Wrinkle Relaxers

Botox®

Ranked #1 on Google in Lafayette and Moraga.
Allergan Platinum Member since 2004.


Refine expression lines with precision and grace.

What Is Botox®

Botox® is an FDA-approved neuromodulator that temporarily relaxes specific facial muscles responsible for creating dynamic wrinkles—such as frown lines, forehead creases, and crow’s feet.

How Botox® Works

By softening muscle activity rather than freezing expression, Botox® smooths existing lines and helps prevent new ones from forming. The result is a naturally refreshed appearance that reflects ease, balance, and quiet confidence.

Refinement You Can Feel

Discover results that feel as good as they look:

  • Natural, expressive results that preserve your individuality
  • Minimal downtime with visible results in days
  • Refreshed smoothness that lasts up to four months
  • A personalized treatment plan designed for your facial balance and lifestyle

What to Expect

From your first visit to your refined results, every step is designed for comfort, precision, and natural beauty.

Consultation

Your Botox® experience begins with a personalized consultation to discuss your goals and create a tailored treatment plan designed to achieve natural, balanced refinement.

During Treatment

Your session typically lasts 30-40 minutes. Using precise, advanced techniques, your provider delivers treatment to targeted areas such as:
Forehead lines, crow’s feet, frown lines, bunny lines, lip lines, brow lift, marionette lines, nefertiti lift (aka Jowls/Jawline), platysma muscles (aka Neck Bands), trapezius (aka Barbie Botox / Trap Tox), hyperhydrosis.

After Treatment

You can return to normal activities right away. Mild redness, tenderness, or sensitivity may appear briefly as your skin or muscles respond.

Results & Longevity

Refinement often begins within 1-7 days and continues to improve.
Most clients enjoy results for 3-4 months before a gentle touch-up is recommended.
Meet Your Providers

Advanced Care, Thoughtfully Delivered

Your experience begins with an individualized approach guided by clinical expertise and artistry. Our providers use advanced techniques and a deep understanding of anatomy to ensure results that are both natural and predictable—never overdone, always you.

At SanctuaireMD, every dose, pass, or pulse reflects our commitment to safety, precision, and your unique aesthetic goals.

Beyond Botox®

Refine your results or discover new possibilities for radiant confidence.

Peptide Therapy

Support your body’s natural growth hormone production for better sleep, recovery, energy, and healthy aging.

Renu Light Bed™

Restore, repair, and recharge—at the cellular level.

DiamondGlow®

Exfoliate, extract, and infuse the skin with targeted serums for immediate radiance and long-term skin health.

Real Results, Naturally You

Each result is as individual as the person it serves. View our gallery to see the refined, natural outcomes achieved through our medical artistry.

FAQs

Who is a good candidate for Botox®?

Most individuals seeking a smoother, more rested appearance are excellent candidates. During your consultation, we’ll evaluate your skin, muscle activity, and goals to ensure an ideal approach.

Absolutely. Our goal is to restore balance and ease—not erase expression. You’ll look refreshed, not different.

Results typically last three to four months, with consistency improving over time through ongoing care.

Yes. Many clients pair it with fillers, laser treatments, or facials for a comprehensive, age-positive care plan.

Ready to Begin Your Journey?

Schedule a consultation to discover how Botox® can help you look refreshed, confident, and entirely yourself—inside and out.
Portrait of Ann Crahan

Ann Crahan APRN, FNP-BC, NP-c

Owner & CEO / Expert 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.

Portrait of Nick Makhoul

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.

Portrait of Hannah Chan

Hannah Chan, MPAS, PA-C

Aesthetic Physician Assistant

For over a decade, Hannah has been immersed in the beauty industry, a journey sparked by her own teenage struggle with acne and the confidence she found through self care. Hannah’s glowing skin often stops people in their tracks where literally strangers in the streets ask her about her skincare routine. This authentic radiance is her passion: helping patients achieve natural, elevated aesthetics that reflect their inner strength. Beyond her practice, she is equally passionate about fashion and fitness because she believes that wellness is when you can look good but feel even better.

Portrait of Alyssa Hanson

Alyssa Hanson

Clinical Esthetician / Patient Care Coordinator

Alyssa is a licensed esthetician with over five years of experience in the aesthetics industry. Combining her passion for skincare, customer service, and team leadership, she has contributed both in the treatment room and behind the scenes to ensure smooth client experiences at Sanctuaire MD. Alyssa thrives on helping others feel confident and cared for, whether through treatments or creating seamless operations. Outside of work, she nurtures her artistic side through painting and sketching, channeling her creativity into everything she does.

Portrait of Aimee Biezad

Aimee Biezad, EST

Lead Front Desk and Sales Associate

Aimée has over 20 years of experience in the skincare, aesthetic, and healthcare industries. As a Licensed Esthetician and medical front office professional, she has worked in medical and cosmetic dermatology, specializing in patient care, skincare education, and practice operations. She is passionate about helping patients achieve their skincare goals while providing exceptional service and support throughout their aesthetic journey.

Send Us a Message

Memberships can only be purchased directly and are not available online. Fill out the form below and our team will contact you, or give us a call at our Lafayette or Moraga locations.

Send Us a Message

Special Offers can only be booked directly and are not available online. Fill out the form below and our team will contact you, or give us a call at our Lafayette or Moraga locations.