Neuromodulators (Botox®/Dysport)

With more than a million BOTOX® Cosmetic treatments safely given each year, the popularity of this treatment is unmistakable. Neuromodulator cosmetic treatments are for people who want to smooth lines and wrinkles in the face, lines found on your forehead, the frown lines, our age-revealing “11” lines between our brows, the eye-framing crow’s feet … and more. BOTOX® or Dysport is a simple and effective procedure with little downtime and recovery. Most patients return directly to work and see improvement in as little as a few days.

What is a Neuromodulator?

Botox was the first in a group of drugs called “neuromodulators.” BOTOX®, and drugs in this group, interrupt the electrical signal as it passes from a nerve fiber to a muscle. This prevents the targeted muscle from contracting until the drug wears off. Once the drug wears off, the nerve returns to normal activity and so does the muscle.

Where can I use Botox or Dysport?

Botox treats wrinkles caused by the dynamic action of muscles wrinkling up the skin. These include:

• frown lines between the eyebrows
• crow’s feet (wrinkles around the eyes)
• strong horizontal wrinkles in the forehead
• wrinkles around the mouth
• muscular bands in the front of the neck
• downturned mouths
• dimpled chins
• necklines and chest

In addition, neuromodulators may help with the marionette/puppet lines of the lower face, with jaw line definition, and to create the appearance of a thinner face on clients who have a wider jaw.

Neuromodulators can also be used as a treatment for excess sweating, rosacea, acne and to smooth skin on the decollate (your chest area).

Before and after Botox® to treat crow’s feet.

How long does Botox® and Dysport last?

On average, about 3-4 months, but it depends on the dose used, the area treated, and the person’s metabolism.

How long does the treatment take?

The procedure is quick. Once your individual treatment plan is developed, the actual injection portion takes only 10-15 minutes.

How quick does it start to work?

Both start to work within 1-5 days, but typically take about 4 weeks to reach their peak of activity.

Does having Botox® hurt?

The injection does sting a little. With the use of a tiny needle and careful technique, most people tolerate it very well. If you are highly needle-phobic, let us know; special arrangements can be made.

Will Neuromodulators make me numb?

No. Neither Botox® or Dysport has an effect on the sensory nerves. You’ll still have a normal sensation of the skin.

Will I still be able to make facial expressions?

Our preference is to use neuromodulators to calm down muscles, not to erase your individual expression. Believe me, people will still know if you are happy or angry. The goal is to ensure a natural, relaxed and well-rested result.

Does Botox do the same thing as Restylane, Juvederm or other dermal fillers?

No. Fillers work by adding volume to the skin. Botox® works by stopping the nearby muscle from making the skin wrinkle. Often, we use them together for the best effect.

I’m an easy bruiser. What should I do?

You can help us by avoiding all medications that increase the risk of bruising. Avoid aspirin, motrin, alleve, other NSAID medications, as well as alcohol, vitamin E, and fish oils prior to your treatment. Even so, you may bruise with the injections. Allow yourself 10-14 days before a big social event to allow any bruises to fade. Pineapple juice and Arnica Montana are two products that decrease the duration of a bruise if one occurs.

Are there people who can’t have Botox treatments?

Yes. Neuromodulators are not recommended if you are pregnant or nursing. Also, neuromodulators are not recommended for patients with certain neurological disorders, such as Myasthenia Gravis, ALS, and Lambert-Eaton syndrome.

Are there any creams that work as well as Botox?

Not yet. People are researching this area, but no FDA-approved product is currently available. Most over-the-counter creams are nowhere near as effective as Botox® or Dysport.