San Diego & La Jolla, CA

BOTOX & Wrinkle Relaxers

Close-up portrait of a woman with light blonde hair, holding her hands on her face while lying down against a dark background.

Why Do You Need a Facial Plastic Surgeon for BOTOX?

Dr. Kolstad places every drop.  His goal is to ensure his patients get the best possible result.

Botox is a trusted treatment designed to soften the signs of aging by relaxing the muscles that cause lines and wrinkles. If you’re concerned about frown lines (“11s”) between your brows, crow’s feet, forehead wrinkles, or other visible signs of facial aging, Botox may be an excellent option to help you achieve a smoother, more refreshed appearance.

At Kolstad Facial Plastic Surgery in San Diego, CA, all injections are performed by Dr. Kolstad, a double board-certified facial plastic surgeon, ensuring your utmost safety and exceptional outcome.

How Does BOTOX Work?

When BOTOX is injected into a muscle, it blocks the acetylcholine, the nerve messenger, from delivering the message to the muscle. The muscle never receives the signal to contract, so it remains at rest.

Communicating with our facial expressions we constantly engage the muscles around our eyes, between the brows, and on the forehead. Over time, we form hundreds of thousands of these contractions, plus our skin thins. This allows wrinkles and lines to form on the surface skin above the muscle. These are glabellar lines (the 11s) between our brows, forehead lines, and crow’s feet at the outside of our eyes. These are known as “dynamic wrinkles.” When BOTOX is injected into the muscle that forms any of these wrinkles, it prevents the muscle from contracting, erasing the wrinkle on the surface of the skin.

What Areas Can BOTOX Treat?

BOTOX’s original FDA approval was for the treatment of forehead lines and glabellar lines between the eyebrows. In 2011, BOTOX received FDA approval for the treatment of crow’s feet around the eyes. Dr. Kolstad has also found success using a combination of BOTOX and facial fillers to treat lines around the mouth, colloquially known as lipstick lines or smoker’s lines. This is an “off-label” use, but it has proven popular with many San Diego patients.

Glabella

These are lines between the eyebrows, also known as the “11’s”. Even the deepest creases can be significantly improved with only one treatment. This area frequently requires 20-25 units of BOTOX.

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Forehead

Lines across the forehead can be softened while still preserving function. It is important to have some brow motion to prevent the “frozen” appearance common in Southern California. Many of our patients also request a BOTOX Brow Lift, which opens the eyes and makes patients look less tired. Horizontal creases on the forehead can be softened with 7-10 units of BOTOX.

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BOTOX’s original FDA approval was for the treatment of forehead lines and glabellar lines between the eyebrows. In 2011, BOTOX received FDA approval for the treatment of crow’s feet around the eyes. Dr. Kolstad has also found success using a combination of BOTOX and facial fillers to treat lines around the mouth, colloquially known as lipstick lines or smoker’s lines. This is an “off-label” use, but it has proven popular with many San Diego patients.

Crow’s Feet

The lines around the eyes are frequently referred to as “crow’s feet”. These respond favorably to BOTOX. Only a highly trained and experienced provider should administer BOTOX around the eyes. The crow’s feet frequently require 20-25 units of BOTOX for full treatment.

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Lipstick Lines/Smoker’s Lines

Fine creases around the mouth are also known as “smoker’s lines”. A small amount of BOTOX — typically under 10 units — can be injected into the upper lip to soften creases.

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Gummy Smile

A gummy smile occurs when too much of the upper gum shows when you smile. This is often caused by overactive upper lip muscles that lift the lip higher than desired.

BOTOX is a simple, non-surgical treatment that gently relaxes the muscles responsible for elevating the upper lip. By softening this movement, the upper lip rests slightly lower when you smile, reducing gum exposure and creating a more balanced, natural-looking smile.

The treatment is quick, typically taking just a few minutes, with minimal discomfort and no downtime. Results usually appear within a few days and continue to improve over 1 to 2 weeks, lasting approximately 3 months.

