Every day we make many facial expressions, all of which require the movement of facial muscles. Over time, repeated use of these facial muscles can lead to lines and wrinkles.  Over a lot of time, the wrinkles form permanent grooves in our skin.  Neuromodulators like BOTOX®, Dysport®, Xeomin® and Nuceiva® are injectable treatments that temporarily reduce fine facial lines and wrinkles. They are formulated with onabotulinumtoxin type A; abobotulinumtoxin A; incobotulinumtoxin A; prabotulinumtoxin A , which block the nerve signals to the muscle in which it was injected. This stops the muscles from being able to contract, smoothing out unwanted lines and wrinkles. These injectables can be used to:

  • Erase lines between the eyebrows (treat the “11’s”/ “angry 11’s”) / moderate to severe glabella lines- Approved Use
  • Smooth lines on the forehead (“newspaper lines”)
  • Provide a brow arch/ brow lift
  • Diminish lines around the eyes / lateral canthal lines (“crow’s feet”). 
  • Smooth out lines across the nose “bunny lines”
  • Diminish the appearance of neck bands; provide a “Nefertiti neck lift”
  • Soften the appearance of skin dimpling on the chin, known as the “apple dumpling chin”.
  • Modify a gummy smile by bringing the top lip down to conceal the gums
  • Lip flip – making the lips poutier, appearing larger
  • Decrease the look of a downturned “sad” smile.
  • Smooth lines around the mouth “smoker’s lines”
  • Jaw slimming/ facial shaping effect
  • Slightly lift the tip of the nose
  • Reduce bulky trapezius muscles “traptox / trap-tox” to create a more elongated neck appearance

The main difference among BOTOX® , Dysport® , Xeomin® and Nuceiva® is in their formulation of protein and neurotoxin quantity, which influences how much the product will spread, and how quickly results can be seen, and sometimes the duration of the effect. While BOTOX® is formulated with an accompanying protein and may show results in as early as 2 days, Xeomin® does not contain any accompanying protein and may exhibit results in 2 – 4 days.  Dysport® is a larger protein that can show results as early as 24 hours after treatment.  Nuceiva® is the “Newtox ” with a protein similar to that of BOTOX®, and for some patients might provide longer lasting results. Rest assured, the options will be discussed with you at your appointment and you will know exactly which product will be used to give you your best results.


BOTOX® , Dysport ®, Xeomin® or Nuceiva® injections yield beautiful results when applied by our dermatologist who understands the underlying musculature anatomy and the interplay between facial contractions, facial proportions, and facial volume. The injection feels like a small pinch. A very thin needle is used to inject small amounts of the product ( onabotulinum toxin type A; abobotulinumtoxin A;  incobotulinumtoxin A; prababotulinumtoxin A) into the targeted areas. The number of injections needed will depend on the strength of the contracting muscles, the extent of your wrinkles, your facial features, and your desired result. Usually, treatment of multiple areas takes around 15 minutes to complete.  After treatment, there is hardly any down-time, but we suggest avoiding heavy exercise, alcohol intake the same-day or rubbing your face (all of these activities can cause bruising).


When you have wrinkles or lines that make you appear tired, angry, or look older than you feel, you can benefit from BOTOX® /Dysport®/ Xeomin® /Nuceiva® treatment.  The best way to determine if this treatment is right for you is to schedule an in-person consultation. 


Following BOTOX® , Dysport®,  Xeomin® or Nuceiva® injections, you can generally return to your everyday routine.   However, avoiding both alcohol and strenuous exercise will help to avoid bruising that same day.  Mild redness or swelling may occur, which will dissipate within an hour or two. It is important that you do not massage or rub the treated areas, as this may cause the product to spread to other areas of the face.  Results can often be seen within two days, though it may take up to two weeks for full results to become apparent. Results often last 3-4 months before touch-up injections are needed. If injections are discontinued, your wrinkles and lines will gradually return. At DermAtelier on Avenueyou will receive an after-treatment information sheet to help you understand after-procedure care and protocol.  


Are you tired of looking tired? Or tired of looking like you’re frowning when you’re not?  Want to look less angry in your Zoom sessions?

If so, neuromodulator treatment with BOTOX® or Dysport®,  Xeomin® or Nuceiva® may be a great option for you. To learn more about these treatment options and to schedule your consultation appointment with Dr. Beach, contact DermAtelier on Avenue today. Before & After photos are taken with your consent and are then provided to you so you can see (and maybe even share!) your stunning results first-hand.

Botox Frequently Asked Questions

Can Botox age you?

No, use of botox does not age you.

