LaFace by Laura Phan MD 20398 Blauer Drive
Saratoga, CA 95070 Phone: (408) 502-5000 Monday–Friday: 9 a.m.–5 p.m.
BOTOX, Dysport, and Daxxify® are neuromodulators that have radically changed the ways we prevent and treat unwanted wrinkles. They are among the most popular cosmetic procedures worldwide and have a satisfaction rate close to 98%.
Neuromodulators selectively relax the muscles to soften unwanted facial lines and wrinkles around the eyes, between the eyebrows, and on the forehead. The treatments last 3 to 4 months and require little to no recovery time.
BOTOX, Dysport, and Daxxify treatments should be performed regularly to maintain optimal control of lines and wrinkles and achieve long-term softening of the lines. The art is in customizing each treatment to allow for a natural, youthful appearance.
What can I expect during the treatment?
We use ultra-fine needles to place the neuromodulator into the tiny facial muscles with minimal discomfort. Most people describe the sensation as a series of small pinches rather than painful injections. Although a numbing agent is typically not needed, we can apply a numbing cream about 15 to 20 minutes prior to the procedure if patients prefer. Icing the treatment area is another option for added comfort.
The injections themselves are quick and precise, usually completed in just a few minutes. Because no downtime is required, you can return to your usual activities right after treatment. Mild redness or swelling at the injection sites may occur but generally fades within a few hours.
Featured BOTOX® Cosmetic & Dysport® Before & After Photos
3-months post Morpheus8 to face and 2-months post bilateral PDO threads to mid and lower face, Botox to forehead and glabella, Restylane dermal filler to glabella and nose, and chemical peel for tighter, smoother, and even tone appearance (no make up) Read More
1-month post bilateral lower eyelids Morpheus resurfacing and 4-month post PDO threads to bilateral mid and lower face, Botox to forehead and glabella, and RHA2 dermal filler to forehead for smoother skin texture, sharper jawline, and softer grooves in the forehead and frown line Read More
1 month post bilateral upper lid cosmetic blepharoplasty and browpexy. Incisions were made in the eyelid creases, and excess skin were removed. A suture was also placed in the brow fat outside the brow arch and anchored to the forehead to lift and stabilize the tail of the brow on both sides, creating more symmetric and rejuvenated appe... Read More
1-month post Botox injections to the forehead, glabella and crows feet and dermal filler injections to the cheeks and nasojugular, nasolabial and melolabial grooves for softer lines and naturally-appearing volumization of the face, respectively Read More
How long does it take for BOTOX and Dysport to work?
Typically, it takes 2 to 5 days for the neuromodulators to start working. BOTOX usually begins working within 3 to 5 days, with full results visible in about 1 to 2 weeks. Dysport may show effects slightly sooner, often within 2 to 3 days, making it appealing for patients who want to see changes more quickly. The results peak at 2 weeks and last between 3 and 4 months.
Meet the Face Behind LaFace
Originally trained in ophthalmology, Dr. Laura Phan has a deep passion for facial aesthetics and the intricate art of surgery. She has trained under world-renowned experts in oculofacial plastic and reconstructive surgery and is one of only a few surgeons in her area with this specialist skillset. Whether she is designing personalized treatment plans or the interiors of her treatment rooms, Dr. Phan's refined aesthetic sensibility and attention to detail shine through.
What to Do (and Not to Do) Before and After Your Treatment
Before BOTOX® or Dysport®
Most patients don’t need to do much to prepare for their injections, but a few simple steps can help minimize bruising and support the best results:
If your doctor approves, avoid blood-thinning medications and supplements (such as aspirin, ibuprofen, fish oil, or vitamin E) for about 10 days.
Skip alcohol for at least 24 hours before your appointment.
Arrive with clean skin, free of makeup or heavy skincare products.
After BOTOX® or Dysport®
Following a few easy guidelines can help the product settle properly for optimal results:
Remain upright for at least 4 hours after treatment.
Avoid strenuous exercise, saunas, or hot tubs for the first 24 hours.
Do not rub or massage the treated areas, as this can cause the product to spread to unintended muscles.
Use a gentle cleanser and resume your regular skin care the next day, unless advised otherwise.
These recommendations are simple but important for getting the most out of your treatment and enjoying smooth, lasting results.