BOTOX for gummy smile is a conservative and effective option for patients who want subtle improvement without surgery. A customized treatment plan ensures natural results while preserving your unique facial expression.

Bunny Lines
(Lines Around the Nose)

Bunny lines are the small diagonal wrinkles that appear on the sides of the nose when you smile, laugh, or scrunch your face. These lines develop from repeated movement of the nasalis muscle and may become more noticeable over time.

BOTOX works by gently relaxing the muscles responsible for creating these wrinkles. By softening muscle activity, the treatment smooths the skin around the nose while preserving your natural expressions. The result is a more refreshed, balanced appearance without looking frozen or overtreated.

The procedure is quick and minimally invasive, usually completed in just a few minutes with little to no downtime. Results typically begin to appear within a few days and continue to improve over 1–2 weeks, lasting approximately 3 months.

Masseter Reduction
(Facial Slimming)

The masseter muscles are the strong chewing muscles located at the back of the jaw. In some individuals these muscles become enlarged due to genetics, which can create a wider, more square shaped lower face.

BOTOX can be used to relax and reduce the activity of the masseter muscles. Over time this will cause the masseter muscles to atrophy and decrease muscle bulk. The result is a slimmer, more refined jawline.

The procedure is quick and minimally invasive, typically completed in just a few minutes with little to no downtime. Results gradually appear over several months as the muscles need to shrink in size before the jawline narrows.

Each treatment is customized to preserve natural function while enhancing facial balance and harmony.

Masseter
(Jaw Clenching & Teeth Grinding)

For many patients, chronic clenching or teeth grinding (bruxism) causes these muscles to become overactive, leading to jaw pain, tension headaches, facial soreness, tooth wear, and even TMJ discomfort.

BOTOX works by gently relaxing the masseter muscles, reducing the intensity of clenching and grinding. By decreasing muscle activity, the treatment helps relieve jaw tension, protect the teeth from excessive wear, and minimize associated headaches and facial pain. Treatment preserves your ability to chew and speak comfortably and naturally.
The procedure is quick, minimally invasive, and requires little to no downtime. Most patients begin noticing improvement within 1–2 weeks, with full results developing over several weeks. Relief typically lasts 3 months, and regular treatments can help maintain long term comfort.

Each treatment is carefully customized to reduce symptoms while preserving natural jaw function and facial balance.

Chin Dimpling
(Orange Peel Chin)

Chin dimpling, often called “orange peel” texture occurs when the mentalis muscle becomes overactive. This muscle contraction can create small indentations, puckering, or an uneven surface of the chin, especially when speaking or expressing emotion.

BOTOX works by gently relaxing the mentalis muscle, smoothing the skin and reducing dimpling or irregular texture. The result is a softer, more even chin contour while maintaining natural facial movement and expression.

The treatment is quick and minimally invasive, typically taking only a few minutes with little to no downtime. Results begin to appear within several days and continue improving over 1 to 2 weeks, lasting approximately 3 months.

Platysma Bands
(Neck Bands)

Platysma bands are vertical cords that can develop on the neck. With active movement, like talking or laughing, they can become more pronounced, causing a noticeable “bouncing” effect.
BOTOX works by relaxing the platysma muscle, softening the appearance of these neck bands and creating a smoother, more contoured neck. In addition to improving aesthetics, treatment can help restore a more youthful jawline and improve overall neck harmony.

The procedure is quick, minimally invasive, and requires little to no downtime. Results typically start to appear within a few days and continue to improve over 1to 2 weeks, lasting around 3 months.

*Individual results may vary.

When BOTOX and wrinkle relaxer injections are performed by double-board-certified facial plastic surgeon Dr. Kolstad in San Diego, patients enjoy a wealth of benefits, including:

  • FDA-approved treatment
  • Non-invasive and non-surgical
  • No discomfort or recovery period
  • Brief session of 30 minutes or less
  • Corrects signs of aging
  • Eliminates frown lines
  • Combats “11” lines
  • Erases crow’s feet around the eyes
  • Results last up to 5 months
  • Boosts confidence
  • Can be combined with other aesthetic treatments to maximize results

Who Are the Best Candidates For BOTOX & Wrinkle Relaxers?

