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Wrinkle Relaxers

Wrinkle relaxers are well-established aesthetic treatments for nonsurgical facial rejuvenation. They are the number one cosmetic procedure in the world because they are quick, safe, relatively painless, and provide almost immediate results.

There are four FDA approved brands of wrinkle relaxers, Botox®, Dysport®, Xeomin® and Jeuveau®. All wrinkle relaxer brands are made of neurotoxins derived from the bacteria Clostridium Botulinum. Wrinkle relaxers are injectables that target dynamic wrinkles, that is wrinkles that increase in appearance with movement. “Botox” is a term many people use to refer to wrinkle relaxers.

What are dynamic wrinkles?

Dynamic wrinkles are wrinkles created by the repetitive muscle movements of facial expressions. Over years, dynamic wrinkles become static wrinkles that are present even at rest. All facial expressions can lead to dynamic wrinkles and eventually static wrinkles. If this is a concern, then it is best to start treating dynamic wrinkles early.

How do wrinkle relaxers work?

Wrinkle relaxers work by blocking nerve signals to the targeted muscles to temporarily relax the muscles. The effect is a smoothing of dynamic wrinkles to improve appearance and prevent dynamic wrinkles from becoming static wrinkles.

What can be treated with wrinkle relaxers?

Wrinkle relaxers are used to:

  • smooth wrinkles between the eyebrows (glabellar lines or the “11’s”)
  • smooth horizontal frown lines and forehead wrinkles
  • smooth bunny lines on the nose
  • smooth vertical lip lines around the mouth
  • smooth crow’s feet around eyes
  • reduce the appearance of vertical neck bands
  • smooth a dimpled chin
  • provide a chemical brow lift, raising and leveling eyebrows to open the eyes and create a more rested appearance
  • soften a square jaw
  • enhance facial symmetry
  • treat a gummy smile

Are there other benefits of wrinkle relaxers?

We know that forehead lines and grooves and the Angry 11s convey anger and worry. Research has shown that treating frown lines with wrinkle relaxers leads to an improved mood and has an antidepressant effect. Treatment of the forehead muscles has also been shown to positively impact the way others perceive you in addition to improving your self-esteem.

How long does it take see results? How long do they last?

Results will be noticeable within 5-7, but full results can take up to two weeks. Effects last up to 3-4 months. However, studies and experience have shown that if results are maintained with regular injections, effects will last longer, and less neurotoxin will be needed to maintain effects.

What are the potential side effects?

Common side effects include minor swelling and pin-point prick marks that resolve with in a day, Local minor bruising is uncommon but can last 1-2 weeks. Very rarely, a sleepy or droopy eyelid can occur. This complication, while temporary, can last up to 3 months if your injector does not have sufficient training and knowledge of anatomy. Fortunately, Dr. Michael Sotiriou is a board-certified dermatologist who, as a Mohs surgeon, has extensive training and knowledge in facial anatomy and aesthetics.

What can I expect from the procedure?

Botox is a simple procedure. You will meet with Dr. Michael Sotiriou to discuss your treatment goals. He will examine your face and areas of concern and create a plan. Using very thin needle he will pinpoint the targeted muscles and inject the wrinkle relaxer without interfering with your natural facial expressions.  There is no downtime, but patients should avoid laying flat for several hours after the procedure, and avoid drinking alcohol immediately after. Normal activities can be resumed immediately. You will be advised not to rub or massage the treated areas to prevent displacing the wrinkle relaxer.

Wrinkle relaxers should not be used in women who are pregnant or nursing, or patients with a history of neuromuscular disorders such as myasthenia gravis or amyotrophic lateral sclerosis.

Why you want an expert injector?

There are over 40 different muscles in the face, so you want an expert injector who understands the anatomy of facial expression including frowning and smiling. Each emotion involves a complex, coordinated contraction of facial muscles. An expert has an artistic eye, extensive knowledge of facial anatomy, provides quality care, reduces risks, and delivers exceptional results. Dr. Michael Sotiriou has years of experience helping patients achieve their aesthetics goals.

Contact Dr. Michael Sotiriou at Salt Lake Dermatology & Aesthetics in Salt Lake City Utah to schedule a cosmetic consultation and help you face the day!

At a Glance

Dr. Michael Sotiriou

  • Board-certified, Residency-Trained Medical and Cosmetic Dermatologist
  • Sub-Specialty Board Certification in Mohs Micrographic Dermatologic Surgery from the American Board of Dermatology
  • Fellow of the American Academy of Dermatology
  • Learn more

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