Technology

Botox · Dysport · Xeomin · Nuceiva

Wrinkle-relaxing injections use prescription medicines containing botulinum toxin type A to temporarily relax selected muscles and soften movement lines.

Botulinum toxin type A injections

Understanding Botox · Dysport · Xeomin · Nuceiva.

Wrinkle-relaxing injections use prescription medicines that each contain a form of botulinum toxin type A, made under controlled pharmaceutical conditions. Several products are available in Canada. They share the same active toxin type but have different formulations, potency units and manufacturing characteristics, which is why their units don't convert one-to-one. They're used in small, carefully measured amounts for specific cosmetic and medical purposes, and at our clinic they're given only by our experienced physicians.

How do neuromodulators work?

Botulinum toxin type A works at the junction between nerve endings and the tissue they signal. When injected in small amounts into a targeted muscle, it temporarily blocks the release of acetylcholine, the chemical messenger that tells the muscle to contract. The treated muscle relaxes, which softens lines caused by repeated movement. The same principle applies to sweat glands: reducing the nerve signal to the glands lowers sweat production in the treated area. Nerve signalling gradually recovers over a period of months, so regular treatment keeps the effect going.

What wrinkle-relaxing injections treat

In aesthetic medicine, these injections soften dynamic lines, the ones caused by muscle movement, including:

They also have medical uses, including excessive sweating (hyperhidrosis). Confidential scrotal botulinum toxin treatment for excessive scrotal sweating is provided by Dr. Gidon Frame and Dr. Teri Fisher.

Wrinkle-relaxing injections work on lines that come from movement. For lines from volume loss or loose skin, dermal fillers or skin tightening restore support, and the two are often combined.

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Anti-Aging Medical & Laser Clinic

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Anti-Aging Medical & Laser Clinic can help you explore this technology, related treatments, and connected concerns.

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Benefits of wrinkle-relaxing injections

Wrinkle-relaxing injections soften specific movement lines, or reduce excessive sweating in a treated area, through a quick in-office procedure with little downtime for most people. Because the effect wears off gradually, your result can be fine-tuned at later visits as your preferences change. The outcome depends on the area treated, the product and dose chosen, and your physician's technique. Regular maintenance treatments keep your result looking fresh. Individual results vary.

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Safety, side effects and considerations

These are prescription medicines, given at our clinic only by our experienced physicians after an assessment. Very fine needles are used, and the appointment itself is quick.

Common and temporary

  • Redness, swelling, tenderness or small bruises at the injection points
  • A mild headache

Less common risks

  • A temporary droop of an eyelid or brow, or a heavy-feeling brow, which settles as the effect wears off
  • An uneven result, which can often be balanced at a follow-up visit
  • After treatment of the palms for sweating, temporary weakness of grip or of the small hand muscles
  • Spread of effect. Rarely, the effect spreads beyond the treated area and causes drooping or weakness nearby. Very rarely, it can cause difficulty swallowing, speaking or breathing, which needs urgent medical attention. If this happens, seek emergency care and let the clinic know on 604-261-9121.

When treatment may need to wait

  • Pregnancy or breastfeeding
  • A neuromuscular condition, such as myasthenia gravis or Lambert-Eaton syndrome
  • Medicines that can strengthen the effect, including certain antibiotics such as aminoglycosides, and muscle relaxants
  • Another botulinum toxin treatment recently, including for a medical condition
  • An infection or inflammation at the injection site
  • A known allergy to any component of the product
  • A bleeding disorder or blood thinners, which make bruising more likely. Please don't stop a prescribed medicine without your doctor's advice.

Authorized uses differ between products, and your physician explains which applies to your treatment.

Aftercare

For a few hours after treatment, avoid rubbing or massaging the treated areas and lying flat, and leave strenuous exercise for the rest of the day. Your physician gives you aftercare advice for the areas treated.

This is not a complete list.

Conditions It May Help Address

Concerns connected to this technology.

The relationship between a technology and a concern depends on the treatment plan, patient assessment, and how the technology is being used.

Loose or Crepey Skin

Reduced firmness and mild tissue descent related to aging and the decline of collagen and elastin.

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Brow Heaviness

A lowered eyebrow position that can make the upper eye area feel heavy or tired.

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Gummy Smile

A smile that shows more upper gum tissue than a person would prefer.

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Not sure how Botox · Dysport · Xeomin · Nuceiva may fit?

Talk with Anti-Aging Clinic about your goals and the options that may be worth exploring.

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Anti-Aging Medical & Laser Clinic

Why patients choose our clinic

At Anti-Aging Medical & Laser Clinic, injectable treatments are performed by our experienced physicians, within a physician-led clinic that has served Vancouver since 2003. Dr. Gidon Frame, our Medical Director, has shared his injection techniques with the clinic's physicians, so your treatment reflects a consistent, considered approach. Because we also offer dermal fillers, collagen-stimulating injectables and skin tightening, your plan can combine treatments where that adds to your result.

Your consultation. Your consultation includes an assessment of your concerns, medical and cosmetic history, facial anatomy and treatment goals. Our cosmetic consultants may assist with your initial assessment and treatment planning, while the treating physician reviews your suitability, confirms the medical treatment plan and performs your injections. Cosmetic consultations are complimentary. Sexual-health consultations, such as for scrotal sweating, are confidential physician appointments with a consultation fee, confirmed when you book.

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FAQ

Questions about Botox · Dysport · Xeomin · Nuceiva.

They all contain botulinum toxin type A and work on the same principle, but they're distinct products with different formulations and potency units, so their doses aren't interchangeable one-to-one. Your physician chooses the product based on the area being treated and what suits you.

The effect fades gradually over a period of months as nerve signalling recovers, and regular treatment keeps the result going. Timing varies between people, products and treatment areas, and your physician can give you a more specific idea for your situation.

The aim is to soften specific movement lines while keeping your natural expression, and that comes down to careful dosing and injection technique. Tell your physician how much movement you'd like to keep, and the approach is tailored to you.

Wrinkle-relaxing injections relax muscles to soften lines caused by movement, while fillers add volume or support where there's volume loss. They treat different concerns and are often used together, depending on what's behind your lines.

For most people there's little downtime, and the appointment itself is quick. You may notice some redness, swelling or small bruises at the injection points, which usually settle soon after, so it's easy to fit treatment into your week.

Reviews

What patients say about the clinic experience.

Reviews help show the human side of care, from the first consultation to comfort, communication, treatment planning, and follow-up.

Medical Review

Reviewed for clinical accuracy.

Medically reviewed by Dr. Gidon Frame, Medical Director, Anti-Aging Medical & Laser Clinic (CPSBC).
Last medically reviewed: August 2026.
Evidence reviewed: clinical practice guidelines, systematic reviews and peer-reviewed medical literature.

AuthorDr. Gidon Frame
Medical ReviewerDr. Gidon Frame
Last ReviewedSeptember 2026
Anti-Aging Medical & Laser Clinic

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Why Anti-Aging Medical & Laser Clinic?

  • A medical clinic with physicians and experienced medical-aesthetic providers on the team.
  • Science-informed assessment, treatment planning, and realistic expectations.
  • Laser, injectables, skin, body, hair, wellness, and medical services available in one clinic.
  • Complimentary aesthetic consultations are available for appropriate cosmetic and laser services.
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  • Home-care guidance to support your skin between in-clinic appointments.
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