Neuromodulators and Dermal Fillers

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Anti-Aging Neuromodulator And Dermal Filler Treatments

At NuCanvas Aesthetics and Wellness Center we support patients’ beauty journeys from beginning to end. We offer nonsurgical treatment that requires no downtime with the best in cosmetic injections that are administered by our highly skilled and trained providers. Neuromodulators and dermal fillers are cosmetic treatments given through injections. Millions of people use these cosmetic treatments yearly to restore their youth and rejuvenate their appearance.

Neuromodulators or neurotoxins

Neuromodulators or neurotoxins are wrinkle-relaxing injections with botulinum toxin. They are also commercially known as Botox Cosmetic, Dysport, Xeomin, and Jeuveau. When a neuromodulator is injected directly into the underlying muscle, it will cause the targeted muscle to relax and gradually smooth out the appearance of the overlying skin. Common treatment areas are lip lines, dimpled chin, mouth frown, gummy smile, neck bands, bunny lines, v-neck lines, frown lines, forehead lines, crow’s feet, brow lift, and necklace lines. This elective treatment usually takes less than 30 minutes, and recovery time is minimal. The effects typically last about 3 to 6 months.

Dermal fillers

Dermal fillers are nonsurgical procedures that plump up wrinkles and smooth lines on the face. Dermal fillers are usually injected in the areas around the eyes, mouth, and nose. This common cosmetic injection typically produces results right away and can last months or years. Dermal filler treatments usually take less than 30 minutes, and recovery time is minimal. There are several types of dermal fillers that are commonly used. Hyaluronic acid (Restylane, Juvederm) Calcium hydroxylapatite (Radiesse) Polymethylmethacrylate PMM (Bellafill) Poly-L-lactic acid (Sculptra)

Treatment Process

Before starting your neuromodulator or dermal filler treatments, you will speak to one of our healthcare professionals to complete a thorough evaluation for a more personalized treatment plan. To learn more about our anti-aging injection service, contact our health center for more information.

FAQ On Neuromodulator Injections And Dermal Fillers

Collagen is what gives us volume and skin elasticity which in turn provide us with healthy and youthful skin. As part of the aging process, our own natural collagen breaks down causing facial volume and elasticity to decrease. This loss of elasticity and volume results in wrinkles, facial lines, and loose skin which leads to aging appearance. Neuromodulators and dermal fillers are the answer to rejuvenate our skin and give us a natural youthful appearance.

There are many benefits with use of anti-aging facial injections such as neuromodulators and dermal fillers. The collagen and elastin in our skin will begin to break down over time, and eventually we have more noticeable fine facial lines and wrinkles. Other results from this breakdown can include dark circles under the eyes, hollow cheeks, fine lines around the mouth area and thinner lips. Neuromodulator treatment can help minimize the appearance of lines and wrinkles caused by facial expressions while dermal fillers contain ingredients that help instantly volumize areas where there is loss of collagen (protein that plumps skin).

Neuromodulators and neurotoxins are used interchangeably. While Botox has become a common term for anti-aging injections, it is a brand name of the drug rather than the procedure itself. Botox and a handful of other commercially known neuromodulators (Xeomin, Jeuveau, and Dysport) are typically used in cosmetic injection treatments. These products are collectively known as botulinum type A injections. These medications provide a temporary result and treatment must be repeated at various intervals to maintain the result or effect.

When it comes to skincare, neuromodulators are referred to substances that can change the way your muscles contract. These neuromodulators help reduce the appearance of wrinkles and fine lines on the skin by relaxing the underlying muscle.

There are 4 neuromodulators on the market in the United States. They are all botulinum toxin type A and work on nerve endings of the targeted muscles to help relax wrinkles temporarily. Botox ® Cosmetic, Dysport®, Xeomin®, and Jeuveau® are all FDA-approved botulinum toxin based injectables. Botox ® Cosmetic was the first to market in 2002. Dysport, on the other hand, received the FDA’s approval for glabellar and cervical dystonia treatment in 2009. A year later in 2010, the FDA approved Xeomin for the treatment of blepharospasm and cervical dystonia. Jeuveau is the most recent neurotoxin approved by the FDA in 2019 specifically to treat moderate to severe frown lines in adults. Despite their similar effects, Botox ® Cosmetic, Dysport®, Xeomin® and Jeuveau® often require different injection protocols as each neurotoxin has a unique preparation and dosing.

Botox® Cosmetic (Allergan), Dysport® (Galderma), Xeomin® (Merz), Jeuveau® all have the same active ingredient which is botulinum toxin. However, each brand has a slightly different manufacturing process, formulations, and dosing. Generally, most practitioners use all 4 neuromodulators to treat fine lines and wrinkles on the brow, forehead, crow’s feet, bunny lines, frown lines, and nasal squint lines.

