Botox and Fillers

We speak, smile, and frown on a regular basis. The repeated use of our facial muscles often results in the formation of fine lines and wrinkles on our foreheads, around our eyes, and along our lips. A safe, effective way to erase and prevent these wrinkles is with Botox, Xeomin® or Dysport, two highly popular anti-aging injectable solutions.

Injectable wrinkle treatments like Botox, Xeomin® or Dysport are FDA-approved to relax and smooth the muscles responsible for facial wrinkles. Dr. Elizabeth Lee targets unwanted facial wrinkles with Botox, Xeomin® or Dysport to achieve a calmer, more youthful expression for her patients. These injections transform a tired, angry, worried or aged appearance into a more alert and healthy one almost instantly! Botox, Xeomin® and Dysport are also available to treat excessive sweating, migraines, and muscle pains.

Are you ready to say goodbye to forehead lines, crow’s feet, or enlarged jaw muscles? Call ArtfulSurgery to schedule your private consultation today.

About Botox & Dysport

There are two types of wrinkles: static and dynamic. Dynamic wrinkles are caused by the repeated use of a particular muscle, like when we frown, or by a muscle that is tense and overfiring. Botox, Xeomin® and Dysport are cosmetic injectables designed to relax and release these targeted muscles in order to smooth away unwanted wrinkles.

The main ingredient in Botox, Xeomin® & Dysport is Botulinum Toxin A, a neuromodulator FDA-approved for cosmetic and medical injection. Wrinkle Relaxer injections effectively relax the muscles causing or holding a wrinkle in place by blocking the nerve signals telling the muscle to fire. This causes the muscle to release, which results in the treated area returning to a smooth, youthful appearance.

Botox, Xeomin® and Dysport not only erase the appearance of existing wrinkles: They also prevent the formation of new ones!


Because Botox, Xeomin® and Dysport relax the muscles responsible for frown lines, crow’s feet, and other dynamic wrinkles, new wrinkles will not form with regularly scheduled applications. Wrinkle Relaxers are a safe, popular way to halt the signs of facial aging.

Botox, Xeomin® and Dysport are a highly effective solution for dynamic wrinkles as well as static wrinkles. Patients who may also be experiencing static wrinkles can seek Botox, Xeomin® treatments to turn back the clock on facial aging. Static wrinkles are a result of lost volume and skin elasticity, which can be caused by a wide variety of factors such as smoking, sun exposure, stress, and time. In some cases, static wrinkles are best treated by another type of injectable known as a dermal filler. Dermal fillers are designed to restore lost volume to the skin, augment a patient’s facial features, and create a more healthy, youthful contour.

Dr. Elizabeth Lee artfully combines dermal fillers with wrinkle relaxers to achieve full facial rejuvenation. Dr. Lee tailors every skin rejuvenation treatment to complement her patients’ natural features and maintain their youthful appearance for years to come!

Issues Treatable with Botox, Xeomin® & Dysport

Botox, Xeomin® and Dysport have many cosmetic and non-cosmetic applications.

Botox, Xeomin® and Dysport are safe, effective solutions for:

  • Horizontal Forehead Lines
  • Glabellar Lines, also known as “elevenses,” or the lines that form between the eyebrows
  • Crow’s Feet & Squint Lines
  • Neck Bands
  • Over-Large Jaw Muscles
  • Vertical Lip Lines
  • Chin Dimples

Botox, Xeomin® and Dysport can also be injected into the underarm to treat excessive sweating, or hyperhidrosis.

Benefits of Botox & Dysport

Wrinkle relaxers are a highly popular option for patients who want to elegantly erase signs of aging and rejuvenate their appearance.

Benefits of Botox, Xeomin® and Dysport include:

  • Erase dynamic facial wrinkles for a smooth, youthful appearance
  • Prevent the formation of new wrinkles
  • Non-surgical
  • Non-invasive
  • Quick, comfortable recovery
  • Enjoy instant results!
  • Cost-effective

Botox, Xeomin® or Dysport are easily combined with dermal fillers for complete facial rejuvenation in a single, easy session.

Ideal Procedure Candidates

Good candidates for Botox, Xeomin® & Dysport are men and women who are between the ages of 18 to 65, who have a healthy to moderate degree of skin laxity, and who want to address the appearance of wrinkles on their face. For example, a patient who is experiencing dynamic wrinkles on their forehead, around their eyes, or around their mouth is a good candidate. Wrinkle relaxers like Botox, Xeomin® and Dysport are great anti-aging solutions for patients who do not yet need surgical solutions and looking for a quick, convenient way to address their facial aging.

Candidates for Botox, Xeomin® & Dysport are in overall good health and open to the results of a cosmetic procedure.

