Conveniently located to serve the areas of Marin, San Francisco and Napa

How do you reliably banish wrinkles? There are countless benefits of Botox Cosmetic injections, and a rested, youthful appearance through a non-surgical treatment lands at the top. Injections of highly diluted botulinum toxin have become one of the most common aesthetic procedures performed in the country, and Botox is certainly a favorite among our Marin County patients.

It’s important to remember, though, that cosmetic procedures, including these injections, depend on highly trained practitioners performing the procedures in a safe environment to get the results you want. Contact us today to see why you should get Botox injections from the board-certified doctors at Plastic Surgery Specialists.

The Science Behind Botox

When we smile, frown, squint or make other facial expressions, we are causing our facial muscles to contract. Constantly contracting of muscles creates wrinkles and loss of elasticity of the skin.

When Botox is administered to specific muscles in the face, it blocks the nerve signals from activating muscle contractions. This muscle inactivation ultimately leads to the reduction of fine lines and wrinkles. This advanced treatment is relatively comfortable, quick and can provide tremendous results. Botox treatment is not permanent; it does require ongoing injections because the body will break down the Botox over time. Depending on your individual metabolism, treatments are typically needed every three to four months.

The injections soften crow’s feet, forehead lines, and frown lines that appear on the face as we begin to age. They do this by blocking nerve impulses, which weakens the muscles into which the facial injections are introduced. However, because of their ability to rebalance facial muscles, Botox should be thought of as facial shaping rather than simply wrinkle removal.

Although this isn’t as well-known, Botox injections are actually approved by the FDA to offset hyperhidrosis, a medical condition that causes excessive (and sometimes unpredictable) sweating. Botox is also approved for the treatment of migraine headaches and other important medical uses.

If you’ve been considering getting XEOMIN or BOTOX and live in Mill Valley, San Rafael, Novato, Corte Madera, Larkspur, or surrounding communities, request a consultation at our Greenbrae office. You can also call us at (415) 886-0777 to have one of our friendly staff members schedule your appointment.

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Best Candidate for Injections

Although Botox treatments do provide outstanding results, it is not a surgical facial procedure, and therefore, will not have the same results as, for example, a facelift.

The ideal candidates for Botox injections are healthy men and women who are concerned about mild to moderate brow and forehead wrinkles or lines around the eyes. It is asked that patients who are looking into this treatment have reasonable expectations. Patients with severe skin laxity may get greater benefit from a surgical procedure combined with Botox injections.

Patients that are not ideal candidates for Botox injections have at least one of the following:

  1. If you have any allergies to any ingredients in Botox
  2. If there is a current skin condition or infection at the desired injection site
  3. Pregnant or currently breastfeeding
  4. Have been diagnosed with certain nerve or muscle conditions that can react poorly with Botox.

Center of Excellence

  • Over 40,000 procedures performed
  • Over 40 years of combined experience

Our experienced team of surgeons combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.

Meet Dr. HvistendahlMeet Dr. DouglasMeet Dr. Poulos

Black Diamond

Where Can Botox be Injected?

Botox is beneficial to different areas of the face. Areas of the face that have mild to severe wrinkles and/or lines can be treated with this anti-aging injectable. The most commonly treated are the forehead, around the outer corners of the eyes, and fine lines that form under the mouth due to smoking. Multiple treatments may be necessary to get desired results depending on the severity of the particular case. Botox can also be injected in the armpits to counteract hyperhidrosis (excess sweating).

If you have an expressive face, and the wrinkles to show for it, Botox can soften or eliminate wrinkles that cause you to look tired, anxious, or even angry (those vertical lines between your brows). Botox can provide an overall younger appearance, improving your self-image and rebuilding confidence.

Your Consultation

Our experienced team of surgeons, Dr. Hvistendahl, Dr. Douglas and Dr. Poulos as well as our aesthetic nurses who have been personally trained by them, combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.

When meeting with your surgeon, you will discuss the areas of concern that you feel need improvement and go over any medical history that is relevant to this treatment. These steps are necessary so that our doctors can ensure that Botox injections are appropriate for you.


Many patients combine the injections with facial fillers, such as Juvederm, Voluma, for a complete rejuvenation and younger appearance.


Fillers can be used to obtain more volume in the cheeks, under eyes, lips, and/or chin. This treatment allows the doctor to enhance certain features that the patient feels needs improvement, or fill deep creases that Botox cannot address.

In the likelihood that your provider considers you a good candidate, it is very common for her/him to perform the injections the same day as the consultation to prevent unnecessary trips back to the office. This will be however based on your candidacy and availability. If you work in Greenbrae, Mill Valley, or other areas close to our practice, your Botox procedure can be done during your lunch hour.

If you are interested in knowing more about Botox and its benefits, please feel free to ask our knowledgeable staff who are more than happy to answer all of your questions.

Injections Procedure

Once the doctor or his technicians have prepared the right dosage, he will locate the appropriate injection sites based on your needs and desired outcome. Botox is injected directly into the targeted facial muscles using a very fine needle. Often there will be multiple injections across the area of concern to ensure the reduction of the wrinkles and fine lines. The full treatment takes about 10-15 minutes and can easily be done on a lunch break.

While the injections are not terribly painful, a topical anesthetic can be applied to ensure comfort. This will numb the treatment area and decrease your discomfort. Normally numbing is not necessary and the procedure is over very quickly. To achieve the desired results requires experience and a comprehensive understanding of facial muscles and anatomy. PSS prides itself in offering experienced board-certified plastic surgeons and expert aesthetic nurse injectors to consistenly deliver the best possible outcomes.

After Your Injections

Directly after receiving the treatment, patients may experience possible redness, bruising, or very minimal bleeding to the injection site(s). It is beneficial to ice these areas to help with the bruising. The doctor asks patients to refrain from exercise for at least a few hours after the treatment, as it can cause of bruising. Most people return to normal activities right away without missing a beat. In about a week, you’ll start seeing the full results as wrinkles and lines begin to fade; minimal results can be seen immediately after the injections.


Are you ready to look younger and more rejuvenated? Botox treatments are your next step to rid your face of the wrinkles and lines that add years to your appearance. Build your confidence and look your absolute best by working with one of our experienced doctors or aesthetic nurses who will help take years off your appearance in less time than it takes to get your morning coffee.


If you’ve been considering Botox injections and live in Mill Valley, San Rafael, Novato, Corte Madera, Larkspur, or surrounding communities, request a consultation at our Greenbrae office. You can also call us at (415) 886-0777 to have one of our friendly staff members schedule your appointment with either Dr. Hvistendahl, Dr. Douglas or Dr. Poulos. Both of our physicians together have over 40 years of experience and have performed thousands of cosmetic procedures. This is what makes them some of the most talented and trusted doctors in the area.

How to Find Us

Plastic Surgery Specialists is known throughout the Bay Area for our excellence and expertise. Choose your area below to get accurate, easy-to-follow directions to our center.

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