Performed by an ophthalmologist who has worked with botulinum toxin since 1986. By appointment in Burbank and Sherman Oaks — serving Beverly Hills, Studio City, Encino, Toluca Lake, Pasadena, Arcadia, and Valencia.
Why You’re Here
Most people walking into their first Botox appointment have the same private worry — that they’ll walk out looking obviously injected. A frozen forehead. A brow stuck halfway up. A vague “done” quality their friends will notice without being able to name. That worry is reasonable. It’s also almost entirely about who’s holding the needle.
Botox at Berg-Feinfield is performed by Dr. Robert Feinfield, one of a small group of U.S. physicians who began studying botulinum toxin in 1986 — sixteen years before the FDA approved it for cosmetic use. By the time the rest of the industry was figuring out where to put the needle, he’d been working with the drug for two decades.
Ophthalmologists train for years on this exact anatomy — every muscle, every nerve, every fascial layer around the eye. It’s the same region we operate on for strabismus, blepharospasm, and eyelid surgery. Cosmetic injectors are working on the same map; the question is how well they know it.
“The lateral brow stays mobile. The forehead expresses surprise when surprise is the point. Crow’s feet soften without flattening your smile.”
— Berg-Feinfield BotoxWhat Sets Our Approach Apart
The forehead and brow are the most-requested Botox areas — also the most unforgiving on the face. A few millimeters too low and you’ve affected the muscle that holds the eyelid up.
We under-treat at the first visit and add at a two-week follow-up if you want more. We can’t subtract — so we’d rather start with less and finish with what you actually want.
Dr. Robert Feinfield has been administering botulinum toxin since 1986 — sixteen years before its FDA approval for cosmetic use.
What Botox Treats
Botox treats lines caused by movement. Squint enough, frown enough, raise your brows on enough Zoom calls, and the skin at the points of repeated motion starts to remember the crease. Botox relaxes those muscles for three to four months so the skin can lie flat.
The areas we treat most often:
If a line is there only when you move, it’s a Botox candidate. If it’s there with your face completely relaxed, the crease is etched into the skin and you need filler instead — Botox can’t smooth what isn’t being held in place by a muscle. Many patients need both.
Common Areas
These are the regions we evaluate and treat most often, with typical unit ranges for each. A full upper face usually runs 40–50 units total.
The two vertical lines between the brows from frowning or concentration. 20–25 units. One of the most common areas for Botox.
Horizontal lines from raised brows. 10–20 units, depending on muscle strength — dosed conservatively to keep the brow expressive.
Lines that fan out from the outer corners of the eyes when smiling. 6–12 units per side. Softens without flattening the smile.
The lines that show when you scrunch your nose. A small, precise dose that finishes the upper-face plan.
Smaller, targeted treatments — 4–8 units. A lip flip adds upper-lip fullness without filler; a chemical brow lift raises a heavier brow.
Softens a downturned resting mouth by relaxing the depressor anguli oris — the muscles that pull the corners down.
You’ll get the specific count and price before any product is opened.
The Frozen-Forehead Question
The most common worry — what if I end up looking frozen — comes from a real problem, just not an inherent one. The frozen look comes from too many units or placement in the wrong fibers. It’s a dosing and mapping mistake, not a Botox mistake.
How We Do Botox
Each appointment runs the same way: we talk first, we map second, we under-treat at the first visit, and we adjust at the follow-up. The technique is what makes the difference between a result you’ll notice and a result your friends will.
Most patients leave with slightly less than they think they need. You can come back in two weeks and add. We can’t subtract. The frozen-forehead look almost always traces to too many units placed too early — our default avoids it on purpose.
How the first visit runsThe forehead and brow are unforgiving — a few millimeters too low and you’ve affected the muscle that holds the eyelid up. We map your specific muscle anatomy, at rest and in motion, before any unit is opened.
Why an ophthalmologistFull effect lands at day ten to fourteen. New patients get a follow-up at the two-week mark so we can see how the muscles responded and add units where needed. The plan is yours, not generic.
Read about your appointmentBefore & After
A few small adjustments in the day or two before help the visit go smoothly. The aftercare is just as light — stay upright, skip the gym that day, and watch the muscle soften around day three.
Skip alcohol for 24 hours. If medically appropriate for you, hold aspirin, ibuprofen, fish oil, and vitamin E for the week prior — they thin the blood and raise bruise risk. Never stop a prescription medication without consulting your prescriber.
Small pinkish spots fade within an hour. Mild bruising is uncommon but more likely near the temples or above the brow. Stay upright for four hours and skip the gym that day. You’ll feel softening around day three; full effect at day ten to fourteen.
First Visit
A first visit runs about thirty minutes. We talk first — what’s bothering you, what you’ve had done before, what you’re trying to avoid. Dr. Feinfield watches your face at rest and in motion and walks through a plan with specific unit counts before anything happens.
The injections themselves take five to ten minutes. Topical numbing is available if you want it; most patients find the needle fine enough to skip it. If you’re new, we schedule a follow-up at the two-week mark in case anything needs adjustment.
“Most patients leave with slightly less than they think they need. You can come back in two weeks and add. We can’t subtract.”
— Berg-Feinfield BotoxWhere We Are
Aesthetic appointments are at two of our five Los Angeles offices: Burbank and Sherman Oaks, both in the San Fernando Valley.
Closest for Toluca Lake, Studio City, North Hollywood, Universal City, and Burbank itself. Pasadena, Arcadia, and San Gabriel patients tend to come to Burbank as well (~25 minutes via the 134). Valencia and Santa Clarita are about 30 minutes south on the 5.
Burbank office detailsIf you’re coming from Beverly Hills, West Hollywood, or the Westside, Sherman Oaks is your closer office — 20 to 25 minutes north on the 405. Also serves Encino, Studio City, and the central San Fernando Valley.
Sherman Oaks office detailsIf we already see you for eye care at our Beverly Hills, Arcadia, or Valencia offices, the front desk can schedule your aesthetic appointment at Burbank or Sherman Oaks in the same call.
Questions We Hear a Lot
The questions we hear most often from patients researching Botox in Los Angeles, Burbank, Sherman Oaks, and Beverly Hills.
Botox in Los Angeles by an ophthalmologist who has worked with botulinum toxin since 1986. Call us or book online — Burbank and Sherman Oaks appointments available.
