Botox®
- Active
- onabotulinumtoxinA
- Approval
- Approved 2002
- Formulation
- With accessory proteins
Services
One service, done well.
We currently offer Botox, Xeomin, and Letybo injections. Additional services to follow.
Xeomin®
- Active
- incobotulinumtoxinA
- Approval
- Approved 2010
- Formulation
- No accessory proteins
Letybo®
- Active
- letibotulinumtoxinA
- Approval
- Approved 2024
- Formulation
- Standard formulation
Smoothing for forehead lines, frown lines (the “11s”), and crow’s feet. All three relax the small muscles that pull skin into expression lines. You still look like yourself, just less tense. All injections by Janyll Birmingham, RN.
New to tox? Start with lines in motion, lines at rest, a short primer on how lines form and what tox does about them.
To see where on the face it can help, visit Face Areas.
How we work
A different kind of medspa visit.
Our visits are paced like a doctor visit. Janyll doses small, explains as she goes, and trusts your judgment about how much to do today and how much to revisit next time. The default is restraint.
Common questions
Things to know.
A few answers to the questions we hear most often. Anything we have not covered, we will talk through at your appointment.
What's the difference between Botox, Xeomin, and Letybo?
All three are FDA-approved neuromodulators that relax the small muscles producing expression lines. The visible effect is essentially the same. Botox includes accessory proteins and has the longest track record. Xeomin is a pure formulation without those accessory proteins. Letybo is the newest of the three. We'll talk through which one fits at your appointment.
Does it hurt?
The injections are small. You may feel a quick pinch, sometimes nothing at all. The visit itself is short, usually under fifteen minutes once we've talked through the plan.
How long does it last?
Most people see effects last around three to four months. After several rounds, some find the interval between appointments lengthens.
When will I see results?
Softening usually begins five to seven days after the appointment. Most of the change has settled in by about two weeks.
Is there any downtime?
No real downtime. You can return to your day. We ask you to avoid lying flat or vigorous exercise for the rest of the afternoon, and to skip facial massage for twenty-four hours.
Will I look frozen?
Not with conservative dosing. The goal is for you to look like yourself, just less tense around the eyes and brow.
Ready when you are
Come in for an appointment.
By appointment in San Rafael. Plain options, conservative dosing, no pressure.