Neuromodulators or “muscle relaxers” like Botox, Dysport, and Jeuveau help to reduce fine lines and wrinkles by blocking the transmission of nerve impulses to the treated muscles. With similar mechanisms of action, results with all three are comparable and typically last between three and four months. Results are optimized when treatments are maintained and a return to your “baseline” is avoided. While you can expect to start seeing the positive effects of treatment four to seven days after your appointment, it is always best to wait a full two weeks for final results. Each patient will have different needs and will require varying amounts of neuromodulator. It is important to keep in mind that the number of units placement, and injection technique are even more important than the brand name of the product used. With over 20 years of experience in Cosmetic Dermatology, Dr. Romine will personally customize your treatment to meet your concerns and will select the perfect treatment for you!
To make your visit as comfortable as possible, we apply topical numbing to treatment areas 15 – 20 minutes prior to your treatment and coach you on Yoga breathing techniques to calm any jitters!
Types of Neuromodulators

Jeuveau™
Jeuveau™ – prabotulinumtoxinA-xvfs – is the newest neuromodulator that has a very similar molecular size of purified protein. It is made through a precise and unique Hi-Pure™ technology in a Brand New state-of-the-art manufacturing plant that produces only one product, that being Jeuveau™. In head-to-head studies, the injectors and patients preferred Jeuveau™ at all study points.
Botox ®
Botox® – onabotulinumtoxinA – is a highly purified, natural protein that is produced by the bacterium Clostridium botulinum. Botox® has been used successfully for decades for a variety of medical conditions and is an extremely safe way to reduce fine lines and wrinkles.
Dysport ®
Dysport ® – abobotulinumtoxinA – inhibits the release of the neurotransmitter acetylcholine and is a neuromuscular blocking agent that improves the appearance of fine lines and wrinkles. While similar to Botox® Cosmetic, some possible differences include time to effectiveness as some patients have reported seeing results quicker.