Botox & Juvederm Specialist

Pali Women's Health Center and Pali MediSpa

OBGYNs located in Kailua, HI & Kapolei, HI

By targeting the muscles responsible for creating frown lines and crow’s feet, BOTOX® smooths the skin of the forehead to create a youthful, natural appearance. Pali MediSpa in Kailua, Hawaii, offers BOTOX treatment. BOTOX is an affordable, convenient way to battle aging without taking drastic measures. Everybody wants a happy, fulfilling life filled with smiles and laughter, but nobody wants the deep smile lines or “parentheses” that result. The qualified healthcare professionals at Pali MediSpa in Kailua, Hawaii, use JUVÉDERM® XC and JUVÉDERM VOLUMA® XC to treat deep smile lines and restore the volume of the skin. Call the offices today to schedule an appointment.


How does BOTOX work? 

BOTOX Cosmetic is injected into the muscles used to squint and frown to temporary relax these muscles and prevent contraction. It results in a visible smoothing of the lines on the forehead, between the brows, and beside the eyes.

Is it obvious to others that a patient has received BOTOX injections?

When BOTOX is performed correctly, the results appear natural, and the patient’s ability to express emotion is not inhibited. It is critical that patients choose a provider who:

  • Performs BOTOX injections nearly every day
  • Is licensed and Board Certified
  • Is trained in the administration of BOTOX
  • Has a successful track record

Patients should request to see a provider’s qualifications and portfolio before moving forward with an appointment.

Are BOTOX injections painful?

BOTOX injections may be uncomfortable or minimally painful. Most patients describe the sensation as a minor prick, like that experienced when blood is drawn. Doctors at Pali MediSpa use ice or topical anesthesia for patients who are concerned about discomfort, but most patients don’t require these measures.

How long does a BOTOX treatment take?

While the treatment process itself only takes 5-15 minutes, the appointment generally takes 20-30 minutes to allow for preparation, questions, explanation, and discussion. BOTOX is a quick, convenient treatment.

How long do the results of a single treatment last?

In most cases, the results of BOTOX last 3-4 months. Once patients get on a regular routine, they learn how long they can expect their results to last. First time BOTOX patients often see the results start to wane in the 2-3 month range, while regular patients may have results that last up to 5 months. Patients can maintain the appearance they desire by scheduling their next appointment before leaving the office.

How long does it take to see results?

The first noticeable results appear approximately 2 days after BOTOX injection and peak around the 2-week mark.

Is there any downtime after BOTOX injections?

Injection sites may be reddened and slightly raised immediately after treatment, so most patients schedule their appointment in a way that allows them to go home afterward. However, there’s no downtime after BOTOX treatment; patients can return to work and regularly scheduled activities immediately.


JUVÉDERM is a gel filler that’s injected to fill out the skin. This “filling out” smooths deep smile lines and creates a fuller, more youthful appearance.

What is the difference between JUVÉDERM XC and JUVÉDERM Voluma XC?

JUVÉDERM XC is designed to fill out smile lines, while JUVÉDERM Voluma XC fills in hollow or sunken cheeks caused by age and sometimes weight loss. The trained and experienced doctors at Pali MediSpa offer both services to patients.

How long does JUVÉDERM last?

Unlike other cosmetic treatments, JUVÉDERM lasts up to 1 full year after the desired effect is achieved. Some patients require only 1 treatment while others may need 2-3 treatments to achieve the effect they’re hoping for.

Are JUVÉDERM injections painful?

Like most injections, JUVÉDERM may produce slight discomfort that feels like a small pinch when injected. While most patients describe JUVÉDERM as mild-to-moderately uncomfortable, the doctors at Pali MediSpa offer local anesthetic to patients who are concerned about pain, discomfort, or have a hard time with needles or injections.

How long does JUVÉDERM take?

JUVÉDERM injections generally take around 15 minutes. However, the full appointment generally takes slightly longer as medical history and treatment goals are discussed.

What are the benefits of JUVÉDERM?

JUVÉDERM offers multiple dramatic benefits for patients:

  • JUVÉDERM is a quick, outpatient treatment that is easily accommodated in busy schedules.
  • There is no downtime following a JUVÉDERM treatment so patients are able to return to work and activities immediately.
  • JUVÉDERM is safe and effective for patients with dark complexion as well as those with fair complexion, making it a universal solution.
  • Results following JUVÉDERM injections last as long as a year, which means patients aren’t inconvenienced monthly or quarterly for additional treatments.
  • Results help improve confidence and self-image.

Who can administer JUVÉDERM?

Physicians trained in the administration of JUVÉDERM and specializing in cosmetic procedures can administer JUVÉDERM. The staff at Pali MediSpa are both trained and extensively experienced in the safe and effective administration of JUVÉDERM.