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Neuromodulators

Botox®, Newtox

 (Nuceiva®)

Indications

Botox indications

Most commonly, neuromodulator is used to smooth frown lines between the eyebrows (vertical lines) and on the forehead (horizontal lines). It is also used to relax crowsfeet, 'bunny crinkle' lines on the sides of the nose, vertical neck bands, and for an eyebrow and mouth corner lift.

What is neuromodulator?

It is an injectable substance derived from a purified protein. It has been used widely for cosmetic relaxation of wrinkles for more than 26 years. Prior to that, it was used for the medical treatment of strabismus ('lazy eye') in children and for blepharospasm (spasm of the muscles that close eyelids) in adults. Neuromodulator is now widely used to treat migraine headaches as well as cerebral palsy children (to relax the overly tense leg muscles that hamper their ability to walk), bladder spasm, neck and other abnormal muscle spasm. Its medical use is constantly expanding.

Neuromodulator Safety

In experienced medical hands, neuromodulator is completely safe. Dr. Lozinski has been using it as a cosmetic treatment for more than 12 years and is a leading injector of neuromodulator in Canada.

Are there any patients who should not receive Neuromodulator?

Neuromodulator is not recommended for pregnant women, nursing mothers, or people with myasthenia gravis or other neuromuscular diseases.

Does the injection hurt?

Dr. Lozinski uses exceptionally small medical needles, which result in a much more comfortable injection and highly accurate syringes for precise treatment. Icing immediately before, and a neck massage during, injection makes the procedure even more tolerable, as well as stimulation of distracting acupressure points.

Will it give me a fake, frozen look?

In experienced hands, such as Dr. Lozinski's, the effect is a natural appearing relaxation. Only the muscles that create dynamic wrinkles are treated, leaving the other facial muscles unaffected. Sensory nerves do not respond to neuromodulator, so that treated sites retain normal sensation.

Are there any side effects?

Pressure is applied immediately after each injection to prevent bruising. Aspirin and anti-inflammatory medications such as Advil should be avoided for 2 weeks prior to treatment to avoid bruising as well.

How long does the neuromodulator take to work?

With the first treatment, effects are usually noticed in 7 to 10 days sooner with subsequent injections.
Significant smoothing is seen after a few weeks of decreased wrinkling action longer if the lines are much deeper.

Treatments which complement Neuromodulator

If the frown lines between your eyebrows are particularly deep, Dr. Lozinski will recommend a 'filler substance' as a second step after adequate neuromodulator relaxation has been achieved. If neuromodulator treatments are repeated at the recommended intervals, the predicted filler duration is a year.

Neuromodulator enhances the outcome of other rejuvenation modalities by relaxing muscles which counter the effect of these treatments. For example, neuromodulator complements the effect of filler volumization (Juvederm, Voluma, Belotero, Teoxane, Restylane), medical grade skin care products and radiofrequency (with microneedling, Morpheus8 and Thermage).

How long does neuromodulator last?

Most people need re-treatment in 4 months... some 3 months. A very few lucky individuals may notice an effect for up to 9 months. Keep in mind that if you allow the neuromodulator effect to wear off for some time, it usually takes many weeks to achieve maximum smoothness again. It is therefore better to repeat neuromodulator when the muscle is just starting to contract.

Does neuromodulator help with excessive sweating?

Neuromodulator can be very useful for people who find underarm antiperspirants insufficient. Some find it helpful for sweaty palms.

How do I find out more?

To book a consultation phone 905.664.5850 or 800.396.7567 or use our online Consultation Request Form.