  • Botox® and Xeomin® products have results that are typically seen after a 4 to 5 days, with the full effects taking place after about 7 to 10 days.
  • Dysport® and Jeuveau® products have quicker results in 2 to 3 days.

We typically recommend waiting the full 2 weeks to allow the neurotoxins to settle before any touch up is recommended for all 4 neurotoxins.

Those who care for their skin regularly may experience longer results that can last closer to 6 months. On average, results typically last anywhere from 3 to 6 months. Our healthcare providers recommend touch-up treatments every 3 to 6 months to maintain optimal results.
Treatment longevity can also be maintained at home with medical grade skin care products such as growth factor serum, retinols, antioxidants, and sunscreen.

Neuromodulators (Botox®, Dysport®, Jeuveau®, Xeomin®) are injected into specific areas to create a temporary loss of muscle tone, resulting in a reduction of the lines and wrinkles to produce a pleasing effect. After treatment, the overlying skin remains smooth and unwrinkled. The untreated facial muscles contract in a normal fashion, allowing facial expression to be unaffected.

Below are common areas of treatment with neuromodulators or neurotoxins:

  • Frown lines (Lines in between eyebrows)
  • Crow’s feet (Wrinkles around the eyes)
  • Strong horizontal wrinkles in the forehead
  • Wrinkles around the mouth
  • Muscular bands in the front of the neck
  • Lines on the neck and chest
  • Down turned mouth
  • Dimpled chin
  • Additional uses can be for treatment of marionette/puppet lines on the lower face, and jawline definition which will give the face a thinner and more youthful appearance.
  • Other uses are to treat excess sweating, rosacea, acne, and to smooth skin on the decollate (your chest area).

Patients often describe the procedure as painless but there can be a little pinch. If you are needle phobic let us know and special accommodations can be made. Typically, a topical anesthetic or ice pack may help reduce any discomfort. Following the procedure, you may experience soreness. It’s important not to rub or massage around the treated areas, as the solution could be moved to another unwanted area.

Yes, our healthcare providers prefer to not change or “freeze” your individual expressions but rather maintain a natural enhancement or correction as desired. The goal is to keep you looking more rested and youthful but still being able to show feelings and emotions.

No. Dermal fillers work by adding volume in areas where volume is lost while Botox, Dysport, Jeuveau, and Xeomin stop the muscle treated from making the movement that causes the wrinkles.

We use the smallest needle on the market to help lessen the chance of bruising. It is a needle going through the skin, so you may still develop mild bruising. Some things you can do before, during, and after your neuromodulator injections to lessen your chance of bruising are:

  • Avoid taking any homeopathic supplements (fish oil, vitamins, biotin, echinacea, St. Johns Wart, etc)
  • Medications (aspirin, Motrin, Aleve, blood thinners, and other NSAIDs).
  • Do not skip doses of medications prescribed to you, check with your prescribing providers first before holding any prescription medications.
  • Avoid alcohol prior to your treatment session.
  • Taking Arnica Montana before and after your procedure.

Neuromodulators are the most studied drugs by the FDA and have a long record to be a safe treatment of choice for cosmetic injections. Use of neuromodulators are considered to be low risk with few side effects for cosmetic procedures. The most common side effect is bruising or swelling at the injection site. These mild side effects usually go away within a few days. In rare cases, neuromodulators can cause temporary paralysis or difficulty smiling or frowning. If you experience more serious side effects, you should contact our healthcare providers right away.

Despite its safety, neuromodulators or neurotoxins are not recommended for people who are pregnant or nursing. It is also not recommended for individuals with certain neurological disorders like Myasthenia Gravis, Amyotrophic Lateral Sclerosis (ALS), or Lambert-Eaton syndrome.

There are many products that claim to work like these neuromodulators but to date, there is no FDA approved product currently available.

Individuals who wish to reduce wrinkles and enhance their looks are great candidates.  Neuromodulators are injection procedures that are used only to relax muscles and do not plump wrinkles or tighten the skin. If you are looking to restore volume loss, we recommend using dermal fillers injection instead.

