Botox Injections

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#1 Botox in Lafayette and Moraga


BOTOX® Cosmetic is the only approved treatment to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow’s feet lines in adults.

50,000 units of Botox injected annually!

Why choose SanctuaireMD to get Botox Cosmetic?

We have 2 beautiful offices in downtown Lafayette and Moraga, California. Our practice offers personalized consultations, treatment plans, and comprehensive packages. Our clinical team embarks on continuous advanced education & awareness of the latest and greatest trends and best practices. Our delivery of advanced expertise & the right techniques are evident as we consistently produce beautiful results for our patients. SanctuaireMD always delivers exceptional customer service, which is why we have held years of great reputation and enjoyed countless solid 5 Star Reviews.

What to expect when getting Botox Cosmetic at SanctuaireMD?

Here at SanctuaireMD, we offer more than 20 years of combined experience with Botox Cosmetic. We have successfully injected over 50,000 units of Botox Cosmetic in 2023. Experience matters because experienced injectors have a deeper understanding of facial anatomy. Our clinical team has improved precision and technique and are better equipped in managing patient expectations & handling complications, Our clinical team engages in continual learning & improvement leading to better outcomes, increased patient satisfaction, and reduced risks associated with Botox injections.

Most common treatments that we perform are on label such as forehead, glabellar and crow’s feet. We treat hyperhidrosis as well as performing injections on the masseters (TMJ) , chin, nasalis, lip lines, DAO , platysmal bands, and trapezius muscles.

What do our patients say about their experience of getting Botox at SanctuaireMD?

Our entire team has been praised for their friendly attitude, gentle touch, and compassionate care. Patients also appreciate our clean and beautiful locations. Our personalized care promotes minimal discomfort, natural appearance, improved confidence, and an overall positive experience. 

A Successful Botox Patient Story:

A few weeks ago, a woman named Sarah came in for a consultation. She is in her late 30s who had been considering Botox treatment for her forehead and frown wrinkles. However, she had a bad experience with a previous Botox treatment from another practice, which left her feeling hesitant and unsure about trying it again.

One day, Sarah was walking by in front of our location and saw our signage and outdoor advertising offering complimentary consultations for Botox treatments. Intrigued, she decided to schedule an appointment to discuss her concerns and see if our practice could offer a better experience.

During the consultation, Sarah met with Ann, NP and the other experienced injectors at SanctuaireMD.  Sarah expressed her reservations about Botox due to her past experience and explained what had gone wrong previously. The nurse listened attentively to Sarah’s concerns and thoroughly explained the Botox procedure, addressing Sarah’s fears and uncertainties.

The nurse reassured Sarah that she would take a conservative approach to the treatment, ensuring that Sarah’s facial expressions would remain natural while still achieving the desired results. She also explained the differences in technique and dosage that would be used to prevent the issues Sarah had experienced before.

Impressed by the provider’s expertise and professionalism, Sarah felt more confident about proceeding with the treatment. Additionally, she was pleasantly surprised to learn that the price for the treatment was reasonable and within her budget. The concierge team also offered her the Alle Flash and Alle membership.

Feeling reassured and excited about the possibility of finally addressing her forehead wrinkles, Sarah made the decision to book the appointment for the same day. Ann and the entire SanctuaireMD team made sure Sarah felt comfortable and informed every step of the way, alleviating any remaining doubts or anxieties. After the treatment, Sarah exclaimed that “I did not even feel the injections”.

The Botox treatment went smoothly, and Sarah was delighted with the results. Her forehead wrinkles were significantly reduced, yet she still retained her natural facial expressions. Sarah couldn’t believe the difference it made in her appearance and confidence.

Over the following weeks, Sarah continued to see the full effects of the Botox treatment, and she couldn’t stop smiling every time she looked in the mirror. She was grateful to Ann and the SanctuaireMD team for their expertise, kindness, and dedication to providing an exceptional patient experience.

Thanks to her successful Botox journey with the new practice, Sarah became a loyal client and enthusiastically recommended SanctuaireMD  to all her friends seeking Botox treatments. She was thrilled to have found a medical practice and sincere providers she could trust to help her look and feel her best.

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Check out our 5 star reviews!

