The Dose Matters as Much as the Product
Botox dosed unit by unit based on your specific muscle strength, not a standard package applied to every patient.
Botox in Palo Alto softens expression lines by relaxing the muscle beneath them, but how well that works depends heavily on dosing, not just the injection itself. It suits patients who want results to hold up under close scrutiny: video calls, well-lit meetings, a face that still moves naturally when they laugh or react.
Two patients with the same line can need very different unit counts, depending on how strong the underlying muscle is. At Entre Nous Aesthetics, your provider maps your movement before recommending a dose, rather than defaulting to a standard dosage. We’d rather use fewer units and get it right than oversell.
Details
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Benefits
Softens expression lines without freezing natural movement
Dosed individually based on your muscle strength
Quick in-office visit with virtually no downtime
Results appear gradually, over 3 to 5 days
Preventive option for patients in their 20s and 30s
Can be combined with filler for a fuller refresh
Conditions It Treats
Forehead lines and horizontal creases
Frown lines between the brows
Crow's feet around the eyes
Bunny lines across the nose
A gummy smile or uneven smile lines
Neck banding (platysmal bands)
Areas It Treats
Forehead
Glabella (between the brows)
Periorbital area (crow's feet)
Nose (bunny lines)
Jawline
Neck
Why Unit Count Isn’t One-Size-Fits-All
Botox in Palo Alto works by temporarily relaxing the muscles responsible for specific expression lines, but the amount needed varies significantly from patient to patient. A stronger glabella muscle, for instance, may need noticeably more units than a weaker one to achieve the same softening, which is why standardized unit packages often produce inconsistent results.
Your provider maps your muscle movement while you frown, raise your brows, and smile, assessing strength before recommending a specific dose for each area. Areas like the forehead often need a more conservative approach to avoid a heavy, flat look, while stronger muscles like the glabella tolerate more product. This calibration is why 2 patients treating the same line can walk out with different unit counts and nearly identical results.
What to Expect
The Provider Behind the Plan
Julia Schall, MPA-C, is an NCCPA board-certified physician assistant with close to 10 years of experience in aesthetic dermatology and one of our providers for Botox. She has a particular expertise in neuromodulators and dermal fillers. She approaches every Botox treatment with an emphasis on precise, individualized dosing rather than a fixed unit count, aiming for results that soften expression lines while preserving how your face naturally moves.
Before & After
Dysport on Chin
Dysport on Forehead
Dysport on Glabella
Dysport on Glabella
Let’s Talk About What You Actually Want
Every treatment plan starts with a conversation, not a script. Tell us a little about your goals, and we’ll take it from there.
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Frequently Asked Questions
Since we strongly recommend multiple treatments (usually three), we have special pricing for those who purchase a series of treatments. Costs are $900 per vial, or a package of 4 or more is $835 per vial. Thereafter, regular maintenance pricing is $795 per vial. (Members receive 10% savings on all regular pricing).
As with any injection, there is some discomfort at the injection site during the treatment process. There is no anesthetic needed, and many patients report little to no discomfort. Some bruising may be expected afterward and should resolve in the weeks following treatment.
Once under your skin, the threads will not break.
Depending on the size and type of threads, you may find it uncomfortable to sleep on your side for the first week afterward. You should always sleep on your back to prevent facial wrinkling and volume loss! 😉
If you have thin skin, you might feel them with your finger if you press hard. For those with thicker skin, you almost always can’t feel them.
PDO threads are minimally painful. We use a local anesthetic to minimize discomfort during the treatment.
How many threads you need depends on the type (barbed, smooth, or twist) and your treatment goals. If you’re getting smooth threads, we use many of them because they are very fine. We use the smooth and twist threads monthly for 3 treatments initially, and then we follow up with a maintenance treatment every 6 to 12 months. Barbed threads may require fewer threads and last longer.
Yes, the amount of threads you get affects the cost. In general, the more threads you need, the more it will cost.
Sculptra and Radiesse differ from the more well-known hyaluronic acid fillers (Restylane, Juvederm, and Voluma) in that they don't stay in your body as a filler. They stimulate your body to make more collagen so the added volume is ultimately your own tissue. It acts slowly, so results are not appreciated for several months after beginning a Sculptra or Radiesse treatment series. The effects of these Biostimualting Fillers will eventually diminish if not maintained. It cannot be reversed the same way the other (HA) fillers can be.
Before you leave the office, you will receive a massage of the areas that have been injected. We will instruct you to do a similar massage 5 times per day for the 5 days after your treatment. You may receive an ice pack to minimize bruising before you leave the office.