If you are interested in Botox, Xeomin®, Dysport or any other facial rejuvenation option, we invite you to schedule a private consultation at ArtfulSurgery today.


During your private consultation at ArtfulSurgery, Dr. Elizabeth Lee will answer any questions that you may have about Botox, Xeomin®, Dysport, or any other facial rejuvenation treatments that interested you. Dr. Lee will talk with you about your goals for your appearance so that she can customize a treatment that will achieve your desired results and complement your unique features. She will examine your face and review your medical history with you in order to determine if the chosen treatment is right for you. Photos will be taken during your consultation to help determine your best treatment plan. Dr. Lee looks forward to helping you achieve your ideal cosmetic outcomes!

Combined Procedures


A face and neck lift are often performed during a single surgery. A facelift is a rejuvenating procedure that will leave you looking significantly younger. As we age, the skin of our face loses elasticity. This is due to the body decreasing the production of important skin proteins, acids, and other elements as well as the effects of gravity on the skin over time. The result is sagging skin that can make you look and feel older than you truly are.

A facelift includes strategic incisions hidden in the hairline. Excess skin and tissues will be removed through these incisions. The remaining skin will be lifted and pulled back to provide you with taut, smooth results.

A neck lift and facelift will leave you with defined facial contours and fewer wrinkles. If you are concerned about the wrinkles and creases along your face and neck; a neck and facelift will transform the way you appear in a single treatment.


No downtime is required following a treatment with Botox, Xeomin® or Dysport.

Reduce sun exposure and wear proper sun protection in the weeks following your treatment. Minor bruising may occur around the treatment area, but this will subside after a short period of time. Do not touch or massage your treatment areas until at least 24 hours after you receive your injectable. Do not lie down for the first four hours following your treatment.

You will be allowed to return to work or your usual schedule immediately following your Botox, Xeomin® treatment!


Patients who receive Botox, Xeomin® or Dysport will notice that their targeted wrinkles have vanished, achieving a smoother, calmer, more youthful look. The best results will usually be seen within one to three days.

Results of a treatment with Botox, Xeomin® or Dysport last on average for four to six months. Dr. Lee can work with you to create a long-term treatment plan that will maintain the results of your Wrinkle Relaxers treatment for years to come!

Dermal Fillers

Wrinkles and the deepening of natural folds and creases, particularly in the face and hands, are a normal part of aging. However, many men and women come to ArtfulSurgery with similar complaints: they feel vibrant and young on the inside, but look old and tired on the outside. To combat this discrepancy, Dr. Lee may recommend dermal fillers: non-surgical injectables that restore volume while simultaneously minimizing the appearance of fine lines and wrinkles.

At ArtfulSurgery, Dr. Lee performs all of the injections personally. One of the benefits of coming to a plastic surgeon, like Dr. Lee, for injectables is that she has a thorough understanding of facial anatomy and understands that no two faces are alike. She often calls the dermal filler treatments “restorative anatomy”, as she aims to regain the youthful contours of the patient’s face – not create an unnatural or overdone appearance.

At ArtfulSurgery, we pride ourselves on the artistry that goes into our work. Call our Lafayette, CA office or fill out our online form to request your dermal filler consultation.

About Dermal Fillers

Dermal fillers are injectable products that restore volume underneath the skin and help correct the appearance of fine lines and wrinkles. At ArtfulSurgery, we offer two basic types of dermal fillers: hyaluronic acid fillers, including Juvéderm and Restylane, and calcium hydroxyapatite, including Radiesse. These fillers are highly effective and also very safe, with minimal chance for an allergic or adverse reaction.

Some of the issues that dermal fillers can be used to correct include:

  • Loss of volume in the cheeks/mid facial area
  • Wrinkling around the lips (vertical lip lines)
  • Loss or lack of volume in the lips
  • Overly deep nasolabial folds
  • Marionette or puppet lines around the corner of the mouth
  • Sagging or tired appearance of the lower eyelids
  • Loss of volume and appearance of wrinkles on the back of the hands

Some other, albeit less common, uses for dermal fillers include improving the appearance of the nose and augmenting the chin without the need for rhinoplasty or implants, respectively. Some of the dermal fillers we offer can also be used to help combat the appearance of frown lines. However, many patients find that they achieve the best results in diminishing frown lines with Botox, Xeomin® or Dysport. At the time of the consultation, Dr. Lee will recommend the best product or combination of products for the patient’s individual needs.



