In aesthetics and beauty, neuromodulators like Botox®, Dysport®, Jeuveau®, and Xeomin®  are the cosmetic FDA approved forms of botulinum toxin. These neuromodulators, which are also known as wrinkle relaxers, work by preventing the release of the neurotransmitter acetylcholine. When this happens, the muscles injected in the face or neck relax and are no longer able to contract resulting in an improvement in the appearance of fine lines and wrinkles and can also prevent future wrinkles.


Wrinkle relaxers can also be injected to reduce excessive sweating, teeth grinding (bruxism) and is commonly used off label to slim the jaw in clients who have enlarged hypertrophied jaw muscles. 

Maximum results can take 7-14 days when using Neuromodulators. At times our clients might require a touch up on follow-up visits to achieve their desired results. The amount of toxin injected varies and males typically require more product but most clients average around 20-50 units per area.  

Serious risks include hypersensitivity reactions and distant spread of the toxin can happen but are uncommon. However, it should be noted that these events are extremely rare and no definitive serious adverse events from distant spread of toxin have ever been reported when using a reputable product at recommended doses. The most common adverse event is migration of the toxin into surrounding muscles, like the eyelids, causing a droopy eyelid or eyebrow. This has been reported in up to 3% of patients. It is a temporary effect, but distressing nonetheless. This is why I stress to anyone considering a cosmetic treatment, but especially Botox® , to go to an expert. Board Certified dermatologists and plastic surgeons like myself are trained to be proficient with these procedures to keep the risk of adverse events as low as possible. I perform hundreds of these injections each month, and have unfortunately seen many patients with unsatisfactory results from non-core specialty injectors. So, think twice before you let your (dental hygienist, dog groomer, landscaper…etc.) convince you to have Botox®. You wouldn’t want me to clean your teeth, would you?

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