclaimer: Results are not guaranteed and may vary from person to person.

The Procedure For Botox® Cosmetic

The procedure works by physiologically weakening the facial muscles beneath the skin that are related to expression lines. The contractions of those muscles result in wrinkles. Botox® Cosmetic works by blocking the impulses from the nerve to the facial muscles thereby relaxing them. The result is that the underlying facial muscles relax, resulting in a smooth, unwrinkled look.

No sedative or local anesthetic is used because the pain associated with the procedure is minimal. A small amount of discomfort is felt when the needle is inserted and the liquid injected. This sensation lasts approximately 5 seconds. Because we use a very concentrated form of Botox® Cosmetic, the pain amount is lessened and the chance of diffusion to unwanted muscles is greatly diminished.

Botox® Cosmetic is injected into various locations on the face. The needle is extremely small and only a tiny amount of liquid is injected at one time.

Botox® Memberships

Brilliant Distinctions® by Allergan®

Join Brilliant Distinctions NOW. It’s easy, and free.

Earn Points for savings on select treatments and products. Access member-only content. You can sign up for exclusive offers and events too! 

To join Brilliant Distinctions, click here.

Botox® Cosmetic Benefits Card

Receive $25 off Botox® Cosmetic Treatments everytime you present the card at Dr. Rajagopal’s office.

Botox® Cosmetic For The Underarms (Axillary Hyperhydrosis)Botox® Cosmetic can also be used for severe primary axillary hyperhidrosis, that can not be managed with topical agents. Usually about 100 units are used in treatments performed on the underarm area (and results can last 6-9 months). Botox® Cosmetic provides lasting duration with consistent control and compelling results.If you have any questions regarding Botox® Cosmetic, or wish to schedule a consultation, please call the San Francisco Plastic Surgery & Laser Center at 415-392-3333.

Botox San Francisco – See also:

Common Questions

How long should I wait to shower after Botox?

Thank you for your question. There is no restriction of showering or bathing after your botox treatment, you can do that immediately.

I am 31 and looking for something that will prevent fine lines and wrinkles and lay the foundation for future skin treatments. 

Crows feet are the common term for the line that run laterally from the outer corners of your eye when you smile and squint. Since they are usually caused by movement Botox can be used to minimize or diminish their appearance.

The nasolabial folds that run from the base of your nose to the corners of you mouth tend to become more prominent with age due to the loss in volume in the mid-face (cheeks). Truth be told you always had these lines ever since you were a child . When we age our cheek muscles atrophy and fat pads tend to shrink and fall, making our skin sage lower. Juvederm Voluma and Vollure give very nice natural volume replacement in these areas.

Microneedling is a very good treatment to improve skin texture and pore size. I recommend the DefenAge skin care system to be use post treatment and in between. This naturally increases basal cell production and will enhance the effects of your procedure. It is also a good long term anti-aging line to use to minimize pore size and wrinkles.

Does Botox cause muscle atrophy over long term use? 

The simple answer to your question is yes. Prolonged use of botox can cause some degree of muscle atrophy. It’s good to think about facial muscles as you would any type of muscle in your body. If you don’t use or work out your biceps, they tend to shrink. Facial muscles however are much thinner in comparison to other muscle sin the body so atrophy is rarely apparent. 

What is the difference between Micro dermabrasion & Botox? 

Microdermabrasion is a kind of facial that can be done both in a doctor’s medical spa office or a regular spa office. Microdermabrasion can be done on all skin tones with pretty much no down time. It removes the stratum corneum layer of your skin and gives your skin a slightly smoother finish. Micro botox is a medical treatment where there are injections involved that are injected underneath the skin surface to help reduce oil production, and to give your skin a more smother finish. It depends on the severity of your problem. Nothing can compare to micro botox, since it will give you the smoothest look. Microdermabrasion will only smooth out the skin surface. They cannot be compared.

I really want to have Botox done. What steps do I need to take? 

I would recommend having a consultation first with a board certified plastic surgeon or dermatologist so that they may assess the areas that you are concerned about. They will let you know if you are a candidate or not, and suggest the right treatment for you. The provider may even be able to do the treatment following your consultation if you decide to do so.

Is It Normal to Have Swelling After Botox? 

You should see a plastic surgeon and not a GP because a plastic surgeon is more experienced and knows what they are doing. It may simply be a little bruise under the skin that is causing the lump.

Video: BOTOX Post Treatment Instructions