Dermal filler injection treatments typically take less than an hour and can easily be scheduled during a patient’s lunch break. All injections are performed by Dr. Lee herself. When the patient arrives for their treatment, she will mark on the patient’s face where the fillers will be introduced. Many of the fillers that we offer are mixed with lidocaine, an anesthetic that helps minimize discomfort. However, Dr. Lee will also apply anesthetic cream to make the process more comfortable. In the case of lip injections, our practice utilizes a dental block, which completely numbs the lips. Since the needles are so thin, the majority of our patients find the treatment to be quite comfortable.

Dermal Fillers We Offer

While some offices stick to a single product, Dr. Lee recognizes that each of the fillers available has a unique set of properties. She enjoys having multiple different tools to best address each patient’s individual anatomy and wishes. At ArtfulSurgery, we offer a large range of injectables and are continually evaluating new products as they become available.

Restylane Family

Restylane is a popular family of hyaluronic acid fillers that provide patients with natural looking volume. There are several Restylane formulas that each target particular signs of aging.

  • Restylane Lyft: This formula adds volume to the cheeks and midfacial area, which may appear deflated with age. It can also help improve contour in this region and, in some cases, decrease the appearance of lines, including nasolabial folds.
  • Restylane Silk: Restylane Silk can also help correct the appearance of perioral lines, also known as vertical lip lines while providing a subtle increase in lip fullness.
  • Restylane-L: Restylane-L is for the improvement of the appearance of facial wrinkles and folds, including marionette lines and nasolabial folds. This formula differs from regular Restylane in that it includes lidocaine to ease discomfort during the injection process.
  • Restylane Refyne: Restylane Refyne is a new addition to the Restylane family of fillers. It is made with special cross-linking XpresHAn technology to soften moderate to severe marionette lines and nasolabial folds. The natural-looking results last up to one year.
  • Restylane Defyne: Restylane Defyne is also new to the Restylane family. This filler is specially formulated to correct the appearance of deep marionette lines and nasolabial folds, without interfering with natural facial movement. Restylane Defyne results last up to one year.

Juvéderm Family

Juvéderm is another popular brand of hyaluronic acid filler, which has multiple formulas for various treatments. At ArtfulSurgery, we offer four different Juvéderm formulas.

  • Juvéderm Voluma: Voluma is used to add volume to the cheeks, essentially lifting the midfacial area for a more youthful appearance.
  • Juvéderm Ultra Plus: Ultra Plus adds volume to decrease the appearance of wrinkles around the nose and mouth, including nasolabial folds and marionette lines.
  • Juvéderm Vollure XC: Juvéderm Vollure XC is the newest Juvéderm filler. This unique formula uses Vycross® technology to diminish moderate to severe nasolabial folds. Results of Juvéderm Vollure XC last up to 18 months.
  • Juvéderm Volbella: Juvéderm Volbella uses Vycross technology® too, but for subtle yet striking lip augmentation. This proprietary filler also softens the appearance of vertical lip lines. Juvéderm Volbella results last up to one year.
  • Radiesse

Radiesse is used to correct the appearance of fine lines, wrinkles, and creases in the face and to rejuvenate the backs of the hands where volume has been lost. The injection formula is made up of Calcium Hydroxylapatite microspheres and works to boost the body’s natural production of collagen.

Ideal Candidates

Good candidates for dermal fillers may be patients who wish to improve the appearance of wrinkles or lack of volume in the face or hands without undergoing an invasive procedure. Patients should be in good health and have realistic expectations for the outcome of their treatment. They should understand that dermal fillers are not a permanent anti-aging solution and will require future treatments to maintain results. Dermal fillers are generally not used during pregnancy or while breast-feeding.

There is no “ideal” age to begin dermal filler treatment. Some patients decide to start earlier with small volume injections that can help stave off signs of aging. Older patients will likely require higher volume injections in order to achieve their desired look. The advantage of coming to a plastic surgeon for dermal fillers is that they can advise the patient on the best overall anti-aging approach, surgical and/or non-surgical, to give the patient long lasting results that they love.

In order to find out if you are a candidate for dermal fillers or other treatments, please contact our East Bay office to schedule an appointment with Dr. Lee.


At ArtfulSurgery, patient care begins with a private consultation with Dr. Lee. During this visit you will be asked to share your concerns and Dr. Lee will help explain the various options to best address them. Working together, you and she will design a treatment plan, explaining the benefits of each of the different products and the optimal placement of filler for the best, most natural results.


It is important at this consultation that you discuss any medical conditions you may have; some of these may affect the way your body responds to fillers and Botox, Xeomin®. Some medications increase the possibility of getting temporary bruising. Breast feeding or pregnant patients should generally wait to be treated until after delivery and the completion of nursing.

