Botox & Dysport (neuromodulators) have become a popular, non-invasive cosmetic procedure to diminish and/or eliminate wrinkles that are caused by repetitive muscle movement. These neuromodulators work by temporarily blocking nerve impulses to the injected muscles. This weakens and reduces muscle activity that causes the persistent lines to form and as a result, the wrinkles that occur with expression is diminished.  The FDA has approved Botox Cosmetic to minimize the horizontal lines across the forehead, vertical lines between the eyebrows and crows feet (wrinkles around the eyes). Although not FDA approved, Botox/Dysport has been successfully used for many years for treating other areas including dimpled chin, “bunny nose”, gummy smile, and neck bands just to name a few.  Many individuals are concerned that Botox/Dysport will result in a “frozen” look, but a natural look can be achieved when injecting the correct amount by a qualified medical professional.  Results become noticeable in 1 to 4 days, but the full effect may not be seen for 2 to 4 weeks. The effects last up to 4 months.  However, the duration of response is dependent upon the injection site and dose.  Some individuals, particularly those who have repeated injections in the same area, may experience benefits for six months or longer.  Men typically require higher doses of Botox/Dysport than women.  The amount of Botox/Dysport needed to minimize or eliminate wrinkles can vary significantly among individuals, but here is a general guideline for Botox/Dysport dosing by area:

(higher dosing typically in men)

–   Forehead (horizontal lines) 15-30 units/45-90 units

–   Frown lines (vertical lines between the eyebrows) 20 units/50 units

–  “Crow’s feet” 20-24 units/60-72 units

–  “Bunny nose” 6-12 units/18-36 units

–   Gummy smile 6 units/18 units

–   Dimpled Chin  4-10 units/12-30 units

–   Neck bands 12-20 units/36-60 units

–   Lip Flip 4 units/12 units

–   Hyperhydrosis (excessive under arm sweating) 50 units/underarm of Botox & 150 units/underarm of Dysport

–   Slimming of Jaw Line or TMJ Treatment 25 units/masseter muscle of Botox, or 75 units/masseter muscle of Dysport