Wrinkles & Loose Skin Treatments in Irvine - TotalCosmetix
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Wrinkles & Loose Skin


Botox / Xeomin

Botox can be applied to wrinkles for cosmetic rejuvenation.
Wrinkle Reduction With Botox
Botox is an available neurotoxin approved for cosmetic rejuvenation. It has been FDA approved for cosmetic use in the U.S. since 2002. It is derived from a piece of protein found in a bacterium known as Clostridum botulinum.
Patients of Botox apply it to treat wrinkles on the forehead, crow’s feet, smoker lines, and bunny lines. It can also help provide a mini eyebrow lift, reduce neck cords and masseter muscles of the temporomandibular joint.* Patients experience benefits that generally last from three to four months.*
The proteins block the local receptor sites that lead to muscle activity. The treated area will be affected by minimal or severe lines.* As a result, treatment will need to be repeated to prevent the chances of slow reversal of previously treated sites.*

There is a possibility of side effects experienced by patients, including bruising and swelling at the injection site.* These conditions are temporary and will dissipate after a short period of time.* Gentle pressure and ice can be applied to the affected area to reduce the level of bruising and swelling.*


Hyperhidrosis (Sweat) affecting the underarms, hands, feet, groins, and face can be treated with Botox.

Reduce Sweating With Botox

Sweating, known as hyperhidrosis, can affect the underarms, hands, feet, groins, and face. If you sweat in daily situations and activities, you may be affected by hyperhidrosis. This condition can also occur under stressful and anxious situations, such as meeting new people.

Localized hyperhidrosis can be treated with Botox.* For persistent types that do not respond to topical antiperspirants, Botox injections can work as a solution.*

Botox works for hyperhidrosis treatment by temporarily blocking the nerves that stimulate sweating in the armpits, palms, or other localized areas for injection.* It is directly injected using a small needle into the area affected by excessive sweating. Normal activity can be resumed immediately, however, heavy exercise should be avoided until you have consulted with your dermatologist.*

Side effects with Botox treatments for hyperhidrosis are minimal in the axilla.* This can include tiny bruises, which will fade in a few days.* There also may be areas with persistent sweating that require a second treatment.*

The cost of treatment is based on the volume and amount of Botox used. To obtain more information about pricing and how your treatment plan will be determined, call our office and schedule a consultation.


Botox is helpful for various migraines and tension type headaches.

Botox for Migraines Relief

Botox treats a variety of pain states such as migraine and tension type headaches.* It reduces pain neuropeptides and blocks the transmission of pain sensation.* Tension type headaches are caused in part by persistent muscle contraction. Partial paralysis of the muscles in the region can help to alleviate the headache and associated pain.*

Certain types of headaches can respond better to Botox than others. Headaches caused by muscle spasms and most types of tension headaches respond well to Botox.* There are certain areas that do not respond as well, these include the top of the head, cheeks, area between the eyes, and behind the ear.*

The Botox injections are performed on both sides of the head. This is done because injecting into only one side can result in headaches occurring in the other. Injecting into both sides prevents this occurrence.

Patients who may not be a candidate for Botox injections are those experiencing neuromuscular disorders, are pregnant, or have myopathic disorders. Botox therapy is FDA approved and works for pain that does not respond to conservative treatments.

While it can provide significant pain relief for chronic headaches, the results can vary according to the individual person. It can take several weeks and multiple treatments before the headaches respond to Botox injections. For additional information about how Botox will work specifically for you, please call Total Cosmetix and schedule a consultation.


Correct a gummy smile with carefully applied Botox injections

Botox Treatment for Gummy Smile Reduction

The ideal smile for many is healthy, flawless, and full of confidence. For some patients, that is not always the case. Some smiles can have excessive amounts of gum showing. This is known as a “gummy smile”. Patients affected by this condition experience self-conscious and negative emotions.

A gummy smile has several causes. This includes an overactive muscle located in the upper lip. Dr. Hamid Towhidian is a cosmetic surgery and dermatology expert who can correct gummy smiles. One method is by Botox injection, which is a safe procedure that can be performed in an office setting.

