Nuance Facial Plastics is proud to offer Jeuveau, the newest FDA approved injectable neuromodulator, in our practice.  It is very similar in structure and function to Botox, the most popular injectable to relax facial wrinkles and prevent facial aging.  The two have a very similar molecular structure, and are much more alike to each other than the other similar injectables, Dysport and Xeomin, which have a smaller molecular structure.


What Does This Mean?

Jeuveau gets similarly amazing results as its cousins that have been on the market in the United States, Botox, Dysport, and Xeomin.  In our practice, we use them all based on patient preference, as they are all based on the same strain of botulinum toxin with quite similar effects in most people.

What Does Jeuveau Treat?

Jeuveau works well treating the horizontal forehead furrows, frown lines (“the 11s” between the brows), and the crow’s feet at the corners of the eyes.  It also does a great job slimming the jawline when used in the massater muscles, and can be used anywhere that Botox, Dysport, and Xeomin can be used, as they are all similar products.

Is Jeuveau Better Than Botox?

It is hard to say which is better, as we do not believe that a single injectable is better than another for every patients.  There is no single “gold standard” injectable.  What we have found with our experience offering Botox, Dysport, and Xeomin at Nuance Facial Plastics is that some patients get better results with one product compared to another, and this difference is not one that we can quantify or explain.  That is why we offer all of them: to offer patients the most variety so that they have a choice in what product to use.  

Who is a Good Candidate for Jeuveau?

Jeuveau can be used on all skin types, making it a great treatment for people of all backgrounds.  It has a similar effect in everyone, as it is injected under the skin into the muscle, bypassing the skin and delivering its effect where the nerves signal muscles to contract.
Patients over 18 years old are candidates for Jeuveau, as we have younger patients get treated to prevent the formation of wrinkles, and older patients getting treated for wrinkles that already exist.  Starting treatment early and keeping up with them can effectively prevent the formation of facial wrinkles by weakening the muscles that cause them.

How Long Does Jeuveau Last?

The effects of a treatment depend on several factors, which are the strength of the muscle being treated, the amount product (measured by units) injected, and personal characteristics, as some patients treated with the same dose get a longer effect than others.  Typical results (using “typical doses”) range from 3 to 6 months of effect.

Does Jeuveau Last Longer Than Botox?

There have been no clinical studies comparing these two injectables head to head that conclude that either lasts longer.

Are The Effects of Jeuveau Reversible?

Jeuveau, like its cousins Botox, Dysport, and Xeomin, cannot be reversed with a medication.  However, the effects of all of them do resolve with time.  Given that the effects are not reversible with a medication, we prefer to start patients with a relatively lower dose at their first treatment, giving them an opportunity to have more added at a later date.  Once the ideal treatment for a first time patient is determined, then we can replicate this dose at their subsequent treatments.

How Long Does a Jeuveau Treatment Take?

A single treatment of Jeuveau, like the other injectables, takes as little as 5 minutes in a patient on a stable dose.  What takes more time than the actual treatment is the discussion about what the patient expectations are, and to determine what dose in which areas is right for that patient.

When Do I See the Effects of My Jeuveau Treatment?

You may begin to see effects as early as 24 hours after treatment, though there is still effect taking place up to 2 weeks after injection.

How Much Jeuveau Do You Inject?

Jeuveau is measured by “units”, and a typical treatment for a single area can range from 10-20 units, depending on the patient’s muscles and facial structure.  By measuring treatments by “units” rather than “areas”, we truly customize each treatment to each face, as one person may require 15 units, while another will take 35 units.  A typical treatment for all 3 areas of the face, the forehead furrows, the frown lines, and the crow’s feet is 50 units.

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1918 Randolph Road
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Charlotte, NC 28207
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