Alison HesterAlison Hester
19:46 18 Feb 24
Great relaxing experience, my nurse Laura was very friendly, my mini facial was amazing and she did not pressure me to get more services,very knowledgeable on products and services. I'll definitely go back
Emily WollmanEmily Wollman
06:23 17 Feb 24
My hydrafacial with Laura was fantastic. She explained every step in the process, answered all my questions, and was extremely professional, warm, and fun to talk with. I’m impressed that your aestheticians are nurses like Laura, with broad experience in patient care, communication and body systems. Plus my ski feels and looks great! Thank you Laura and Sanctuaire MD!
23:34 14 Feb 24
Highly professional and informative with impeccable knowledge of each key ingredient to target my specific needs. Thank you, Laura!!!
W AnderssonW Andersson
04:42 11 Feb 24
Riana HanleRiana Hanle
02:08 11 Feb 24
My first experience with Sanctuaire Mec Spa today was spectacular. Laura was very knowledgeable about all the products and services they offer. She listened to my concerns and desires and suggested treatments to get the results I am looking for.
23:42 09 Feb 24
The IV hydration treatment here was such a game-changer! The staff were super friendly and made me feel totally at ease, walking me through everything with a smile. After the treatment, I felt like a whole new person – refreshed and hydrated!
Taryn EdellTaryn Edell
01:54 03 Feb 24
First time at Sanctuaire today, and it won’t be my last! Everyone, from booking to procedure, was friendly and put me at ease. Nurse Laura patiently explained everything she was doing and answered all of my questions. She was knowledgeable but relatable, and had a gentle touch. Great experience all around!
Amy KarleAmy Karle
19:59 03 Nov 23
My first visit here, from multiple local referrals. It was a great experience! Had a thorough consultation with Ann and initial treatment. I plan on coming here regularly

A Well-studied Treatment

BOTOX® Cosmetic has been well studied. In fact, it is one of the most extensively studied medical aesthetic treatments on earth. It is approved for cosmetic use in more than 78 countries. Aesthetic providers trust BOTOX® Cosmetic because of the proven results. The safety and efficacy of BOTOX® Cosmetic have been evaluated in both Allergan sponsored clinical trials as well as in over 400 peer-reviewed articles in scientific and medical journals.

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Before After

Meet Our Team

Ann Crahan, APRN, FNP-BC, NP-c

Ann Crahan

Aesthetic Nurse Practitioner

Ann has been in the healthcare field for the last 25 years. With a prior bachelor’s degree in Computer Science and Registered Nursing, she has worked in clinical information technology before obtaining her Master’s degree in Nursing Leadership and Management at Western Governors University. She is also an experienced Nurse Practitioner who has gained experience in both the hospital and outpatient settings. She has worked in various departments including Dermatology, Pediatrics, Neonatal Intensive Care, Surgery, Endocrinology, and Informatics.


Eden Pastor, BSN, RN

Aesthetic and Wellness Registered Nurse

Eden graduated from Dominican University of California and has spent several years exploring and enjoying various avenues of nursing. Over time, she discovered her true passion in aesthetics, appreciating its power to inspire positivity. Eden loves helping her patients achieve their goals and boost their self-esteem, passionately making them feel confident in their own skin by enhancing their natural beauty. In her free time, Eden enjoys meditation and self-care days, quality time with her family and friends, and traveling to create once-in-a-lifetime memories.

Kavitaa Dookran, RN, BSN

Kavitaa Dookran, RN, BSN

Aesthetic and Wellness Registered Nurse

As an aesthetic nurse with multiple years of experience, Kavitaa brings a unique blend of passion and precision to each patient interaction, enhancing natural beauty. This specialty allows her to merge her love for health and beauty with her professional career in nursing. By combining art and science, she ensures safe and effective treatments for her patients, providing care with confidence and expertise. Her deep understanding of aesthetic procedures, along with a warm and empathetic approach, ensures that every patient feels heard and valued. She is dedicated to continuous learning and growth, always aiming to exceed expectations and make a positive, lasting impact on those she serves.

