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Aesthetic Tox

In the realm of cosmetic applications, Tox is primarily employed to reduce the appearance of wrinkles and fine lines. By temporarily paralyzing the muscles responsible for facial expressions, it smoothens the skin and gives a more youthful appearance. Commonly targeted areas include forehead lines, crow's feet around the eyes, and frown lines between the eyebrows.

Tox Treatments

At RR Medspa, we currently treat the following aesthetic indications:

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  • Forehead Lines

  • Frown Lines and/or "11 Lines"

  • Bunny Lines

  • Undereye Wrinkles

  • Droopy Eyebrows

  • Crows Feet

  • Lip Lines

  • Gummy Smiles

  • Droopy Smiles

  • Neck Bands

  • Chin Dimpling

  • Lip Volume/Lip Flip

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Tox FAQ

What are neuromodulators/tox?

Neuromodulators (Tox) are injected into muscles and used to temporarily improve the appearance of moderate to severe lines and wrinkles on areas like the forehead, in-between the eyebrows, and around the eye area to treat crow's feet. 

How do neuromodulators work?

When you squint or frown, the muscles between your eyebrows contract, causing the skin to furrow and fold. Over time, as your skin ages and loses some of its elasticity, these repeated contractions can cause persistent frown lines. Neuromodulators (Tox) act on nerve endings in muscles to prevent muscle fibers from contracting. By reducing these contractions, Tox can temporarily reduce the lines between your eyebrows.

How long do the effects last?

Neuromodulators are a temporary cosmetic treatment that typically lasts 3–6 months, but can vary from person to person. The effects of neuromodulators wear off as the nerves regain the ability to signal muscles to contract, and muscles regain movement. This can cause wrinkles to return.

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What should I tell my doctor before treatment?

Before receiving neuromodulating (tox) treatments, you should tell your doctor about all of your medical conditions, including whether you have a disease that affects your muscles and nerves, have allergies to any neuromodulators, or have experienced any side effect from any neuromodulators in the past. In addition, tell your doctor about your medical history and all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you have received any other neuromodulating product in the last four months or in the past. Be sure your doctor knows exactly which product(s) you received and when you received them.

What can I expect during treatment?

During treatment, which usually takes about 10-20 minutes, your doctor will inject into the muscles in your forehead that cause frown lines between your eyebrows. No anesthesia is required; however, your physician may use a topical anesthetic or cold pack to reduce any discomfort.

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When can I expect to see results?

​You may begin to see visible smoothing as early as 3-4 days after injection. The median first onset of effect was less than a week. The maximum effect occurred at 30 days. The typical duration of effect was up to 3 months in clinical trials but may last significantly longer or shorter in individual patients.

What are the most common side effects of neuromodulators?

Neuromodulators may cause serious side effects, including allergic reactions. Symptoms of an allergic reaction may include: itching, rash, redness, swelling, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or seek medical help right away if you have wheezing, experience other asthma symptoms, or if you become dizzy or faint. Neuromodulators may cause loss of strength or general muscle weakness, blurred vision, or drooping eyelids within hours to weeks of injection. If this happens, do not drive a car, operate machinery, or do other dangerous activities. Tell your doctor if you have any side effect that bothers you or that does not subside. 

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