Botox Cosmetic

Conveniently located to serve the areas of Los Gatos, Mountain View, Palo Alto and San Jose, CA

botox cosmetic procedure


Botox is a neuromodulator, a nerve inhibitor that temporarily paralyzes the facial muscle, preventing wrinkles from forming. Botox is the commonly used name for Botulinum Toxin Type A, manufactured by Allergan Company, and is one of several available on the market today. 

Botox is used worldwide to delay the signs of aging.

Botox is FDA approved for the temporary improvement and reduction in the appearance of fine lines and wrinkles including moderate to severe forehead lines, lateral canthal lines and glabellar lines in adults.

Botox or Dysport?

Botox and Dysport are both neurotixins made by different manufacturers.  Botox is the most well known and many people ask for it by name. Botox is manufactured by Allergan, and Dysport is manufactured by Galderma.   Dysport is another product that is comparable, and some patients prefer it to Botox as the results can be different by product.  If you want to know more about the difference between Botox and Dysport, Dr. Bitter can recommend the product that he believes will help you achieve your desired results.

Treatment Areas

Botox is used on the face to treat crow’s feet, forehead lines, and frown lines. It has also been used for a variety of other treatments and new procedures are discovered and approved.

We can answer any questions you have about the use of Botox for other areas.

Botox is also used in other areas such as the non surgical reduction of the mandible, also known as jaw reduction. Botox can be used for those who wish to reduce the appearance of a square jawline and achieve a softer or v-shaped jawline. Some find a v shaped jawline gives them a more feminine or pleasing look. Results are temporary as with botox in any other area and need to be repeated when the injectable product wears off.


The effects of BOTOX Cosmetic typically last 2-3 months, but individual results may vary.

Botox typically takes 7 to 10 days for noticeable results, though some individuals can see results sooner. Lines and wrinkles are a normal part of aging, and are caused by the movement of our facial muscles.  Over time, these lines and wrinkles may deepen as we age.  Botox is injected into the muscles and works by temporarily freezing the muscles and preventing them from contracting.  Freezing the muscles helps by preventing the wrinkles from deepening.  This is one reason men and women who see visible wrinkles are trying Botox in their 30’s or at the first sign of wrinkles.

Why Dr. Bitter?

Dr. Patrick Bitter, Jr., has over 20 years of experience with Botox, Fillers and Injectables such as Dysport, Juvederm, Restylane, Voluma, Sculptra and more.  We also have all the latest and newest fillers including Volbella, Vollure, Refyne and Defyne.  Dr. Bitter’s artistic eye and his years of experience will give you the best recommendations for optimal results. He knows how to inject Botox to give you a temporary lift (results vary by patient).  Botox in the hands of an unskilled provider may lead to undesirable results, such as a heavy brow or droopy eyelid.  We recommend trusting your face to the hands of an expert dermatologist with many years of experience.

Dr. Patrick Bitter Jr., is a Board Certified Dermatologist.  He personally has injected Botox and other Injectable Toxins and Fillers thousands of times and has more experience than most providers

Dr. Bitter’s patients trust him with their faces.  As a well known and trusted dermatologist  with years of experience, he has patients that come to him from all over the United States. 

Dr. Bitter is also a well known educator and has personally trained thousands of providers on Aesthetic Treatments (including Injectables, Neurotoxins and Laser Skin Treatments).  His recent lectures and courses on achieving beautiful natural results with Injectable Fillers & Toxins has been very popular with physicians and nurses wanting to learn how to achieve Dr. Bitter’s beautiful, natural results.


How often do I need to do Botox?

Repeat treatments are necessary to maintain results.  Dr. Bitter will be able to recommend the best course of treatment for you. Botox is not permanent, and results do wear off naturally over time.  Most patients prefer to come every 3 months for Botox and /or Dysport. 

How many units do I need each time?

The number of units you may want or need may vary.  There are a number of items that can impact how long Botox will last for each person.  It is important to give your provider a thorough and accurate detail of any medical concerns and /or medication.  Your provider will be able to provide the best recommendation to give you optimal results.

What other conditions does Botox treat?

Botox has been FDA approved to treat a number of other condition in addition to wrinkles.  The FDA has approved Botox for the treatment of hyperhydrosis also known as excessive sweating. Botox is also indicated for the treatment of chronic migraines.  It is injected to prevent headaches in adults who have 15 or more days each month with headaches lasting 4 or more hours per day.

Do Men use BroTox? Do Celebrities use Botox?

Many male and female celebrities use Botox, Neuromodulators and other toxins such as Xeomin.   For men, Botox treatments are sometimes called BRO-TOX and XEO-MEN.  Botox, Dysport and other neurotixins may be another of Hollywood’s best kept beauty secrets.  Celebrities that have spoken publicly on their opinions about Botox include:  Kelly Ripa, Julia Roberts, Cameron Diaz, Brook Shields, Courtney Cox, Nicole Kidman, Salma Hayek, Jennifer Aniston and Kim Kardashian.  Some celebrities in Hollywood are very verbal about their avoidance of this product, and some are very verbal of their appreciation of the age delaying effects of neuromodulators and other Injectables such as Fillers.  However, each individual must make their own decision about what they feel is best and what makes them feel good about their own looks. At our practice, we believe in beautiful, natural results for every guest that walks in our door.