Gina Rontell

Gina Rontell

Lead Marketing Coordinator

Gina is a dedicated professional at Sanctuaire MD medical spa, where she seamlessly blends her passion for beauty and wellness to help individuals feel their best from the inside out. Growing up in the beauty industry, Gina developed a deep-seated passion for instilling confidence in others. Her background in both beauty and business provides her with the expertise to guide patients towards the most effective treatments and skincare solutions. Gina’s commitment to her field is reflected in her continuous investment in education and staying updated on the latest advancements in the medical aesthetic industry. She loves sharing her knowledge with the community, ensuring that everyone she interacts with feels their best.

Outside of her professional life, Gina cherishes spending time with her husband, Phil, and their beloved cat, Stella. In her free time, she enjoys traveling, wine tasting in Sonoma and Paso Robles, hiking, and cooking. Gina’s multifaceted interests and dedication to both her profession and personal life make her a valued member of the Sanctuaire MD team.

Ella Tan

Ella Tan

Patient Coordinator

Ella Tan holds an Associates Degree in Allied Health and is currently pursuing nursing. A dedicated professional at Sanctuaire MD since 2020, she has been contributing to patient care coordination and well-being. Ella’s passion lies in helping others achieve their skincare goals. Beyond work and outside school, she enjoys playing the guitar and cooking. As a future nurse, Ella aspires to make a positive impact on patients’ lives through empathy, compassion, and continuous learning.

Nick Makhoul, M.D

Nick Makhoul, M.D.

Medical Director

Dr Nick Makhoul is a Board-Certified Family Medicine physician in private practice since 1995. He earned his MD degree from Loyola University Chicago and his undergraduate BS from the University of California, Davis. As a Bay Area native, he has made the East Bay his home since 1995. He is married with three teenage children and has a passion for sports, the outdoors, and family nights out. Dr Nick is a strong advocate for healthcare prevention and the wellness of mind, body, and soul.

Derived From Sources Found In Nature

BOTOX® Cosmetic contains tiny amounts of a highly purified botulinum toxin protein refined from the bacterium, Clostridium botulinum. Formulations, potency, and approved doses vary among botulinum toxin products, which means that one product cannot take the place of another. Those are a few reasons why there is no such thing as a “generic” form of BOTOX® Cosmetic.

A Treatment Experienced By Millions

Since 2002, more than 10 million vials of BOTOX® Cosmetic have been sold in the United States, and millions of people have already made BOTOX® Cosmetic a part of what they do for themselves. Today, BOTOX® Cosmetic is the #1 selling product of its kind in the world.*

*Data collected through June 2014. 

Injections / Fillers

How Does Botox Cosmetic Work?

Wrinkles occur as a result of a combination of many factors. They can occur due to cellular changes that happen over time, a reduction of collagen, or damage caused by free radicals in the sun and the environment.

When you frown or concentrate, the muscles between your brows contract, causing your skin to furrow and fold. And when you squint, the muscles around your eyes contract and cause crow’s feet.

BOTOX® Cosmetic works beneath the skin’s surface and targets the underlying muscle activity that causes frown lines and crow’s feet.

What Should I Expect With Botox Treatment?

Real, noticeable results! The actual injection process takes about 10 minutes! Your provider will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you.

Return To Your Daily Routine!

Treatment requires minimal downtime or recovery; it’s often called a lunchtime procedure (with good reason!). You’ll be able to go about your normal routine immediately after you leave our office!

Use your points today! We accept your Alle points as a participating med spa.

Professional-grade skincare. Facial injectables. Cellulite treatments. You name it.

Allē gives you points on over 50 products and treatments at participating dermatologists, plastic surgeons, and med spas.

Why get Botox at SanctuaireMD?

At our Lafayette and Moraga California offices, an experienced provider will address your concerns about Botox. We will focus on providing clear and reassuring information while empathizing with the patient’s apprehensions. Here’s how our providers could approach each concern:

Pain and Comfort Level: Our team explains that Botox injections are typically well-tolerated and involve minimal discomfort. We reassure the patient that ice packs can be applied before the procedure to further minimize any discomfort. Additionally, the nurse emphasizes that the procedure is quick, usually taking just a few minutes to complete.

