RefinedMD
800 Pollard Road, Building A
Los Gatos, CA 95032
Phone: (408) 688-2082
Office Hours:
Monday–Friday: 9 a.m.–6 p.m.
Saturday: Please call for availability
Closed Sundays & Holidays
BOTOX and the other leading neuromodulators work by temporarily relaxing targeted facial muscles to smooth wrinkles and prevent new lines from forming. Wrinkles such as frown lines, crow’s feet, and forehead creases, called dynamic wrinkles, form from repeated muscle movement over time. The neuromodulator weakens the muscles responsible for dynamic wrinkles. The result is a smoother, more refreshed appearance, without changing the expressions that make you look like you.
Love this place! I come for Botox, fillers, facials and now I got my HRT pellet in and it has changed my life for real!!!! Staff is very warm and welcoming and professional! Very happy!
Larissa F, 5-Star Google review
Since establishing RefinedMD in 2012, Dr. Swengel has earned a reputation throughout the South Bay as one of the area’s top cosmetic and medical dermatologists. He is sought out for his expertise as a Mohs micrographic surgeon and laser treatment specialist, as well as his warm, attentive style of patient care.
Meet Dr. Steven SwengelAll three of these products are FDA-approved for cosmetic use, but offer subtle distinctions in how fast you’ll see results, how long they last, and their formulations.
| Product | FDA-Approved Uses | Onset of Results | Duration of Results | Key Differences |
| BOTOX | Frown lines, crow’s feet, forehead lines | 5 – 7 days | 3 – 4 months | The original and most widely recognized neuromodulator. |
| Dysport | Frown lines | 2 – 3 days | 3 – 4 months | Slightly faster onset; may diffuse more for broader areas like the forehead. |
| DAXXIFY | Frown lines | 1 – 2 days | 6+ months | Longest-lasting option, formulated with a novel peptide stabilizer. |
Neuromodulators such as BOTOX can do more than smooth facial lines and wrinkles. Depending on your needs and treatment goals, neuromodulators may also be used for:
During a BOTOX treatment, tiny injections are placed into specific facial muscles to relax them and reduce the appearance of wrinkles. The needle we use is very small, and most people describe injections as feeling like a subtle pinch. BOTOX and other neuromodulator treatments are quick, comfortable, and require no downtime.
Side effects are generally mild and temporary, such as slight redness, swelling, or tenderness at the injection site. Our expert injectors will review what to expect and provide aftercare guidance to ensure the best possible outcome. Depending on the product, you can expect results to develop within a few days to a week, with full effects visible in approximately 2 weeks. BOTOX and Dysport results typically last about 3 to 4 months, while DAXXIFY results can last 6 months or more.
The cost per unit of BOTOX and Dysport is less than DAXXIFY, but that doesn’t tell the whole story. Even though DAXXIFY’s price tag appears higher at first, the yearly cost is comparable because the results typically last about two months longer. Additionally, the number of units required to produce the desired results varies depending on the product used.
When you meet with one of our injectors, we’ll provide a detailed price quote after your consultation.
If volume loss is making you look tired or aged, dermal fillers can correct issues such as under-eye hollows, flattened cheeks, nasolabial folds and more. Combining BOTOX and fillers is sometimes called a “liquid facelift” and produces comprehensive facial rejuvenation.
At RefinedMD, many patients are looking for refreshed, lifted results without surgery, especially as summer travel approaches. Botox remains one of the most versatile treatments for smoothing lines while also creating a gentle lifting effect. …
RefinedMD understands that sometimes what you want most is not transformation, but refinement. A smoother forehead. Softer lines between the brows. A fresher, more rested look that still feels like you. Botox remains one of …
RefinedMD knows that when used thoughtfully, Botox creates a refreshed version of you, not a frozen one. After the holidays, many people look for ways to start the year with renewed confidence, and Botox remains …
At RefinedMD we offer Botox as a cornerstone of facial rejuvenation—helping soften dynamic lines while preserving natural expression. In aesthetic medicine, Botox (botulinum toxin type A) remains one of the most trusted and effective injectables, …
Consider this your invitation to give the end of your week a little boost. Book IV Therapy with Nurse Denise on a Thursday or Friday and receive 20% off your choice of one of RefinedMD’s five most popular IV options. Whether your goals include hydration, recovery, or supporting your overall wellness routine, our team can help you choose the IV that best aligns with what you’re looking for. If you’ve been curious about IV Therapy but haven’t tried it yet, this introductory offer is an easy way to get started—and save while you do it. Nurse Denise will walk you through your options and help make your appointment comfortable, personalized, and straightforward. Your Thursday or Friday plans could use a little more self-care. Book your appointment, choose your IV, and enjoy 20% off as you head into the weekend feeling refreshed and ready for whatever comes next.
Give your recovery and vitality routine an oxygen boost with special package pricing on Hyperbaric Oxygen Therapy at RefinedMD. For a limited time, receive four hyperbaric oxygen treatments for just $1,200—a $1,800 regular value. Hyperbaric Oxygen Therapy takes place in a pressurized environment where patients breathe concentrated oxygen, and it may be incorporated into an individualized wellness or recovery plan when medically appropriate. This four-treatment package offers an opportunity to experience a series of sessions while saving $600 off regular pricing. Whether you’re already familiar with hyperbaric therapy or have been curious about adding it to your wellness routine, our team can help determine whether treatment is appropriate for you and answer your questions before you begin. Take advantage of the Oxygen Boost Package and make space in your schedule for four sessions focused on recovery, restoration, and your personal wellness goals.
Reviewed for clinical accuracy by a RefinedMD Medical Editor on August 26th, 2026.
