Neurotoxin Injections

Neurotoxin treatments involve injecting small amounts of botulinum toxin into specific muscles to temporarily relax them. This helps smooth out dynamic wrinkles (caused by movement) like frown lines, forehead lines, and crow’s feet. 

Neurotoxins work by temporarily blocking the nerve signals that tell your muscles to contract. When injected into specific facial muscles, the neurotoxin prevents those muscles from tightening or moving as much. Since many wrinkles—like frown lines or crow’s feet—are caused by repeated muscle movement over time, relaxing the muscle allows the skin above it to smooth out and prevent deeper lines from forming. The effect is localized (just at the injection site), and the muscle relaxation is temporary, usually lasting about 3 to 4 months. The treatment doesn’t affect sensation or other facial functions—it just helps soften lines and refresh your overall appearance in a natural-looking way.

 You may start to notice changes within 3–5 days, but full results typically show up in about 7–14 days after treatment. 

Most results last between 3 to 4 months, though this can vary depending on individual metabolism, treatment area, and dosage. 

Yes, neurotoxin treatments are very safe when performed by a trained and licensed medical professional. Products like Botox®, Dysport®, Xeomin®, and Jeuveau® have been FDA-approved for cosmetic use and have decades of research and clinical experience backing their safety and effectiveness. 

Discomfort is minimal. Most people describe it as a small pinch or quick sting. If you’re concerned, a topical numbing cream or ice can be used beforehand. 

There is NO downtime. You can return to most of your normal activities right after. However, we recommend avoiding strenuous exercise, lying flat, or rubbing the area for 4–6 hours after treatment. 

Most side effects are mild and temporary. They can include slight redness, swelling, or bruising at the injection site. Rare side effects include headache, eyelid drooping, or asymmetry. 

No. Neurotoxin treatments are not recommended during pregnancy or while breastfeeding due to a lack of safety data. 

To maintain your results, most patients return every 3 to 4 months. Over time, some people find they can stretch the time between appointments. 

Before treatment, avoid alcohol, blood thinners, and supplements like fish oil, vitamin E, or ginkgo for a few days to reduce the chance of bruising. After treatment, avoid lying down flat, massaging the area, or intense workouts for several hours. 

Yes! Starting early (sometimes called "preventative Botox") can help train your muscles to relax and may prevent deeper lines from forming over time. 

 1. Botox® (onabotulinumtoxinA)

• Approved for: Glabellar lines (frown lines), crow’s feet, forehead lines
   
• Manufacturer: Allergan (an AbbVie company)
   
• First approved: 2002 (cosmetic use)

2. Dysport® (abobotulinumtoxinA)

• Approved for: Glabellar lines
   
• Manufacturer: Ipsen
   
• First approved: 2009
   
• Tends to have a quicker onset (2–3 days) for some patients.

3. Xeomin® (incobotulinumtoxinA)

• Approved for: Glabellar lines
   
• Manufacturer: Merz Pharmaceuticals
   
• First approved: 2011
   
• Fun fact: "Naked" botulinum—contains no additives, which may reduce risk of antibody resistance.

4. Jeuveau® (prabotulinumtoxinA-xvfs)

• Approved for: Glabellar lines
   
• Manufacturer: Evolus
   
• First approved: 2019
   
• Marketed as “Newtox,” it's the first toxin made exclusively for aesthetic use

 Upper Face

• Forehead lines (horizontal lines)
• Frown lines / Glabellar lines (the “11s” between the eyebrows)
• Crow’s feet (lines around the outer eyes)
• Bunny lines (scrunch lines on the nose)
• 
  

Mid-Face

• Under-eye wrinkles (microdosing, very cautiously)
• Nasal flaring (to soften wide nostrils)

Lower Face

• Lip flip (softens upper lip and gives slight lift)
• Gummy smile (relaxes upper lip to reduce gum show)
• Chin dimpling (aka “pebble chin” or mentalis treatment)
• Marionette lines (softens the downward pull at corners of mouth)
• Downturned mouth (depressor anguli oris – lifts corners)

Jaw-line & Neck

• Masseter muscles (for jaw slimming or teeth grinding/TMJ)
• Platysmal bands (vertical neck bands – “Nefertiti Lift”)
• Jawline definition (softens downward pull)

Hyperhydrosis (excessive sweating)

• Underarms
• Palms
• Soles of feet
• Scalp ("Blowtox") – to reduce sweat/oil and prolong hairstyles

Recommendations: Stay upright for 4-6 hours after treatment. This helps prevent the neurotoxin from migrating. Gently exercise your facial muscles (e.g., frown, raise eyebrows, smile) for the first hour. This may help the toxin take effect faster. Use ice gently if you have any swelling or bruising, but avoid applying pressure. Stay hydrated and eat a light, healthy meal afterward if you feel lightheaded.
 

Avoid:  lying down or bending forward for at least 4–6 hours, touching, massaging, or rubbing the injection sites for at least 24 hours, avoid makeup on the treated area for at least 12–24 hours (depending on your provider’s advice), Skip alcohol and blood thinners (like ibuprofen, aspirin, fish oil, vitamin E) for 24 hours if possible, as they can increase bruising, avoid strenuous exercise and heavy lifting for 24 hours, avoid  facials, facial massages, microdermabrasion, or other skin treatments for at least 1–2 weeks.

 If you're starting to notice fine lines from facial expressions—like frown lines, forehead creases, or crow’s feet—or just want a more refreshed, relaxed look, neurotoxin might be a great option for you. It’s also a popular choice for prevention, helping to slow down the formation of deeper wrinkles over time.

The best candidates are generally:

• In good overall health
• Not pregnant or breastfeeding
• Realistic about results (think refreshed, not frozen)
• Looking to smooth or prevent expression lines without surgery 

But the only way to know for sure? Come in for a consultation. We’ll chat about your goals, assess your facial movements, and create a personalized plan. No pressure—just honest guidance to help you look and feel your best.

Pregnant or Breastfeeding Women

• There’s not enough safety data, so neurotoxins are not recommended during pregnancy or while nursing.
   

People with certain disorders

• Conditions like:
  • Myasthenia Gravis
  • Lambert-Eaton Syndrome
  • ALS (Amyotrophic Lateral Sclerosis
• These patients may be at increased risk of serious side effects (like muscle weakness or difficulty swallowing).

Anyone with a known allergy to Botulinum Toxin or Ingredients

• This includes albumin, which is a stabilizer in some formulas.
• If you’ve had a previous allergic reaction, neurotoxin is not advised.

Active skin infections or irritations at the injection site

• Wait until the area is clear before treatment to avoid spreading bacteria or causing complications.
   

Certain medications that interact with neurotoxin

• Especially muscle relaxants, blood thinners, or certain antibiotics like:
  • Aminoglycosides (e.g., gentamicin)
  • Tetracyclines

$12 per unit or $100/month (unlimited toxin) for a 12 month membership

A Board-Certified Physician, Nurse Practitioner or Physician Assistant who is certified with the Academy of Aesthetics and experienced injectors

You can book online at the top of this page, or you can text or call 551-309-3555

You can book your consultation the same day as your procedure or you can book two separate appointments. Consultations are $50 and if you decide to move forward with your procedure your payment will go towards the cost of your treatment

We are open 7 days a week for your convenience. We offer neurotoxin services in our Rutherford, Westwood, Teaneck, Hackensack and Paramus locations!