Botox, Xeomin, Jeuveau & Dysport

Real, noticeable results!

When you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead.

These lines can make you look older, sad, angry or tired.

Botox, Xeomin, Jeuveau & Dysport are injectable neuromodulators that inhibit muscle activity that leads to moderate to severe lines and wrinkles. Injectable neuromodulators eliminate facial lines and wrinkles for up to 3-6 months with no downtime or surgery and little to no discomfort.

Frequently Asked Questions:

Botox, Xeomin, Jeuveau & Dysport are injectable neuromodulators made of Botulinum Toxin Type A, a purified toxin derived from the bacterium Clostidium botulinum. The toxin blocks the nerve impulses to muscles and sweat glands.

Injectable neuromodulators improve the appearance of wrinkles that are caused by contraction of the underlying muscles. It does not help wrinkles associated with sun damage or age-related sagging of skin.

The actual treatment takes only a few minutes, and begins to take effect in two to three days. Maximal weakness occurs at one to two weeks.

After two to five months the effects of treatment will usually fade as the muscles regain their strength. Neuromodulators cause a temporary, not permanent, muscle weakness.

The best results are achieved when treatments are given every three months for the first year, so that the muscles will not return to their full strength between treatments. After the muscles have withered over the first year, treatments may be spaced further apart, usually every six months, based on the return of muscle strength/movement.

Closely spaced treatments increase the possibility of developing neutralizing antibodies. For this reason, treatments should be performed no earlier than 3 months after the previous treatment.

No. Some patients do not get the desired effect from injectable neuromodulators. A lack of benefit may occur when wrinkles are due to “sleep creases,” sun damage, or other factors unrelated to muscle movement. If patients develop neutralizing antibodies to neuromodulators , subsequent treatments are not as effective. There are rare patients in whom neuromodulators  simply fail to “take.”

Some patients require more than the usual amount. A dose-adjustment may be given two weeks after the initial treatment (for an additional cost).

This treatment should not be used in patients with muscular or neurological diseases, pregnant women, breastfeeding women, patients with an allergy to human albumin, patients taking aminoglycoside antibiotics (gentamycin, tobramycin, amikacin, netilmicin) or drugs that interfere with neuromuscular transmission.

There will be a slight discomfort when the needle enters the skin, and a small chance of a bruise at the site of the injection, especially if patients are on aspirin, ibuprofen, or other medications that increase bleeding.

Approximately 2-3% of patients may develop a ptosis (slight lowering) of one eyelid. This side effect is temporary, may not even be noticeable, but may be improved with a medicated eye drop.

Pre-/Post-Instructions for Injectable Neuromodulator Treatment

Before Procedure

  1. Avoid the following 2 weeks prior to your treatment as they can cause thinning of your blood and increase your chances of bruising:
    •  NSAIDS/Pain Relievers (such as ibuprofen, naproxen, etc), Prednisone, Aspirin, Coumadin or any other blood thinners
    • Supplements such as fish oil, vitamin E, garlic, ginko, glucosamine and St. John’s Wort

    However, if these medications were prescribed by a doctor, DO NOT stop your medication without permission from that health care provider.

  2. Avoid alcohol 48 hours prior to your appointment because it can thin your blood and possibly make bruising worse.
  3. Please tell your physician if you have :
    • Any neuromuscular diseases (such as myasthenia gravis)
    • Been taking any antibiotics
    • Become pregnant or if you are breastfeeding
    • An allergy to human albumin

Day of Procedure

  • Headaches are the “sine qua non” of injectable neuromodulator  therapy, indicating that the toxin is working. After the procedure, it is not uncommon to experience a “headache” sensation, which usually subsides a few hours after the procedure.
  • Keep your head elevated for 6 hours after the procedure to prevent the toxin from migrating.
  • You should try to “exercise” the areas that were injected by frowning and smiling for 2 hours after the procedure.
  • You should see the effects of the injections within 1-2 weeks.
  • Do not massage the area injected.

*Call the office if you have any questions or concerns regarding the Pre-/Post-Care Instructions listed above.

If you have any questions please contact our staff at 985-727-7701.

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Martha E. Stewart, MD LLC Dermatology

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