Injectables & Facial Contouring

Wrinkle Softening & Neuromodulators

Uses botulinum toxin type A to temporarily relax selected muscles, softening dynamic lines and helping certain muscle- or sweat-related concerns.

Wrinkle softening with neuromodulators in Vancouver

Understanding Wrinkle Softening & Neuromodulators.

Some lines appear only when you move: when you frown, raise your brows or squint into the sun. Those are the lines a neuromodulator softens beautifully, for a smoother, more rested look.

The medication is botulinum toxin type A, a prescription injectable that temporarily relaxes the specific muscles creating those creases. Several products authorized in Canada share this active ingredient, and your physician chooses the one that suits the area and you.

Results build over a week or two and last for months, and repeat treatments keep your look fresh. Every treatment is performed by our experienced physicians.

Explore Your Neuromodulator Treatment Options →

Wrinkle Softening & Neuromodulators infographic
What you'd like to improveOften chosen at our clinic
Lines that appear when you moveWrinkle-relaxing injections
Lines etched in at restInjections combined with resurfacing or skin treatments
Hollowing or loss of fullnessDermal fillers and collagen-stimulating injectables
Sagging or loose skinSkin tightening or a thread lift
Texture, sun damage or pigmentLight-based treatment, resurfacing and skincare
Underarm sweating or jaw clenchingWrinkle-relaxing injections, including hyperhidrosis treatment

Most faces are a mixture of muscle and skin changes. Watching how your face moves shows us where each treatment helps most.

Discover Your Smoother Expression Possibilities →

Concerns & Goals

Concern guides connected to this treatment.

Fine Lines and Wrinkles

Visible facial creases that develop from repeated expression, collagen loss, sun exposure and skin dryness.

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Forehead Lines

Horizontal creases across the forehead that form from repeated eyebrow raising and skin aging.

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Frown & Glabellar Lines

Vertical lines between the eyebrows that form from repeated frowning and concentration.

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Crow’s Feet

Fine lines that fan out from the outer corners of the eyes with smiling, squinting and skin aging.

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Bunny Lines

Fine diagonal wrinkles along the sides of the nose that appear with smiling, squinting or nose movement.

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Perioral & Smoker’s Lines

Fine vertical lines that form on and around the lips from lip movement, aging and sun exposure.

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Smile Lines and Marionette Lines

Creases around the mouth, from the nose to the mouth corners and from the mouth toward the chin, that deepen with movement, volume change, and tissue descent.

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Marionette Lines & Downturned Mouth

Lines running from the corners of the mouth toward the chin that can give the lower face a downturned or unhappy look.

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Loose or Crepey Skin

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

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Neck Laxity and Neck Lines

Loose neck skin, horizontal creases, or visible muscle bands that can reduce definition of the neck and jawline.

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Neck Lines & Wrinkles

Horizontal creases or finer wrinkles across the neck that develop with movement, sun exposure, and collagen loss.

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Platysmal Neck Bands

Visible vertical cords in the neck caused by prominence of the platysma muscle.

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Masseter Hypertrophy, Jaw Clenching & Facial Slimming

Enlargement of the jaw muscles, often linked with clenching or grinding, that can widen the lower face or cause jaw discomfort.

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Chin Dimpling & Pebbled Chin

A puckered, dimpled, or pebbled chin appearance often linked to activity of the chin muscle.

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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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Jawline Definition

A softer or less-defined jawline shaped by chin structure, facial fat, muscle size, skin laxity, or tissue descent.

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Chin Projection and Facial Balance

An under-projected or recessed chin that can affect the facial profile and jawline balance.

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Gummy Smile

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

Read concern guide →

Treatment options at our clinic

  • Wrinkle-relaxing injections: prescription products containing botulinum toxin type A, used for lines that deepen with expression, an overactive jaw muscle and excessive underarm sweating. Authorized indications differ between products, and some uses are off-label.
  • Emface: a needle-free option that tones facial muscle, for selected toning goals and, through its functional protocol, jaw discomfort.

Injections are performed by our experienced physicians, and some patients use both treatments, each for its own goal.

What wrinkle-relaxing injections can improve

  • Frown lines between the brows
  • Forehead lines from repeated brow raising
  • Crow's feet at the outer corners of the eyes
  • Bunny lines across the bridge of the nose
  • A downturned mouth or dimpled, pebbled chin
  • Vertical neck bands from the platysma muscle
  • A gummy smile, in selected cases
  • Excessive underarm sweating
  • Jaw clenching and an enlarged jaw muscle, which can also widen the lower face

Authorized indications differ between products, and some uses are off-label. Your physician explains which applies to your treatment.

Who may benefit

Wrinkle-relaxing injections suit adults bothered by lines that deepen with expression, or by one of the muscle- and sweat-related concerns above.

A line etched at rest softens further when a skin treatment is added, and if upper-lid heaviness is part of your concern, your physician checks your brow and lids carefully before treating the forehead.

Your medical history, medications and previous treatments are reviewed at your consultation to confirm which option suits you.

Your consultation

At Anti-Aging Medical & Laser Clinic, injectable treatments are performed by our experienced physicians. 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.

We watch your face move as you frown, raise your brows, squint and smile, and look closely at your brow position and eyelids.

We agree what you'd like to keep. Some people want movement noticeably reduced, others want natural expression with softer lines, and your plan follows your preference. We also explain which uses are authorized and which are off-label.

Cosmetic consultations are complimentary. When you book a treatment, we take a card on file. New clients pay a $150 deposit that goes toward their treatment, and a $150 no-show fee applies if an appointment is missed.

