Wrinkle Relaxers (neuromodulators)

On the market for over 25 years, neuromodulators (botulinumtoxin A) (i.e., Botox, Dysport, Nuceiva, etc.) are wrinkle relaxing treatments used in the cosmetic world today for their anti-aging effects. These medications are clinically used as intramuscular injections that relax overactive muscles to improve the appearance of moderate to severe wrinkle lines associated with muscle activity in the adult population. There are also numerous medical treatments provided using neuromodulators. When used appropriately and in the hands of an experienced practitioner, complications and side effects are extremely rare. Neuromodulators are not for everyone and a thorough assessment is required by a health care provider prior to receiving treatment.

How Do Neuromodulators Work?

Neuromodulators work by blocking nerve activity in the muscles causing a temporary reduction in muscle activity. This causes weakness or paralysis in certain muscles of the face. The result is a temporary improvement in the appearance of moderate to severe wrinkles. As these muscles relax, the skin will not crease with movement normally caused by muscle contractions. Treatment with neuromodulators can cause facial expression lines or wrinkles to become significantly improved or disappear completely. The muscles will recover after a period of months and more treatment will be required at that time if you wish to maintain the desired effect.

Medical concept of brain scan images on tablet
Senior woman using anti wrinkle cream in the bathroom

What Can Neuromodulators Treat?

Neuromodulators can be used for the following:
  • Wrinkles between the eyebrows (commonly known as the frown lines, or 11’s)
  • Eyebrow lift (lift the whole eyebrow, or the tip of the eyebrow)
  • Horizontal wrinkles on the forehead 
  • Wrinkles around the eyes (crow’s feet)
  • Bunny lines
  • Downturned corners of the mouth
  • Gummy smile (excessive gum showing when smiling)
  • Chin dimpling (when speaking or at rest)
  • Jawline and facial slimming (slim the lower part of the face)
  • Lines above the lips (“smoker’s lines,” or barcode lines
  • Lip flip (lip eversion)
  • Hyperhidrosis (excessive sweating) of the underarms, hands, feet or face
  • Temporomandibular joint disorder (TMJ) / bruxism / excessive teeth grinding / jaw tension
  • Headaches and migraines

How Much Do Neuromodulators Cost?

Neuromodulators are priced per unit. The number of units required depends upon several factors, including but not limited to: age, sex, muscle strength, depth of lines, patient goals and history of previous treatments. The number of units received will have an impact both on the result achieved as well as the duration of effect. Fewer units may not adequately relax the muscles and therefore may not soften the lines, resulting in a poor outcome. Similarly, fewer units may not provide the desired length of effect. At Royal Treatment, we believe it is important to work with you and your budget to develop a customized treatment plan that will provide you with amazing results.

Health care costs
Teenage couple

What Is "Baby Botox"?

“Baby Botox” (or Dysport, or any of the neuromodulators on the market) is a term used to describe a smaller quantity of product being used, i.e. fewer units used to treat a certain area. “Baby Botox” may be appropriate for younger patients with no visible wrinkles who are looking for a more preventative approach to aging. Due to the reduced dose, this also often affects the duration of the result achieved. Generally speaking, the majority of patients using neuromodulators require stronger dosing, more consistent with the established dosing guidelines and recommendations. The dosing required to improve your condition will be discussed with you during your complimentary consultation.

Does This Treatment Hurt?

Neuromodulator treatments are generally very well tolerated. A small needle is used to inject the product into the muscle through the skin. The procedure itself takes only a few minutes. Patients describe the feeling as a tiny “pinch.” Of course, everyone’s experience is different. Please notify your injector if you have experienced any issues with needles in the past, or have an unusually low pain tolerance.

young Asian woman making cosmetology treatment skin injection, Mesotherapy of face beauty care

How Long Do Results Last?

Results from neuromodulators can last up to about 4 months according to various clinical trials and scientific data available. However, the duration of effect of the treatment varies considerably and depends upon several factors, including the number of units used, the age and sex of the patient, history of previous treatments, strength of muscles, etc. Everyone is different and the length of time your results will last is never guaranteed. Despite the muscles returning back to full strength after a period of time, patients may enjoy continued softening of wrinkles for a bit longer. Patients should not receive treatment more frequently than every three months.