How Does It Work?

Repeated facial muscular contractions such as frowning and squinting form lines known as dynamic wrinkles. As your skin ages, these repeated expressions cause lasting frown lines, forehead lines, crowsfeet, bunny lines, lip lines and depressed corners of the mouth and brows. Neurotoxins, block the release of chemicals that cause these muscle contractions so these lines are softened, giving the face a more relaxed and refreshed appearance.

The Procedure

A small amount of neuromodulator is injected into the muscles that create dynamic wrinkles.  The treatment only relaxes the muscles beneath the wrinkles at the injection site, so the other elements of facial expression remain active and you will still look natural.  Patients report that being injected feels like a pinch. We use ice to numb the treatment area and offer a topical numbing cream before administering your treatment if you are concerned about discomfort.  Treatment requires minimal downtime or recovery; it’s often called a lunchtime procedure. You’ll be able to go about your normal routine immediately after you leave your our office.


You may begin to notice results within 24 to 48 hours, with results lasting up to 4 months,  at which time another treatment is required. After several treatments, the effects may begin to last longer.  Dr. Karim will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you.