Neuromodulators for Sagging Skin

A minute amount of neuromodulators – wrinkle-relaxing injections of botulinum toxin commercially known as Botox, Dysport and Xeomin – is injected directly into the underlying muscle, causing it to relax and gradually smooth out the appearance of the overlying skin.

Botox treatment to the neck bands.
Photo courtesy of Sue Ellen Cox, MD

Possible risks

As with any treatment, there are risks associated it, though they are minimized in the hands of a qualified ASDS dermatologist. These include:

  • Soreness
  • Mild bruising
  • Temporary weakness of surrounding muscles
  • Headache

Why choose neuromodulators for sagging skin

Neuromodulator treatments are non-invasive and well-tolerated by most patients. Recovery time is minimal. Pricing can be substantially less than other treatments.

What you should know about neuromodulators for sagging skin

The neuromodulator is injected directly into the platysmal muscle bands that often are visible on the neck, commonly known as turkey neck. The improvement generally lasts about three to four months before the effect gradually fades and muscle action returns. The average patient usually requires reinjection at various intervals. With repeated treatments, thinning of the muscle may occur, which usually produces longer lasting results.

Before and after Sculptra to full face and Botox to masseters/jaw area.
Photo courtesy of Rebecca Fitzgerald, MD

What to expect after the procedure

  • Virtually no recovery time is required after neuromodulator injections.
  • Patients should take care not to rub treated areas, which could cause it to migrate to another area.

How to prepare for the procedure

Before the procedure, an ASDS dermatologist will review the patient’s medical history. This is the time for the doctor and patient to discuss expectations, potential risks and outcomes of the procedure. You should tell your doctor if you use or have recently taken:

  • Blood-thinning drugs
  • Previous neuromodulator therapy
  • Antibiotics by injection
  • Muscle relaxants
  • Allergy or cold medicine
  • Sleep medicine