Can Botox cause weight gain?

No, botox does not cause weight gain.

Can Botox help sinuses?

Botox is not known to help sinus congestion.

Can Botox lift eyebrows?

Yes, botox can lift the eyebrows if it is injected in specific muscles

Does Botox make you look older after it wears off?

No, Botox does not make you look older after it wears off, but the initial wrinkles begin to reform.

Does Botox make you shiny?

No, botox does not make you shiny.

How long does Botox last?

Botox lasts 3 - 4 months.

Is 50 too old for Botox?

No, the age of 50 is not too old for Botox. It is approved for injection in patients 18 - 65 years of age.

What age should I start Botox?

Botox is approved for injection in patients 18 - 65 years of age.

What are the bad side effects of Botox?

After botox injection you may experience tenderness or bruising or swelling. If botox is injected incorrectly in can result in an unwanted change in muscle movement.

What do I need to know before getting botox?

Know that its an optional treatment to reduce and remove wrinkles in the face that is not permanent. Once treated, it wears off in 3 - 4 months. It

Should I move my face after Botox?

Some people feel that this helps the botox integrate into the muscle, but its considered optional to move ones face after Botox

What should you not do after Botox?

Avoid exercise or activity that could enhance bruising of the treated site.

Who should not get Botox?

People with an active infection of the skin or who are pregnant or breast-feeding should not get Botox.

Why cant you lay down after Botox?

You can lay down any time after being treated with Botox.

What is Botox used for?

Botox has many approvals including - softening of glabella lines between the eyes, reducing hyperhidrosis, reducing migraines, reducing bruxism (teeth grinding)

Is Botox good for under eye wrinkles?

Botox can be used to reduce a small wrinkle or jelly roll that forms under the eye, however, it is not a treatment for tear trough volume loss like filler is.

Is Botox a steroid?

Botox is a protein; it is not a steroid.

Is Botox a poison?

Botox is not a poison; it is a purified protein.

Does Botox affect the brain?

No, botox does not affect the brain. However, there are studies that have shown that people who have Botox injected have a more positive demeanour and attitudeYe afterwards because they are less likely to frown or scowl once the treatment kicks in.

Can you drink coffee after Botox?

Yes, you can drink coffee after being treated with Botox.

Can I have wine after Botox?

Having wine the night of treatment can lead to increased bruising.

Can I go for a walk after Botox?

Yes, light exercise including a walk is okay to do after being treated with Botox.

Xeomin Frequently Asked Questions

Can xeomin be used for crows feet?

Yes, it can be used to soften or smoothen out crows feet.

Can xeomin be used for lips?

It can be used to soften lines that form around the lips.

Can xeomin cause headaches?

Xeomin can help headaches, but it is not an approved use of Xeomin.

Can you mix Botox and Xeomin?

These products can both be used in the same treatment session.

How do you make Xeomin?

Xeomin is reconstituted with sterile saline.

How long does it take to see results from xeomin?

Results from Xeomin can be seen in around 2 weeks.

How long should xeomin last?

Xeomin can last 3 - 4 months.

How often can you get xeomin?

Xeomin treatments can be done every 3 - 4 months.

Is xeomin safer than Botox?

Both products are safe when used appropriately and injected by your dermatologist.

What does xeomin treat?

Xeomin is used to treat wrinkles that form due to muscle movement.

What is better Botox or Xeomin?

Some patients prefer Botox and some patients prefer Xeomin. It depends on the patient and the way their wrinkles are forming.

What is Xeomin injection?

Xeomin is an injection used to soften wrinkles, known as a neuromodulator

Which lasts longer Botox or Xeomin?

It depends on the patient, but Botox or Xeomin may last 3 - 4 months.

Where can xeomin be injected?

Xeomin can be injected into various facial muscles to soften and smoothen out facial wrinkles.

What should you not do after taking xeomin?

Avoiding heat or heavy exercise after Xeomin is advised to help avoid bruising.

What is xeomin used for?

Xeomin can be used to soften and smoothen out facial wrinkles. It also helps improve skin quality.

Is Xeomin or Botox better?

Some patients prefer Botox and some patients prefer Xeomin. It depends on the patient and the way their wrinkles are forming.

Is xeomin as effective as Botox?

Xeomin is as effective as Botox in many patients.

Does xeomin work faster than Botox?

Xeomin tends to work a bit slower than Botox.

Do Xeomin injections hurt?

Xeomin injections feel like a small pinch where theyre injected.

Is xeomin FDA approved for migraines?

Xeomin is used to reduce facial wrinkles; it is not Health Canada approved for migraine treatment.



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