botox patient


Getting older has its perks, but no one wants to look older than they are or than they feel. Wrinkles and fine lines that arise from muscle movement are among the first visible signs of aging. Over years of repeating the same facial expressions, they can become exaggerated, making you appear more angry, worried or tired than you actually are. We can help to smooth those expression lines by addressing the root of the problem.

Botox and other wrinkle-relaxing injectables are effective, convenient and long-lasting solutions to combat the early signs of aging. These treatments provide rapid results with only a few comfortable, carefully placed injections and no downtime. With periodic touch-ups, you can enjoy a rejuvenated look for years without ever having surgery. If you’re interested in learning more about Botox and similar injectables available at Aesthetic Envy, please call us 916-579-6133 at or visit our contact page to book your complimentary consultation.

What Are Neuromodulators?

Neuromodulators are injectables designed to treat lines associated with muscle movement. Years of making the same facial expressions — such as smiling, squinting or raising your eyebrows — can form wrinkles that continue to deepen over time. With overuse, your facial muscles can stay tense and leave a worried, angry or stressed look on your face even when you’re in a good mood. Neuromodulators use different forms of botulinum toxin to temporarily inhibit muscle contractions to relax and smooth the appearance of expression lines. Since the 1980s, millions of these injections have been performed safely and effectively.

How Do Neuromodulators Work?

Neuromodulators are formulated with types of botulinum toxin type A, a purified medication that’s derived from bacteria. A minute amount of the product is injected directly into a muscle to block the transmission of nerve signals. If the nerve signals cannot reach the muscle, the muscle never receives the message to contract, resulting in a softening effect. The muscle relaxes, the wrinkles in the overlying skin gradually smooth out and the face takes on a refreshed appearance. An experienced injector can relax the targeted muscles in a way that keeps your face completely dynamic and expressive, just without the unsightly wrinkles that bother you most.

What Concerns Can Neuromodulators Treat?

As a cosmetic treatment, neuromodulators can improve the appearance of:

●  Forehead wrinkles

●  Crow’s feet

●  Frown lines

Are There Different Types of Neuromodulators?

Here at Aesthetic Envy, we offer several popular products in this category:


Botox is the first FDA-approved injectable neuromodulator and the most well known. Botox is best suited for the treatment of the upper face, including horizontal forehead creases, parallel vertical lines between the eyebrows, crow’s feet, a drooping brow line and tiny creases around the nose (“bunny lines”). The formula contains an accessory protein along with the botulinum toxin, which a small subset of patients may develop a resistance to over time. Depending on how many areas need improvement, a Botox treatment may only take 10 minutes with minimal downtime. You may begin to notice a visible smoothing of the treated lines within 24 to 48 hours, with full results appearing by two weeks and lasting up to four months.


Dysport is a lighter injectable than Botox, which means that it tends to spread or diffuse over a larger area after it is injected. Dysport contains a different form of botulinum toxin as well as an accessory protein that can lead to resistance in some patients. The effects of Dysport may “kick in” more quickly than Botox, which can make it the better choice for patients seeking faster results. Improvements last three to four months before maintenance is needed.


Xeomin is a unique neuromodulator because it contains no accessory proteins or additives. Without extra ingredients, Xeomin is lighter and doesn’t migrate as much as Botox or Dysport, and is less likely to trigger the production of antibodies. It’s ideal for patients who have stopped responding to Botox or Dysport or who have an allergy to the ingredients in other neuromodulators. Results usually appear after five to six days and last for three to four months.

Neuromodulators vs. Fillers: What’s the Difference?

‘Injectables’ is a broad category that contains several types of products. The most popular injectables are neuromodulators and fillers, which are different — but complementary — treatments. Neuromodulators address dynamic wrinkles, which result from repetitive muscle contractions.

At first, dynamic lines only appear when you are actively making a facial expression. They disappear when you relax the expression, and you don’t see them when your face is in a neutral position. Unfortunately, dynamic wrinkles that were once fleeting can become etched into your skin over the years. Neuromodulators can help treat these lines and reduce the risk of them happening in the first place.