Book Your Neuromodulator Consultation →

What to expect during treatment

The appointment is short. Your physician places a series of small injections into the targeted muscles with a fine needle, and most people feel only a brief pinch, with ice or topical numbing available. Small bumps at the injection points settle within about an hour, and you can usually return to your day.

Results and planning

What improves: lines caused by muscle movement, an overactive jaw muscle, excessive underarm sweating, and selected expression-related concerns such as a downturned mouth or dimpled chin.

When change appears. Softening typically begins within a few days and reaches its full effect around one to two weeks after treatment, which is when any review is scheduled.

Your plan. The effect lasts for months as nerve signalling gradually returns, and repeat treatment maintains your result. If you pause treatment, your face simply returns to its own baseline.

What shapes your result: muscle strength and size, dose and placement, the area treated, and whether a line is dynamic or etched at rest. Individual results vary.

Anti-Aging Medical & Laser Clinic

Looking for the right next step?

Anti-Aging Medical & Laser Clinic can help you understand this treatment, explore related technologies and concerns, and build a plan around your goals.

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Recovery and aftercare

Most people go straight back to work. For the first several hours, stay upright, avoid rubbing or pressing on the treated area, and skip strenuous exercise, saunas and hot yoga.

Contact the clinic if you notice a drooping eyelid or brow, noticeable asymmetry, double or blurred vision, or a change in your smile. Seek urgent medical attention for difficulty swallowing, speaking or breathing, or generalized muscle weakness.

Optimizing your results

Combining with HydraFacial. HydraFacial works well in combination with wrinkle-relaxing injections. The injections soften expression lines, while HydraFacial refreshes and hydrates the skin's surface. HydraFacial is booked on a separate day, and your physician will advise the right timing.

Common side effects

Small bumps at injection points, mild redness or stinging, bruising, tenderness, a headache in the first day or two and a feeling of heaviness as the effect sets in are common and usually settle quickly.

Less common risks

Less often, the medication can affect a nearby muscle, causing a temporary brow or eyelid droop, asymmetry or a change in smile, or double vision, dry eye, neck weakness, persistent headache, infection or an allergic reaction. Very rarely, the effects of botulinum toxin can spread beyond the injection site, hours to weeks afterwards. Seek immediate medical attention for difficulty swallowing, speaking or breathing, generalized muscle weakness or loss of bladder control. This is not a complete list, and your physician reviews the risks with you.

Suitability

Pregnancy or breastfeeding, certain neuromuscular conditions, allergy to the product, infection at the site and some medications can make treatment unsuitable or a reason to wait. Your physician reviews your history before treatment.

Where skincare fits

Injections and skincare look after two different layers, and they work beautifully together. A neuromodulator relaxes the muscle underneath, while skincare looks after texture, hydration and pigment above it.

Daily sun protection matters most, because it preserves the collagen that helps skin recover from creasing.

Our team can recommend a routine from our online shop to keep the skin over relaxed muscles smooth, hydrated and bright between visits.

Anti-Aging Medical & Laser Clinic

Why patients choose our clinic

  • Injected by our experienced physicians, Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher.
  • Brow and eyelid assessment first, so treatment keeps your eyes looking fresh.
  • Individualized dosing, planned around how your face moves and how much expression you'd like to keep.
  • Clear guidance on authorized and off-label uses.
  • A full range of complementary treatments, from skin tightening to fillers and resurfacing.
  • Physician-led care in Vancouver since 2003, under the medical direction of Dr. Gidon Frame.

Book a Consultation With One of Our Physicians →

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FAQ

Questions about Wrinkle Softening & Neuromodulators.

Yes, if that's what you'd like. Softening a line while keeping natural movement is a different plan from substantially reducing movement, and both are achievable. Tell your physician what you'd like, including if previous treatment felt too heavy or too subtle.

Muscle activity gradually returns and lines come back to how they were, with no rebound. Your face simply returns to its own baseline, and you can restart whenever you like.

A feeling of heaviness or tightness as the effect sets in is common and usually settles. A true brow or eyelid droop is uncommon and temporary, easing as the effect wears off. Let us know either way so we can assess it and plan your next treatment.

Difficulty swallowing, speaking or breathing, slurred speech, or generalized muscle weakness. These are very rare but serious, and can appear hours to weeks after treatment, so seek immediate medical attention and contact the clinic.

One of our experienced physicians: Dr. Gidon Frame, Dr. Sarina Govindasamy or Dr. Teri Fisher. Placement near the muscles of your brow, eyelids and smile shapes how natural your result looks, and we confirm your physician when you book.

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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Visit our clinic in Vancouver, BC.

Anti-Aging Medical & Laser Clinic combines medical assessment, individualized planning, physician oversight, and a broad range of treatment options in its Vancouver clinic.

Plan your consultation.

Bring your questions, treatment history, and goals. Your provider can help you understand appropriate options, expected recovery, and realistic outcomes.

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HoursOpen 7 Days / Week from 9:00 AM to 5:30 PM. Closures Announced on Google Business
Phone(604) 261-9121
Emailinfo@aamvan.com

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.
  • Personalized skincare and product consultations based on your goals and routine.
  • Home-care guidance to support your skin between in-clinic appointments.
  • Professional skincare products available through the Anti-Aging Vancouver shop.
  • Clear guidance on treatment options, preparation, downtime, aftercare, and next steps.
  • Ongoing follow-up so your plan can evolve as your needs and goals change.