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Cosmetic Dermatology

Neuromodulators

What is a neuromodulator (Botox, Dysport, Xeomin, Jeaveau)?

Neuromodulators, such as Botox, Dysport, and Xeomin, are injectable treatments using purified botulinum toxin type A proteins to reduce the appearance of wrinkles and fine lines by temporarily relaxing facial muscles. These cosmetic procedures are among the most popular non-surgical treatments provided by cosmetic dermatologist Dr. Thomas Knackstedt and also worldwide, offering patients a safe and effective way to achieve a more youthful and rejuvenated appearance. Patients typically see noticeable results within a few days to a week after treatment, with full effects becoming apparent within two weeks. At this time patients notice softening of their wrinkles, and feel they look more relaxed or rested. Results can last for three to six months, depending on the specific neuromodulator used and individual factors such as metabolism and muscle activity.

Neuromodulator injections boast an excellent safety profile backed by extensive clinical research and decades of successful use in cosmetic dermatology. One of the primary reasons for the exceptional safety profile of neuromodulator injections is the targeted mechanism of action. These injections work by temporarily blocking nerve signals to specific facial muscles, preventing them from contracting and causing wrinkles to form or become visible.

Neuromodulators offer several benefits for patients seeking to reduce the signs of aging and improve their overall appearance. Neuromodulators can also be used preventatively to slow down the formation of new wrinkles and prevent existing wrinkles from becoming more prominent over time. They are most commonly used for wrinkle reduction treatment of the following dynamic areas:

  • Glabella: The wrinkles between the eyebrows, also known as the “11’s”
  • Frontalis: The horizontal wrinkles of the upper forehead
  • Crow’s feet: The wrinkles around the eyes

Neuromodulators can also be used to treat the following:

  • The central face: wrinkles of the nose, around the mouth, and for a gummy smile, defined as increased visibility of gums when smiling
  • The lower face: pebbly appearance of the chin, down-turning mouth corners, wrinkles and bands of the neck, and enlarged masseters that cause a wide or square jawline
  • Hyperhidrosis: increased sweating of the underarms and palms

The microneedling procedure typically involves the following steps:

  • Consultation: During an initial consultation, board-certified dermatologist Dr. Thomas Knackstedt will review your skin concerns, medical history, and skincare routine to determine if neuromodulator injections are a suitable treatment.
  • Preparation: The skin is cleansed and target areas are identified with the patient.
  • Injection: Small amounts of the neuromodulator are injected into the target areas with small needles. This process is near painless.
  • Post-Treatment Care: After your visit, the skin may appear slightly red or slightly swollen. Rarely, a bruise can form at the injection site(s). Occasionally, patients have a mild headache on the day of treatment – especially if it is their first treatment. Patients are advised to avoid vigorous exercise for a day following the procedure.

If you’re considering neuromodulators like Botox to improve the appearance of fine lines and wrinkles on your skin, we invite you to schedule a consultation. A thorough understanding of facial anatomy and musculature is necessary to inject neuromodulators correctly and minimize risks. We are here for you and your skin. Board-certified and fellowship trained dermatologist Dr. Thomas Knackstedt and the team at Apex Skin Center in Fuquay-Varina look forward to serving you. Contact Apex Skin Center to schedule a consultation or book your visit online in a few easy steps.

At a Glance

Dr. Thomas Knackstedt

  • Double board certified in dermatology and Mohs Surgery
  • Over ten years of experience providing evidence-based care
  • Nationally renowned physician leader with numerous publications, lectures, and academic affiliations
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