Wrinkle Softening & Neuromodulators

That is a decision you make with your physician, not a fixed property of the treatment. Softening a line while keeping natural movement is a different plan from substantially reducing movement, and both are achievable. Say clearly what you want at consultation — including if you have had treatment elsewhere that felt too heavy or too subtle.

Because that is the active ingredient, and several different brands authorised in Canada contain a form of it. Leading with the generic name keeps the focus on the medication and its properties rather than the marketing around it. Your physician will tell you which product is being used and why it suits the area being treated.

Your muscle activity gradually returns and the lines come back to how they were. You do not end up worse than before, and there is no rebound — you simply return to your own baseline. This is worth knowing before you start, because maintaining the result is an ongoing commitment rather than a one-time cost.

A sensation of heaviness or tightness as the effect sets in is fairly common and usually settles. A genuinely dropped brow or drooping eyelid is different — it is uncommon, temporary, and resolves as the effect wears off, though that can take weeks to months. Let us know either way so it can be assessed and taken into account when planning your next treatment.

Difficulty swallowing, difficulty speaking or slurred speech, difficulty breathing, or generalised muscle weakness. These can indicate that the toxin's effects have extended beyond the injection site, which is very rare but serious, and has been reported anywhere from hours to weeks afterwards. Do not wait for a routine appointment — seek immediate medical attention.

Tell us everything you take, including recent courses. Certain medications, such as aminoglycoside antibiotics and some muscle relaxants, can affect the way nerve signals reach muscle and may amplify the medication's effect. Blood thinners do not usually prevent treatment but make bruising more likely. Neuromuscular conditions are a more significant issue and are specifically asked about.

Partly. Lines etched into the skin at rest have a skin component as well as a muscle component, so relaxing the muscle softens them but may not remove them. Over time, reducing the repeated creasing can allow an etched line to improve. For a more complete result these lines are often addressed alongside treatments aimed at the skin itself.

Some people who have been treated repeatedly over long periods do notice a reduced response, which is thought to relate to antibodies forming against the product. It is uncommon. Keeping to sensible intervals rather than topping up frequently, and using the lowest effective dose, is the practical way to reduce that risk — which is another argument against chasing every returning flicker of movement.

One of our physicians — Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher. This is a prescription medication injected close to muscles that control your eyelids, brow and smile, and depth and placement determine whether the result looks natural or heavy. We confirm which physician you will be seeing when you book.

Not as a consultation fee — that part is complimentary, including the brow and eyelid assessment that sometimes ends with advice not to treat the forehead at all. The charge attached to booking is a fee to hold the appointment, which accounts for the physician's time and helps reduce no-shows.