When consulting with our qualified and experienced healthcare professionals, we will review your medical history to see if you are a good candidate. If you’re in good overall physical, mental, and emotional health, our healthcare providers will discuss your expectations, potential risks, and outcomes of the procedures. Many times, healthcare providers will ask if you are taking any blood thinning drugs, over-the-counter medications or supplements, previous neuromodulator or filler treatment, injectable antibiotics, muscle relaxants, allergy medications, cold medicines, and/or sleep medicine

While our healthcare providers will ultimately decide if this treatment is right for you, you may not be eligible if you:

  • Are pregnant or breastfeeding
  • Have skin conditions which may result in infection
  • Have allergies or hypersensitivity to the drug or its additives
  • Have certain types of neuromuscular disorders
  • Take medications that may interact with the neuromodulator 
  • Have neurological disorders (Myasthenia Gravis, Amyotrophic Lateral Sclerosis (ALS), or Lambert-Eaton syndrome)

Neuromodulator or neurotoxin risks and side effects are rare. When your injections are done by a reputable professional, you will receive the safest, most optimal results possible.
Some possible side effects from neuromodulators are:

  • Pain, swelling or bruising at the injection site
  • Droopy eyelid or cockeyed eyebrows
  • Crooked smile or drooling
  • Headache
  • Injection process take less than 30 minutes to perform
  • No sedation needed
  • No local anesthetic is required
  • The effect is seen within 1-5 days but may take up to 2 weeks to see the full effect
  • There is no downtime or recovery stage following botulinum injections
  • Patients can return to work and resume their daily activities following botulinum injections immediately
  • Bruising at the injection site may occur

Neuromodulators cost varies per person. Exact treatment prices depend on several factors like the number of treatment areas, the number of injections needed, and if neuromodulator injections are used with other treatments like dermal fillers. During consultation with NuCanvas Aesthetics and Wellness Center, cost will be covered in detail.

The number of units needed can differ from person to person depending on multiple variables. For example, the cost will depend on your desired outcome, the area of concern to be treated, the strength of the muscles in the area, and whether the treatment is for prevention or to treat existing fine lines and wrinkles and their severity.

Collagen is an important protein that exists all over the body; including in skin, muscles, bones, and connective tissues. Aging causes decreased in the amount of collagen leaving our skin with less volume. Additionally, skin also becomes thinner with aging causing loose and sagging appearance. Dermal fillers contain ingredients that help instantly volumize areas where there is loss of collagen which help smooth out wrinkles.

Dermal fillers are one of the most utilized cosmetic injections available today. These popular dermal fillers restore youth and instantly enhance facial features for a more rejuvenated appearance. Dermal fillers can be used in the cheeks, temporal area, lips, around the mouth, hands, legs, arms, and neck. Dermal fillers can be used to treat the following skin conditions:

  • Add volume to sagging skin
  • Make your facial features more symmetrical
  • Plump up lips and cheeks
  • Smooth wrinkles and creases in your face
  • Fine lines
  • Wrinkles
  • Nasolabial folds
  • Marionette lines
  • Volume loss in cheeks and across jawline
  • Thin lips

Dermal fillers help to diminish facial lines and restore fullness to the face. As we age, our face naturally loses subcutaneous fat and collagen. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent. Other factors that affect the facial skin include sun exposure, heredity, and lifestyle.

There are multiple benefits with use of dermal fillers including:

  • Instantly rejuvenate your appearance
  • Diminish fine lines and wrinkles
  • Improve under-eye bags
  • Look more youthful instantly
  • Plump up sunken areas
  • Restore facial volume
  • Enhance lips and cheeks
  • Improve facial symmetry and contour
  • Immediate and long-lasting results
  • Improvement of volume, wrinkles, and sagging skin
  • Non-surgical, with no downtime for recovery
  • Quick procedure, less than 30 minutes
  • No anesthesia is required
  • Natural-looking results that don’t affect the ability to make facial expressions
  • Results can be reversed or corrected
  • Soft compound products which can be molded to suit your unique facial features
  • Proven safety track record, approved by the FDA
  • Corrects the signs of aging, lifting and filling the skin

As with any cosmetic procedures such as injecting facial dermal fillers has risks, including:

  • Allergic reaction at the injection site or throughout the body
  • Swelling and inflammation
  • Changes in skin color (post inflammatory hyperpigmentation) on brown or Black skin
  • Mild pain
  • Bleeding or bruising at the injection site
  • Infection
  • Scarring
  • Irregularities in the surface, contours, and firmness of the skin
  • Blood vessel damage (this is rare)

How long the side effect lasts depends on the type of wrinkle and dermal filler used, among other factors.

Most dermal fillers have anesthetic incorporated within the filler to minimize discomfort throughout the injections. A topical anesthetic and injectable lidocaine can be used prior to dermal fillers to minimize discomfort as well. You might also have mild discomfort, bruising and swelling for up to a week.

Dermal fillers are used to help plump, contour, and smooth wrinkles, lines, and hollow areas which promote a younger fuller appearance. Dermal fillers are a convenient, safe, and effective option for a rejuvenating look. Dermal fillers at NuCanvas Aesthetics and Wellness Center are FDA approved injectables with an impressive safety profile. Side effects are rare. However, some people may experience slight redness, tenderness, or bruising at the injection site. These reactions are mild and short-term.

