Neuromodulators - "botox"


Do you know all the things that botox products can do for you?

Neuromodulator injections is a cosmetic treatment designed to relax muscles and reduce lines and wrinkles on your face. Some wrinkles and lines are caused by overactive muscles. Neuromodulators relax these muscles, allowing for fewer unwanted expressions.

The following is a list of common indications for neuromodulator therapy:

  • Forehead wrinkles
  • Bunny lines
  • Gummy Smile
  • Lateral Canthal Rhytids (Crow's Feet)
  • Lower eyelid (Jelly Roll)
  • Vertical Lip Lines (smoker's lines)
  • Marionette Lines
  • Dimpled Chin
  • Platysmal bands in the neck
  • Frontal (Migraine) Headaches
  • Hyperhidrosis (excessive sweating)
  • Blepharospasm - abnormal contraction or twitch of the eyelid
  • Masseter muscle (face slimming) / Bruxism (grinding of the teeth)

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What do I need to know before a neuromodulator "botox" treatment?

It is prudent to follow some simple guidelines before treatment by reducing some possible side effects associated with the injections; this can make all the difference between a fair result and a great result. We realize that this is not always possible; however, minimizing these risks is always desirable. 

AVOID alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood increasing the risk of bruising). 

AVOID anti-inflammatory/blood thinning medications ideally for a period of 2 weeks before treatment. Medications (e.g. Aspirin, Advil, Alleve, Celebrex, Ibuprofen, Motrin, Naproxen, etc.) and supplements (such as Vitamin E, Ginko Biloba, Ginseng, Omegas, Echinacea, Garlic, Flax seed, St. John’s Wort, Tumeric) can all cause blood to thin increasing the risk of bruising/swelling after injections. Schedule the “botox” appointment at least 2 weeks prior to any special event which may be occurring: i.e., wedding, vacation, etc.

We have noted significant benefits in patients who take Arnica prior to undergoing any procedure. 

When can I expect to see results?

Many people see results within 4-5 days, but it could take up to 2 weeks for full results to show. Deep wrinkles should show improvement shortly after treatment and could continue to gradually improve over time.

What happens on the day of treatment?

The day of your treatment likely won’t be very different from any other day. The needle is ultra-tiny, some people barely feel anything. A series of injections are completed in the desired area(s).  The procedure is completed within 10min following the intake process. Once completed, you can typically continue with your daily routine (see after-care instructions).

What should I know about my after-care?

You should be able to resume normal activity immediately after your injections are done. You might have some redness or slight bruising after, but it should dissipate quickly.   

We recommend that patients NOT lie down for at least four (4) hours following injections to prevent any possible migration to unintended areas of the face. We also suggest avoiding vigorous activity, especially those activities that might involve straining, high-impact exercise, or bending down for at least a few hours and up to a day after the treatment. You should NOT rub the area aggressively or get a facial massage for at least 48 hours after your injections.

How much does a treatment cost?

The cost depends on the treatment area and how much of the injection is required. The cost is $8/unit. Sometimes there is an injection fee when botox is being used for medical applications.

What are common complications?

If injected properly, neuromodulator side effects should be minor. Some patients experience redness immediately after the injection, rarely is there any bruising. Those effects wear off quickly. This can be minimized by holding pressure over the areas injected if a bruise or immediate swelling occurs.  Some people have reported getting headaches following injections; this is a rare side-effect and usually resolves within 24hrs. Tylenol can be safety taken if a headache occurs.

You cannot eliminate all risks of any medical device or procedure, but the chance of you individually getting a serious side effect is exceedingly small.

However, potential neuromodulator complications may occur. Some rare side effects include temporary diffusion of the medication which can cause a drooping eyelid (ptosis), a crooked smile, crooked eyebrows, or similar complications. Each treatment plan is tailored to the individual. 

Pre & Post Instructions

Patient Pre and Post Instructions for botox and filler (pdf)