Neuromodulators (such as Botox, Nuceiva, etc) are considered a leading treatment for addressing fine lines and wrinkles. It helps to eliminate signs of premature aging and soften skins appearance by relaxing the muscles that cause wrinkles. We use Botulinum Toxin Type A (Nuceiva).

A neuromodulator (Botox, Nuceiva, Dysport, etc) is a purified, natural protein that relaxes wrinkle-causing muscles, creating a smoothed and improved appearance of the skin. The protein is derived from the bacterium Clostridium botulinum. Injecting a neuromodulator is a simple, quick, and minimally invasive procedures that results in dramatic results with no downtime. The most common treatment areas are frown lines, forehead wrinkles, and crow’s feet.

In your 30-minute appointment, you will meet with Dr. Romano to review your skincare concerns and goals, discuss the indications, contraindications, alternatives and potential risks to treatment and ensure that this would be an appropriate treatment for you. You will have time to ask questions questions before any treatment begins. Dr. Romano would then perform the procedure using very fine needles and small volume injections into the determined areas.

Hardly! The needles we use are very fine – about 1/3 the gauge of a standard blood draw needle so the discomfort is very minimal. There is a slight pricking sensation with the initial injection but that quickly fades.

Results are typically seen within 3 days but may take up to 14 days for full benefit. Why so long? Well, once injected into the muscle, the neuromodular will bind to muscle receptor sites, which will reduce nerve impulses over a period of time and muscle contractions will stop happening. As everyone’s muscles will take a different length of time for this, it’s best to wait 2 weeks before any touch-ups to ensure the treatment benefit has peaked. Dr. Romano requests you come back for a complementary follow-up 2 weeks after your initial injection to touch base on your results. From there, results typically last between 3-4 months.

Possible side effects are temporary redness and mild bruising.

Rarely, if the neuromodular migrates to the upper eyelid, one can experience a slight drooping of one eyelid which corrects itself after a short while. Occasionally, temporary numbness of the forehead and transient headache may occur.

Contraindications for neuromodulator treatment include:

  • pregnancy,
  • lactation,
  • history of adverse reaction to a neuromodulator,
  • infection at the injection site,
  • and any neuromuscular disorders (Myasthenia Gravis, Eaton Lambert Syndrome, Myopathies).

As neuromodulators are considered a cosmetic offering, cost of treatment cannot be submitted to extended health plans and need to be paid fully by the patient.

Your consultation with Dr. Romano is complementary and you will only be charged for the neuromodulator product:

  • Cost is $10/unit. The amount of units will vary, depending on the patient’s unique facial musculature (generally 20-30 units but can be as high as 40-50)

Costs for treatments provided cannot be submitted to insurance for naturopathic coverage