Neuomodulators (Botox, Xeomin, Dyport)

Norman J. Pastorek, MD, PC, FACS -  - Facial Plastic Surgeon

Norman J. Pastorek, MD, PC, FACS

Facial Plastic Surgeons located in New York, NY & Madison, CT

Neuromodulators, including Botox, Xeomin and Dysport have revolutionized the field of medical aesthetics. These non-invasive treatments offer a safe and effective way to temporarily relax facial muscles, reducing the appearance of wrinkles and fine lines. Read on to discover the transformative benefits of neuromodulators and how they can help you achieve a more youthful, refreshed appearance.

Botox Q & A

What are neuromodulators (Botox, Xeomin, Dysport)?

Neuromodulators are a class of injectable substances used in medical aesthetics to temporarily relax and inhibit the movement of specific muscles in the face. They work by blocking the nerve signals that cause muscle contractions, which leads to a reduction in the appearance of wrinkles and fine lines. The most well-known neuromodulator is Botox, but there are other options such as Dysport and Xeomin.


What are the key features of neuromodulators?

  1. Precision in Wrinkle Reduction:

    • Neuromodulators work by inhibiting muscle contractions in specific areas of the face, smoothing out dynamic wrinkles caused by repeated facial expressions.
  2. Safety and Proven Track Record:

    • Botox, Dysport, and Xeomin are FDA-approved neuromodulators with a long history of safety and effectiveness in the field of medical aesthetics.
  3. Minimally Invasive:

    • Neuromodulator treatments involve precise injections, requiring minimal downtime. Patients can typically return to their regular activities shortly after the procedure.
  4. Natural-Looking Results:

    • Neuromodulators provide subtle, natural-looking enhancements that do not compromise facial expressions or convey an overdone appearance.
  5. Versatile Applications:

    • Neuromodulators are highly versatile and can be used to address a range of aesthetic concerns, including forehead lines, crow's feet, frown lines, and more.
  6. Preventative Benefits:

    • Early use of neuromodulators can help prevent the formation of deep-set wrinkles, making them an excellent option for those interested in proactive anti-aging measures.
  7. Customized Treatment Plans:

    • Experienced providers tailor neuromodulator treatments to the unique facial anatomy and aesthetic goals of each individual, ensuring optimal results.
  8. Long-Lasting Effects:

    • The effects of neuromodulators typically last for several months, providing patients with enduring benefits and the option for maintenance treatments.
  9. Non-Permanent, Reversible Results:

    • The effects of neuromodulators gradually wear off, allowing for adjustments or cessation of treatment if desired.


What is the difference between Botox, Xeomin, and Dysport?

Botox, Dysport, and Xeomin are all neuromodulators, meaning they are injectable substances containing botulinum toxin type A. All three products are FDA-approved and have a long history of safety and efficacy in the field of medical aesthetics. They are all used to treat dynamic wrinkles, such as crow's feet, frown lines, and forehead lines.


How long do the benefits of Botox, Xeomin, and Dysport last?

individual responses to neuromodulators can vary. Factors such as the dosage administered, the area treated, the strength of the muscles being targeted, and the patient's unique physiology can all influence the longevity of results. Typically, results last between 3-4 months.

Additionally, consistent maintenance treatments can help prolong the benefits of neuromodulators. Some individuals find that with regular treatments over time, they may require fewer units of the neuromodulator to achieve the same desired effect.


What to expect at your appointment for Botox, Xeomin, and/or Dysport?

At a neuromodulator appointment, you can expect a thorough and professional experience tailored to your specific needs and concerns. Here's a step-by-step overview of what you can anticipate:

  1. Consultation and Assessment:

    • A consultation with a qualified team member will discuss your aesthetic goals, medical history, and any specific concerns you have regarding facial wrinkles or lines.
  2. Treatment Plan Discussion:

    • Based on your goals and assessment, we will discuss the recommended treatment plan. This includes dosage and the areas to be treated.
  3. Informed Consent:

    • Before the procedure, you will be provided with information about the treatment, including potential risks and benefits. You'll have the opportunity to ask any questions and provide your informed consent.
  4. Preparation:

    • If necessary, the area to be treated may be cleansed, and a topical anesthetic or numbing cream may be applied to minimize discomfort during the injections.
  5. Injection Process:

    • We will administer the neuromodulator using a very fine needle to maximize comfort. We will use a vibration and chiller device that minimizes discomfort. We will make precise injections in the predetermined areas. The number of injections will depend on the treatment plan.
  6. Monitoring and Adjustments:

    • Throughout the procedure, we will assess the progress and make any necessary adjustments to ensure symmetry and balance.
  7. Post-Procedure Care:

    • After the injections, the treated area may be gently massaged to ensure even distribution of the neuromodulator. We will provide homeopathic remedies to reduce swelling and minimize bruising.
  8. Recovery and Downtime:

    • Most neuromodulator procedures have minimal downtime. You can usually resume normal activities shortly after the treatment. However, it's recommended to avoid strenuous exercise, excessive sun exposure, and alcohol consmption for the first 24-48 hours.
  9. Follow-Up Appointment:

    • Depending on the type of neuromodulator used,  a follow-up appointment may be suggested to monitor the results and make any necessary touch-ups.
  10. Results:

    • The effects of neuromodulators are often visible 3 to 7 days post-treatment. 

How can I be sure I won’t look unnatural?

Neuromodulators (Botox, Xeomin, Dysport), are technique-sensitive treatments. When you see individuals with shiny foreheads, arched eyebrows, or frozen faces, it is because the amount and placement of these substances were not ideally planned. An injector needs to possess an artistic eye, as well as, have medical expertise to deliver consistently beautiful results.


Why choose Botox, Xeomin, and/or Dysport?

Botox, Xeomin, and Dysport are all esteemed options for non-surgical wrinkle reduction, each offering unique benefits. This treatment can be tailored to your specific needs, ensuring a rejuvenated, refreshed appearance that aligns with your aesthetic aspirations. Experience the transformative power of neuromodulators and unlock a more youthful you.