BOTOX AND DYSPORT
Botox, Dysport, Xeomen, and Jeveau are all different brands of a class of medication known as neuromodulators. These medications are injected in microdoses into muscles to cause relaxation. This results in softening of wrinkles in the.
Common areas where these medications are injected are
- crow’s feet at the corners of eyes
- frown lines at the root of the nose between the eyes (elevens)
- the forehead to address horizontal furrows and lines.
In addition, neuromodulators are used to sculpt the masseter muscles to narrow a wide lower face, and can provide a more defined neckline by relaxing the downward pull of muscles in the neck. Mouth position, chin dimpling, gummy smiles, and nasal flaring can also be targeted.
For adults with acne outbreaks on the forehead, neuromodulators can be used to decrease sweat and oil production and help clear the skin of active acne outbreaks.
As an expert facial surgeon and specialist, Dr. Brace has intimate knowledge of the muscular anatomy of the face. Dr. Brace does not use a standard injection pattern. Each face is meticulously examined and appropriate muscles are treated. Dr. Brace has developed a unique and unconventional injection technique that consistently and reliably creates softened lines while retaining expressive movement in the face. If you have considered neuromodulator treatments like Botox but have been fearful of looking unnatural, Dr. Brace can help you achieve the best and most natural result for your face.
In addition to cosmetic applications, neuromodulators are powerful for treating some types of migraine headaches, TMJ pain, tooth grinding (bruxism), and facial spasms. They can also be used to treat complications after Bell’s palsy, facial paralysis, and brain surgery. There are a multitude of cosmetic and medical applications of these drugs and Dr. Brace is well-versed in each.
While most people seeking neuromodulator treatment wish to correct existing lines and wrinkles, more and more young men and women in their 20s and 30s are using these medications as a preventative strategy to avoid the formation of deep lines. If there is a family history of bothersome facial wrinkles, the formation of these lines is avoidable with proactive treatment.
Who is a candidate for treatment with neuromodulators?
Any adult man or woman with the following concerns is a candidate for neuromodulator treatment:
- Muscle spasms around the eye
- Facial and neck spasms
- Migraine headaches uncontrolled by conventional medication
- Bruxism/tooth grinding
- TMJ pain and dysfunction
- Asymmetric lower lip smile
Reasons you should avoid treatment with a neuromodulator:
- Allergic to the medication
- Pregnant or trying to become pregnant
- Neuromuscular disorder
- Active infection in the skin
- Jehovah’s Witness or otherwise opposed to administration of human blood product (there is human albumin in these products)
- Wrinkles of the brow
- Crow’s feet/laugh lines outside the eyes
- Wrinkles between the eyes at the root of the nose
- Drooping eyebrows
- Excess nasal flaring
- Gummy smiles
- Thin upper lip
- Upper lip lines
- Downturned corners of the mouth
- Wide or square jaw
- Banding in the neck
- Early minor jawline jowling
- Chin dimpling
- Forehead active acne
- Forehead sweating
NEUROMODULATOR TREATMENT WITH DR. BRACE
After consultation and facial assessment with Dr. Brace, if you are a good candidate for treatment with a neuromodulator, Dr. Brace with take photos for documentation. The procedure is then explained with all risks including bruising or need for touch up treatment 2 weeks after the initial injection.
There are no permanent risks with neuromodulators as the effect lasts for 12 weeks on average before wearing off. This makes it one of the safest treatments and medications in all of medicine.
Dr. Brace will then have you lie back in a comfortable procedure chair and cleanse the skin in the treatment area with an antimicrobial wash. Dr. Brace will then have you make a series of facial expressions to map the muscles in your face that he will be treating and he will mark these areas for injection. He will then calculate a dose required to achieve the desired effect in most people.
Dr. Brace uses the minimal effective dose to retain natural movement and for this reason, will sometimes need to add to the treatment dose 2-weeks post procedure.
A tiny needle is then used to deliver the neuromodular medication to the muscles being targeted. Usually a series of injections is required and this will take 1-2 minutes to complete. The needles are relatively painless.
Once the injections are complete gentle pressure is applied to any area of minor bleeding and ice packs are provided. The injection sites will look like mosquito bites and will resolve within the hour.
You will not see any results until about the 4th day at the earliest. Some products have a faster onset than others. It can sometimes take up to 10 days to notice the full effect. In general, by the 2-week mark, all products will be at full effect and the results can be evaluated. Before the product is at full effect, it may affect different muscles at different rates and create minor and temporary asymmetries in facial movement.
Dr. Brace’s office will contact you at the 2-week point to check-in and ensure you are happy with the result. If you feel there is too much movement, Dr. Brace will adjust your dose and touch up the areas of concern.
690 Woolwich St. #2
Guelph, Ontario, N1H 3Z1