The best way to prepare for your Sculptra treatment is to avoid fish oil, anti-inflammatory medication, aspirin, and other products that can increase your tendency to bleed and bruise. Because any injections can cause bleeding, avoiding these products for two weeks before your treatment can help reduce potential bruising.
Adult women who want to smooth out cellulite on the buttocks with a simple non-invasive treatment are good candidates for QWO.
Once you’ve achieved the desired amount of correction, we recommend a maintenance treatment once every 9-12 months.
The deposition of collagen and strengthening of your skin will last forever although age and time will continue to degrade the collagen. Within 12-18 months you will start missing the soft fullness achieved by the Sculptra treatment.
You will see some lovely changes in facial volume immediately. It will not last. Once the swelling subsides, your body will start working on building collagen. This can take a while. We recommend a series of treatments, usually three. Although some people see changes quickly, most patients begin to appreciate changes around the time of their third treatment.
Most patients look great immediately after the procedure when they see the effect of the added volume. Unfortunately, the volumization disappears within 2 or 3 days while the Sculptra starts working on a cellular level. Downtime is primarily associated with bruising and swelling. Bruises that result from the injections can last up to 1 week or more. Members have access to the Vbeam laser which can help bruises disappear more quickly and staff can help you with camouflage make-up if requested.
Occasionally swelling may linger in the area beneath your eyes, giving your lower lids a puffy appearance. This will resolve over a week or two.
Any injection procedure may be painful and Sculptra is no exception. The Sculptra mixture contains local anesthetic so the pain lessens as the procedure progresses.
Each appointment for Sculptra injections takes approximately one hour.
The best candidates for Sculptra are people who need to restore volume in multiple areas of their face and who want a subtle, natural result.
Sculptra stimulates your body to make more collagen. By doing so, it makes your skin sturdier and adds subtle volume to restore volume lost in the normal process of aging.
EMSCULPT is non-invasive and requires no recovery time or any pre/post-treatment preparation.
CoolSculpting is not considered a painful procedure. You may experience some slight redness and bruising in the treatment area. Our aestheticians work to ensure your comfort during every treatment.
A biostimulating filler is a type of dermal filler that not only adds volume to the treated area but also stimulates the body's natural collagen production. These fillers, such as those containing ingredients like calcium hydroxylapatite or poly-L-lactic acid, work to improve skin quality and firmness over time, providing longer-lasting results compared to traditional fillers.
Yes! We often use dermaplaning prior to facials and other cosmetic treatments to enhance results.
Dermaplaning is a superficial treatment and cannot safely address moles, skin tags, or other growths. We can discuss your specific skin concerns during your consultation to determine the optimal treatment for your needs.
Contrary to popular belief, removing “peach fuzz” or vellus hairs on the face doesn’t change the pigment or thickness. This only occurs due to hormonal changes in the body.
We recommend patients get dermaplaning about every 4 to 6 weeks to maintain their results without over-exfoliating.
Dermaplaning isn’t painful. The process is gentle and relaxing.
The fat cells destroyed with CoolSculpting are gone permanently. However, it’s possible to regain weight in the treatment area. CoolSculpting results are long-lasting with a healthy lifestyle.
Most patients see results within 4 to 6 weeks of completing their treatment series. The most dramatic results are at 3 to 4 months when your body has had time to eliminate the frozen fat cells.
Every patient has a unique treatment plan for CoolSculpting in Menlo Park. Most patients start with 1 to 3 sessions, but it will depend on how much fat you want to reduce.
EMSCULPT costs $700 per treatment. Members save 20%.
During your in-depth consultation, you and your Entre Nous aesthetician will work together to determine which neuromodulator is best for your treatment.
“Baby Botox” is a micro Botox treatment that uses a smaller dose in more targeted areas of the face. It’s a great first-time treatment for patients who haven’t had Botox before or younger patients who want to use Botox preventatively.
You can start your laser hair removal treatment whenever you’re ready. We see a lot of our patients in the fall and winter. If you start your series during the cooler months, you’ll be ready with smooth skin by the time warmer months return!
You will notice some results immediately after your first treatment! You’ll experience less and less hair regrowth in between your laser sessions. Optimal results require a series of at least 3 treatments.
There’s no required downtime after your hair removal sessions! You can return to normal activities immediately after treatment.
With the right technology, safe and effective laser hair removal is possible for those with darker skin tones. Laser hair removal for dark skin requires an experienced technician.
Laser hair removal is not a painful process when performed by expert laser technicians. Skin sensitivity varies, so your experience may be unique. We have options to help alleviate any discomfort.
