The Skin Center
26081 Merit Circle Suite #109
Laguna Hills, CA 92653
(949- 582-7699
(949) 582-SKIN
Fax (949) 582-7691

 Botox Cosmetic® (Botulinum Toxin Type A) by Allergan, Inc.
Treating frown lines with Botox® is a quick and simple procedure (approximately 10 minutes) with minimal and brief discomfort, and no downtime. Only licensed and trained healthcare professionals have the experience necessary to administer Botox Cosmetic. Allergan, Inc., the maker of Botox Cosmetic®, is the only source for healthcare professionals to purchase the product, and each US FDA label has the “Allergan” hologram.Botox has been used therapeutically for over 16 years to treat a variet of medical conditions and is approved in move than 75 countries. Botox is a purified protein administered in a simple, nonsurgical procedure that temporarily improves the appearance of moderate to sever frown lines in the area between the brows (known as the “glabella” area) in people ages 18 to 65. During treatment, very low doses of Botox Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn linesin that area. Frown lines are caused by overactive facial muscles. Botox Cosmetic® is used intramuscularly, blocking the chemicals that cause facial muscles to contract, thereby relaxing them. Botox Cosmetic® is the only product of its kind that affects the muscles that cause moderate to sever frown lines. Botox Cosmetic® is an affordable and effective method to ease the signs of aging.You can expect to see results within days after your treatment. The appearance of the glabella area may continue to improve for up to a week. Each patient’s results may vary. Visible results have been shown to last up to 4 months, and after that you may be ready to return for a follow-up treatment. The most common side effects following injection include temporary eyelid droop and nausea.

What about botulinum toxin (Botox and Myobloc) for hyperhidrosis (excess sweating)?
The introduction of Botox has nearly revolutionized hyperhidrosis treatment. Very small droplets of the medication are injected directly into the skin with excessive sweating. Areas like the palms, feet, head, face, and underarms are among the commonly treated areas. The treatment is done in the physician’s office and may take from 10-30 minutes to complete. Reduced sweating may be noted in as soon as a few days to 2 weeks after injection. Results are temporary and last approximately 3-12 months. Periodic maintenance re-injection is required.
Hyperhidrosis is excess sweating. While sweating is a normal human bodily function, some people naturally sweat more or less than others. Some individuals sweat in excess causing problems with school, work and social situations. Hyperhidrosis affects both males and females and can start at any age. It is often a severe and emotionally distressing problem for people with the condition. Effective treatments are now available to help those with hyperhidrosis.Before botulinum toxin injections became available for this condition, the list of available treatments was fairly short. Over-the-counter antiperspirants, prescription antiperspirants like Drysol (20% aluminum chloride), iontophoresis, pills like Robinul, and surgery are additional treatments options. Pills (like Robinul) may be reserved for special occasions like school dances, job interviews, weddings, proms, anniversaries, first dates, and other really important events. There are no currently available pills to take daily and there are always potential side effects associated with pills.Surgical sympathectomy is the specialized, permanent nerve cutting or destruction surgery performed to help decrease some types of sweating. It does not work for all types of excess sweating or for all areas of the body. Consultation with a specialized thoracic surgeon is required and overall, surgery is usually reserved for severe or resistant cases because of potential serious side effects.Different types of physicians including dermatologists, family physicians, neurologists, internal medicine doctors, and thoracic surgeons may treat hyperhidrosis. You can check the physician finder section on for a list of participating specialists.The International Hyperhidrosis Society or IHHS is the specialty foundation which provides in- depth information for the treatment of excess sweating. IHHS can be contacted at sweating causes disruptions in your normal life and causes you distress or embarrassment, you should see your physician. Your doctor will want to know how much you sweat and how it affects your daily activities.What special anti-sweating pearls do you give patients?
1. Try Certain-Dri or Drysol first if your sweating isn’t better with regular over the counter products.
2. Robinul pills are a good option only for very special occasions like prom, job interviews, and weddings. Try a test run with the pill before your big event to check for possible side effects.
3. Remember botulinum toxin (Botox or Myobloc) may take 1-2 weeks before you see any results
4. Surgery with a specialized thoracic surgeon may be a last resort because of potential serious risks.

Some of the Doctor’s Favorite anti-perspirant picks:
Certain Dri anti-perspirant pads
Xerac AC solution
Drysol 20% solution (prescription)



Call to Schedule an appointment at (949) 582-SKIN 
Dr. Gary Cole and Dr. Nili Alai are Board-Certified Dermatologists.
For more information, please call (949) 582-7699 or visit the practice website at

Information in this publication and site is not intended to serve as medical advice. Individuals may use the information as a guide to discuss their treatments with their own physicians. This site does not promote nor endorse the unauthorized practice of medicine by non-physicians or state licensed health care providers.
Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily. The authors, editors, and publisher of these articles have used their best efforts to provide information that is up-to-date and accurate and is generally accepted within medical standards at the time of publication. However, as medical science is constantly changing and human error is always possible, the authors, editors, and publisher or any other party involved with the publication of this article do not warrant the information in this article is accurate or complete, nor are they responsible for omissions or errors in the article or for the results of using this information. The reader should confirm the information in this article from other sources prior to use. In particular, all drug doses, indications, and contraindications should be confirmed in the package insert.
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