Purified botulinum neurotoxin is available in three preparations in the USA, as the brands Botox, Dysport, and Xeomin. These neuromodulators help to block the transmission of nerve impulses to muscles, with the first results seen within two days, and the maximum effect becoming apparent after 12 days. Each treatment can last for up to six months.

Many of the wrinkles and lines in the skin are due to muscle insertions into the skin, and temporarily weakening the muscles can treat those lines. If they are treated before they form an etched line in the skin, it can prevent this process. Existing lines, such as forehead furrows, can be improved by treatment.  The goal of treatment is to “smooth”, not “freeze”, the upper face, and leave enough activity to show emotion while easing muscle tone (and mass).

Common Areas to Treat with Botox, Dysport, and Xeomin
Treating frown lines, or “scowl lines”, or “11s”, with neurotoxins is fast, safe, and simple. As the action of these muscles is to lower the part of the eye brow that is closer to the midline, relaxing these muscles raises this part of the brow. Many patients feel “refreshed” after the muscles around their eyes relax and feel like a weight has been lifted off of their face. Another common area to treat are the horizontal forehead lines or furrows. These are caused by the action of the frontalis muscle on the skin, and selective paralysis of this muscle can prevent the furrows from pulling on the skin until it has permanent etching of lines into this skin.

Crow’s feet are the bunching of skin between the eyes and ears that get accentuated when you smile. The muscle responsible for the crow’s feet, the orbicularis oculi muscle, also depresses, or “pulls down”, the outer aspect of the eye brow. Selective treatment of this muscle can both smoothe out the crow’s feet, and can also raise the eye brows.

Advanced Uses of Botox, Xeomin and Dysport

Though the most common use of neurotoxins is in the upper 1/3rd of the face, the power to selectively paralyze facial muscles and block nerve impulses gives it many uses that are outside of the mainstream.

  • Botulinum toxin has been extensively studied and proven to be a great treatment for medically refractory migraines, or chronic migraine headaches.
  • The massater muscle is a very strong muscle that helps close your jaw when you bite. If you put your hands on the sidesof your face and bite forcefully, you will feel them contract. Treating these muscles can help slim your face from a front view, and also lessen symptoms of TMJ pain in people that suffer from it.
  • Hyperhydrosis, excessive sweating of the underarms, palms, or any other part of the body can be treated.
  • Vertical neck bands are caused by the platysma muscle, and selective paralysis of this can make them less prominent.
  • Some people have an overactive mentalis muscle in their chin. Look in the mirror and count to 10. If you have an “orange peel chin” look while you count, this can be treated.
  • The “gummy smile” that results from too much upper lip elevation with smiling can be made less “gummy”.
  • The depressor septi nasi muscle pulls the nasal tip down, and some people have an overactive nasal tip with too much vertical motion when they speak or chew.
  • “Bunny lines“, or diagonal nasal lines that some people have when they smile, can be treated
  • “Resting bitch face“, or a resting “angry” look, can sometimes be due to an overactive depressor angularis oris muscle that pulls the corners of the mouth down

Get Your Botox, Xeomin, and Dysport Treatments with Nuance Facial Plastics

There are providers of varying skill levels that perform neuromodulator treatments, and picking one with a surgical knowledge of the anatomy – one that has seen the muscles being injected – is to the patient’s advantage.  We typically use a lower dose to both save the patient financially as well as to not “over treat” the muscle and give a “frozen” look are both advantages of seeing a more trained and experienced injector.  For more information or to schedule a consultation, please reach out to Nuance Facial Plastics at (704) 593-6802.

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Phone: (704) 593-6802
Address: Nuance Facial Plastics, 309 S Sharon Amity Rd, Ste 202, Charlotte, NC 28211

Welcome to the Nuance Facial Plastics Blog!

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The Nuance Facial Plastics Blog is here to give you the most honest, up to date information from us to you, in our “sponsored by nobody” style.  Our discussions will include topics that interest our readers, with a focus on facial plastic surgery.  We will use this space to answer frequently asked questions and also discuss current trends, new products, and emergent technologies.  Information is widely available on the internet, but good information that is not marketing material in disguise is hard to find, and often times constitutes a majority of what patients read as their “research”.  The Nuance Facial Plastics Blog differs, as we are an independent practice that has no exclusive deals with any vendors, companies, or other entities that would influence the quality and honesty of the information we provide you.

Our First Series

One of the most common discussions that we have with patients are about the differences between products that we offer, as there is some overlap.  The single most common question we get asked is, “what is the difference between Botox and Dysport?”.  Our first three-part series will explore the differences between the three neuromodulators currently available in the USA, Botox, Dysport, and Xeomin.  Several topics, such as differences in the strength, longevity, or “spread” between the products will be discussed.  Despite being broken into a three-part series, there is quite a lot of information, as the information from these posts are rooted in science, and the claims are supported by multiple articles published in high quality, peer-reviewed medical literature.  

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However you found us, whether you are a current patient of ours, a potential patient, or if you just came across our page while searching for high quality information, we want you to know the you can help us grow.  From submitting questions for discussion, contributing an outside view point, or sharing an experience, our readers are invited to engage in helping improve and grow the Nuance Facial Plastics Blog.  Email if you are interested!