Most patients typically need between 3 to 6 treatments, depending on the size of the area being treated and how much hair is being removed. Individuals with darker skin may need 2 to 3 more treatments purely based on how the laser works.
The manufacturer suggests that QWO works best with 3 separate treatments spaced 21 days apart.
We ask that you arrive five minutes early for your appointment to allow extra time for parking and so that you may have time to help yourself to one of our famous, super-automatic, bean to cup lattes or cappuccinos.
LHR permanently reduces (shrinks) the hair bulb (root) of the hair it targets. Unless the bulb is hormonally influenced, such as with certain medical conditions such as PCOS, it remains gone or so miniaturized that people never need to worry about it again.
You may notice thinner hair even after the first treatment. It usually takes 4 to 6 weeks for the hair to resprout. The hairs usually become thinner with each treatment.
LHR usually has no downtime.
Modern laser hair removal lasers are much less painful than in the past. Most people say it feels like a rubber band snapping against the skin.
While your appointment time will be a little longer, the treatment takes anywhere from 1 to 20 minutes or longer, depending on the area treated.
Anyone with unwanted, thick hair which is significantly darker than his or her skin is a good candidate.
Ask us for a complimentary $50 gift card you may give to any future Entre Nous Aesthetics client to use at their first appointment!
Yes, you may purchase a gift card at the reception desk.
We highly value all our clients and will do our very best to accommodate anyone who arrives within less than half of their appointment time having lapsed. However, if over half of your allotted time has lapsed, you will need to reschedule your appointment as a courtesy to the following clients' appointments.
You should repeat treatments precisely every 4 to 6 weeks to have the best chance of affecting the hair bulb. This catches the bulb in the early, active growth phase (anagen), giving superior results. If you treat any sooner or later, you will miss this window of opportunity.
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We require the courtesy of a 48 hour advance notice for appointment cancellations in order to allow us enough time to fill the slot. Cancellations within less than 48 hours and no-shows will incur a $125 cancellation fee.
The safety and efficacy of these products have been extensively studied and published in peer-reviewed scientific and medical journals. Many new uses for these amazing products are on the horizon.
Botox Cosmetic and Dysport are purified proteins of the Clostridium botulinum toxin type A. They bind to receptors on the muscles that are treated and render the muscle unreceptive to the nerve signals that would otherwise cause the muscle to contract. They are very effective and very specific and work where they are injected. Because of this, they allow us to relax specific, targeted muscles in the face, which cause dynamic (muscle movement associated) facial wrinkling.
Botox, Dysport, or Jeuveau are injected during an office visit that lasts approximately 20 minutes. You will begin to see the results of the injections in 2 to 5 days. First, you will notice that your muscle is not responding the way it used to, and over time, you will notice the wrinkles associated with that/those muscle(s) become smoother. The smoothing effect will fade after about 3-4 months at which time you will return to your baseline.
Botox Cosmetic, Dysport, and Jeuveau are the foundation of aesthetic injectables. They treat the CAUSE of dynamic wrinkles by relaxing the muscles that create wrinkles. It is popular in nearly all adult age groups, either for proactive prevention in 30-year-olds or mitigation and smoothing in 40, 50, 60, and 70-year-olds.
Because it's quick, it's easy and it works! Its efficacy in smoothing dynamic wrinkles is unmatched by any other product or procedure.
At Entre Nous, our expert injectors can recommend which areas of treatment will benefit you.
Common areas that benefit from Botox Cosmetic, Dysport, or Jeuveau injections are:
- Scowl lines, or the “11’s”, and horizontal lines between the brows
- Crow’s feet beside the eyes
- Horizontal forehead lines
- Bunny lines on the sides of the nose
- Upper lip "smoker's lines"
- Craggy, peau d'orange (orange peel look) of the chin
- Vertical neck bands
- improve skin texture by relaxing the microscopic muscles which cause "goosebumps"
- lift the down turning corners of the mouth
- weaken the masseter muscles to decrease teeth grinding
- Correct a "gummy smile"
- Improve the downturned nasal tip
- Treat excessive underarm, hand and foot sweating (Hyperhidrosis)
- Treat migraine headaches, muscle spasticity, overactive bladder (other medical specialists)*many of these sites of injection are off-label uses of the Botox Cosmetic, Dysport, and Jeuveau products.
Botox Cosmetic, Dysport, and Jeuveau are injectable proteins that have been approved by the FDA to reduce the appearance of facial wrinkles. They share a similar mechanism of action and are used for similar purposes. At Entre Nous, we enjoy using all three products using their subtle differences to customize the care of each patient.
