By now, almost everyone has heard of Botox, but many people do not know exactly what it’s used for or how it works. Botox® Cosmetic and Dysport® are both purified formulations of one of the molecules produced by the bacteria Clostridium botulinum. With skillfully placed, small doses, these molecules will interrupt the signals between nerve endings and muscle fibers in a particular area. The result is a softening of some of the facial wrinkles (rhytids) that are caused by repetitive motion. The first approved and most common area for Botox Cosmetic and Dysport injections is the inter-brow area (glabella). Glabellar furrows or frown lines (sometimes called the “11’s”) are caused by the corrugator muscles, and weakening these muscles softens the brow region, opens up the eyes, and helps make people look more relaxed and rested. Some physicians also use injections here to treat migraine headaches.

Why Should I Get Botox with a Surgeon?

Dr. Ransom uses either Botox® Cosmetic or Dysport® to treat fine lines and furrows in the forehead, brow region, and around the eyes (crow’s feet or smile lines). In addition, these treatments may be effective for certain types of neck bands (platysma muscles). Please visit the photo gallery for an example, and call to schedule your appointment for a consultation or treatment today!

Dr. Ransom see patients from all over Bay Area for Botox injections, including Mill Valley/Marin County, Napa/Sonoma, San Raphael/Petaluma Hillsborough, San Mateo, Menlo Park, Orinda, Palo Alto, Piedmont, Walnut Creek and the world.

Frequently Asked Questions

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Once the treatment is performed, it generally takes about five days to see an effect. Then, for most patients, Botox® Cosmetic treatments will last about three or four months. Some patients, and some areas of the face, have a longer effective period. After this time, there is a gradual return of muscle strength and the wrinkles that are associated with the specific area.

YES. Dr. Ransom will titrate the doses of Botox® Cosmetic or Dysport® to your desired effect. In addition, he uses many smaller injections to tailor the treatment and avoid the “frozen” look. Under-treating is always better at first, until your best treatment program is clear.