Medically reviewed by Dr. Patricia Sitnitsky, M.D. · Last reviewed July 2026
Avita MD provides Botox injections, an FDA-approved neurotoxin treatment, for cosmetic and medical indications at our clinics in Los Altos, Mountain View, and Los Gatos. A treatment takes about 15 to 30 minutes. Our experienced providers use precise technique and conservative dosing to achieve natural-looking results for wrinkle reduction, and we offer FDA-approved Botox treatment for chronic migraines, excessive sweating, and TMJ-related jaw clenching. Same-day appointments are available.
We are a physician-owned practice with more than 890+ five-star Google reviews. Because we are a full medical practice, not just a med spa, your Botox provider has access to your complete health history and can address both aesthetic and medical needs in the same visit.
Cosmetic Botox
Botox works by temporarily relaxing the muscles that cause dynamic wrinkles, the lines that form from repeated facial expressions like squinting, frowning, and raising your eyebrows. It does not affect your ability to express emotion when done well. The goal is to look rested and refreshed, not frozen.
Common Treatment Areas
- Forehead lines: Horizontal lines across the forehead caused by raising the eyebrows
- Frown lines (glabellar lines): The vertical "11" lines between the eyebrows
- Crow's feet: Lines at the outer corners of the eyes
- Bunny lines: Lines on the sides of the nose
- Vertical lip lines: Fine lines around the upper lip (often combined with dermal fillers for best results)
- Chin dimpling: A "pebbled" texture on the chin caused by the mentalis muscle
- Neck bands: Vertical cords that become more visible with age and muscle movement
What to Expect
The treatment takes about 15 to 30 minutes. Your provider uses a very fine needle to inject small amounts of Botox into targeted muscles. Most patients describe a slight pinch. No anesthesia is needed and downtime is minimal. You can return to your normal activities immediately, and for 24 hours afterward we recommend avoiding strenuous exercise, alcohol, and rubbing the treated area.
Results begin to appear within three to five days and reach full effect at about one to two weeks. For new patients, we offer a two-week follow-up to assess results and make adjustments if needed. Results typically last three to four months.
Medical Botox
Chronic Migraines
Botox is FDA-approved for chronic migraines, defined as 15 or more headache days per month. Treatment involves a series of small injections around the head and neck, administered every 12 weeks. Clinical trials show that Botox reduces the number of migraine days by approximately 50 percent in many patients. If you suffer from chronic migraines, learn more about our full range of migraine treatments.
Excessive Sweating (Hyperhidrosis)
Botox is FDA-approved for severe underarm sweating that does not respond to antiperspirants. It works by blocking the nerve signals that activate sweat glands. Results last approximately six to twelve months per treatment.
TMJ and Jaw Clenching
Botox injected into the masseter muscles can relieve jaw tension, teeth grinding (bruxism), and TMJ-related pain. Many patients also notice a slimming effect along the jawline as the overworked muscles relax.
Why Choose Avita MD for Botox
Botox results depend heavily on the skill of the injector. At Avita MD, our providers understand facial anatomy in detail and take a conservative approach. We would rather have you come back for a small touch-up than overtreat on the first visit. Because we are a medical practice, we can also evaluate whether your concerns might benefit from complementary treatments like dermal fillers or PRP therapy, or whether a medical issue (like migraines or TMJ) warrants a different treatment approach entirely.
Schedule Your Botox Appointment
Call Avita MD at (408) 495-5770 or book online. Same-day appointments are available at our clinics in Los Altos, Mountain View, and Los Gatos. Whether this is your first time trying Botox or you are looking for a new provider, we will take the time to understand your goals and deliver results that look like you, only more rested.
This page is for general educational purposes and is not medical advice. Individual results vary. Talk with an Avita MD provider about your specific health needs.
Frequently Asked Questions About Botox
What is Botox used for?
Botox (onabotulinumtoxinA) is used for both cosmetic and medical purposes. Cosmetically, it reduces wrinkles caused by repeated muscle movement, including forehead lines, frown lines (the "11s"), and crow's feet. Medically, it is FDA-approved for chronic migraines and excessive sweating (hyperhidrosis). Avita MD also offers Botox for jaw clenching and TMJ, which is a common off-label use.
How long does Botox last?
Botox results typically last three to four months. For chronic migraines, treatment sessions are scheduled every 12 weeks. Over time, some patients find that their results last longer as the treated muscles become conditioned. Avita MD will recommend a treatment schedule based on your goals.
Does Botox hurt?
Most patients describe Botox as a slight pinch. The needles are very fine, and the injections are quick. At Avita MD, our experienced providers use precise technique to minimize discomfort. No anesthesia is needed, and you can return to normal activities immediately.
How soon will I see results from Botox?
You will typically notice the effects of Botox within three to five days, with full results visible at about two weeks. At Avita MD, we schedule a follow-up at two weeks for new patients to assess results and make any adjustments if needed.
Is Botox safe?
Botox has been FDA-approved since 2002 for cosmetic use and has a well-established safety record when administered by a trained medical professional. At Avita MD, Botox is always administered by experienced providers who understand facial anatomy and use conservative dosing for natural-looking results.
Does insurance cover Botox?
Cosmetic Botox is not covered by insurance. Botox for chronic migraines (15 or more headache days per month) is often covered after documentation of failed preventive treatments. Avita MD handles prior authorizations for medically indicated Botox and will let you know about costs upfront.
How long does a Botox treatment take?
A Botox treatment takes about 15 to 30 minutes. Your provider injects small amounts of FDA-approved neurotoxin into the targeted muscles using a very fine needle. There is minimal downtime, and most patients return to normal activities right away. For 24 hours afterward, avoid strenuous exercise, alcohol, and rubbing the treated area.
What areas can Botox treat?
Botox commonly treats frown lines (the "11" lines between the brows), forehead lines, crow's feet, vertical lip lines, chin dimpling, bunny lines on the nose, and neck bands. At Avita MD, your provider will assess which areas are contributing to your concerns and recommend a treatment plan based on your facial anatomy and goals.
Ready to Schedule?
Book online, call us at (408) 495-5770. Same-day and next-day appointments are available.