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Cosmetic Dermatology


Neuromodulators (Botox, Dysport, Xeomin, Jeaveau)

What is a neuromodulator?

Neuromodulators, such as botulinum toxin type A, are purified proteins that temporarily relax muscles to soften wrinkles of the face. Several brands of botulinumtoxinA exist, such as Botox, Dysport, Xeomin, Jeaveau.

What areas are neuromodulators used?

The most common area botulinum toxin type A is used include:

  • Glabella: The wrinkles between the eyebrows, also known as the “11’s”
  • Frontalis: The horizontal wrinkles of the upper forehead
  • Crow’s feet: The wrinkles around the eyes

Other frequent areas of treatment:

  • The central face: wrinkles of the nose, around the mouth, and for a gummy smile, defined as increased visibility of gums when smiling
  • The lower face: pebbly appearance of the chin, down-turning mouth corners, wrinkles and bands of the neck, and enlarged masseters that cause a wide or square jawline
  • Hyperhidrosis: increased sweating of the underarms and palms

What should I expect after treatment?

Results are seen in as early as a few days, but final results take up to 14 days. At this time patients notice softening of their wrinkles, and feel they look more relaxed or rested. Your dermatologist may schedule a follow up at 2 weeks to refine your treatment if needed. Results last on average 3 months but can be shorter or longer. This depends on the strength of your muscles and how much product is used.

What are the risks?

If a patient develops side effects these are usually mild and temporary. Since neuromodulators require injection, bruising, redness, and mild swelling are possible after the treatment. Occasionally, patients have a mild headache on the day of treatment – especially if it is their first treatment. In rare settings, the product can spread to a neighboring muscle, causing undesired relaxation of that muscle (for example: a droopy eyelid).

A thorough understanding of facial anatomy and musculature is necessary to inject neuromodulators correctly and minimize risks. As each individual is unique, your dermatologist will listen to your concerns, and do a careful assessment of your face prior to treatment to optimize your outcome and give natural, beautiful results.

At Phoenix Surgical Dermatology Group, neuromodulators are used for both medical and cosmetic purposes in the trained hands of a board-certified dermatologist only.  Call to schedule today if you are interested in softening your wrinkles, preventing the signs of aging, or learning about other uses of neuromodulators!

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