Board certified dermatologist Marilyn kwolek, m.d. Contact Us: 925.838.2677 917 San Ramon Valley Blvd. Suite 199, Danville CA 94526

BOTOX Cosmetic | Juvéderm | Restylane and Perlane | Chemical Peels | Sclerotherapy

BOTOX® Cosmetic

Botox injections are the most commonly performed cosmetic procedure. These minimally invasive injections reduce or eliminate the appearance of facial wrinkles. Lines between the eyes, crow's feet, and forehead lines are commonly treated with very little downtime.  When injected into the skin, Botox blocks specific muscles from the repetitive actions that cause fine lines and wrinkles. This action leads to a younger and more refreshed appearance. After treatment, the appearance of wrinkles begins to improve within a few days. The full effect can take up to one week. Botox is safely absorbed and will last on average about four months.   

BOTOX® for Hyperhidrosis

Hyperhidrosis or excessive sweating is dependent on a chemical neurotransmitter called acetylcholine. Botox acts by blocking the release of acetylcholine. Hyperhidrosis is commonly seen in the underarms, hands and feet. Botox injections into these areas safely reduces sweating for six month or longer. Contrary to many oral medications and surgery, Botox injections for hyperhidrosis have minimal side effects. There are no effects on sweating elsewhere or on body temperature regulation. Botox is a great treatment for hyperhidrosis patients that are irritated or sensitive to antiperspirants.  


Juvéderm is an FDA approved, new generation, dermal hyaluronic acid filler that restores volume and fullness to the  skin. Juvéderm has a smooth consistency, allowing for easy injections and instant, natural-looking results. There is no pre-testing for this procedure and results often last eight months or longer.  Juvéderm lasts longer than other hyaluronic acid fillers beacause it has a very high concentration of hyaluronic acid made through a unique formulation process.  This formulation of Juvéderm helps in minimizing bruising and discomfort associated with fillers. Juvéderm is frequently injected in the lips, nasolabial folds, and lines around the mouth. This filler is also frequently used in combination with other cosmetic procedures such as Botox.  

Restylane® and Perlane®

Restylane injections replenish hyaluronic acid in the skin. Hyaluronic acid binds water and keeps the skin healthy, elastic and fresh. Restylane works by stimulating collagen production and improving skin elasticity. This in turn restores volume, improves facial wrinkles, and gives a more relaxed appearance. Restylane has a long safety and efficacy record. No pretesting is required and allergic reactions are rare. Avoid using aspirin, non-steroidal anti-inflammatory medications, and high doses of vitamin E because these may increase the chance of bruising. Restylane injections are quick with minimal downtime and immediate results. These characteristics have made it one of the leading dermal fillers worldwide. Perlane is made by the same company that makes Restylane and has similar characteristics. Perlane is often used to correct more moderate to severe facial volume defects.  

Chemical Peels

Our office uses trichloroacetic acid concentrations that are only available through physicians. These chemicals exfoliate dead, sun damaged skin and improve underlying collagen production. This in turn improves skin  tone, pigment, and fine lines.  Superficial chemical peels have minimal downtime. 70% glycolic peels will keep your skin smooth, help with dark spots, and help unclog your pores. These peels can be done at 2-4 week intervals and can also help with fine wrinkling over time. Great for patients that have extremely busy schedules. Medium depth chemical peels involve a stronger concentration of trichloroacetic acid.  TCA peels give a sunburned, red appearance for approximately  a week. After this time, older skin is replaced with healthier newer skin. These peels can have a more impressive effect on sun spots and fine wrinkles. Results are often achieved with a single peel.  


Sclerotherapy is the standard treatment for varicose and spider veins. A special sclerosing solution is injected into the diseased vein, which then collapses and is gradually absorbed by the body. By the end of the treatment program, the veins are less visible on the skin surface. Sclerotherapy usually also relieves symptoms associated with enlarged veins and prevents further complications.