Dr. Hoefflin performs BOTOX® and other dermal filler injections, including Dysport, Juvederm, Restylane, Radiesse,Sculptra, and Facial Fat Grafting. Regarded for his expertise in facial rejuvenation, Dr. Hoefflin has lectured extensively to other physicians about his injection techniques. Dr. Hoefflin performs all office injections himself, and does not rely upon Physician Assistants or Registered Nurses to inject patients in his office. All patients receive complimentary anesthetic numbing cream and post-injection ice compresses.

To learn more about, or to find out if you are a candidate for Botox® in Los Angeles, schedule your complimentary consultation. Combining Botox Cosmetic and Juvederm can lead to improved aesthetic results. Dr. Hoefflin will thoroughly explain all your available options and help you choose the best procedure, skin treatment or injectable to meet your cosmetic needs.


Is BOTOX® safe?

Botox® is one of the most safe and researched medications used worldwide. To date, Botox has been used for over two decades, on millions on patients, and in over 70 countries.

Botox Cosmetic® is only made by one manufacturer, Allergan Corporation, headquartered right here in Irvine, California. We only use the authentic product, which is precisely produced in the laboratory.


How does Botox work?

Botox Cosmetic®, or Botulinum exotoxin type A, is a highly purified protein from a family of naturally occurring muscle-relaxing compounds. Botox causes facial muscle relaxation and decreased hyperactivity by directly inhibiting nerve signals that are sent to muscles. It is the repetitive facial expressions that is responsible for causing crow’s feet, frown lines or forehead lines. This in turn reduces the wrinkles and lines on the skin surface. In addition, while Botox inhibits negative facial expressions, it also enhances the positive expressions of our face. The overall result is a less tired appearance, and a more rejuvenated youthful look. Short of surgery, Botox is the only way to slow down the formation of wrinkles caused by the muscle movements of facial expression.


What are the typical injection sites for Botox on the face?

Botox is principally used to minimize or diminish the deep lines and wrinkles in the forehead, frown lines between the eyebrows, and “crow’s feet” (lines around the eyes). As a highly skilled and Los Angeles Botox specialist, Dr. Hoefflin uses Botox to reshape the eyebrows into a more beautiful and elegant form. In addition, Botox can be used to subtly change the musculature of the mouth and lips to produce a more aesthetically pleasing and attractive mouth contours.


When will I see results from a Botox® treatment?

Typical results can initially be seen as early as 48 hours after treatment. While most results occur within seven days, maximal results may often take up to two weeks.


Is Botox® used for non-cosmetic reasons as well?

Yes. Botox is frequently used for treatment in a number of varying pre-existing medical conditions, such as:

  • Migraine and tension headaches
  • Back pain and spasm
  • Hyperhydrosis (excessive sweating in arm pits or hands)
  • Blepharospasm (eyelid spasm)
  • Strabismus (crossed eye problems)
  • Bladder incontinence
  • Cervical dystonia (neck spasms)
  • Spacticity after strokes


How often do I need Botox®?

Typical injections are performed every 3 to 6 months. The duration of Botox’s effects depend upon an individual’s metabolism, the quantity injected, and the areas injected.

Will my facial expressions continue to look natural?

As a highly-skilled Botox specialist, Dr. Hoefflin consistently provides natural and rejuvenated results, avoiding the “frozen” or unnatural look. The goal of treatment is still diminish or reduce facial lines and wrinkles from hyperactive muscles, but not to freeze your expression.


What are the side effects from having Botox®?

Dr. Hoefflin performs all office injections himself, and does not rely upon Physician Assistants or Registered Nurses to inject patients in his office. When administered by a properly qualified physician, Botox is an extremely safe treatment with very few side effects. There are no permanent side effects with properly used Botox. The most common side effects, which are temporary and mild, are bruising and eyelid drooping in 1% of patients. Less frequently occurring adverse reactions are pain, swelling, and redness at the injection site. In very rare cases, some experience temporary and mild flu-like symptoms or mild headaches that resolve by themselves.


Who should not use Botox®?

Patients with active infections at the proposed injection site(s), or patients with known hypersensitivy to any ingredient in the Botox formulation should not receive treatment. In addition, patients with known neurological disorders such as Amytrophic Lateral Sclerosis (ALS), Myasthenia Gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects.


What can I do to minimize the risk of bruising?

Aspirin, Motrin, ibuprofen, Advil, and virtually all non-steroidal anti-inflammatory agents thin the blood and can promote bruising. In addition, anything herbal, red wine, and homeopathic medications can do the same. To minimize bruising, it’s advisable to avoid these products for 10 days before a treatment.


Do we only use certified Botox®?

Allergan, is a medical and pharmaceutical company, and the only producer of Botox Cosmetic®. The authenticity of Botox can be confirmed by reviewing the distinct Allergan hologram on each Botox vial. During each injection consultation, Dr. Hoefflin is happy to demonstrate the vial and it’s accompanying hologram. That way, you can be rest assured you are receiving real Botox.


Why is important to chose a board-certified plastic surgeon?

Your selection of a surgeon is as important as your decision to undergo cosmetic surgery itself. Many patients do not know that in most states, a licensed physician may perform plastic surgery without being board-certified in plastic surgery. This means someone not trained in Plastic Surgery could be performing your surgery.

The American Board of Plastic Surgery is the only plastic surgery board recognized by the American Board of Medical Specialties (ABMS). Selecting a surgeon who is certified by the American Board of Plastic Surgery provides that your physician has completed the necessary and extensive training to perform plastic surgery and help you achieve your aesthetic goals.


Does Dr. Hoefflin offer financing?

Yes, we offer financing to make our Los Angeles Botox, Juvederm, Radiesse, and other dermal filler injectables more affordable to our patients. To learn more about our financing programs, click here.