Dynamic vs. static wrinkles
Dynamic wrinkles form when facial muscles contract — raising your brows, frowning, or squinting when you smile. Over years, repeated folding etches those lines into the skin so they remain even at rest (static wrinkles). Neuromodulators temporarily relax targeted muscles, softening dynamic lines and helping prevent them from deepening.
The most commonly treated areas are horizontal forehead lines, the vertical "11s" between the brows (glabellar lines), and crow's feet at the outer corners of the eyes.
Botox vs. Dysport vs. Xeomin
All three are FDA-approved botulinum toxin type A products that work the same way: blocking the nerve signal that tells a muscle to contract. Differences are subtle. Dysport may spread slightly more and sometimes kicks in a day or two sooner, which can suit broader areas like the forehead. Xeomin is a "naked" formulation without accessory proteins. Botox has the longest track record.
Units are not interchangeable between brands, so dosing is product-specific. During your consultation, the brand and dose are matched to your anatomy, muscle strength and goals.
- Botox Cosmetic (onabotulinumtoxinA)
- Dysport (abobotulinumtoxinA)
- Xeomin (incobotulinumtoxinA)
Your treatment visit
Your visit starts with a health history and facial assessment while you make expressions, so injection points can be mapped to how your muscles actually move. The skin is cleansed, and a series of tiny injections are placed with a very fine needle. Treatment takes about 10 to 15 minutes.
Results begin to appear in three to five days and reach full effect at about two weeks. A follow-up check at two weeks allows small adjustments if needed. Results typically last three to four months.
Aftercare
Stay upright for four hours, avoid rubbing or massaging the treated areas, and skip strenuous exercise, saunas and facials for the rest of the day. Mild redness or small bumps fade within minutes to hours; minor bruising is possible. A rare temporary side effect is eyelid or brow heaviness, which is minimized by careful placement and conservative dosing.
Who should not be treated
Neuromodulators are not used during pregnancy or breastfeeding, or in people with certain neuromuscular disorders or an allergy to product ingredients. A complete medical review — something a women's health nurse practitioner does as second nature — is part of every aesthetic visit.
Preparing for your visit
Coming prepared helps you get the most from an appointment about neuromodulator treatment. Arrive with a clean face if possible, and let us know if you have had neuromodulators before — which brand, how many units, and how long results lasted. If medically appropriate, avoiding alcohol and non-essential blood-thinning supplements such as fish oil for a few days beforehand may reduce bruising. Plan treatment at least two weeks before a big event so results have fully settled.
JennWell Women's Health is located at 11844 Standing Stone Dr., Suite 200 in Gretna, inside Skilled Touch Health and Healing, and welcomes women from Elkhorn, West Omaha, Millard, Papillion, La Vista, Bennington, Lincoln and across Eastern Nebraska. To schedule, call (402) 800-8595 or request an appointment online. If you are unsure whether this service is right for you, a consultation is a no-pressure place to start the conversation and learn your options.