Botox injections are performed on planned locations that will ensure the upper lip is not excessively raised when you smile. With this result, only your teeth will display when you make a smile.* The full results can be seen after several days.*

Patients at Dr. Towhidian’s office are satisfied with his work and experience long lasting results.*

If you are affected by a gummy smile, you can discuss your options and determine your candidacy for Botox by scheduling a consultation with Dr. Towhidian in Irvine.

*Individual results vary. Photos and reviews do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery or procedure.



Xeomin is a prescription medicine that is injected into muscles and used to temporarily improve the look of both moderate to severe crow’s feet lines and frown lines between the eyebrows and moderate to severe crow’s feet lines in adults.* BOTOX® Cosmetic is a safe, simple and non-surgical treatment that relaxes the underlying muscles which cause wrinkles and lines to appear on the skin.* It can soften the appearance of dynamic wrinkles and provide a more rested, youthful appearance.*

Neurotoxins Reduce*:

  • Forehead “worry” lines
  • Crow’s Feet
  • Frown Lines (in between brows)
  • Migraine and Headaches

For additional information, please contact Total Cosmetic and schedule a consultation.



Thermal (Heat) Skin Rejuvenation Treatment

FRACTORA Firm and plus offers an innovative skin treatment that precisely provides optimal skin contraction temperatures. ACE (Achieve, Control, Extend) is designed to create physician programmed optimal temperatures and maintain temperature for an extended thermal experience without overheating. This RF technology contains built-in safeguards that overcome the limitations of existing skin tightening devices and eliminates the need for external infrared thermometers.
The versatile fractional treatment offered by physicians provides non-ablative or minimally ablative results up to 1mm. RF energy will be used to heat the skin, remodeling deep collagen, and creating an enhanced skin appearance.


Science and Technology
Firm and Plus offers non-invasive sub dermal heating for collagen remodeling in two configurations. The RF current flows between electrodes to create a non-invasive thermal experience. ACE temperature controls are included to provide optimal epidermal temperatures and exclusive capacity for prolonged exposure at therapeutic temperatures.



  • FRACTORA delivers significant improvements and reduces the symptoms of aging skin. This includes deep lines, texture, fine lines, texture, blood vessels, pigment irregularities, blood vessels, and redness.
  • Reduces the need for using up to four different technologies.
  • Skin resurfacing is promoted and treated tissue experiences faster healing.
  • Precision temperature is achieved through thermal monitoring.
  • ACE technology treats areas that require high attention.
  • Eliminates concerns of overheating and adverse reactions.
  • Improved safety through auto power adjust feature.
  • Entire treatment area is heated to optimal temperature for maximized results.

The science of Firm and Firm Plus can provide long-lasting benefits with minimally invasive procedures. Schedule a consultation today to learn more.
Fractora lasers involve using radio-frequency lasers to create improvements to skin tone and texture, providing anti-aging benefits and a more radiant appearance.* RF energy is delivered to the skin through a number of pins, which produce localized heat and small microlesion dots. The heat promotes collagen production for skin rejuvenation and an improved appearance.*



  • Treats the broadest range of aging skin symptoms, including texture, pigment irregularities, fine lines, deep lines, blood vessels, and redness.*
  • Reduces the need for using multiple technologies*
  • Faster healing of treated tissue*

The versatile fractional treatment provides results up to 1mm in depth. Fractora can be used to treat areas with deep wrinkles, fine lines, scars, or red and brown skin.* The RF energy is applied in a controlled manner to remodel deep collagen and provide a cosmetic improvement.*
Fraxel Laser Treatment targets aging and damaged skin by creating small wound-like sensations that penetrate the outer layers of the skin. This triggers natural collagen production and skin cells. They are applied gently and do not result in extensive downtime for patients. The healing process will also progress very rapidly.*


Cleared by the FDA, Fraxel treats the following conditions:

  • Age spots
  • Acne scars
  • Melasma
  • Wrinkles around the eyes
  • Stretch marks

