BOTOX® & Related Products  

Wrinkles caused by dynamic facial movements, such as raising your eyebrows, smiling, frowning, or scrunching your eyes can be easily treated with BOTOX®, Xeomin®, or Jeuveau®.

All of these treatments are called neuromodulators. They work by blocking the nerve signal to the muscle which decreases the muscle’s ability to move. Over time, this decreases the wrinkles and fine lines caused by that muscle movement. Learn more about how neuromodulators work in my blog article. They can be used to treat forehead lines, lines between the eyes (the “Elevens”), crow’s feet, lip lines, and other wrinkles caused by muscle movement.

The effect of neuromodulators takes about 5-7 days to appear and lasts about 3-4 months. A single treatment of BOTOX® is not a permanent solution and best results are achieved with periodic treatment every 3-4 months.

The neurotransmitter Acetylcholine (ACh) activates Nicotinic receptors which causes muscles to contract. 

Neuromodulators prevent ACh from being released from the nerve, therefore the muscle does not get the message to contract and stays relaxed. The effects of neuromodulator treatment wear off as new nerve endings grow.

All neuromodulators work very similar to each other, but every body is different so some people find that BOTOX® works best for them, and others prefer Xeomin® or Jeuveau®. Every patient is encouraged to try each type at least one time to determine which works best for their body. BOTOX® and Jeuveau® are manufactured with protective proteins that some people may develop a resistance to over time, so if you’ve been a long-term BOTOX® (the brand) user it is encouraged to switch to a different product for a while.

Any treatment that utilizes needle injections carries a risk of bruising and bleeding. If you are seeking treatment before a special occasion, please schedule an appointment at least 2-3 weeks before the occasion.

Achieving an ageless face takes time. BOTOX® treatment is not a one-and-done procedure, and requires regular appointments to maintain results. The key to natural aesthetics is gradual progression. I will know I’ve done a good job when no one can tell you’ve had “work done”.

Neuromodulator FAQ

Are neuromodulators safe?2021-08-12T18:32:59+00:00

Neuromodulators have been the #1 injectable cosmetic treatment for many years. Botox has been in use for almost 20 years. BOTOX® (and it’s sister products) are made from botulinum toxin A and is FDA approved for medical and cosmetic use. You will not get botulinum poisoning when administered by a medical professional for medical and cosmetic use.

Will I still be able to make facial expressions after a neuromodulator treatment?2021-08-12T18:23:47+00:00

The amount of muscle relaxation is dependent on the dose. Dr. Christina prides herself on maintaining a natural appearance. Using just the right amount, her patients are still able to make facial expressions, but also get the wrinkle reducing benefits. Of course, if you want the “full-freeze” effect, we can achieve that as well using higher doses.

Is a neuromodulator injection painful?2021-08-12T18:23:07+00:00

You will feel a small needle prick with each injection, but many patients say the treatment is so fast they don’t even notice.

When will I see results after receiving neuromodulator treatment?2021-08-12T18:30:31+00:00

You will gradually experience reduced muscle movement over a few days, with full effect after about 1-2 weeks.

What if I don’t like the results of my neuromodulator treatment?2021-08-12T18:29:38+00:00

If you’re unhappy with your results I am happy to see you for a follow up appointment after waiting a full 2 weeks after your injection. Sometimes “touch-ups” are necessary to achieve the desired results. If you’re a new-to-me patient I will inject conservatively: this means I may inject a smaller amount than you’ve received in the past so you may still have more muscle movement that you’ve had in the past. If that’s the case, we can always add more BOTOX®, but you can never take away what has already been injected.

How long do neuromodulators last?2021-08-12T18:28:19+00:00

The effects last about 3-4 months. After 3-4 months you will start to regain muscle movement. If you do not get a repeat treatment at this time, then the wrinkles and fine lines will return.

Are there any serious side effects from neuromodulators?2021-08-12T18:27:44+00:00

The most common side effect patient’s experience is bruising. Any time a needle is used there is a risk of bleeding and bruising. Some more serious complications and side effects are headache, droopy eyelid or cockeyed eyebrows, crooked smile, allergic reactions, and eye problems like double vision, blurred vision, decreased eyesight, or dry eyes. However, in clinical studies the incidence of these side effects is very small, and all of these side effects will resolve with time as the effects of the product naturally wear off.

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