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650.328.4570 1515 El Camino Real, SUITE C, Palo Alto, CA 94306

Non-Surgical Procedures Palo Alto

Non-Surgical Procedures performed by Dr. George Commons:

  • BOTOX®
  • Dermal Fillers (Juvederm®)
  • Skin Care Products
  • Chemical Peel, Dermabrasion, & Electrodermabrasion


People often frown or furrow when they are in heavy concentration. This can give the false impression that they may be angry or unhappy. Over a period of time, this activity promotes deep lining even in a relaxed state. BOTOX® injections can alter this inclination temporarily by relaxing the generated tension created by the muscle contraction. BOTOX® is injected via a tiny 30 gauge needle into the small facial muscles. The muscles relax and lines are softened. There is a very minimal discomfort. Areas where BOTOX® is appropriate include: forehead lines, frown-furrow lines, crow’s-feet, and to a limited extent the lip lines.

Other uses for BOTOX®, beyond line or wrinkle reduction, include: neck banding, jaw flare from masseter muscle hypertrophy and a decrease in sweating of the palms, underarms and the soles of the feet.

On the average, treatments usually last from 4 months to a year. Patients will notice some movement, which increases gradually as the effects wear off. There have been no recorded allergic reactions to this product and minimal, if any negative side effects. Since BOTOX® is an injection, there potentially can be some bruising. This can be minimized or avoided by refraining from the use of aspirin, anti-inflammatory drugs, fish oil supplements, vitamin E and herbs 10 days prior to treatment.

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Dermal Fillers

The major dermal filler today is Juvederm® and the filler is hyaluronic substances. The durability is 6 months plus or minus. Fillers can be used anywhere a limited deficit exists. They can be used to fill lines, wrinkles and create a beautiful contour of the lips. Fillers can also be placed in the chin, cheeks, or nose for augmentation. The hollow circles under the eyes can be softened with fillers. Scars and depressed areas can be lifted with fillers. The substance is gently injected into the area of need. Often, prior to injection, a nerve block is done to almost eliminate pain. Fillers are very popular in both fine and heavy lining of the face. The results are pleasing to patients.

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Commons M.D. Skin Care

CommonsMD is a skin care formulation that contains all in one bottle 7% hydroquinone (fades hyperpigmentation), Retin-A (helps the skin with collagen formation), and hydrocortisone (helps with redness). Wrinkling can be improved. This is a program we should all be on. With time, the improvement is substantial. It is an affordable pain free program. Sun spots, brown spots, blemishes, sun damage, and wrinkles are improved. It takes time to see the results but improvement can be expected.

Chemical Peel, Dermabrasion, & Electrodermabrasion

The upper layers of the skin contain the wrinkle lines. If the upper layer is removed, the lines disappear for 3 to 5 years. Removal can be via a chemical peel or dermabrasion or electrodermabrasion. Small local peels can usually be done with conscious sedation only but full face peels require an anesthesiologist. Healing takes 5-8 days. After this, make up can be applied. A smoother skin surface and decreased lining is the result. A more youthful, healthy appearance is the major gain. The results of these procedures are very well received by patients.

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