Dermal fillers generally aren’t used for people who have suppressed immune systems or who take blood-thinning medications (anticoagulants). When consulting with our qualified and experienced healthcare professionals, we will review your medical history to see if you are a good candidate. If you’re in good overall physical, mental, and emotional health, our healthcare providers will discuss your expectations, potential risks, and outcomes of the procedures.

Following dermal filler injections there can be some pinpoint redness, swelling, and/or bruising at the injection site(s). Post treatment, using an ice pack to apply to the area as tolerated along with Ibuprofen will help with pain and swelling. Arnica is a topical supplement that can help with bruising. Arnica should be taken a week prior to and after injection to help minimize bruising.

Dermal fillers are injections that are specially created to act as a volumizing substance to treat volume loss in the face. This procedure yields a fuller youthful facial structure that is smooth with less wrinkles or sagging skin.

  • Hyaluronic acid filler: This is a natural occurring acid in our skin, however with age, we stop making hyaluronic acid. By injecting fillers with hyaluronic acid, it gives your skin volume and keeps it hydrated. The results typically last 6 to 12 months. The most common dermal fillers are:

· Juvederm Products: Juvéderm Ultra, Juvederm Ultra Plus, Juvéderm Voluma, Juvéderm Volbella, Juvéderm Vollure
· Restylane Products: Restylane Silk, Restylane Refyne, Restylane Lyft, Restylane Defyne, Restylanee Kysse, Restylane Contour

  • Calcium hydroxyapatite: This substance is consistent with the organic material we have in our bones. It is a mineral-like compound, making it thicker than hyaluronic acid fillers. This filler is used to contour the jawline, restore volume in the cheeks, and treat deeper wrinkles and skin folds. The results last up to a year when used for contouring and 3 years when used to fill wrinkles. The only FDA approved brand is:

· Radiesse

  • Poly-L-lactic acid: This is a synthetic substance that promotes our body to create our own collagen. This product is used to restore facial volume loss due to aging or illness. 2 or 3 sessions are usually required to achieve goals. The effects last up to 2 years. The only FDA approved brand is:

· Sculptra

  • Polymethylmethacrylate (PMMA) aka permanent soft tissue filler: This a synthetic filler consists of collagen and very small balls (aka microsphere) that stay under the skin after the injection procedure. The balls give your skin volume and keep it firm. This filler is used to smooth deep wrinkles around the mouth. The body can’t absorb this type of filler, so it does not require reinjection. Permanent soft tissue filler generally isn’t recommended as a first-time facial filler treatment. The only FDA approved brand is:

· Bellafill (formerly known as Artefill)

Results for dermal fillers are instantaneous and will continue to show improvement in the area treated after injection. It is important to stay hydrated as hyaluronic acid fillers bind to moisture within the skin. Dermal fillers fade very slowly and gradually, so for most patients, results should last between 6 and 9 months. After approximately 6 to 12 months, the effects of the dermal filler gradually weaken, until your skin returns to its natural state. Like neuromodulators, dermal fillers do depend upon how your body metabolizes the product. Some people metabolize the dermal fillers more quickly than others, especially those who tend to be more active.
Typical average time dermal fillers last:

  • Juvederm: 9 months to 12 months
  • Juvederm Voluma: 2 years
  • Restylane Silk: 6 months to 12 months
  • Restylane Lyft: 12 months to 18 months
  • Belotero: 6 months
  • Radiesse: 12 months to 2 years

Yes and no, depending on the filler you get.

  • Biostimulator fillers are dermal fillers that promote the body’s natural production of collagen and elastin over a period of several months. These cannot be dissolved or removed once injected. However, your body does metabolize the product. For example, very active individuals such as runners will metabolize the dermal fillers more quickly than someone who is more sedentary.
  • Hyaluronic acid is the only type of filler that can be remove or dissolve. Healthcare providers can inject hyaluronidase enzymes into your skin to dissolve the unwanted fillers.

Dermal fillers are measured per syringe.

This depends on your concerns, the area being treated, and what the healthcare provider recommends.

The cost for your dermal fillers varies on a variety of factors. These factors include the dermal filler formula, treatment areas, number of injections, and if you use fillers in conjunction with neurotoxin. During your visit, our healthcare providers will discuss an individualized treatment plan and cost with you.

NuCanvas Aesthetics and Wellness Center does not accept medical insurance because most insurance companies will not cover the cost of neuromodulator or dermal filler therapy as it is not considered medically necessary, it is considered elective treatment.