Marin Botox doctors

Steven H. Williams, MD Steven H. Williams, MD
San Francisco Plastic Surgeon
4000 Dublin Blvd Suite 300, Dublin
51 answers
Keith Denkler, MD Keith Denkler, MD
Marin Plastic Surgeon
275 Magnolia Ave, Larkspur
18 answers
Miguel Delgado, Jr., MD Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
450 Sutter Street Suite 2433, San Francisco
3 answers
Karen M. Horton, MD Karen M. Horton, MD
San Francisco Plastic Surgeon
2100 Webster Street Suite 506, San Francisco
Cynthia M. Goodman, MD Cynthia M. Goodman, MD
Marin Plastic Surgeon
1240 S Eliseo Dr Suite 201, Greenbrae

Recent Answers

How Much for an Injection in Arm? I've Heard a Shot In the Arm Can Help a Quad's Hand Move?

Understand that botox shot into the arm made a quad's hand moveable enough to use it. How much for an injection in my quad son's elbow to help him move his hand? And, is this safe?

A: botox for spastic paralysis

Thanks for your question -

This is a complex question that you should consult a neurologist to get a qualified answer.  Botox can be used to treat spastic paralysis by _increasing_ paralysis of overactive muscles.

Botox will not work for flacid paralysis or work to reverse paralysis.

In addition, if botox is appropriate, it would likely be covered by insurance.

Hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
Does Freezing Botox Change It?

I have been told that a local doctor only injects Botox in his patients on the day he gets it in....other offices have it all the time...because they freeze it. Does freezing the product in the doctor's office change it or make it less effective?

A: BOTOX Comes Frozen

BOTOX is delivered on dry ice in a frozen state in a powdered form.  Sterile saline is added to the powder to reconstitiue the medication.  Keeping BOTOX frozen for future would be considered fine and within FDA guidlines.

XEOMIN is a new botulinum toxin that is delivered at room temperature and can be stored at room temp until it expiration date stamped on the vial.

 

Keith Denkler, MD
Marin Plastic Surgeon
Will Using the Clarisonic Brush Cause Botox to Wear off More Quickly?

Using the clarisonic brush 2x daily on rental setting. Does this cause Botox injections to disappear more quickly than without use of the brush?

A: Botox and Clarisonic

Thank you for your question.

Wait at least two hours after receiving Botox injections to use your Clarisonic brush to allow the product to be integrated into the intended location. After that time the Clarisonic brush should not interfere with the action of Botox and should not cause the Botox to wear off more quickly.

Botox works by blocking the communication between the nerves and muscles. Once it is placed it not affected by the light vibrations on the overlying skin generated by the Clarisonic.

In our San Francisco Bay Area practice we have many happy patients that use a Clarisonic with no problems with the length of effect of their Botox. 

As always questions or concerns regarding your procedure should be disucssed with your provider.

I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
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