Botox, Xeomin, Dysport, Jeuveau
Known by the brand names Botox, Dysport, Xeomin, and Jeuveau, neuromodulators are purified forms of the Botulinum toxin produced by bacteria. The first neuromodulator was approved by the FDA in 1989 to treat spastic muscles in certain medical conditions. In April of 2002 the FDA approved the brand Botox for cosmetic use. Neuromodulators are FDA-approved for use to treat forehead lines, frown lines (the “11’s”), and crow’s feet. They are used “off-label” in other areas such as neck bands, chin dimples, and lower eyelid lines.
Neuromodulators work by causing relaxation of the muscles underlying the problem area. When a facial muscle contracts it creates a crease in the overlying. skin When the muscle is relaxed the skin becomes more smooth. Sometimes, however, the crease is so deep that even when the muscle is relaxed a wrinkle is visible and neuromodulator alone may not completely erase it.
Dr. Gilman uses botulinum toxin to smooth and soften facial lines and improve neck and jawline contours. She is known for her light touch, giving a very natural appearance and preserving movement so patients can continue to express themselves. No one wants an “overdone” look, and Dr. Gilman works carefully with each patient to customize the best treatment plan.