Frequent Questions About Anti-Aging Services

If you have questions about the anti-aging services and products that Subtle Aesthetics offers to its patients, we encourage you to look through our frequently asked questions. We offer information on our services and the experience that you will have with them when you receive treatment. Subtle Aesthetics wants every patient to be comfortable with their decision to try neurotoxin injectables with us and be confident in their appearance, so we offer all information that we are asked most here. If you have any questions that are unaddressed below, reach out on our contact page!


What is a neuromodulator?

A neuromodulator (or neurotoxin) is a tiny protein that blocks communication between nerve and muscle cell. As a result, the muscle cannot move. The contraction of the muscles of facial expression cause most of the wrinkles on the forehead and around the eyes. By reducing the movement of these muscles, you can remove the signs of wrinkles and aging. Botox®, Dysport®, Xeomin®, and Jeuveau® each contain a neuromodulator called Botulinum toxin type A.

How long do neurotoxin injections last?

Results generally last 3-4 months.

How long does a typical treatment take?

A typical treatment takes less than 30 minutes.

How often do I need a neurotoxin injection?

Most patients prefer to have follow up treatments every 3-4 months to maintain their results.

What results will I see?

You will see a reduction in the appearance of lines or wrinkles in the area treated. You will see your results gradually over 3-7 days following injection with full results in 14 days.

What are the disadvantages of neurotoxin injections?

The disadvantage of neurotoxin injections is the short duration of action relative to other cosmetic procedures, although effects may be cumulative over time with recurring treatments.

Are neurotoxin injections safe?

Wrinkle relaxer formulas are based on a safe, purified protein called botulinum toxin type A that has been used in the medical and aesthetic field for many years.

What are the different neurotoxins?

There are 4 neurotoxins: Dysport, Xeomin, Botox, and Jeuveau.  All 4 contain the same active ingredient botulinum toxin A and can reduce the appearance of wrinkles.

  • Xeomin is considered the naked neurotoxin. It contains only the botulinum molecule. The purity of the Xeomin molecule means there is a lower chance that you will develop a resistance to its effects.
  • Dysport has the fastest onset and typically starts working 1-3 days post injection. It is composed of a smaller molecule than Botox and Xeomin, giving it a larger area of spread once it’s injected and oftentimes a bit of a “softer, more natural” look. Dysport comes in a different dilution than Botox and Xeomin, with an almost 3-to-1 split. Based on the location of the injectable you may need more product in the area. If you’re worried that Dysport will cost more – don’t be! The pricing takes this difference into consideration, so the bottom line is the same.

The effects of Botox, Xeomin, and Dysport can last anywhere from 2-6 months, depending on the area treated and how much is required to relax the muscle. After about a year of treatments, you can often go longer between treatments because it takes less effort for those muscles to relax.

What happens during a treatment?

We will start with a consultation to discuss your cosmetic goals, examine your skin, and determine which wrinkle relaxer will best suit your needs. After your consultation, your skin will be cleansed and prepared for injections. The treatment is short, simple, and relatively painless. Your injector will precisely target just the muscles that are needed to relax the wrinkles, leaving you a free range of motion so that you can naturally express yourself. Once the injections are complete you can get back to your usual activities and daily routine with just a few limitations. There is no downtime. You may have some redness and slight swelling at the injection sites, but this will fade within a few hours or a day.

Who is a good candidate for neurotoxin injections?

Neurotoxins are FDA approved for moderate to severe dynamic lines in ages 18-65. Patients with dynamic wrinkles with no static component demonstrate the most dramatic improvements.

Who is not a good candidate?

Those who are pregnant or nursing, have an infection at the injection site, are under 18, or have a neuromuscular disorder.

What are possible botulinum toxin injection related complications?

Bruising, headache, droopy eyelid, droopy eyebrow, incomplete eyelid closure, worsening of eye bags, worsening wrinkles in areas adjacent to the treatment are, and facial asymmetry. Some complications can be improved with botulinum toxin treatment of muscles that antagonize the affected muscles. However, for some complications there are no corrective treatments, and they spontaneously resolve as botulinum toxin effects diminish.

When should you consider neuromodulators?

Many patients may wonder if they are “too young” or “too old” to try Neuromodulators. There is no right or wrong age to start using neuromodulators. Patients should be evaluated and receive a consult prior to treatment. Many millennials are starting to use neuromodulators in their twenties when they first start to notice lines and wrinkles or as a preventative measure.

Are neurotoxin injections painful?

Most patients experience minimal discomfort.

Can neurotoxin injections cause permanent damage?

Neurotoxin effects are only temporary, and the small doses injected into the facial wrinkles are very safe

How much does neurotoxin injections cost?

Neurotoxins are usually charged per unit, and price varies by location and neurotoxin used. We currently charge $10 a unit for Xeomin and $4 a unit for Dysport.

What should be avoided after injections?

Patients should avoid lying down for 4 hours after the treatment. Do not massage, scrub, or rub the treated area, no facials or massage. No strenuous exercise for the remainder of the day. No pressure on the area for the rest of the day, hats, sunglasses.

What can you expect after treatment?

There may be redness and slight swelling at the injection site immediately after the procedure. You can see results within 24-48 hours, but it may take as long as 14 days to relax moderate to severe frown lines. You can continue with light activities after your treatment and resume your normal activities and exercise the next day.

How many units will I need?

A common question I receive is how many neurotoxin units a patient may need in order to get the desired treatment results. Unfortunately, there is not a universal answer to this question. The amount of product needed varies greatly from one person to another, depending on many factors. Variables include:

  • How large the muscle in question is
  • How strong the muscle is
  • The placement or position of the muscle
  • Which part of the face is getting treatment
  • Whether you are a man or woman since the muscles present differently
  • What your Botox goals are
On average

Glabella region: The glabella region is the area between your eyebrows, which commonly causes the vertical lines that resemble the number 11. This usually takes 20 to 30 units to successfully treat.

Frontalis muscle: The frontalis muscle affects the horizontal lines on your forehead. This area can take anywhere from 10-30 units.

Crow’s feet: Your crow’s feet are the small lines that appear in the corners of your eyes. This area can take from 6 to 15 units per side.

Do you do Botox parties?

Yes! Message/call me to book your party. It can be at your location or my office. Free tox for the host with 5 or more guests.

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