Pricing and Affordability: We discuss the pricing structure for Botox treatments at the practice, highlighting memberships, or any promotional offers or package deals that may be available. We also explain that Botox treatments are often more affordable than surgical procedures for addressing similar concerns, making them accessible to a wider range of patients.

Natural-Looking Results: We reassure the patient that the goal of Botox treatments is to achieve natural-looking results that enhance their appearance without looking overdone or frozen. We explain that skilled injectors, like the ones at our practice, take a conservative approach to Botox injections to ensure that patients retain their facial expressions while still achieving desired wrinkle reduction.

Repetitive Treatments: We educate the patient about the temporary nature of Botox treatments and explain that while results typically last for several months, they are not permanent. We explain and emphasize that regular maintenance treatments are necessary to maintain the desired effects over time.

Avoiding Adverse Events: We discuss the safety profile of Botox and reassure the patient that adverse events are rare when the treatment is administered by trained and experienced healthcare providers. We explain the importance of choosing a reputable practice with qualified injectors, like ours, to minimize the risk of complications.

By addressing these concerns proactively and providing comprehensive information, our nurses can help alleviate the patient’s fears and build trust in the decision to proceed with Botox treatment. Additionally, we consistently offer a supportive and empathetic approach to further reassure the patient and enhance their overall experience.

What to expect when inquiring about Botox consultation at SanctuaireMD?

When a lead fills out the form on our Botox webpage, our goal is to provide prompt and personalized communication to address the lead’s needs and guide them through the process of scheduling a consultation or appointment for Botox treatment.

Form Submission: The lead’s information, including their name, contact details, and any additional information they provided in the form (such as specific concerns or questions), is captured and stored in the medspa’s database or customer relationship management (CRM) system.

Automated Confirmation: Upon submission of the form, an automated confirmation email may be sent to the lead’s provided email address. This email can serve as a receipt of their inquiry and may include additional information about the medspa’s services, what to expect next, and contact details for further assistance.

Lead Notification: The medspa’s staff or designated team members are typically notified of the new lead through an internal notification system. This notification may be sent via email, SMS, or through the CRM system itself, alerting the staff to follow up with the lead in a timely manner.

Follow-Up Communication: A staff member or a member of the medspa’s sales or customer service team will reach out to the lead to acknowledge their inquiry, address any questions or concerns they may have, and offer assistance in scheduling a consultation or appointment.

Consultation Scheduling: If the lead expressed interest in scheduling a consultation for Botox treatment, the staff member assisting them will work to find a convenient appointment time based on the medspa’s availability and the lead’s preferences.

Documentation and Tracking: The lead’s information, along with details of their inquiry and any subsequent interactions with the medspa, will be documented and tracked within the CRM system. This allows for effective follow-up, monitoring of lead progress, and analysis of the medspa’s marketing and sales efforts.

What should I expect at my Botox consultation at SanctuaireMD?

The following steps are typical scenarios for a patient to adequately prepare for the initial consultation. This can ensure a smooth and informative experience at SanctuaireMD. Additionally, while it’s possible to receive a Botox treatment during the consultation, it ultimately depends on the patient’s preferences, the provider’s availability, and the medspa’s scheduling policies.

Before leaving home, the patient may prepare a list of questions regarding Botox treatments, including how it works, potential side effects, and expected results that can be discussed during the consultation. An appointment confirmation is sent to the patient 48 hours before the appointment.

Arrival at SanctuaireMD:

On the day of the consultation, the patient arrives at SanctuaireMD a few minutes early to allow time for check-in. The patient may need to fill out new patient forms or paperwork upon arrival if they have not done it online.

Consultation with the Provider:

The patient meets with the Botox provider, who may be a nurse practitioner or a registered nurse. During the consultation, the provider listens to the patient’s concerns, discusses their treatment goals, and evaluates their facial anatomy to determine the most appropriate treatment.

Botox treatment plan.

The provider explains how Botox works, the expected results, any potential risks or side effects, and answers any questions the patient may have. If the patient decides to proceed with Botox treatment during the consultation, the provider may offer to perform the treatment that same day, depending on availability and the patient’s preferences.

Consent and Pricing:

Before administering Botox, the provider reviews the treatment plan with the patient, including the areas to be treated, the number of units needed, and the total cost.
The patient signs a consent form acknowledging their understanding of the treatment and its potential risks. The medspa staff provides pricing information and discusses payment options with the patient.

