Neurotoxins are popular in cosmetic dermatology for their ability to relax facial muscles, reduce wrinkles and rejuvenate the appearance.
Neurotoxins are popular in cosmetic dermatology for their ability to relax facial muscles, reduce wrinkles and rejuvenate the appearance.
Neurotoxins offer a smoother and more balanced facial appearance by addressing dynamic wrinkles without the need for invasive procedures. They provide patients with a refreshed and youthful look, enhancing their confidence and self-esteem.
These treatments temporarily paralyze targeted muscles by injecting specified units of neurotoxin, effectively reducing dynamic (movement) wrinkles caused by repetitive muscle movements.
Unlike dermal fillers, neuromodulators don’t fill wrinkles from beneath. Wrinkles that are at rest without movement involved may soften over time but they often will require additional treatment to improve.
How is the dosing of neuromodulator determined?
Botox is one of the approved neuromodulators by the FDA for the treatment of the frontalis (forehead), glabella (frown lines), and orbicularis oculi (crows feet) muscles, with additional off-label applications. The FDA-recommended dose for these areas is a total of 64 units, although a trained provider may suggest a personalized dose based on individual concerns, anatomy, and muscle movement.
The FDA-recommended dosing of Botox is as follows:
The specific dose prescribed will depend on the strength and size of the targeted muscle, as determined during a thorough assessment conducted during the consultation.
Proper dosing is crucial as inadequate low dosing may lead to premature wearing off of the neurotoxin, resulting in unsatisfactory results and potentially higher overall costs.
Most neuromodulators last typically 3-4 months in FDA-approved areas. If muscle movement returns to baseline before this timeframe, it may indicate a need for an increased dose.
Common treatment areas with average amount of units (u) used:
There are many other uses and areas treated with neurotoxin. See Tox treatment for more areas.
For first-time Botox users, a follow-up appointment after two weeks is recommended to evaluate muscle movement and make any necessary adjustments. Maintaining a consistent 3-4 month treatment schedule is essential for long-term results
Following treatment, patients should avoid rubbing or massaging the treated areas for 24 hours. Strenuous exercise and excessive heat exposure should also be avoided on the day of treatment.
