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Make Wrinkles Disappear with
Neurotoxin Injections.

A combination of factors can cause facial lines. It’s not just about the cellular changes that may occur, or reduction of collagen, or damage caused by free radicals from the sun and the environment. Repeated muscle contractions from frowning, squinting, or raising eyebrows cause skin to furrow and fold, gradually resulting in the formation of facial lines. Botulinum toxin injections work beneath the surface and temporarily reduce the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults to help them look visibly smoother.

 
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Moderate to Severe Frown Lines.

When you frown or concentrate, the muscles between your brows contract, causing your skin to crinkle and fold. Your specialist will inject these muscles to help make frown lines temporarily look better.

For the frown lines area, your specialist will administer several injections into the muscles between your brows and in your forehead.

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Moderate to Severe Crow’s Feet.

When you squint or smile, the muscles around your eyes contract, causing crow’s feet. Your specialist will inject these muscles to help make crow’s feet temporarily less visible.

For the crow’s feet area, your specialist will inject the areas of the muscles that frame the side of the eye.

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Moderate to Severe Forehead Lines.

When you raise your eyebrows, the muscles on your forehead contract, causing skin to furrow and fold. Your specialist will inject these muscles to help make forehead lines temporarily look better.

For the forehead lines area, your specialist will administer several injections into a muscle in your forehead.


How it works.

Botulinum toxin targets one of the underlying causes of frown lines, crow’s feet, and forehead lines — the repeated muscle contractions from frowning, squinting, smiling, and raising the eyebrows over the years. Your specialist will inject these muscles with Botulinum toxin to temporarily reduce muscle activity. You will begin to notice a visible smoothing of the frown lines between your brows, crow’s feet lines, and your forehead lines.


See Before and After Pictures:

BOTOX®

Dysport®

Jeuveau®

XEOMIN®


Treatment time.

Botulinum toxin treatments take only a few minutes, depending on the area being treated.

You may begin to notice results within 24 to 48 hours

Takes about 2 weeks to fully set in

Usually lasts between 3-6 months


Number of Treatments.

The amount of the medication to be injected depends on the area(s) to be treated and the relative strength of the muscles. Men usually require a higher amount as compared to women.


Recovery.

Treatment requires minimal downtime, so you can return to your daily routine immediately after you leave your specialist’s office.


Efect. Expectations.

It delivers predictable, subtle results, so you look like yourself, only with less noticeable and visibly smoother facial lines

Remember that results vary from patient to patient though, so your specialist will plan your next appointment based on your results and aesthetic goals.

Start talking about your goals with a specialist today and find out what you could expect.


Contraindications:

  • Body dysmorphic disorder

  • Dermatoses in the treatment area (e.g., psoriasis, eczema)

  • Gross motor weakness in the treatment area (e.g., Bell palsy)

  • Immunocompromised

  • Infection in the treatment area

  • Keloidal scarring

  • Neuromuscular disorder (e.g., amyotrophic lateral sclerosis, myasthenia gravis, Lambert-Eaton syndrome, myopathies)

  • Pregnancy or breastfeeding

  • Sensitivity or allergy to constituents of the botulinum toxin product(e.g. cow's milk protein allergy with abobotulinumtoxinA [Dysport])


Risks. Side Effects.

Botulinum toxin injection is a straightforward procedure with no/minimal complications. 

Most common side effect is bruising due to the injections. Rare complications include eyelid or brow droop due to the extensive weakening of the supporting muscles.

Systemic side effects, such as altered motor or sensory functions and difficulty breathing, are extremely uncommon.

Other possible side effects include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems: double vision, blurred vision, decreased eyesight and dry eyes; and allergic reactions.


Not approved for people younger than 21 or older than 65.

 

Botulinum toxin injections.

 

BOTOX®

FDA Aproved April 2002

The first FDA-approved treatment to temporarily reduce moderate to severe frown lines, crow's feet and forehead lines.

It works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults

Benefits: Good for treating all areas — especially small ones (think: crow’s feet)

Onset: 3-5 days

Results Last: 3-4 months

Average Units: 20 for forehead treatment

Drawbacks: Patients may develop antibody resistance over time


Dysport®

FDA Aproved April 2009

• Is slightly less potent than Botox®. One unit of BOTOX® has a potency that is approximately equal to 4 units of Dysport®.

• Ideal for treating larger areas (like forehead) — though more product may be needed to achieve results.

• Contains lactose and cow’s milk protein (unsuitable for patients with milk allergies).

• While the effects of Dysport® may show up sooner (within 24 hours) than Botox®, but they may not last as long. Its shorter lifespan could make it a good choice for patients who are unsure about whether they will like the results of injections.

Benefits: Good for last-minute treatments because of faster onset time; ideal for treating larger areas (i.e. the forehead) because of diffusion

Onset: 24 hours

Results Last: 3-4 months

Average Units: 50 for forehead treatment

Drawbacks: Not suitable for small areas or patients with an allergy to lactose or cow's milk protein


Jeuveau®

FDA Aproved February 2019

Jeuveau® has a similar safety and efficacy profile to Botox®. Patients generally begin to see results in three to five days, and they last for 3-6 months.

Benefits: More affordable

Onset: 3-5 days

Results Last: 3-6 months

Average Units: 20 for forehead treatment

Drawbacks: Newest to market, so long term safety and efficacy profiles have not been established


XEOMIN®

FDA Aproved February 2019

Xeomin® doesn’t need to be refrigerated and it may be slightly more comfortable to have injected because it is stored at room temperature.

Fewer units of Xeomin® may be needed to achieve the desired result.

Benefits: Ideal for patients who have stopped responding to Botox® or Dysport®

Onset: 5-7 days

Results Last: 3-4 months

Average Units: 20 for forehead treatment

Drawbacks: Longer onset time