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Neuromodulator Injections12

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These are non-invasive cosmetic procedures which are alternatives to plastic surgery which requires an incision to be made.  It is the #1 cosmetic procedure performed in North America.  These are fast, easy, effective, and affordable treatments. Besides that they are much less expensive than surgery and a hospitalization is not required.  By relaxing the facial muscles, lines and wrinkles are reduced resulting in a natural, youthful appearance.  During the normal aging process wrinkles are caused by the regular and repetitive contraction of facial muscles below the surface of the skin.  Every treatment is offered following a virtual or in person consultation to provide a personalized treatment plan.

  1. Better self confidence
  2. Better chances dating and finding a partner
  3. Better relationship with your partner
  4. Better chances of getting a job especially if in media/film/music industry
  5. Better success in sales
  6. Better pictures to enjoy for a lifetime such as from your wedding
  7. Better tips if you work in the service industry
  8. And so much more.

  • Forehead 
  • Frown Wrinkles (11’s)
  • Eye Wrinkles (Crow’s Feet)
  • Dimpled Chin Correction (Mentalis)
  • Downward Smile Correction
  • Gummy Smile Correction
  • Jaw-Line Slimming/Teeth Grinding Treatment for a square jaw (Masseters)
  • Lip Wrinkles (Smokers Lines)
  • Nose Wrinkles (Bunny Lines)
  • Platysmal Bands (Neck lines)

Botox or neuromodulators are neurotoxins and a form of botulinum toxin.  This is found in the bacteria Clostridium botulinum.  Although this may sound very scary and dangerous this medication has been used since the 1980’s mainly in the fields of neurology and ophthalmology.  Drs. Jean and Alastair Carruther’s in Vancouver, Canada accidentally discovered cosmetic properties of Botox in the 1980’s and changed the face of beauty forever.  While treating patients for eye muscle spasms (blepharospasm) with a diluted solution of botulinum toxin her patients not only noticed spasms resolve but that the wrinkles in those areas of the forehead disappeared.   This husband (dermatologist) and wife (opthalmologist) team would later prove i trials and studies the safety and efficacy of this treatment to the dermatology field.  Unfortunately, they did not patent the product which would later become a multi-billion dollar industry.  By the early 1990’s Botox was widely accepted. 

$250 on the low end and up to $600+ on the high end. This is dependent on how deep or severe your lines or wrinkles are as well as the brand used. A unit is priced between $12 and $18 which and most people require 30 units.

Botox, Dysport, and Xeomin all have the same ingredient which is Botulinum type A.

In general the three are all very similar and have great results.  There are minor differences.  Botox is the most well known and the first option.  Similar to how Kleenex is the first and preferred term for facial tissue there are many many other great products that perform the same purpose.
Botox (onabotulinumtoxinA)

The first injectable to receive US FDA approval in 2002 and most popular. Botox is the best option for deeper, muscle related wrinkles as it stays isolated and spreads less than Dysport. On average Botox starts working later around 5-7 days and lasts for about 4-6 months.  Requires the least number of units to treat. Deep forehead wrinkles and crow’s feet typically require 10 to 15 units to be effective, and frown lines can require between 20 and 30 units.  Besides cosmetics Botox can also be used to treat neck spasms, excessive sweating, lazy eyes, overactive bladders, and migraines.

Dysport (onabotulinumtoxinA)

First used in Europe then approved by the US FDA in 2009.  Dysport is the best option for treating deep glabellar lines (11’s or frown lines) or forehead lines.  On average Dysport starts working faster around 24-48 hours and lasts for about 3-4 months and possibly longer than Botox.    Dysport uses a different system for accounting the quantity and is not equal to Botox unit for unit.  In general, Dyport typically requires 3 times more product than Botox, making it a more expensive option even though the unit cost may seem less.   Dysport injection is $4 per unit.  This is the ideal product to use for those who have used Botox and stop seeing results since there is more spread of Dysport.  Repeated sun exposure can drastically shorten the time you can enjoy your visible results and will require repeat treatments more often.

 

Xeomin (incobotulinumtoxin A)

 

Xeomin is considered the “lighter” of the three.   Xeomin does not have an added protein therefore does not require refrigeration.  Xeomin may last slightly shorter than Botox/Dysport.  For those with allergies eliminating this protein can reduce the risks of a reaction.  This is the ideal choice for treating frown lines.  In addition, this can be used to treat upper lip spasticity, cervical dystonia, blepharospasm, and more.

The most common concern is eyebrow or eyelid droop. If this occurs eye drops can be prescribed.  

The other possibilities are pain and/or swelling at the injection site, headaches, flu-like symptoms, slouched smiles, drooling, nausea, pain in the injection site, upper respiratory tract infections, irritation in the nose and throat, and dry eyes