What Wrinkles?



San Clemente

Aliso Viejo

Rancho Santa Margarita

Call Now to Learn More or Schedule Your Appointment (949) 313 2600


FDA-approved to temporarily make moderate to severe frown lines, crow's feet, and forehead lines look better in adults.

✓ Visible results in 7-14 days

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Call Now to Learn More or Schedule Your Appointment (949) 313 2600


We squint and frown naturally thanks to muscles in our face. BOTOX Cosmetic works to block the neural activity, effectively softening or relaxing those muscles so that the lines and wrinkles they cause become reduced. BOTOX® Cosmetic is a protein that is injected directly into the muscles of the face in order to reduce dynamic wrinkles in specific areas, such as on the forehead, between the brows, or around the eyes.

Whether you're looking to improve or prevent the appearance of fine lines and wrinkles Botox may be the best option for you. Both men and women can benefit from BOTOX Cosmetic. All candidates for BOTOX cosmetic treatments must be over 18 years old.

Schedule your appointment today you (949) 313 2600.

Frown Lines 
Crows Feet

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Before & After


$50 off Botox

*Must be a Brilliant Distinctions member, valid for new or existing members. Whiles supplies last.


The idea of getting an injection of BOTOX Cosmetic may be scary for some people. After all, no one likes needles. But if you haven’t had treatment before, you’ll probably be amazed at how easy and comfortable these treatments are. Our friendly and professional staff are dedicated to making sure you have a comfortable experience. Our facility is held to the highest standards of health and safety, and our patients are the heart of everything we do.

We’ve helped thousands of men and women in San Clemente, Aliso Viejo, Rancho Santa Margarita and throughout Orange County love what they see when they look in the mirror.

Come See Why We Are the BEST!

Make them say "WOW!"

Voted Best of Orange County


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Call Now to Learn More or Schedule Your Appointment (949) 313 2600

Richard A. Gangnes M.D.

Double Board Certified Facial Plastic Surgeon

Dr. Gangnes specializes exclusively in facial cosmetic surgery and has over 35 years of experience in this dynamic, evolving area of medical art and science.  He is double board certified and a clinical professor at the University of California Irvine, teaching aspiring surgeons the art of facial plastic surgery.  

With an increasing significance of the non-surgical aesthetic arts, including laser medicine and surgery and dermatologic skin care, he has been able to develop a comprehensive approach to the art and science of facial aesthetics by incorporating these disciplines into Facial Aesthetic Concepts. He believes a rested, natural, engaging, and vibrant appearance is always the primary goal of aesthetic medicine, using the least invasive procedures to achieve the greatest results.

Bryan Brandon, M.D.

Facial Plastic Surgeon

During his final year of surgical training, Dr. Brandon was honored with the Harold C. Pillsbury leadership award, for recognition as the most outstanding chief resident.

Dr. Brandon has extensive experience in the full breadth of facial plastic surgery including facelift, rhinoplasty, hair transplantation, minimally invasive and non-invasive facial rejuvenation. His artistic eye provides his patients a natural, balanced and refreshed appearance.

 Dr. Brandon always strives to provide a comfortable and collaborative experience for every individual patient, combining personal attentive care with flawless results. His meticulous approach to plastic surgery delivers his patients a natural and balanced result, while achieving each individual’s unique aesthetic goals.

Sharon Christopher PA-C

Board Certified Physician Assistant

Cassandra Macasieb R.N.

Aesthetic Specialist

Haven Morehead R.N.

Aesthetic Specialist

Call Now to Learn More or Schedule Your Appointment (949) 313 2600


Is BOTOX Cosmetic only for women?
Both men and women undergo regular BOTOX Cosmetic treatments. They are proven to help improve facial lines for everyone and have undergone years of medical study and trials, in addition to over 15 years of real-world application. We’ve found that more and more men are coming in to get BOTOX Cosmetic treatments every year.

Will BOTOX Cosmetic paralyze my face?
Properly administered, BOTOX Cosmetic can result in a naturally refreshed look, not the cliché frozen face that you might see in tabloids or on TV. The inability to move the eyebrows or other areas of the face only occurs when too much of the treatment has been administered. At Facial Aesthetic Concepts, we do a careful facial analysis to ensure that we only use the amount of BOTOX Cosmetic.

What are the potential side effects?
Almost everyone who has a BOTOX treatment experience no side effects. But it’s good to be on the lookout for any of these conditions and contact us if they persist or get worse:

  • Pain, swelling, or bruising at the treatment site
  • Droopy eyelids
  • Uneven eyebrows
  • Vision issues
  • Trouble swallowing
  • Crooked smile
  • Drooling
  • Headache
  • Flu-like symptoms
  • Eye dryness
  • Excessive tearing
  • Muscle weakness
  • Loss of bladder control

How much can I expect the treatment to cost?
Most BOTOX Cosmetic treatments range between $200 to $600. We customize every treatment to you and your goals, which means that the units used vary from client to client. We don’t believe in ‘one size fits all’ cosmetic treatments.

Do you do anything to numb the face before BOTOX Cosmetic treatments?
We can use ice to numb the injection site or even apply a topical numbing agent if that will help you to feel most at ease. Your comfort and safety are our priority.

What kind of results can I expect and how long will they last?
BOTOX Cosmetic help to reduce facial fine lines such as frown lines, crow’s feet, and forehead wrinkles. Most people find that the results from a treatment last about 4 months before a follow up treatment is necessary to achieve smoother skin again. The effect is subtle and does not leave your face looking unnaturally smooth or change its shape.

How frequently do I need to get BOTOX Cosmetic treatments?
Most of our patients schedule their BOTOX Cosmetic treatments every 3 to 4 months to ensure the results remain looking fresh. For some people, results may last longer after they have gone through several rounds of treatments.

Request More Information or Schedule an A ppointment


Call Now to Learn More or Schedule Your Appointment (949) 313 2600

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A Message from Dr. Gangnes


Make the experience great, the outcome remarkable and the expectation surpassed - Richard Gangnes M.D.


Dr. Gangnes specializes exclusively in facial cosmetic surgery and has over 30 years experience in this dynamic, evolving area of medical art and science.  He is currently clinical professor at the University of California Irvine and is actively involved in the training of residents and fellows the art and science of facial plastic surgery.