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.
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This isn’t your standard holiday party. Join RefinedMD on December 4 for a festive evening filled with a little glamour, a little mischief, and plenty of holiday cheer. Stop by the office, grab a cocktail, explore offerings from local vendors, and strike a pose for a photo with our very special sexy Santa. Bring a friend, make it a date night, or simply stop in to celebrate with the RefinedMD team. Expect an evening designed for mingling, shopping, sipping, and kicking off the holiday season in style, all with a distinctly Refined twist. Additional details are coming soon, so save the date and start deciding what you’re going to wear for that Santa photo.
Choose the area you want to transform, and let’s focus on it. RefinedMD’s CoolSculpting special offers a set package price for a defined body area, including the lower abdomen, full abdomen, flanks, back, neck and chin, or inner or outer thighs. Complete your personalized package within 120 days as our team focuses on helping you achieve visible results in your selected area. It’s a straightforward approach to body contouring: one target area, one package price, and a treatment strategy centered on your goals. Plus, medically eligible patients who purchase a qualifying CoolSculpting package receive 12 weeks of microdosed tirezepatide at no additional cost. Schedule a consultation to determine eligibility and create your transformation plan.
Reviewed for clinical accuracy by a RefinedMD Medical Editor on August 26th, 2026.
