Botox | Cosmetic Injections | Juvederm Fillers in Temecula, CA

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Get Your Choice of Botox and Fillers

We have three options of Neurotoxins for our customers to choose from which are injected by Dr. Tumbaga to get the best results possible. Call now to get our new customer discount.

What exactly is Jeuveau™?

You know those pesky little wrinkles between your eyebrows that won’t go away? Well, they’re called glabellar lines, or “frown lines.” Jeuveau™ is an injectable treatment that works to temporarily improve the appearance of moderate to severe frown lines in adults.


Xeomin (incobotulinumtoxinA), made by Merz Pharmaceuticals, is approved by the US FDA for the treatment of adults with cervical dystonia or blepharospasm and Moderate to severe frown lines between the eyebrows. IncobotulinumtoxinA is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity.

FDA approval of XEOMIN, was based on the results of two U.S. clinical trials. A study cited in the Journal of Neurological Sciences on the efficacy and safety of XEOMIN found it showed “non-inferiority” to Botox when used in the same doses to treat cervical dystonia. It concluded that XEOMIN is a safe and effective treatment for the disorder.

Xeomin has now been approved for some cosmetic indications – Moderate to severe frown lines between the eyebrows. Similar to other drugs in this category, including Botox and Dysport, that also have FDA approval for the treatment of facial wrinkles. Now that Xeomin is available and FDA approved, doctors can use it both on-label and off-label to treat the same facial lines treated by Botox and Dysport, including frown lines, crow’s feet and forehead wrinkles.

Worldwide, more than 84,000 people have been treated with Xeomin injections. The U.S. is actually the 20th country to approve this new drug. It is available in 50-unit and 100-unit vials.


Xeomin is the first one that does not need to be refrigerated before use, which may simplify distribution. Xeomin also has no additives, just botulinum toxin type A. This may mean that there is less risk of developing antibodies against Xeomin than other available neurotoxins. The body develops antibodies in response to a foreign invader and attacks. In theory, antibodies could prevent a neurotoxin from having its desired effects. The effects of Xeomin occur within one week, and the results last from three to six months, making it comparable to Botox in terms of both onset and duration of action. Xeomin should not be used interchangeably with other botulinum products.


There is a risk that all botulinum toxin products may spread from the area where they were injected to other parts of the body, causing potentially life-threatening swallowing and breathing problems. This was predominantly seen in children treated with Botox off-label for cerebral palsy. These issues have not been reported among people who received botulinum products for cosmetic uses or to treat blepharospasm.

Other risks may include bleeding and bruising at the injection site and allergic reactions such as itching, swelling or shortness of breath. Your doctor should discuss all the potential risks of this procedure with you during your consultation.

When Xeomin is used to treat cervical dystonia, side effects include neck pain, muscle weakness, injection site pain and musculoskeletal pain. When used to treat blepharospasm, the most common side effects of Xeomin were eyelid sagging, dry eye, dry mouth, diarrhea, headache, visual impairment, shortness of breath (dyspnea), and upper respiratory infections.


Facial fillers, or dermal fillers, refer to various products that rejuvenate your face by diminishing wrinkles and restoring soft tissue loss through tiny injections. Fillers offer a non-invasive alternative to traditional facelifts for a fraction of the price.

Dr. Tumbaga uses the FDA-approved Juvéderm line of facial fillers, made of injectable hyaluronic acid gel. Hyaluronic acid occurs naturally in your skin, adding volume and hydration.

As you age, the loss of facial soft tissue volume can create wrinkles and a saggy, hollow appearance. Hyaluronic acid wrinkle fillers replace the lost volume beneath your skin and around your mouth, creating a younger-looking appearance.

Juvéderm fillers are made by the same company that makes BOTOX. Dr. Tumbaga uses the full line of Juvéderm products, including:

  • Ultra XC for lip augmentation and improving lines around your mouth
  • Voluma XC for cheek fillers that may last up to two years
  • Volbella for plumping lips and minimizing fine lines around your mouth


Dermal fillers help adult men and women improve a variety of cosmetic concerns, including:

  • Moderate to severe facial wrinkles
  • Acne scarring
  • Sunken cheeks or temples
  • Smile lines (marionette lines)
  • Asymmetrical lips
  • Sagging skin


Side effects are minor and shouldn’t last long. Some of the most common side effects of facial fillers include:

  • Redness and swelling
  • Pain or tenderness
  • Numbness
  • Smile lines (marionette lines)
  • Minor bruising at the injection site
  • Allergic reaction


Facial filler injections are fast and easy. It usually takes Dr. Tumbaga about 10-20 minutes to complete a dermal filler procedure, but the exact time depends on the number of areas you’re getting treated. She makes small injections directly into the treatment area on your face. Fillers require no downtime. You should be able to return to work and normal activities immediately after your procedure, but you may need to refrain from excessive sun or heat exposure for the first day.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.