Avoid Bruising and Other Side Effects
After years of experience, Dr. Phan prefers ice to minimize bruising because it helps constrict the blood vessels. Besides bruising, other neuromodulator side effects are minimal. When patients leave the office, they will have no discomfort. They may have tiny red spots at the injection sites, but they will fade quickly. Makeup may be applied immediately if necessary.
Patients are asked to avoid baby aspirin, Advil, Aleve, ibuprofen, and fish oil 10 days before treatment, but may resume these medications the following day.
Rarely, patients report a mild headache after injections. This responds to over-the-counter medications like Tylenol and resolves quickly. In clinical trials, it is reported that approximately 1% of patients nationwide can develop a slight lowering or drooping of one eyelid when injecting above or around the eyelid. This effect is temporary and resolves in 2 to 4 weeks.
Frequently Asked Questions
How does a hybrid laser work better for your skin?
A hybrid laser’s dual ablative/non-ablative approach creates more extensive results by smoothing the skin’s surface while stimulating deeper collagen remodeling. This balance often delivers more noticeable improvements with less downtime than relying on a single laser type alone.
What does a non-ablative laser do?
A non-ablative laser rejuvenates skin by heating it from the inside out, boosting collagen with little to no downtime. It offers gentler, more gradual results than ablative lasers.
What does a CO2 fractional laser do?
A CO₂ fractional laser delivers carbon dioxide laser energy in a fractional pattern (tiny, evenly spaced beams) to resurface the skin by removing damaged layers and stimulating deep collagen repair. This makes it one of the most effective nonsurgical options for sun damage, wrinkles, scars, and skin laxity. The fractional nature of the laser reduces downtime.
Can the Alma hybrid laser treat sun-damaged skin?
The Alma hybrid laser is an effective option for treating sun-damaged skin. It can significantly improve pigment, tone, texture, fine lines, and mild laxity. The degree of improvement depends on the severity of the damage, the skin type, and the aggressiveness of the treatment.
How soon can I wear makeup after eyelid surgery?
Most patients can start wearing makeup again about 1 to 2 weeks after eyelid surgery, but the timing depends on how healing progresses.
How long do the results of blepharoplasty last?
Blepharoplasty results are considered long-lasting, but the longevity depends on whether it’s the upper or lower eyelids. Upper eyelid surgery results typically last for 10 to 15 years. Results following lower eyelid surgery are often permanent, although the skin continues aging.
Can eyelid skin be tightened without surgery?
Yes, AccuTite is an effective, nonsurgical treatment for mild skin laxity in the lower eyelid. AccuTite uses heat from radiofrequency energy to tighten skin and reduce under eye fat.
What’s the difference between upper and lower eyelid surgery?
Upper eyelid surgery removes excess skin, muscle, and sometimes fat from the upper eyelids. Incisions are made in the eyelid’s natural fold. Lower eyelid surgery removes or repositions fat and tightens skin beneath the eyes. Incisions can be made either externally along the lash line or inside the lower lid (transconjunctival).
How long will the results of a brow lift last?
Brow lift results often last 10 to 12 years, sometimes longer. You can extend the duration of your results by limiting sun exposure, not smoking, and minimizing stress. Maintenance treatments such as BOTOX injections can also extend and complement surgical results.
Can a brow lift feminize my facial features?
Yes, a brow lift can absolutely feminize facial features. Women’s brows are typically higher and have more of an arch than men’s, whose brows sit lower and flatter. If desired, a brow lift can reposition the brows to create a softer, more feminine contour.
What does the word ‘endoscopic’ mean in relation to brow lift surgery?
Endoscopic means the surgeon inserts a tiny camera, called an endoscope, through small incisions hidden in the hairline. This camera gives a clear, magnified view of the tissues, enabling the surgeon to lift the brows precisely with minimal scarring and a quicker recovery than traditional methods.
How do skin tightening creams and other at-home products compare to this treatment?
At-home creams and devices may provide temporary improvement in the skin’s appearance, but they cannot create real contour changes. If you’re dealing with mild to moderate laxity, jowls, or a double chin, minimally invasive treatments like FaceTite or AccuTite deliver significantly more visible and longer-lasting results than DIY products.
How long do skin tightening treatments last?
You can expect RF skin tightening results to last 1 to 2 years, especially if you complete the recommended treatment series and schedule yearly maintenance.
Is radiofrequency skin tightening safe?
Yes. RF skin tightening is generally safe and effective for most people when performed by a qualified provider. It’s a minimally invasive option for early signs of skin laxity, and while you may experience a few days of redness or swelling, recovery is typically much quicker than with surgery.