We recommend hair having fully grown-in before LHR to avoid having to retreat or touch-up later. Generally, the minimum age is 15 years old. However, there are certain special circumstances in which we may treat someone younger if the child is motivated and embarrassed by the hair and LHR would greatly benefit them.
Clinical studies on EMSCULPT for the abdomen and buttocks treated patients for 30 minutes, twice a week for 2 weeks with a total of 4 treatments. Typically, one treatment every 3 to 6 months for maintenance is required to maintain results.
Some patients notice increased muscle tone of the abs one day following treatment. The roughly 16% increase in muscle mass and a 20% reduction in fat were measured 2 months after the 4th treatment.
For optimal effects, patients should have four EMSCULPT treatments spaced two-to-three days apart. Fat reduction, muscle definition, and overall toning will begin to appear two-to-four weeks after the last session.
EMSCULPT results are continuous and should be fully visible by three months, but can improve for up to six months.
That’s what is so amazing about EMSCULPT - it does not require any downtime, and normal activities, including workouts, can be resumed right away.
EMSCULPT is a painless procedure that feels very similar to intense abdominal or gluteal exercises–except the device is doing all the work.
EMSCULPT is a 30-minute treatment with a minimum of 4 sessions scheduled 2-3 days apart. Your provider will help you create a treatment plan tailored to your specific goals.
The best candidate for EMSCULPT procedure has a trim physique. Ask your provider for more details. We sometimes first use CoolSculpting® to decrease the amount of abdominal fat, then follow with EMSCULPT to build and tone the abs.
EMSCULPT uses high-intensity focused electromagnetic (HIFEM) technology to force extremely powerful muscle contractions that are not possible with even the most rigorous workouts. This forced activity then increases fat metabolism and muscle tone for a leaner, tighter, and firmer abdomen and backside. EMSCULPT is a new non-invasive body sculpting treatment. It is intended to help reduce fat and tone muscles around the abdominal and buttock regions.
EMSCULPT is a non-invasive, non-surgical treatment that destroys fat and strengthens muscle in the abdomen and buttocks. It has also been effective in improving diastasis recti (separation of abdominal muscles), which often occurs post-pregnancy.
Botox Cosmetic, Dysport, and Jeuveau are "neuromodulators." They relax muscles by modulating the effect of our neurotransmitters on the muscles into which they are injected. This means that when we try to use a muscle that has been treated with one of these products, it will not respond or it will respond weakly. This effect is temporary and wears off over time, usually 3-4 months, depending upon which area has been treated.
If you have a tan, the laser could burn the skin. We will not treat tanned skin.
Laser hair removal is much faster. Electrolysis hair removal has been around for a very long time. It involves a needle entering a single hair root, then sending an electrical current through the root to kill it. This requires a significant amount of time because it treats only one hair at a time, whereas laser hair removal treats a large area (up to the size of a quarter or larger) with each pulse. With laser hair removal, man’s entire back can be treated in 15 minutes or less.
While they may help over time, they are not powerful, require a lot of time, and may be tedious to use. Our laser hair removal treatments are quick and highly effective.
The most popular areas are female underarms, bikini area, lower legs, upper lip, and the male back.
Light energy from the laser is converted into heat when the laser hits its target. Diode laser targets melanin, which pigments the hair (and why having a tan could burn your skin). When the melanin absorbs the laser light, it destroys the hair follicle. If the follicle is in the early, active (anagen) growth phase, it is more likely to be miniaturized permanently. If the skin is significantly lighter than the hair, the skin is far less affected and laser doesn’t “see” it, so the skin is left unaffected, and only the follicle is destroyed. The thicker the hair, the easier it is for the laser to “see”.
IPL stands for Intense Pulsed Light and is not a laser. IPL has multiple wavelengths (non-coherent light). Laser is one wavelength (coherent light). For purposes of hair removal, the diode laser is the gold standard. At Entre Nous Aesthetics, we use the Lumenis Light Sheer diode laser. While IPL can be effective for hair removal, in our experienced hands, we have found that laser is more effective for hair removal.
Treat skin gently after LHR, as if you had a sunburn. The skin is usually recovered from any redness, tenderness, or swelling within an hour.
Preparation for laser hair removal is refraining from sun exposure to the area to be treated, and allowing the hair roots to grow-in (no plucking, tweezing, waxing or threading) for at least two weeks. Also, refrain from self-tanner for at least two weeks before treatment.
The cost is anywhere from $250 per treatment. Members save 20%.
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