Dermal fillers treat static wrinkles, which appear due to sun damage, collagen depletion and facial volume loss. They are not caused by facial expressions and are visible even when your face is at rest. True to their name, dermal fillers work by “filling in” the area underneath a wrinkle and pushing the creased skin back upward. They have no effect on muscle movements.

Fillers can be used to correct many concerns related to aging, including adding volume to flattened or hollow areas of the face, smoothing out deep creases that run from the nose to the mouth, minimizing lines around the edges of the lips and filling in prominent tear troughs under

the eye area. They can also be used to improve the contour and proportions of facial features like the nose, lips or jawline. Lip fillers are one of the most popular aesthetic treatments today.

Neuromodulators and fillers are regularly combined to provide comprehensive facial rejuvenation.

Am I a Good Candidate for Neuromodulators?

Neuromodulators are considered safe for adults of all skin tones and types. Almost anyone who is in good physical, mental and emotional health may be a candidate for injectables in this category, but it’s still important to come in for a consultation so a certified provider can evaluate you. These products, like any medication, have contraindications that patients should be aware of. You may not be a suitable candidate at this time if:

●  You are allergic to any of the product’s ingredients

●  You have a nerve or muscle disorder

●  You are pregnant or breastfeeding

●  You have an active infection in the desired treatment area

●  You have a history of bleeding, swallowing or breathing issues

●  You recently had surgery or have surgery planned soon

What Is Preventative Botox?

When referring to Botox, most people think of it as a treatment to combat signs of aging, particularly wrinkles. They’re right — Botox and other neuromodulators do excel as corrective treatments for existing lines, but that’s not all they’re capable of. Neuromodulators can also help prevent lines from forming.

Wrinkles tend to get deeper and deeper with age. By starting Botox early, you can cut down on the stress your muscles put on your skin in key areas, thereby reducing the risk of lines in those areas becoming deeply ingrained in your skin. This proactive approach is popularly known as “baby Botox” or “preventative Botox.”

Stopping wrinkles in their tracks has additional benefits. Beginning Botox treatments at a younger age means you will likely have fewer wrinkles to work with as you get older, which means you will be able to achieve beautiful results using less product than someone who started later in life. The treated muscles may also weaken with time, so you don’t have to schedule appointments as often when you are older.

Small treatments and consistent maintenance over time may result in much better long-term results.

What Happens During Treatment?

When you visit Aesthetic Envy for a neuromodulator consultation, your injector will listen to your concerns and analyze your facial structure to determine the optimal treatment approach for your situation. They will begin the treatment by cleaning and sterilizing the area and identifying the

injection sites. Then, when all preparations are complete, they will use a fine needle to inject the product into the selected muscles. This process usually only takes 10 to 20 minutes. The number of injections used will depend on your facial features and the severity of your wrinkles.

Discomfort during a Botox treatment is typically minimal and brief. The area can be numbed before injection with a cold pack or topical anesthetic.

Is There Downtime After Treatment?

Virtually no downtime is required after neuromodulator injections. Most patients are in and out of the office quickly and can return to their regular routine right away. Potential side effects include bruising, tenderness and swelling at the injection site. It’s a good idea to schedule your injection session for a time when you don’t have an important event coming up for a week or two, in case you experience any of these effects. Take care not to rub or massage the treated area, as this could cause the product to migrate to another area. Avoid strenuous exercise for 24 hours after treatment. Generally, side effects are rare and recovery is swift. Treatment will not prevent you from bathing, wearing makeup or continuing with your normal skincare regimen.

What Results Can I Expect With Botox, Dysport or Xeomin?

Within days, you will start to notice improvement in the lines in treated areas. It takes one to two weeks to see the full effect. Results last up to three to four months. The product will gradually wear off and your muscles will function as they did before the treatment. This means that the lines you smoothed will slowly appear again. Patients typically schedule neuromodulator treatments three to four times a year to maintain their results.