How the Treatment Works
Fraxel improves your appearance by treating the skin one fraction at a time.* The laser produces thousands of tiny and deep columns in the skin, known as microscopic treatment zones. This reduces old pigment cells while penetrating deeper layers in the dermis. While the microscopic zone is targeted, the surrounding tissue is left unaffected and intact.*
Patients will see their skin heal faster and enjoy new, healthier, and tighter skin tissue.* An effective treatment period is between 3 to 5 sessions.* You will prepare for treatment by having a pain management plan developed by your doctor.* The treatment area will be cleaned and applied with a topical anesthetic ointment. The procedure for a full face will require 20-25 minutes.*
After treatment, you may experience a mild sunburn sensation for one hour and minimal discomfort.* The skin will also exhibit a pinkish color for 5-7 days.* You can wear make-up or shave soon after treatment and then return to your regular activities on the same day.* The new skin will develop within 24 hours, the entire process involves*:

  • Bronzing – The skin will have a bronze appearance between 3-7 days
  • Flaking – Old skin will exfoliate as new skin emerges. This creates very fine
  • invisible flakes.
  • Sunscreen – Wearing sunscreen is recommended to protect the skin from sun exposure

The body will continue repairing dermal tissues until you see a healthy, younger looking appearance.*



Bellafill is a collagen filler that creates smooth facial wrinkles almost instantly.* The result is a beautiful, natural-looking restoration that can last for a long period of time.* It is FDA approved to reduce facial wrinkles or nasolabial folds.* After 5 years of study, the filler is regarded as a safe cosmetic treatment option.* Patients can see visible corrections after the first, initial treatment.*
Bellafill contains collagen that increases volume and lift.* The polymethylemethacrylate (PMMA) microspheres remain in place and provides support for collagen production, ensuring a lasting improvement for your skin.



Juvederm dermal filler has been FDA-approved since 2006. It is a popular hyaluronic gel that feels soft and looks natural. It is also easy to use for lip augmentation, making it a favorite of both patients and physicians.
Juvederm is formulated with lidocaine to prevent of minimize any discomfort from the injection. The use of lidocaine-enhanced fillers is highly preferable for patients. This was the first hyaluronic acid dermal filler developed using a proprietary and technologically advanced manufacturing process. The result is a smooth gel that is easy to apply onto skin.



Belotero is specifically designed for fine lines. It is a hyaluronic gel developed to be versatile for treating fine lines. It also useful for small lines around the eyes and perioral lines.* Belotero can easily by layered, which means it can be placed over deeper fillers such as Radiesse, Perlane, or Juvederm. While the dense gels improve volume, Belotero helps soften superficial wrinkles.* Another difference to other fillers is that you will not feel it on your skin, but you will see the results.* This is why it is a popular filler for patients with delicate or thin skin.


Fraxel Laser Treatment

Fraxel® Laser Treatment is designed to target aging and damaged skin by creating microscopic “wounds” within the targeted areas that penetrate well beneath the skin’s outermost layer. In this way, Fraxel® Laser treatments trigger the body’s own natural production of new collagen and skin cells. And because Fraxel® Laser Treatment combines the impact of ablative lasers with the gentleness of non-ablative lasers, healing occurs so quickly that there is very little downtime for patients.*
Fraxel Laser Treatments allow for quick healing with little downtime.After several years of studies and mounting evidence of the Fraxel® Laser’s safety and effectiveness, the FDA has cleared this unique new laser to treat the following conditions*:

      • Acne Scars
      • ge Spots/Brown Spots
      • Melasma (Mask of Pregnancy)
      • Wrinkles Around The Eyes
      • Stretch Marks


How Fraxel® Laser Treatment Works
Think of your skin as a family portrait or digital photograph in need of high-quality restoration or touch up.Just as a damaged painting is delicately restored one small area at a time, or a photographic image is altered, pixel by pixel, Fraxel® Laser Treatment improves your appearance by affecting only a fraction of your skin at a time with thousands of tiny microscopic laser spots.*
Fraxel Laser Treatment produces thousands of tiny but deep columns of treatment in your skin, known as microscopic treatment zones. This treatment targets old epidermal pigmented cells. It also penetrates deep into the dermis. Just as important, though, are the areas of skin the Fraxel laser leaves untouched. For every microscopic zone the laser targets and treats intensively, it leaves the surrounding tissue unaffected and intact. This “fractional” treatment allows the skin to heal much faster than if the entire area were treated at once, using the body’s natural healing process to create new, healthy tighter tissue to replace skin imperfections.