What is the difference between blepharoplasty and ptosis repair?
Blepharoplasty and ptosis repair are both eyelid surgeries, but they correct very different problems. Blepharoplasty is cosmetic surgery designed to improve your appearance. Ptosis repair corrects a true drooping eyelid caused by a weak or stretched levator muscle (the muscle that lifts the eyelid). It can provide both functional and cosmetic improvements.
Can BOTOX® cause or help prevent ptosis?
In rare cases, forehead or glabellar BOTOX can cause temporary eyelid drooping (ptosis) if the medication spreads into the muscles that lift the eyelid. While BOTOX cannot prevent true ptosis, it is sometimes used for a nonsurgical brow lift. By relaxing the muscles that pull the brows downward, BOTOX can subtly elevate the brows and create a more open look around the eyes.
Will ptosis go away on its own?
Age-related ptosis does not typically resolve on its own and usually worsens over time. This happens because the eyelid-lifting muscle (levator) and its supporting tissues gradually weaken or stretch. As the condition progresses, the drooping lid can begin to obstruct your vision.
How often should you get BOTOX to maintain results?
Most patients schedule BOTOX treatments every 3 to 4 months to maintain consistent results. With regular use, the treated muscles can become conditioned to stay relaxed, so you may be able to wait longer between maintenance appointments over time.
What are some things to avoid after BOTOX?
Avoid rubbing the treatment area or lying down for the first 4 to 6 hours after getting BOTOX injections. During the first 24 hours, don’t exercise, do any heavy lifting, or perform any other activity that can increase blood flow.
Can you get BOTOX while pregnant?
We don’t recommend getting BOTOX injections while pregnant or breastfeeding. No clinical studies have researched the safety of BOTOX during pregnancy, so there’s no evidence proving it’s safe for the developing baby.
How many units of BOTOX will I need?
The number of BOTOX units you’ll need depends on the treatment area, your facial anatomy, your muscle strength, and your aesthetic goals. For example, it typically takes 15 to 30 units to treat vertical frown lines between the eyes (the “11s”).
Who can inject BOTOX in California?
California law clearly defines who can perform BOTOX injections: physicians, physician assistants, and registered nurses. PAs and RNs require physician supervision. At LaFace, Dr. Phan injects BOTOX and Dysport®.
Should I wait to eat or use a straw after lip filler?
We recommend not using straws for 1 to 2 days after getting lip fillers. You can eat once your lips no longer feel numb, so you don’t accidentally bite your lip.
Does lip filler hurt?
Lip filler injections can cause some discomfort, but we apply a numbing cream beforehand to make the treatment more comfortable.
Can you get dermal filler treatments while pregnant?
No, you shouldn’t get dermal filler injections when you’re pregnant or breastfeeding.
Can dermal fillers be dissolved or reversed?
Many dermal fillers can be dissolved or reversed, depending on the type of filler used. Hyaluronic acid-based fillers, including popular brands such as JUVÉDERM and Restylane, can be dissolved with an enzyme called hyaluronidase. Biostimulators such as Sculptra® or Radiesse® cannot be reversed because they are not formulated with hyaluronic acid.
How long should I wait to wear makeup after microneedling?
You should wait at least 48 to 72 hours before applying makeup after radiofrequency microneedling treatments. This waiting period allows your skin to begin healing before applying makeup.
Who can perform microneedling treatments in California?
In California, microneedling is regulated fairly strictly. RF microneedling is a medical procedure that is distinct from less invasive, at-home microneedling devices. At LaFace, Dr. Phan performs microneedling treatments.
Does RF microneedling tighten skin?
Yes, RF microneedling (radiofrequency microneedling) can tighten and firm the skin and improve texture. The heat from RF microneedling causes collagen fibers to contract and remodel, leading to noticeable skin tightening over time.
Does microneedling hurt?
Microneedling is usually well tolerated by most patients. Most people describe it as a prickly or scratching sensation, not sharp pain. However, it may be more uncomfortable on sensitive areas (like the forehead, around the eyes, or upper lip).
Start Your Journey At LaFace by Laura Phan MD
If you would like to explore your facial rejuvenation options with a fellowship-trained oculofacial plastic surgeon, please request a consultation online or call us at
(408) 502-5000 to get started. LaFace by Laura Phan MD serves patients from Saratoga, Los Gatos, San Jose, Cupertino, and throughout the San Francisco Peninsula.