In some cases, Dr. Lee may recommend additional or alternative treatments that may help you get the result you are looking for. At ArtfulSurgery, we urge patients to ask any questions that they may have about their treatment or other treatments they are interested in. Our goal is to make you feel as informed and comfortable as possible in making your treatment decisions.


Following your treatment, you will be able to return to normal routines. There may be slight bruising or swelling around the injection sites that can be easily covered up with makeup if desired. In general, we recommend that patients avoid heavy lifting, saunas or steam rooms or heavy exercise for 24 hours as getting a flushed and red face during this period can increase the risk of bruising.

As will most good things, fillers require maintenance; the products slowly wear off over time. Dr Lee will help design a program to restore facial fullness gently and to maintain results with follow up treatment visits to “top off” your result as the products gradually wear off. Over time, touch ups may be needed less frequently as your tissues and fillers work together holding the correction for longer intervals. As with all treatments at ArtfulSurgery, we are here to provide care in a fashion customized for your individual needs.

In order to get started, please give us a call today at our East Bay office or fill out this form online.

Dermal Fillers vs Botox

Dermal fillers restore volume and botulinum products relax dynamic wrinkles.

For the most comprehensive nonsurgical facial rejuvenation, Dr. Lee may recommend that patients combine treatments of dermal fillers with Botox, Xeomin® or Dysport. Botox, Xeomin® and Dysport contain botulinum toxin, which works to diminish the appearance of frown lines and crow’s feet around the eyes and forehead. These wrinkles are caused by the movement of muscles under the skin as we frown or grin widely and crinkle the corner of the eyes. Botox, Xeomin® and Dysport gently relax these muscles to prevent the creasing of the overlying skin. Dr. Lee knows that too much relaxation can look artificial. The key to achieving a great result is a gentle hand and an artistic approach.

Frequently, dermal fillers and Botox, Xeomin® or Dysport are needed in combination to provide the best rejuvenating effect.

Dr. Lee always considers her patient’s faces as a whole and takes time to thoroughly understand their unique anatomy when designing any injectable treatment plan. She knows that the deepening lines that patients see, are often are caused by loss of volume nearby, not directly by loss of volume in the wrinkle or crease of concern. Understanding this dynamic helps her provide natural looking restoration when simply filling the crease would provide an odd looking result. For instance, gentle fill in the cheek under the eye improves the appearance of the nasolabial fold, while placing too much product directly in the fold can distort the way the mouth moves and can lead to an unnatural and distorted result. With her artist’s eye and detailed knowledge of all the products available, Dr. Lee uses injectables to sculpt natural, restored faces.

Book Your Appointment Today!

3800 Mt Diablo Blvd #102
Lafayette, CA 94549

(925) 299-1985


Are Wrinkle Relaxers Like Botox, Xeomin® Safe?

The Botulinum toxin A has been approved for cosmetic use since 1989. Botox, Xeomin® and Dysport are two highly popular choices for patients looking to treat their facial wrinkles and rejuvenate their appearance. Botox, Xeomin® and Dysport Wrinkle Relaxers are FDA-approved. Side effects are rare. The highly trained staff at ArtfulSurgery are always available to answer any questions you may have about the safety of a Wrinkle Relaxer treatment. Our goal is to make you feel as knowledgeable and comfortable as possible before making any cosmetic decision.

What Do Botox, Xeomin® & Dyport Do to Your Body?

Wrinkle Relaxers like Botox, Xeomin® and Dysport are neuromodulators that are FDA-approved for cosmetic use. These neuromodulators will block the signals from the brain to a targeted muscle. This safely and effectively relaxes the tight or overactive muscle. Wrinkle Relaxers last for up to six months in the body. Patients can extend the rejuvenating results of their Wrinkle Relaxers with maintenance treatments. If you are interested in learning more about what your personalized treatment with Wrinkle Relaxers will look like, call ArtfulSurgery today.

How Long Does it Take For Botox, Xeomin® or Dysport to Take Effect?

Wrinkle Relaxers usually take effect during the first three days following their injection. Depending on the patient, the injection may take effect shortly after treatment, or it may take more time.

How Much Does a Botox Treatment Cost?

The price of a botox, treatment will depend on the specific details of your personalized treatment plan. Once Dr. Lee has a good understanding of your goals for your appearance and assesses the aesthetic needs of your facial structure, she will create a treatment plan that will achieve your goals and complement your natural appearance. Details include the number of treatments you plan to receive, whether you will be receiving additional complementary treatments of dermal fillers, and how much Botox or Dysport will be administered to achieve your desired results.

If you are interested in learning more about the anti-aging benefits of Botox, Xeomin® & Dysport, we invite you to schedule a private consultation at ArtfulSurgery today.

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