Botox Treatment (if applicable):

If the patient decides to proceed with Botox treatment during the consultation, the provider administers the injections. The patient may experience minimal discomfort during the injections, which typically only last a few minutes. After the treatment, the patient receives post-care instructions and is advised to avoid strenuous exercise, alcohol consumption, and excessive sun exposure for the remainder of the day.

What other medical conditions does Botox treat?

The Food and Drug Administration has approved Botox treatment for many other medical indications including:

Hyperhidrosis Treatment with Botox Cosmetic:Hyperhidrosis, commonly known as excessive sweating, can be a source of significant discomfort and embarrassment for those affected. Botox Cosmetic offers a highly effective solution for managing hyperhidrosis by temporarily blocking the chemical signals from the nerves that stimulate sweat glands. During the treatment, a trained medical professional administers multiple small injections of Botox Cosmetic into the targeted area, typically the underarms, palms, or soles of the feet. These injections help reduce sweat by inhibiting the release of acetylcholine, a neurotransmitter responsible for activating sweat glands.

The procedure is quick and relatively painless, with most patients experiencing minimal discomfort. Results typically become noticeable within a few days to a week after treatment and can last for several months, with some individuals experiencing relief for up to six months or longer. Botox Cosmetic injections for hyperhidrosis offer a safe and non-invasive solution for managing excessive sweating, allowing individuals to regain confidence and comfort in their daily lives.

Masseter Injections with Botox Cosmetic:

Masseter injections using Botox Cosmetic are a popular cosmetic procedure designed to slim and contour the jawline by reducing the size and activity of the masseter muscles. These muscles, located along the jawline, are responsible for chewing and clenching the jaw. Overactivity of the masseter muscles can lead to a square or overly pronounced jawline, often referred to as masseter hypertrophy.

During the procedure, a trained injector carefully administers Botox Cosmetic injections into specific points along the masseter muscles. The Botox temporarily relaxes these muscles, causing them to gradually shrink in size and soften the appearance of the jawline. This results in a slenderer and more feminine or masculine jawline, depending on the patient’s desired aesthetic.

Masseter injections with Botox Cosmetic are a minimally invasive and relatively painless procedure that typically requires no downtime. Patients may experience mild swelling or bruising at the injection sites, but these side effects typically resolve within a few days. Results become apparent gradually over the course of several weeks and can last for three to six months, depending on individual factors such as metabolism and muscle activity. With masseter injections, patients can achieve a more proportionate and sculpted facial profile, enhancing their overall appearance and self-confidence.

How can I schedule my Botox appointment at SanctuaireMD?

Scheduling the Appointment:

Patients can schedule their Botox appointment by calling our office or using our website’s online booking system.  Our friendly staff can assist in finding a convenient appointment time.

Appointment Reminder:

An appointment reminder via email or SMS is sent twice, 48 and 24 hours closer to the scheduled date. This reminder will include the date, time, and location of the appointment.

Deposit and Payment:

We require a $50 deposit or a valid credit card on file to secure the appointment. Our staff will inform patients of deposit requirements and payment options when someone wants to schedule an appointment.

Forms and Consent:

Before the appointment, patients need to sign consent forms outlining the risks and benefits of Botox treatment. These forms can typically be filled out ahead of time online at home or completed at our office before the treatment.

Introductory Pricing:

Our office occassionally provides introductory pricing or special promotions for first-time patients. We also offer memberships, Botox Banks( pre-paid), and packages

Determining Botox Amount:

The amount of Botox someone needs depends on various factors, including the areas being treated and individual muscle strength. During your consultation, our provider will assess the  needs and recommend the appropriate amount of Botox for optimal results.

Consulting Your Doctor:

While it’s not always necessary to consult your primary care physician before getting Botox, it can be beneficial if you have any underlying medical conditions or concerns. Feel free to discuss this with our provider during your consultation.

Duration of Treatment:

The actual Botox treatment typically takes around 10-15 minutes, depending on the number of areas being treated and the amount of Botox needed.

