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    Botox® is a household word and has been available for over 20 years, with an excellent safety profile.

    As we age we develop two different kinds of facial wrinkles or folds, dynamic and static. Dynamic wrinkles occur when one uses their facial muscles in expression unlike static wrinkles that are present even at rest.

    Botox® Cosmetic, Dysport® and Xeomin® (otherwise referred to as neuromodulators) work on muscles that create dynamic wrinkles, while fillers work best for deep folds and static wrinkles. Neuromodulators work to reduce the muscle action that is creating the line. Botox® Cosmetic has been used safely for over 20 years and is a purified protein that acts locally on the muscle into which it is injected. It takes about 15 minutes for a treatment, has no down time and starts to work in 4-10 days. Full results typically last 3-4 months at the beginning and last longer once you have been doing the treatment for a while. The two most common areas treated are the glabella (frown lines between the eyebrows that look like the number 11 and make you look angry) and crow’s feet (radial lines coming out from the side of the eyes).

    One of the things that’s great about neuromodulator treatment in the frown lines is that it allows the frontal/forehead muscle to act unopposed (like weakening one side in a tug-of-war) and raise the eyebrow (like a non-surgical brow lift). If you try to reduce the horizontal forehead lines too much, you won’t get as much lift of the eyebrow. Most patients prefer the brow lift over the elimination of the horizontal frontal lines. Unfortunately, you can’t have it both ways; you can’t eliminate the horizontal lines and get a lift at the same time. Some patients will choose to soften deep horizontal lines over getting a brow lift. The best choice is determined during your consultation. Often clients will treat the glabella first, wait two weeks and decide if the they still want the horizontal lines treated or if they prefer the brow lift.

    In general, neuromodulators are a very safe treatment with minimal side effects. Most concerns about treatment arise from using too much or an inexperienced injector

    We all have our own philosophy on aging and cosmetic procedures. At DM Cosmetic and Wellness Centre, we prefer a natural appearance as opposed to trying to look younger. When you combine neuromodulator treatment with fillers and professional cosmeceuticals or rejuvenative procedures such as Fraxel or Fractora, you can look natural, refreshed and more youthful.