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These facial rejuvenating injectables offer minimal side effects while providing a more youthful and refreshed appearance. At Rousso Adams Facial Plastic Surgery Clinic in Birmingham, Alabama, facial injections provider Dr. Daniel E. Rousso and Dr. Austin Adams treat men and women who are experiencing visible signs of aging.

What are Neuromodulators?

What are Neuromodulators? Q & A With Dr. Adams
Birmingham Wrinkle Relaxers

Wrinkle Relaxer Options

Wrinkle relaxers, also called neuromodulators, are injectables that temporarily relax wrinkles in the areas they treat. They are based on a purified form of Botulinum Toxin A, which comes from bacterial cultures processed into a protein. This is a safe substance that has been used for many years to treat patients with certain muscular disorders. 

Wrinkle relaxers may be injected into the forehead, glabella region (between the eyebrows), and around the eyes to relax the muscles that move the face and cause wrinkles. These treatments achieve a smoother, more youthful appearance, require no recovery period, and last for 3-4 months. Wrinkle relaxer treatments are quick, convenient, and have minimal side effects.

Botox

Approved to treat forehead lines, lines between the brows, and crow’s feet. This popular wrinkle relaxer is a household name and continues to be the “go-to” treatment for millions who want to smooth their skin and reduce or prevent wrinkles. Used precisely, it allows a range of motion while causing only key muscles to relax in order to achieve a natural, more youthful appearance.

Xeomin

This injectable is also approved to treat forehead lines, lines between the brows and crow’s feet. It is a purer substance that does not contain any protein additives when packaged. Because some patients can develop resistance to additives in other wrinkles relaxers such as Botox over time, this cosmetic injectable is ideal for them. However, less precision is achieved with this cosmetic injectable, and it’s thought to not last as long as the others.

Dysport 

Approved for treating lines between the eyebrows (glabella) only, and is normally only used for moderate to severe cases. This injectable requires more units of cosmetic injectable than other wrinkle relaxers do and is a more diluted substance. Because of this factor, Dysport spreads more quickly and is effective faster than other injectables. This factor also allows more range of motion.

What to Expect from Cosmetic Injectables at Rousso Adams Facial Plastic Surgery Clinic

Receiving cosmetic injectables only takes a few minutes, and anesthesia or downtime isn’t needed. Injections are virtually painless since they’re performed with a very fine needle. Results are generally visible within two to ten days. To reduce the possibility of bruising or swelling, patients should avoid alcohol for at least 24 hours, and intake of aspirin/anti-inflammatory medications should cease for two weeks prior to treatment. The treated area should not be manipulated for two hours after injections, and an upright position should be maintained. 

Patients interested in BOTOX and cosmetic injectables should discuss their aesthetic goals thoroughly with Dr. Rousso or Dr. Adams during their initial consultation so the doctors can recommend the correct treatment for their unique situations. 

Before & After

FAQ

What is the key structural difference between Xeomin and BOTOX®, and why does it matter?

Xeomin is a purer form of botulinum toxin A that contains no protein additives in its packaging. Over time, some patients can develop resistance to the accessory proteins found in formulations like BOTOX®, making Xeomin an ideal alternative for those who have built up a tolerance. However, Xeomin offers slightly less precision than BOTOX® and is generally thought to have a shorter duration.

How does Dysport® differ in its spread and dosage compared to other wrinkle relaxers?

Dysport® is a more diluted substance, meaning it requires a higher number of units per treatment compared to BOTOX® or Xeomin. Because of this lower concentration, Dysport® spreads more quickly across the treatment area, works faster, and allows for a broader range of motion—though it is specifically FDA-approved only for moderate to severe lines between the eyebrows (glabella).

What specific pre-treatment steps are required to minimize bruising and swelling before injections?

To reduce the likelihood of bruising and swelling, patients should refrain from consuming alcohol for at least 24 hours prior to their appointment. Additionally, all intake of aspirin and other anti-inflammatory medications should be stopped two weeks before treatment.

What key post-care rules must be followed immediately after receiving neuromodulator injections?

Immediately following treatment, patients must avoid manipulating or touching the treated area for at least two hours. They should also maintain an upright position for those first two hours to ensure the injectable settles correctly without migrating to unintended muscles.

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