At your initial consultation, your physician will determine the best treatment plan for your desired results. Clinical studies suggest that on average, an effective treatment regimen is 3 to 5 sessions, spaced about 2 to 4 weeks apart. Depending upon your condition and schedule, you and your physician may choose to space treatment sessions even further apart. Results are immediate and progressive. Optimal improvement is usually visible in about 2 to 3 months. Because Fraxel Laser Treatment spares healthy tissue, it is effective even on delicate skin areas, such as the neck, chest and hands.*
Fraxel Laser Treatments can be performed with only topical anesthesia and procedures are designed with your maximum comfort in mind.


Preparing for Treatment

Fraxel Laser Treatment can be performed right in your doctor’s office using only topical anesthesia in most cases. If you are having a significant area of your skin treated, your doctor will develop a pain management approach to maximize your comfort during the procedure.*
The treatment area will be thoroughly washed prior to the procedure. A topical anesthetic ointment is applied to the treatment area approximately 60 minutes prior to treatment in order for the anesthetic to take full effect. The procedure takes between 20 to 25 minutes for a full face. The anesthetic ointment is washed off immediately after the treatment.*

What Happens After Treatment
You will experience a mild sunburn sensation for about an hour and then minimal discomfort. The skin will have a pinkish tone for 5 to 7 days. This is a normal sign that the skin is deeply healing. Swelling is minimal and generally resolves in 2 to 3 days.*
You may apply make-up or shave soon after treatment. Some patients are able to return to routine activities, including work and social obligations, the same day of treatment. Others require a little more time, depending upon their skin condition and treatment. Please consult your physician to understand how Fraxel Laser Treatment will fit into your schedule.
New epidermal skin develops within 24 hours. The process of skin repair involves*:

      • Bronzing: Your skin will have a bronze appearance that lasts anywhere from 3 to 14 days, depending on your treatment level.
      • Flaking: Your skin will naturally and vigorously exfoliate as new skin replaces dead tissue. Flaking is similar to that of minor sunburn, but without the associated pain. Use of a moisturizer will mask the appearance of flaking.
      • Sunscreen: Be sure to use sunscreen at least twice daily to protect your skin from sun exposure during both the healing phase and for several months after treatment. Apply a moisturizing sun block with an SPF of at least 30-plus. For added protection, use wide-brimmed hats when in direct sunlight.

Over the following weeks and months, the body repairs the deeper dermal tissues that have been affected by the Fraxel treatment, producing longer beneficial changes associated with a healthy, youthful appearance.


RFAL (FaceTite / NeckTite / ArmTite)

FaceTite and NeckTite are two revolutaionary handpieces used to apply BodyTite’s RFAL (radio-frequency assisted liolysis) technology for a complete contouring solution of the face and small areas of the body.

FaceTite and NeckTite is ideal for small treatment areas require tightening including: neck, jowls, lower eyes, arms, inner thighs, breasts and knees.

FaceTite – A non-aspirating cannula with a plastic end tip that allows physicians to work safely in the sub-dermal plane for RF inspired tissue contraction and contouring.

NeckTite – RF energy is simultaneous with aspiration resulting in gentle fat removal in addition to tightening and contouring.

RF energy travels from an internal electrode, which can be simultaneously aspirating coagulated tissue, to an external electrode, resulting in coagulation of adipose, vascular and fibrous tissue as well as heating the entire soft-tissue matrix.


