What is Botox (Dysport, Jeuveau, Xeomin)?
Neuromodulators, also known as neurotoxins, relax overactive muscles in the face and neck. Botox, Dysport, Jeuveau and Xeomin work by blocking the communication between the nerve endings and the muscle. These injectable medications block muscles from contracting and reduce the repetitive movements that lead to wrinkles. They can also block the communication of the nerve with the sweat glands to help reduce excessive sweating (hyperhidrosis).
Pure Dermatology offers Botox, Dysport and Jeuveau to patients in the New Orleans and Metairie, LA area. Dr. Holcomb and Dr. Haseltine use these treatments to reduce fine lines and wrinkles and improve skin aging.
The effects of Botox, Dysport and Jeuveau injections are temporary and repeat treatments are necessary to soften creases and furrows.
For a comprehensive skincare plan, patients can opt for lasers and light devices, microneedling, and chemical peels to help with skin quality while reversing wrinkles. Skincare is a necessary step to maintain your treatment. We recommend a combination of medical-grade skincare and prescription products for overall skin health but believe in efficient skincare that requires as few steps as possible.
What can be treated with Botox (Dysport, Jeuveau, Xeomin)?
Botox is the longest approved neuromodulator and is FDA-approved for moderate to severe frown lines between the brows (glabellar lines, 11’s), crows feet, and forehead lines, and for excessive underarm sweating (hyperhidrosis). Because Dysport, Jeuveau, Xeomin came after Botox, they don’t have as many FDA-approved indications but most expert injectors use them similarly to Botox and all products are used to treat and prevent worsening of wrinkles and fine lines as well as “off-label” areas to treat the following concerns:
- Forehead lines or the frontalis muscle
- Eyebrow lift or eyebrow shaping
- Downturned lips or sad face
- Lip lines or smoker’s lines
- Chin wrinkling or treatment of the mentalis muscle
- Jawline softening, facial shaping, or treatment of the masseter muscle
- Neck wrinkles or platysmal bands
- Uneven smile and Bell’s Palsy
- Improvement in facial symmetry
- Bunny lines or wrinkles on the side of the nose
- Gummy smile or toothy smile
- Forehead or scalp sweating
What should I expect after Botox? Is there any down time?
The goal of treatment is to soften facial expressions that lead to the formation of permanent lines. At Pure Dermatology, we like patients to be able to smile and frown and not look “frozen.” Some people like to be very smooth and others like movement. Dr.’s Holcomb and Haseltine work closely with each patient to get the best result with communication and and assessing the anatomy and facial structure of each unique patient.
Treatment with neuromodulators involves very little downtime. Most patients have small bug bite like swellings at the injection sites for 15-20 minutes then look completely normal. Some practitioners recommend limiting activity but we believe that as long as you are careful with rubbing, pressing, or sleeping on your face 1-2 hours after injection that is all that needs to be done.
Does Botox treatment hurt?
Treatment with all of the neuromodulators (Jeuveau, Dysport, Botox, and Xeomin) is quick and painless. We use very tiny fine needle that feels like a small pinch and patients are topically numbed beforehand.
When will I see results?
Most patients can see a change in the strength of the muscles or the lines within 2-3 days; however, the complete outcome is evident by 10-14 days. We like to see the patient back 2 weeks after the first treatment to ensure both the patient and Dr. Holcomb or Dr. Haseltine are satisfied with the outcome.
How long will they last?
Most neuromodulators like Jeuveau, Botox, Dysport, or Xeomin last 3-6 months in patients. Duration is determined by dosing, the size and locations of the muscles treated and other factors. Patient satisfaction is high even 5 months after injection with Jeuveau treatment. Using a higher dose results in longer duration for all of the neuromodulators but the trade off can make the injection look frozen. These expectations and concerns can be assessed by an expert injector like Dr.’s Holcomb and Haseltine. Botox used for hyperhidrosis (excess sweating) often lasts for 6 months.
Can Botox be used to treat headache symptoms associated with chronic migraines?
Botox became FDA approved treatment of chronic migraines in 2010. We only treat for cosmetic improvement in our clinic but many patients report improvement in their migraine and bruxism (tooth clenching) symptoms after treatment for cosmetic improvement.
If I try Botox once will I need to continue treatments forever?
Not at all! If you give up treatment with neuromodulators your face and skin and aging will go back to baseline. Most patients love their Botox injections so much they elect to continue. However, you have to continue forever if treatment is not right for you.
What is the difference between Botox, Dysport, Jeuveau, and Xeomin?
Treatment areas, downtime, results and longevity are comparable across Jeuveau, Botox and Dysport. There are some small nuances to each product and some injectors prefer one over the other. However, their safety is the same.
Should I choose Botox, Dysport or Jeuveau?
Whether using Botox or Dysport, the injectable being used is a neurotoxin. Choosing between eachneurotoxin is sometimes personal preference or sometimes brand recognition, like deciding between Pepsi and Coca-Cola. Physician experience and preference can also influence the choice of injectables.
Dr. Holcomb has experience injecting botox and all of the other neuromodulators. She was also involved with the clinical studies of Jeuveau before starting Pure Dermatology. She was also in charge of the Botox training portion of her residency program as far back as 2005. Both Dr.’s Holcomb and Haseltine are board certified dermatologists and with their clinical and teaching expertise with injectables and aesthetic products, they will work closely with the patient to discuss options and to determine the best plan.
Botox in New Orleans and Metairie LA
Dr. Holcomb trains physicians nationwide on the use of Botox and has participated in the Allergan Medical Facial Aesthetics Advisory Board and Allergan Emerging Leaders Advisory Board. She is an Assistant Clinical Professor at Tulane University School of Medicine where she teaches monthly at the dermatology Resident Cosmetic Clinic, focusing on cosmetic injectables. Using her skill set and expertise, Dr. Holcomb and Pure Dermatology is able to provide high quality Botox injections in New Orleans.
If you are looking for a dermatologist in New Orleans or Metairie Lousiana to handle your Botox injections, then Dr. Holcomb and Pure Dermatology Clinic of New Orleans is the only choice. Give us a call today to set up an appointment.
If you are looking for Botox, Dysport or Jeuveau solutions in New Orleans, or would like to know more about the process, contact us today. We look forward to hearing from you.