BOTOX and wrinkle relaxers are ideal for patients who wish to reduce signs of aging without undergoing invasive plastic surgery. If you are struggling with crow’s feet, frown lines, or “11” creases between the brows, you may be an excellent candidate for BOTOX, provided that you are healthy and have realistic expectations for your results. To ensure BOTOX is the best choice for achieving your cosmetic goals, Dr. Kolstad will conduct a preliminary consultation at his San Diego office.

Your BOTOX & Wrinkle Relaxer Journey with Dr. Kolstad

Customize your BOTOX & Wrinkle Relaxer!

To begin your journey to a more refreshed, revitalized appearance with BOTOX and wrinkle relaxers in San Diego, you will first attend an initial consultation with Dr. Kolstad and his experienced team of beauty experts. During this visit, the doctor will discuss your goals, answer any questions, and begin formulating your one-of-a-kind treatment plan. He will discuss the risks and benefits of the procedure, as well as its downtime, costs, and anticipated results. Once Dr. Kolstad approves you as a candidate, we will book your session and make sure you receive detailed instructions on how to best prepare for your appointment.

What to Expect on the Day of BOTOX Treatment

On the day of your BOTOX session in San Diego, you will be placed in one of our comfortable treatment rooms, where we will answer any last-minute questions. As a first step, we will numb your skin with a topical anesthetic to ensure your visit is relaxing and stress-free. After mapping out your injection points according to your individualized care plan, we will administer BOTOX or another wrinkle relaxer to erase signs of aging and restore a rejuvenated appearance. You can expect your session to last 15 to 30 minutes.

How Long Does It Take To Recover From BOTOX?

One of the biggest advantages of BOTOX and wrinkle relaxer injections is that they come with no downtime, allowing our active patients to resume their normal busy schedules quickly. Mild side effects can include swelling, soreness, itchiness, and redness at the injection points. These symptoms fade rapidly, however, and can be managed with over-the-counter painkillers or an ice pack. For best results, follow these guidelines after your session:

  • Avoid sun exposure and wear an SPF of at least 30
  • Steer clear of hot showers and baths for the first day after your procedure.
  • Avoid rubbing, touching, or massaging the treatment areas
  • Don’t smoke or drink alcohol for the first few days
  • Postpone facial treatments, injectables, and chemical peels for at least 2 weeks

How Much Does BOTOX Cost in San Diego, CA?

The cost of BOTOX and wrinkle relaxers in San Diego can vary depending on factors such as your goals, the areas treated, and whether treatment is combined with other cosmetic options, such as facial fillers, lip augmentation, or a facelift. Our team will make sure you leave your consultation with a clear understanding of all costs associated with BOTOX injections.

 

BOTOX® & Wrinkle Relaxers FAQ’S

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    Dr. Kolstad is so incredibly talented

    Been coming here for years for filler and Botox. Dr Kolstad is so incredibly talented with his work and keeping a natural look to enhance the beauty you already have! He’s so thorough and communicates with such intent and everyone who works here is so amazing and kind! 10/10

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    Dr.Kolstad is a blessing to patients who are looking for a facial rejuvenation and natural beauty changes. He has state of the art with all the latest technology in house operation theatre which is emergency equipped bringing costs to patients lower. The office is immaculately hygienic. Dr K and his staff – Jaina, Saranya and Janice are the entire team is top notch, so caring that I didn’t miss a family member. His facial plastic surgery skills are exquisite. He has amazing bed side manners. Very caring and considerate , putting patient care first. I highly recommend him for any facial plastic surgery without breaking your bank along with top notch care. He is the perfect package.

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    Dr. Kolstad is truly gifted

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Schedule Your Consultation

To get started with BOTOX and wrinkle relaxers and find out if you are a candidate, please schedule a consultation with our friendly team at Kolstad Facial Plastic Surgery today. Contact us at (858) 859-2563 or by using our online form. Our practice serves San Diego, California, and the surrounding areas.

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