Experience Matters.

Andrew Russ graduated from Loma Linda University with his Master's in Physician Assistant Sciences in 2016 and went straight into dermatology. Not primary care with aesthetics on the side, and not a weekend certification — a full-time dermatology practice from his first year as a PA.

For his first five years he practiced alongside dermatologist Dr. Ingrid Trenkle, MD, and Norberto Collins while carrying a full medical dermatology patient load. The work spanned medical dermatology, aesthetic medicine, lasers and skin procedures, and included participating in Mohs surgery, where he performed surgical excisions working alongside the Mohs team.

During those same five years he became the practice's dedicated laser provider — the person the clinic sent its laser patients to, treating pigment, vascular concerns and resurfacing cases week after week.

That is the clinical foundation The Botox Spot was later built on. It is also the part most medical spas do not have behind them.

Aesthetic medicine has never been a side practice here. Since graduating in 2016, Andrew has worked full-time in dermatology, aesthetics, or both — every year, without a detour into another specialty.

Across a decade of full-time clinical practice, that adds up to tens of thousands of patient encounters and thousands of injectable treatments. Volume alone is not the point. What that much repetition actually buys is judgment: recognizing the face in front of you, knowing which plan ages well, and knowing when the honest answer is that a treatment is not going to give you what you are hoping for.

Anyone can be taught to perform a procedure. Knowing which one to recommend, in what amount, for which patient, is a different skill, and it is the one that takes years.

Neuromodulators have been one of Andrew's primary areas of practice for the whole decade — Botox, Dysport and Daxxify, across thousands of treatments. Different products behave differently in the face, and having used all three at volume is what makes recommending one over another a clinical decision rather than a preference.

That experience shows up most in the areas beyond the standard three. The forehead is straightforward. The rest takes a working understanding of how the muscles of the face pull against each other:

Aesthetic medicine changes. Products, techniques and safety protocols that were standard five years ago have been replaced by better ones, which is why hands-on advanced training has been a constant throughout Andrew's career rather than something finished at graduation.

That training has come through the major aesthetic manufacturers and through respected physicians and injectors in the field — covering Sculptra, Bellafill, PicoWay, advanced injectable technique, and vascular occlusion recognition and management, the emergency preparation that separates a practice you can trust from one you cannot.

Alongside his own practice, Andrew has trained and mentored nurses, physician assistants, nurse practitioners and students in aesthetic treatments and clinical technique throughout his career. Teaching a technique to someone else is its own test of whether you actually understand it.

None of this is an argument that you should only book with Andrew. It is the opposite. His experience set the clinical philosophy and the treatment standards of the practice, and every provider at The Botox Spot works to them.

Whoever you see — in Redlands, in Riverside, or at your own kitchen table — the approach is the same: