Botox is a protein that is found naturally, but for cosmetic purposes it is manufactured and highly purified in the laboratory. It has been studied extensively for many years, and therefore the mechanisms for how Botox works is very well known.

Botox is a very effective muscle relaxant. It works by relaxing those muscles on the face which form lines, such as frown lines over the brows, and crow's feet around the eyes when smiling. Before it ever was used cosmetically, it had been used widely for medical purposes especially with respect to disorders causing muscle spasms, as in cerebral palsy, or in cases of "cross eye", or eyelid twitch. Botox was used very safely even in children for these conditions as long as twenty years ago, long before cosmetic uses were discovered.

Two Canadian physicians discovered the benefits of Botox for cosmetic use when patients who were treated for eye conditions observed that the lines around the eye area appeared less or in some cases totally disappeared. This accidental finding lead to further studies and now cosmetic use of Botox is the most widely used cosmetic procedure.

Botox is a very safe and effective way to relax fine lines especially in the areas of the forehead, brow and around the eyes. It can also be used to relax laugh lines, wrinkling of the chin and lip area and can help to relieve mild jowl formation around the jaw line. The treatment takes about 15 to 20 minutes using very small needles to inject hundredths of an ml of liquid into areas where lines need to be treated. 

Dr. Goldberg has been doing Botox treatments since 2002, having been initially trained by physicians who themselves had extensive experience at the time. Since then he participates, and regularly gets invited to updates and seminars held by independent users and by the manufacturer, Allergan Inc. who conduct regular seminars for the advanced injectors.

Laser Skin Resurfing

Laser and light therapy have a number of uses. Light works by altering the skin by means of its characteristics of transmitting power of a certain specific colour and intensity. By varying these characteristics different effects can be accomplished.

Laser hair removal allows the light to heat up and destroy the hair-producing follicles on the skin thus cause permanent absence of any future hair in that area. Laser resurfacing removes, through the power of the light, a thin layer of superficial shim which stimulates the formation of fresh new skin, eliminating fine lines and textural abnormalities of the skin.

Other forms of light therapy may help to loosen thin papery skin to be smoother and tighter by lightening up the supporting proteins under the skin.

Pigmented lesions may get temporarily darker after laser treatment, which then gradually disappear after about 10 to 14 days.

Goldberg Esthetics  uses laser products by the Palomar Medical Company, which have been innovators in light based therapies, with effective and reliable and above all, safe results.

Costs of the procedures vary and in most cases several treatments are needed generally at four to six week intervals.

It is best to book a consultation which will allow Dr. Goldberg or Colleen the opportunity to review your individual goals and custom tailor a treatment specifically for each client's needs. Procedures generally take about thirty to sixty minutes.



Fillers are products that are injected in or under the skin to treat lines and deeper furrows or to enhance certain desirable facial characteristics, such as cheeks or lips.

Fillers have been used since ancient times when various forms of waxes were injected under the skin. More recently, modern use of fillers started with the use of collagen derived from animals. The most successful products however have been the hyaluronic acid fillers which have been around for the last ten years. Popular brands for this product are Restylane, Juvederm, Teosyal, and Esthelis.

Hyaluronic acid is a substance found extensively in our bodies, localized mainly in our skin and joints. It is a very clear crystalline gel that acts as one of the substances that add support and volume to our skin and helps with the lubrication of joints. Hyaluronic acid fillers are synthesized totally in a laboratory to look chemically exactly like human hyaluronic acid. As such there are no concerns about allergy as the body sees the substance as belonging to the body, as opposed to collagen or other foreign or animal derived substances.

Hyaluronic acid fillers work by creating volume in or under the skin. Within the skin it can lift fine lines to soften or eliminate their appearance. Deeper in or under the skin they can lift deeper skin furrows or even enhance areas of the face. Cheek bones, cheek hollows, lips, laugh lines and drooping mouth corners can be corrected this way and restore ones face to a more youthful look.
The effects of filler treatments can be very dramatic, considering that there is no surgery involved, and therefore none of the risks of surgery. There are some expected side effects, however, that one should plan for when getting fillers.

The results last between six months to a year or more depending on the product and depending on the area injected. Some long-term studies show that a small percentage of the filler's effect remains permanently, as it stimulates the body's own collagen to replace some of the treated area. That is why over time smaller amounts injected are needed to maintain beneficial effects.
At all times the main goal of treatment is to create a natural youthful look, with no telltale signs that an esthetic procedure was done.

There are other types of fillers that have their own specific characteristics and are made from other ingredients. It is best to book an appointment for a consultation to find out which type of filler would be best for your needs.