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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Nuance Facial Plastics
309 South Sharon Amity Rd.
Suite 202
Charlotte, NC 28211

“I recently had 3 procedures done and am extremely happy. He was gentle caring and i had his total attention. I look great and I feel great. I will certainly be returning for any other procedures.”

“I’ve known Dr. Kundaria for a couple of years, both as a patient and as a coworker. He is a skillful and caring surgeon that listens to his patients and delivers fantastic results. I’ve recommended him to friends/family and they have been equally impressed.”

“I just had Botox today and lip fillers done. As painless as possible and I will definitely be back!!”

“Top notch facility. Relaxing and not overwhelming. Staff is very friendly and knowledgeable. “

“I had erbium laser resurfacing done by Dr. Kundaria five days ago and I am amazed by how quickly I am healing. The whole experience has been amazing! Dr. Kundaria has an excellent bedside manner, extremely attentive to my questions and any concerns I might have. He even called several times after the procedure to check on me at home. I feel very confident in any procedure he performs on me and would recommend him to everyone!!!”

“I had such an amazing experience with Dr. Kundaria!! Him and his staff were so incredibly helpful and made me feel so comfortable from the minute I walked in. I told him what my area of concern was and we made a plan based on my condition and concerns with keeping in mind my price point. He really cares and wants the patient to walk out with the best result possible. I can’t wait to see my final result after my series of laser treatments.”

“A wonderful find. Dr. Kundaria has a top notch, professional approach. There is no pressure or excess. Cindy Roberts did my laser hair removal and she, along with Noelle, answered every question and set my mind at ease explaining everything in detail. The office is clean and simply yet professional and comforting. I highly recommend Nuance and their staff. I am actually looking forward to my next treatment and future procedures.”

“I went for a consultation with Dr. Kundaria. After some significant time, he recommended an upper blepharoplasty. I had my procedure done a few weeks ago, and I am so pleased with everything. I look and feel like a million bucks. He called me the night of my procedure. He checked up on me during the long weekend. I didn’t have any pain, and the results are phenomenal. I highly recommend him to anyone. He is just awesome.”

“I recently went to Nuance Facial Plastics where I met Dr Kundaria. I met with him one on one and he took the time with me to answer all my questions and concerns. My initial thought was for me to come back and get my treatments but he took me right away to start the process. Everything he told me that would happen, did. He is very knowledgeable with all the procedures and was very thorough during the procedure. I’m excited for my next visit and I will not go to anyone else. Best doctor I have ever interacted with.”

“I initially visited Dr. Kundaria for a consultation. Dr. Kundaria answered all my questions thoroughly and took the time to explain treatments and procedures. After a thoughtful recommendation, I decided on Dysport and a facial laser treatment that day (my first experience with both treatments). Very happy with the results! I will definitely be returning and highly recommended Nuance Facial Plastics!”