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Botulinum Toxin A Cosmetic (Botox®)

Nafysa Parpia, N.D. is an independent practitioner working out of the San Rafael/Marin offices of Gordon Medical. In addition to utilizing a range of injection therapies such as neural therapy, prolozone and prolotherapy, she has added the use of cosmetic Botox® to the treatments she offers.

Dr. Parpia is trained to analyze your individual facial anatomy and then formulate the Botulinum Toxin A dose that will give you the best cosmetic enhancement and longevity.

See Dr. Parpia’s full bio
  1. 1
    What is Botulinum Toxin A (Botox) Cosmetic?

    Botulinum Toxin Type A, produced by Allergan, or Botox®, is a medication that is used to treat dynamic wrinkles such as crow’s feet, forehead lines, and frown lines. Botulinum Toxin A can also be used on the lower face to treat the muscles that cause tiny lines around the mouth, the “sad lines” at the corners of the mouth, as well as the aging appearance of the neck. Botulinum Toxin A Cosmetic works by relaxing the facial muscles, creating a smoother more refreshed appearance.

  2. 2
    Is it safe?

    YES. Botox is a purified protein which is extracted from a naturally occurring bacteria and processed under strict pharmaceutical manufacturing guidelines. The cosmetic use of Botox® has been FDA approved.

  3. 3
    How long does the procedure take?

    Generally after the consultation, the procedure takes only 15 minutes. Since there is no down time, the procedure can be performed during a lunch hour, and no one would know that a treatment had occurred.

  4. 4
    How is it done? Does it hurt?

    Botulinum Toxin A Cosmetic is injected with a very tiny needle and a delicate syringe.  Most patients say the injections feel similar to a little pinch, or tiny pin prick.

  5. 5
    How quickly can I see results?

    Results are normally noticed within 3-5 days, but it may take as long as two weeks before the full effect of the treatment is realized.

  6. 6
    I don’t want to look “frozen” without any expression – will that happen?

    Dr. Parpia is trained to restore a natural, youthful facial balance.  Most patients simply want to look NATURAL, RELAXED, and REFRESHED, without looking frozen.  You will most likely not have a “frozen” expression.

  7. 7
    How long does Botulinum Toxin A Cosmetic last? Is it permanent?

    Botulinum Toxin A Cosmetic is not permanent.  It lasts between 3-4 months on average, but results may vary.  Scientific studies show that if you have your first three treatments every three months that subsequent treatments will last longer and possibly even require lower dosing.  Patients who adhere to a prompt treatment schedule can stabilize their treatment at approximately two to three times a year.

  8. 8
    Are there any side effects?

    Side effects of Botulinum Toxin A Cosmetic are RARE and NOT PERMANENT.  Rarely, there can be some minor bruising (which is easily covered up with makeup), redness, swelling, or a slight short term headache.   As with any injections, bleeding, infection, or allergic reaction can occur. In less than one percent, a drooping eyelid can occur.

    Certain patients can develop antibodies to Botulinum Toxin A, which may reduce the effectiveness in subsequent injections.  Most of these side effects occur in doses many times higher than that used in cosmetic treatment.

  9. 9
    Am I going to be worse when it wears off?

    A patient’s appearance will never get worse if Botox® Cosmetic use is stopped or when it wears off. Botulinum Toxin A Cosmetic “stops or slows” the clock on aging.  When treatments are stopped, the “aging clock” resumes like normal.  At the very minimum, the patient’s appearance will simply return to where it started.  If patients use Botulinum Toxin A Cosmetic for a number of years and then stop, they will receive a lasting benefit as it will take time for the muscles to return to baseline.

  10. 10
    How Do I Schedule an Appointment in the Office?

    Appointments can be made in the Marin/San Rafael office with Dr. Parpia.

    Use one of the following options to make an appointment or call (707) 575-5180.

Nafysa Parpia ND
Nafysa Parpia, N.D
Naturopathic Doctor/Independent Practitioner
Dr. Parpia uses a functional and integrative medicine approach in treating her patients with complex chronic illness. Biochemical imbalances, epigenetic expression, toxin exposure, microbial exposure and emotional imbalance are often key in unraveling the mystery of and treating chronic illness. External factors to the body such as environmental toxicity, pathogens, diet, and lifestyle can alter the expression of internal factors like susceptibility to infections, over or under expression of immunity, genetic expression, cellular biochemical function, mood and nutritional status. Each of these aspects is different for each patient. Thus, with compassionate listening and cutting-edge laboratory tests, Dr. Parpia creates treatment plans that are highly individualistic and healing. She strives to help her patients find balance between the external factors of their lives, their body’s internal mechanisms and their mind.