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Botox Cosmetic
Botox, Dysort, and Xeomin Injections for Wrinkles on the Face

"The Botox was Perfect!"

Minnie. Los Angeles, CA

Botox santa monica


Botox Cosmetic is used for the temporary elimination of dynamic facial wrinkles that lead to premature aging. The benefits of Botox are many, including the temporary improvement in fine lines and deep wrinkles caused by muscle movement of the face.  In the United States and Europe, Botox injections remain one of the leading cosmetic treatments among healthy adults.  Dr. Raffy Karamanoukian performs Botox treatments in his Santa Monica and Beverly Hills offices. As of December 2011, there are two new alternatives to Botox, including Xeomin Cosmetic and Dysport. These two types of botulinum neurotoxins provide effective alternatives to Botox and patients who have become resistant to Botox Cosmetic. 

Botox santa monica raffy karamanoukian


One of the most profound changes in plastic surgery is the increase in men undergoing Botox treatments for facial frowning and wrinkles.  Male Botox is becoming increasingly common as noted in a recent media segment describing the untoward effect of facial grimacing and facial lines on interpersonal relationships.  Men are more aware of the impact their facial wrinkles have on social and business relations and can achieve a more youthful and natural look through the use of Botox injections.  The most common areas for men to undergo Botox treatments include the Crow's feet on the side of the eyes, the glabella (mid-brow) and forehead areas. Dr. Karamanoukian offers and executive Botox program for men who wish to undergo Botox treatment.  Please call our office for details as we can accomodate your Botox treatment during your lunch break or during normal business hours.


  1. Anesthesia: Typically, anesthetics are not required before Botox treatment.  By request, Dr. Karamanoukian or his assistants will apply a topical numbing cream known as Lidomax to the treatment area 5 to 10 minutes prior to injection.
  2. Dr. Karamanoukian will inject several tiny amounts of Botox into the affected areas and apply pressure to the area for 30 seconds. 
  3. The entire procedure should last about 5 to 10 minutes.  You will be able to resume normal activities afterwards.


  1. In the the August issue of UK Glamour magazine, Simon Cowell admits to Botox, writes author Christopher Rocchio.  "To me, Botox is no more unusual than toothpaste," admits Cowell. 
  2. In the January 12, 2011 issue of Glamour magazine, an article written by Jenn Selby states that Nicole Kidman admits to Botox. 


One of the most dreaded age-related changes is a gradual wrinkling of the neck and chin area.  A common pattern of aging is the development of vertical neck lines and bands that characterize an aged neck.  These neck bands are often caused by overactivity of the platysma muscles that lead to vertical bands.  Clinical experience with Botox and Xeomin injections has shown that many of these neck bands can be erased with the use of neurotoxin injections. Botox and Xeomin are completely safe to use in this area and can dramatically improve the look of your lower face and neck areas. Dr. Karamanoukian uses both Xeomin or Botox for this procedure and results are seen within three to five days of the injection.


  1. Botox Serotype A has been used succesfully for years as a treatment for migraine headaches, although its use is highly unpredictable in terms of which particular patients will benefit from therapy. A recent study in the Journal of Headache Pain describes the study of Botox A in the treatment of a very common condition: Tension-type Headaches.  The results confirm a benefit with therapy within one month of treatment.  In fact, reductions were noted in prophylactic medications taken by the patient.  "Not only are patients benefiting from the botox treatment, but they are also using less medication to prevent their symptoms," says Dr. Raffy Karamanoukian, a plastic surgeon practicing in Santa Monica, CA."Use of Botox A in tension type headaches expands the options available for this very difficult problem," adds Dr. Karamanoukian.Further study will be needed, according to the study performed by the Department of Neurology in Cairo, Egypt.  This may ultimately pose a considerable stepping stone to the treatment of tension type headaches in patients suffering with this chronic condition.
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