Recovery Time:

There is minimal downtime associated with Botox treatment. Some may experience mild redness or swelling at the injection sites, but this usually resolves within a few hours to a day. Most patients can resume their normal activities immediately after treatment.

What should I expect at my Botox Appointment at SanctuaireMD?

Arrival Time:

We recommend arriving 10-15 minutes before your scheduled appointment time to allow for check-in and any necessary paperwork.


Your Botox treatment will be administered by one of our experienced providers, who may be a nurse practitioner or registered nurse. Rest assured that all our providers are trained and qualified to perform Botox injections safely and effectively.

Eating After Treatment:

There are no specific dietary restrictions after Botox treatment, so you can eat normally afterward. However, it’s best to avoid consuming alcohol or engaging in strenuous exercise for the remainder of the day to minimize the risk of bruising or swelling.

Recovery Phase:

During the recovery phase, it’s important to avoid touching or rubbing the treated areas to prevent the spread of the Botox to unintended muscles. Additionally, avoid lying down flat for at least 4 hours after treatment and refrain from applying makeup or skincare products to the treated areas for the rest of the day.

Post-Treatment Complications:

While complications after Botox treatment are rare, if you experience any concerning symptoms such as severe or persistent swelling, redness, or difficulty swallowing or breathing, it’s important to contact our office immediately or seek medical attention. Our staff will provide you with guidance on how to manage any complications and may schedule a follow-up appointment if necessary.            

What should I do after my Botox Appointment? What should my post- care be for longer lasting results?

After receiving Botox treatment and experiencing the positive results, maintaining those results often involves adopting a skincare routine and lifestyle habits that support skin health and longevity. Here’s what an ongoing routine might look like:

Regular Botox Maintenance:

Depending on individual factors such as metabolism and muscle movement, Botox results typically last around 3-6 months. To prolong the results, scheduling regular follow-up appointments for maintenance treatments is essential. Our providers will advise you on the optimal frequency for touch-up sessions based on your specific needs.

Daily Skincare Routine:

A consistent skincare routine like Skin Medica tailored to your skin type and concerns can help enhance the effects of Botox and maintain overall skin health. This may include gentle cleansing, moisturizing, growth factors, hydrating, and applying sunscreen daily to protect against UV damage and premature aging.

Use of Retinoids:

Incorporating Skin Medica’s retinoids into your skincare routine can help improve skin texture, stimulate collagen production, and minimize the appearance of fine lines and wrinkles. However, it’s essential to consult with your provider before starting any new skincare products, as retinoids can sometimes interact with other products  or cause skin irritation if not used properly.

Hydration and Nutrition:

Staying hydrated by drinking plenty of water and maintaining a balanced diet rich in fruits, vegetables, and antioxidants can support skin health from the inside out. Adequate hydration and nutrition help promote collagen production and overall skin elasticity, contributing to a youthful complexion.

Sun Protection:

Sun protection is crucial for preserving the results of Botox and preventing premature aging. Using a broad-spectrum sunscreen with SPF 30 or higher daily, even on cloudy days, helps shield the skin from harmful UV rays that can cause wrinkles, sunspots, and other signs of photoaging.

Avoiding Smoking and Excessive Alcohol Consumption:

Smoking and excessive alcohol consumption can accelerate skin aging and undermine the effects of Botox. Quitting smoking and moderating alcohol intake can improve skin health and support the longevity of your aesthetic investment.

Stress Management:

Chronic stress can contribute to skin issues such as inflammation, dullness, and accelerated aging. Incorporating stress-reducing practices such as meditation, yoga, or regular exercise into your daily routine can promote overall well-being and help maintain the benefits of Botox.
In addition to these lifestyle habits, we may recommend specific skincare products or treatments tailored to your individual needs and goals. By adopting a comprehensive approach to skincare and lifestyle habits, you can prolong the amazing results of Botox and enjoy a radiant, youthful complexion for years to come.   


3587 Mt. Diablo Blvd
Lafayette, CA 94549

(925) 299-8877

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533 Moraga Rd Suite 120
Moraga, CA 94556

(925) 235-0065

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Tue - Fri: 10am - 5pm
Sat: 10am - 3pm
Sun & Mon: Closed

Sanctuaire MD
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