Superior facial and small area contouring to avoid the need for more extensive surgical procedures (such as facelift or brachioplasty).
Versatility to select single-stage aspiration or non-aspiration treatment.
Skin contraction of the entire facial subcutaneous tissue and septae matrix for unprecedented tightening results.
Small cannula diameter ensures a smaller incision and decreased downtime and scaring.
Controlled directional energy distribution maximizes RF utilization in the treated area while protecting against heating of unwanted structures.
Improved safety with system safeguards that regulate skin temperature and impedance levels to decrease risks of thermal injuries.


Thread Lift


About Thread Lift and Thread Mesh

There are two types of PDO Thread techniques, both are considered non-surgical face lifts and the procedures typically take 5 to 15 minutes:

NovaMesh – Used primarily in the Lips, Neck and Cheeks
NovaLyft – Used primarily in the Jaw, Cheeks and Neck

How Do Thread Lift and Thread Mesh Work:

The mesh technique works by relying on the action of the needle and the reaction of the human body to the foreign threads injected to create the mesh to stimulate new collagen production.

The Thread Lyft technique works by also stimulating new collagen in the area of the thread injection but also lifts and pulls the skin depending on the type of threads used. Nova-Lyft uses barbed threads – Unidirectional and Bidirectional. Those barbs or cogs provide an extra grip that allows for a real lift of the skin.

The threads used in both techniques are Polydioxanone, they are used for biomedical applications such as cardiothoracic surgery because they are fully absorbed within 4 to 6 month and they do not create any scar tissue. The procedure does not require a scalpel or anesthesia (numbing cream is recommended). There is no downtime as with a regular surgical facelift. A pre-loaded thread needle is injected at the subdermal level and removed, leaving the The Resorbable PDO thread in place.

*Individual results vary. Photos and reviews do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery or procedure.


Platelet Rich Plasma Therapy – Facelift (PRP Therapy)

What is PRP facelift?
PRP injection therapy facelift is using your own blood and processing it in the office, re-injecting the part which is rich in platelets to desired areas in the face or hands to reduce wrinkles and to plump the desired area. Platelets contain more than 7-8 different growth factors which in turn stimulates the growth of your own blood supply and collagen at the injected sites.*

It takes approximately 4-6 weeks to see the maximum results and it lasts almost 2 years. There is no need to worry about nodules or inflammatory response of your body because there are no foreign objects involved. Slight bruising or swelling might occur, which are temporary and will disappear after 2-3 days.* This procedure has been used for many years in Europe and it is FDA approved.

PRP is a groundbreaking, non-surgical approach that uses healing components derived from a small, concentrated amount of a patient’s own blood. Injected into damaged tissue, PRP therapy has the potential to “supercharge” the healing process. PRP has been successfully used in orthopedics and sports medicine to treat joint and tendon pain, non-healing wounds, plantar fasciitis, poor circulation, diabetic neuropathy, and many other conditions.*

Blood platelets contain potent growth factors necessary to begin tissue repair and regeneration at the injury location. Concentrated platelets contain large reservoirs of growth factors that have the potential to greatly accelerate the normal and natural healing process.*

Dr. Towhidian also uses PRP injections to provide facial rejuvenation.


MicroNeedling with Platelet Rich Plasma Therapy – Facial Rejuvenation (PRP Therapy)

What is Micro-Needling with PRP?

Microneedling is used to puncture the skin and create a controlled dermal injury; therefore, it stimulates collagen and neocollagenesis. These micro needles create a channel deep into the skin. Without PRP, micro needling will stimulate (healing) or vascularization and collagenesis. Dr. Towhidian combines PRP Therapy with Microneedling by administering the PRP before and after the needling process. Using this technique, his patients have seen immediate firmness and radiant skin.*

There is no need to worry about nodules or inflammatory response of your body because there are no foreign objects involved. Slight bruising or swelling might occur, which are temporary and will disappear after 2-3 days.*

Dr. Towhidian also uses PRP injections to provide acne scar reduction, and skin tightening.


*Individual results vary. Photos and reviews do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery or procedure.

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