Neuromodulators are injectable treatments that relax certain facial muscles so dynamic wrinkles are less visible. These treatments are used on areas of the face with a lot of motion, such as the brows and around the eyes.
Botox is the most well-known neuromodulator and is a good option for many patients, but it is not the only choice available today. At San Diego Aesthetics & Med Spa, we can help you learn more about how each of these options differs from the others and what factors may influence the selection of the right treatment for you.
Botox uses onabotulinumtoxinA to temporarily relax the muscles that create expression lines. It has been used cosmetically since 2002 and was used before this for various medical applications. The longstanding history is often one of the reasons that patients request this product, and the results from Botox are consistent and predictable. It can also be a good reference point when talking about other similar products and how they differ in formulation.
Dysport is also derived from botulinum toxin type A and is very similar in its effects and applications. Its more diluted formulation and other factors cause it to spread slightly more once injected, which can make it a good option for larger areas or for those who want diffuse results. We will talk about your treatment goals and facial anatomy, and how this can affect the onset and duration.
The two products that we offer, Botox and Dysport, have comparable longevities. Both products last three to four months before wrinkles begin to return. This varies from patient to patient based on metabolism and the strength of the muscles. Results also last longer with proper skincare and sun protection.
Forehead lines form from repeated upward eyebrow movement. These motions can cause horizontal lines that eventually remain visible even when the face is at rest. When treating this area, we consider muscle strength, brow position and how Botox and Dysport may spread as we choose the right product. Using neuromodulators in this area can help prevent lines from becoming more deeply etched into the skin.
Glabellar lines, sometimes called frown lines, develop between the eyebrows from repeated inward and downward movement when concentrating or squinting. These muscles are strong and active, so product choice and dosing matter in this area. Both Botox and Dysport are used for this neuromodulator treatment, and selection will be based on individual circumstances.
Crow’s feet form at the outer corners of the eyes because of smiling and squinting. The skin here is thinner, and there are many muscles that are in constant motion around the area, so precise placement is important. Botox is FDA-approved for crow’s feet, but Dysport is also frequently used.
Neck bands form as the platysma muscle contracts, often becoming more noticeable with expression or age. Neuromodulators can soften the appearance of these vertical bands. Botox was approved for this area in 2024.
Other areas can be treated off-label with neuromodulators, including:
Every face has unique muscle patterns that influence how lines form and how strongly they contract with expression. Larger or more active muscles may respond differently to Botox versus Dysport, particularly in areas like the forehead or between the brows. It is important to find a provider who understands these anatomical differences and takes them into account when planning injections.
Some patients prefer lighter changes while others want to see more obvious changes that appear sooner. The dosage is an important part of customizing treatments in this way, regardless of the product chosen. But sometimes certain products can be expected to work faster or to provide more subtle, natural-looking results in certain areas.
Previous use of neuromodulators can provide insight into which treatment may be better for you. If you have tried Botox in the past and been happy with your results, it may still be the right option for you. If you have developed a resistance to Botox and are no longer getting the results you want, your provider may recommend trying something new.
A frequent concern is that neuromodulators automatically lead to a stiff or expressionless look. However, these treatments can be injected in a way that still allows you to make all of your normal facial expressions without the visible wrinkles. The difference is in the injector that you choose. If your provider has a deeper knowledge of facial muscles and how they all interact to create wrinkles and expressions, they will be able to give you a more precise treatment and avoid a frozen look.
More product does not automatically translate to better outcomes. Using higher doses than necessary can increase the risk of unwanted heaviness, too much lack of motion, or an imbalance in results and expression. We often start light and add more when desired until you have the results and amount of movement that you are looking for.
Neuromodulators are not a permanent solution and do not create dependency. If you decide to stop treatments, your muscle activity will gradually go back to its original state, and lines will reappear. These lines will also not be deeper than they were before.
Neuromodulators can reduce expression lines and keep your skin smooth when the specific product and dosage are thoroughly considered. At San Diego Aesthetics & Med Spa, we have a natural and minimalistic approach to aesthetics. We still want you to look like you, and we consider all of your natural features as we plan treatments. We serve patients throughout La Mesa, CA, and the surrounding East County area, and are a woman-owned and operated business. You can reach us at 619-303-0988 or fill out our online form to schedule a consultation.
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