Injectables
Neuromodulators
Relax targeted muscles to soften expression lines.
At a glance
- Session
- 15–30 min
- Recovery
- Minimal; possible bruising for a few days
- Results
- 2–7 days; full effect around 14 days
- Sessions
- Every 3–4 months
Treatment duration, downtime, visible results and recommended sessions are approximate and vary from person to person. Your provider confirms them at your consultation.
What it is
Neuromodulators are injectables that temporarily reduce the activity of targeted muscles. When those muscles contract less, the expression lines they create can look softer. We offer Botox®, Dysport®, Xeomin® and Jeuveau®.
They're used most often for forehead lines, frown lines between the brows and crow's feet, and in other areas where muscle movement contributes to wrinkles. Dosing is tailored to how your face moves, so you keep a natural expression.
Concerns it treats
- Forehead lines
- Frown lines
- Crow's feet
- Expression lines
- Gummy smile
- Excessive sweating
Treatment areas
- Forehead
- Between the brows
- Around the eyes
- Corners of the mouth
- Chin
- Jaw
- Neck
- Underarms
- Palms
Products we use
Botox®
Effects typically start in 3–5 days, with the full result assessed at about 14 days.
Dysport®
Effects typically start in 2–3 days, with the full result assessed at about 14 days.
Xeomin®
Effects typically start in 3–5 days, with the full result assessed at about 14 days.
Jeuveau®
Effects typically start in 2–3 days, with the full result assessed at about 14 days.
Who it may suit
- Adults with forehead lines, frown lines or crow's feet
- People who want softer expression lines without looking "done"
- Some people with a gummy smile or excessive sweating, after an assessment
Why patients choose it
- Can soften forehead lines, frown lines and crow's feet
- Tailored to your facial movement and anatomy
- Aims to keep a natural, refreshed expression
- Quick and minimally invasive, with no surgery
- Can be part of a broader plan, alongside fillers
What to consider
- Results are temporary, so maintenance treatments are needed
- The effect isn't immediate and builds over several days
- Redness, swelling, bruising or tenderness can occur where you're injected
- Temporary asymmetry, headaches or, rarely, other complications can occur
- They don't restore lost volume; a consultation decides what suits you
- Occasionally, temporary eyelid or eyebrow drooping can occur
Before your visit
- For about 24 hours before, avoid alcohol
- Ask us before pausing supplements that can increase bruising, such as fish oil, vitamin E or ginkgo; don't stop aspirin or prescribed medications unless your prescribing doctor says so
- Skip waxing, exfoliation or aggressive facials on the areas to be treated if your skin is irritated
- Tell us about recent injections, your medications and any past reaction to a neuromodulator
- Let us know if you're pregnant or breastfeeding, have a neuromuscular disorder, or have trouble swallowing or breathing
- Arrive with clean skin and minimal makeup, and reschedule if you have an infection or irritation in the area
After your treatment
- You can return to most daily activities right away
- First 4 hours: don't rub or press on the treated areas; staying upright is a common precaution
- First 24 hours: avoid facial massage, strenuous exercise, heat and alcohol as a precaution
- First 24–48 hours: use gentle skin care, with no aggressive exfoliation or pressure on injection sites
- After 10–14 days: come to your follow-up so we can check symmetry and adjust if needed
- Seek medical attention right away for trouble breathing, swallowing or speaking, or widespread muscle weakness
Your provider will give you instructions for your own treatment plan.
Before and after
Mia Piel patients
Before and after: Mia Piel patients:1of5
Results vary. Individual results may differ.
Frequently asked questions
How do neuromodulators work?
They temporarily reduce communication between nerves and targeted muscles. With less contraction, certain expression lines look softer.
Are neuromodulators the same as fillers?
No. Neuromodulators reduce muscle activity, while dermal fillers mainly add volume or restore structure. They address different signs of aging and are sometimes combined.
When will I see results, and how long do they last?
Results build over a few days: often 2–3 days with Dysport® or Jeuveau®, and 3–5 days with Botox® or Xeomin®. We assess the full effect at about 14 days. Most patients enjoy results for about three to four months, although timing varies by person, area and dose.
Will my face look frozen?
Treatment is customized to your facial movement and goals. The aim is to soften targeted lines while keeping a natural expression.
Are all neuromodulators the same?
No. Each product has its own formulation and dosing. Your provider will recommend the one that fits your needs.
Is the treatment painful?
A very small needle is used. Most people feel a brief pinch or mild discomfort.
Can neuromodulators lift the eyebrows?
In selected patients, careful placement can subtly change how the brows look. It depends on your anatomy and muscle activity.
Can they treat excessive sweating?
Yes. In suitable patients, we treat excessive sweating of the underarms and the palms. Your provider decides whether it's right for you after an assessment.
When should I book my next appointment?
Maintenance is usually planned every three to four months, depending on your response. Treatments generally shouldn't be repeated more often than every three months unless the product labeling and your provider's judgment support it.
Who shouldn't receive neuromodulators?
Certain medical conditions, allergies, medications, pregnancy, infections or neuromuscular conditions can affect eligibility. Your provider will review your medical history before treatment.
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