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BOTOX, Xeomin, Dysport & Nucieva

What are Neuromodulators?

Neuromodulators are wrinkle-relaxing injections of botulinum toxin – commercially known as Botox Cosmetic, Dysport, Xeomin or Nuceiva – that are used to treat wrinkles, frown lines and crow’s feet. A small amount of the neuromodulator is injected directly into the underlying muscle, causing it to relax and gradually smooth out the appearance of the overlying skin. The effects typically last about three months.  Botulinum toxin is produced by a specific type of bacteria. In higher amounts, it can be poisonous. However, only small, weaker doses of botulinum toxin are used to reduce facial wrinkles.

When botulinum toxin is injected, it blocks certain nerve signals that make muscles contract. The muscles relax, reducing unwanted wrinkles. This effect lasts about 3–6 months. After that, the muscles move again and wrinkles come back.

Why do we get Wrinkles?

Wrinkles begin to form as we repetitively make facial expressions through our every day life. This includes laughing, squinting, frowning, raising our eyebrows, drinking out of straws etc. Over time, we gradually begin to have a decrease in collagen, hormone losses as well as cellular changes from intrinsic and extrinsic environmental factors. This causes the skin to lose hydration and elasticity allowing lines to more easily etch into the skin from these repetitive facial movements. 

Areas we can treat with Neuromodulators

  • Forehead Lines

  • Crows Feet

  • Platysmal bands

  • Masseter (facial slimming and bruxism)

  • Bunny Lines

  • Gummy Smile

  • Dimply chin

  • Lip Flip

  • Vertical lip lines

  • Brow lift

  • Frown

  • Migraines

  • Hyperhydrosis

  • Lower eyelid jelly roll


What to Expect During Consultation

We begin all appointments with a consultation. During the consultation, we review he area(s) of concern, and review your medical history. It is important to fully disclose your medical history prior to treatment as certain allergies, skin & neurological conditions or medications can jeopardize your safety or results. 

We will then complete a telemedicine consultation with the Nurse Practitioner who will be verifying your health history, dose and consent for treatment. It is important to receive the full dose prescribed to ensure sufficient results.

What to Expect During Treatment

The areas being treated will be cleansed. We will ask you to make some funny faces at us so we may assess muscle strength and location. The treatment only lasts about 5-10 minutes depending on the areas being treated. It is a very comfortable procedure with little to no pain. 

What to Expect Post Procedure

You may experience swelling, redness, pain, itching, discoloration and tenderness at the injection site for a few hours. The use of Tylenol (acetaminophen) is permitted. If needed, makeup can be applied after 4 hours of treatment, using minimal pressure on the areas treated.

Avoid laying down or bending over and avoid rubbing/touching your face for a minimum of 4 hours.

For 24 hours after treatment, refrain from strenuous physical activity, hot tubs/sauna, facials, alcohol, aspirin, or other over-the-counter anti-inflammatory medications or supplements. 

If this is your first time, it is important to schedule a 2 week follow up appointment. This ensures that we are able to see how your facial muscles reacted to your treatment. Treatments are repeated every 3-4 months.

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