For the best outcome, it’s essential to see a provider who is experienced in administering injectables and can recommend a personalized treatment schedule.

Believe in Beautiful Skin Again

Aging has a way of sneaking up on us. It starts with faint creases between our eyebrows and around our mouths, or crinkles at the corners of our eyes. Years of smiling, frowning, squinting and laughing leave their mark on our skin — and though we may be grateful for the memories and lessons we’ve gained, many of us are less thrilled about the lines.

At Aesthetic Envy, we know that feeling good in your skin enhances your confidence and self- image. We take great pride in offering treatments and products that provide dramatic improvements to your appearance without surgery and prolonged downtime. Our team has extensive experience with Botox, Dysport and Xeomin and can advise you on which one to use to achieve your desired results. Call Aesthetic Envy today at 916-579-6133 to request a consultation for one of our most popular cosmetic procedures.

Botox Q&A

How does Botox work?

Neurotransmitters are chemical substances used to transmit messages from the nervous system to target cells throughout the body. Billions of neurotransmitters work constantly to manage the body’s physical and psychological functions. To activate muscle contractions, nerves release a neurotransmitter called acetylcholine at the junction point where the nerve and the muscle meet. All of the body’s movements — from the blink of an eyelid to the pump of the heart — involve the actions of this essential neurotransmitter.

Botox acts by inhibiting the release of acetylcholine. When acetylcholine cannot enter the neuromuscular junction, the nervous system can no longer make the muscles contract. The muscles and the overlying skin both relax.

When should I start getting Botox?

Patients often wonder if they are “too old” or “too young” to try Botox. As long as you are over 18, there is no right or wrong time to start using Botox. Many people now begin getting Botox in their twenties when they first notice lines and wrinkles starting to appear. At the other end of the spectrum, there is nothing that prevents you from getting Botox well into your golden years, but you may notice that its beneficial effects diminish over time. Strategic use of dermal fillers can be helpful for older patients who wish to improve deep-set wrinkles without surgery.

Should I do anything to prepare for the treatment?

Preparation for Botox treatments is relatively simple. In the week before your appointment, you may be advised to stop consuming alcohol or taking medications or supplements that thin your blood (such as aspirin, ibuprofen, ginseng, vitamin E, ginkgo biloba or fish oil). These measures may help minimize bruising and bleeding at the injection site after the procedure.

If you plan to exercise on the day of your treatment, try to do it before your appointment. Exercising too soon, before the Botox has time to settle into your muscles, may lead to migration of the product outside of the intended area. Exercising can also make post-treatment bruising and swelling worse.

Is Botox only for women?

Absolutely not! The number of men choosing to care for their appearance with treatments like Botox is rapidly growing. Just like women, men feel pressure to look as good as possible. Many now use Botox to look healthy, youthful and relaxed, and maintain their edge in a competitive job market.

Botox for men is only slightly different from Botox for women. Men naturally have more muscle mass, so male patients may require more product to achieve the desired amount of relaxation. Skilled injectors must also understand the nuances of male facial aesthetics to ensure male patients do not look over-treated or overly feminine. For example, the ideal brow shape is typically different for male and female patients. Men usually look for a straighter, lower brow, while women’s faces are flattered by brows with a gentle arch. Most men who receive Botox treatments desire a natural, masculine look.

Are there other treatments that work well in tandem with Botox?

Depending on your goals, you may benefit from using a combination of treatments to achieve the look you desire. There are many nonsurgical procedures that can accompany Botox injections and provide significant improvement to the appearance of your skin.

Botox and dermal fillers work in different but complementary ways. They are often used simultaneously to produce a remarkably more youthful appearance. Some people refer to this combination as a “liquid facelift” because of its powerful anti-aging effect.

Botox also pairs well with treatments that address skin imperfections beyond wrinkles. Laser treatments for skin resurfacing or skin tightening can provide beautiful results for concerns or areas Botox cannot treat. Other light-based treatments, chemical peels or a gentle HydraFacial can also be combined with Botox to help you achieve your facial rejuvenation goals.