Botox, Jeuveau, and Daxxify
If you’ve scowled in the mirror and saw those furrows between the brows, raised your eyebrows and witnessed the horizontal waves across your forehead, or have not been pleased with the crow’s feet creeping more deeply around the corners of your eyes, then a wrinkle-relaxer aka neurotoxin such as Botox, Jeuveau, or now longer-acting Daxxify may be for you. These can relax the wrinkles in other areas or improve appearance but are most commonly used on the upper face. These agents be used in many areas and for other issues, such as lower eyelid wrinkles or jellyrolls, bunny lines, gummy smiles, square jawline contouring, chin pebbling, downturned mouth corners, and even hooked noses. Since many of these techniques should only be done by experts in the field, it is best to seek out highly trained, board certified physicians. Additional used of neurotoxins can include TMJ pain, migraines, and even excessive underarm, palm, or sole of foot perspiration.
Types used:
- Botox—most commonly known and a great product by Allergan.
- Jeuveau—another great neuromodulator by Evolus, FDA approved in 2019 for frown lines.
- Daxxify--peptide-powered for longer effect duration with a quick set in time. Approved for frown lines.
Questions and Answers
How long does it take to work?
You will start to see some weakness in the muscle groups injected in about 2-4 days, but full effects of the dose used for both Botox and Jeuveau will take a full 10-14 days for most individuals. Jeuveau may work more quickly and last slightly longer than Botox in the frown lines in some individuals. Daxxify kicks in quickly and you may see results as early as the next day after treatments, and typically within 2 days (however full effects and best results are seen at a longer interval). Some areas, such as the undereye area are quick to respond to treatment all treatments, and will work within just a few days. Dr. Twigg will instruct you about this further.
What areas should I get neurotoxin treatment done?
After your consultation, photos, and discussion, you and Dr. Twigg will come up with a treatment plan that will best suit you. You will be treated, then come back for your follow up appointment in 10-14 days to view your results and for any touch-ups that may be needed.
How long will my neurotoxin last?
On average, Botox and/or Jeuveau lasts 3 months in the upper face, but for some it may be less, others a little longer. Daxxify may last 4+ months on the upper face. The lower face particularly around the mouth area lasts, on average, about 2 months for most with Botox or Jeuveau, but Daxxify may give 3+ months of results. This is with optimal treatment. Low-dose treatments will not last as long for any agent.
If I start getting neurotoxins, will my wrinkles be worse if I decide to stop?
No. Your wrinkles will not be worse if you suddenly stop. In fact, your wrinkles will likely still be better because you have not been creating those wrinkles over and over again for a period of time.
Does treatment hurt?
You may feel a little bit of discomfort from a very tiny needle with the injections only. A topical numbing agent can be applied prior to any injections to improve comfort and a topical skin-nerve vibrator is also used reduce discomfort in areas where able.
Am I too old or am I too young to get a neurotoxin treatment done?
This is a great question. You may get neuromodulator benefits well into older age groups, but reduced amounts may be needed. The best thing to do is to be evaluated by a highly trained aesthetic medicine doctor to see if you would benefit from this. You may benefit from other types of services as well or instead of neuromodulators.
Now on the flip side. Usually, until you are an adult, you wouldn’t necessarily need neuromodulators, however, these are beneficial as a preventative agent to stop wrinkles from occurring. Therefore, starting these in the early to mid-twenties is an excellent decision for most and in some individuals who have prominent facial expressiveness, those wrinkles may have already begun early on.
Can I schedule a neurotoxin appointment if I’m pregnant or breastfeeding?
No. While you are pregnant or breastfeeding or even attempting pregnancy, neurotoxin treatments are not advised, since it is not known if these agents could harm an unborn child.
Do I really need to return in 10-14 days after I’ve had my neurotoxin done?
It is in your best interest to return after your Botox, Jeuveau, or Daxxify in 10-14 days so that Dr. Twigg can evaluate your results. This is especially important when first getting this done, however, can even be beneficial to assure you are still getting the results you desire after doing this for some time. You may not know that your results could be better, but your doctor will be able to give you the best evaluation and results when properly fully evaluating you. It is not uncommon, especially at first, to need to adjust dosing to meet your needs.
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More information about Botox and related procedures can be found on our Blog
Post-Neurotoxin Skin Care Products:
Many products complement our Neurotoxin Service by leaving your skin youthful and healthy. Medical-grade skincare products will always outperform others due to the active ingredients. Please see our products page.