Neuromodulators include BOTOX®, Dysport & Xeomin. They help reduce wrinkles by interrupting the signal sent from the nerves to the muscles to prevent the muscles from contracting - giving you smoother facial features.  Dr. Myint will help you determine the best approach to achieve the results you desire.

What causes frown lines?

Over time, repeated movement of the facial skin by the forehead muscles forms lines between the eyebrows. Frown lines are "dynamic"—they happen because of the way a person's face moves.

Are they related to age?

No. Because frown lines are created by facial movements like frowning or squinting, they may develop even in younger adults.


BOTOX® Cosmetic treatment is a revolutionary approach to reversing the affects of facial wrinkles. Crows feet, worry lines and laugh lines can all be a thing of the past. These are referred to as dynamic wrinkle lines and all are treatable with this procedure. Cosmetic denervation is the process of injecting botox into the tiny facial muscles that create the wrinkles.

Dr Myint was hand picked by Allergan along with other selected number of plastic surgeons in 2003 to become a certified Botox® Cosmetic instructor. He has been using Botox® since 1993 prior to being FDA approved for cosmetic use. Dr Myint’s facial sculpting with Botox® and Fillers has made him the go-to doctor by his patients.

To better understand your overall health, Dr Myint and his staff will evaluate your medical history prior to surgery. In addition, a complete examination of your eyes is made in order to decide the most effective injection sites. All issues and concerns will be discussed.

The areas that will be treated are marked and digital photographs are taken in order to determine the amount of improvement after surgery.

BOTOX® Cosmetic injections are performed without anesthesia because they are virtually painless. Only a very small sting is felt when the injections are made. The effects are not permanent and may need to be repeated two to three times per year to retain the effects. Research has suggested, however, that long term use of the injections leads to a longer duration of each treatment's effect. Patients over the age of 65 may not experience such dramatic results. BOTOX® Cosmetic is only useful in treating expression lines and cannot be used to repair sagging skin caused by aging.

A powerful neurotoxin, botulinum or BOTOX® works by relaxing wrinkle-causing muscle contractions through injections. The popularity of botulinum has skyrocketed due to its efficiency and virtually no recovery time. Patients prefer it to superficial cosmetic treatments like microdermabrasion and chemical peels because while they may be useful at fading minor fine lines, botulinum gets to the root of the problem and releases wrinkles for months at a time. On the other hand, botulinum injections do not require the same commitment, cost, and recovery time as facelift or brow lift surgery.

After the operation patients may experience slight bruising around the area that quickly fades. Normal activities can be performed immediately. Possible side effects are temporary weakness of nearby muscles or in rare cases an eyelid may droop. BOTOX® Cosmetic is completely reversible so any side effect is only a temporary condition. Dr Myint will explain all risks associated at the time of your consultation.


Dysport temporarily improves the look of your frown lines without changing the look of your whole face. Untreated facial muscles still work normally.

What is the most important information you should know about Dysport?

FDA approved Dysport is another neuromodulator Dr Myint utilizes in his facial sculpting. Very similiar to Botox's mechanism, Dysport will also relax muscles and prevent the frown lines. It is believed to last a little longer than Botox due to its slightly different intrinsic property.

Botox vs. Xeomin

BOTOX® is the world’s most popular cosmetic procedure, used to alleviate fine lines and wrinkles that are indicative of aging. Now, the FDA has approved Xeomin—an injectable that uses the same active ingredient as Botox for a face that’s younger, smoother, and more aesthetically pleasing. Xeomin’s results can last as long as six months and some doctors and patients prefer it over Botox injections.

Of course, there are other dermal injectables on the market that don’t contain botulinum. Restylane and Juvederm are both dermal fillers that use a solution to “fill out” wrinkles rather than relax the underlying muscles. While these other injectables are quite popular, botulinum remains at the top because of its widespread availability and patient success. Until now, Botox and Dysport were the only botulinum options available. Xeomin offers the benefits of botulinum in a slightly new way.

Why Choose Xeomin?

Xeomin contains just one ingredient: botulinum toxin A. Unlike other products, Xeomin is a “naked injectable,” meaning that it does not contain any additives. The major benefit of a pure-form injectable is that the human body is less likely to become resistant to Xeomin because there are simply less ingredients in the solution. Some patients have developed antibodies to Botox and Dysport, leading their bodies to reject the treatments. Unlike its predecessors, Xeomin does not need to be refrigerated.

Aside from its pure form, Xeomin is quite comparable to Botox. It is measured in the same units as Botox, so it is easy to administer. It takes about one week for the full effects of Xeomin injections to be realized, and once this occurs the results last from three to six months, slightly longer than Botox. Xeomin costs about the same as Botox. Side effects are also similar due to the same active ingredient: minor swelling, bruising, headache, and soreness is considered normal immediately after treatment and should fade within a few days.

Xeomin has been used extensively across Europe to diminish wrinkles and give patients a younger, refreshed look. Its FDA approval in the United States will open a new door for the company and give those interested in cosmetic treatments an additional option when it comes to wrinkle removal and anti-aging procedures.