Neuromodulators (Botox TM)

Neuromodulators, such as BotoxTM, work by temporarily paralyzing the muscles of the face that cause bothersome wrinkles.  The most common areas treated are the glabella (“11’s”/frown lines), forehead, and around the eyes (crow’s feet).   Various other areas can be treated as well.

BotoxTM takes about a week for effects to be seen, and lasts anywhere from 3-6 months  Over time, patients often report needing fewer treatments.  Although no long term data exists, those who get botox BEFORE the onset of wrinkles tend to look much younger over time and prevent many of the signs of aging.  That’s why we recommend initiating treatment at the first signs of stagnant wrinkles (wrinkles at rest).  However, if you do already have wrinkles, there’s no reason to despair.  It simply may take a few rounds of treatment for already present wrinkles to fully dissipate.

Side effects from neuromodulators are either from the trauma of injection (mild pain, bruising, headache), or spread of toxin in the unwanted area from improper injection (eyelid drooping).  Let your doctor know if you have any chronic diseases, especially a neuromuscular disorder (myasthenia gravis).  These treatments are very safe and are often the easiest step to a more youthful appearance.

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