Toxins

20 Years of Experience with Toxins and Fillers

At Omaha Med Spa you can feel confident that you are being treated by expert providers. Over the past 20 years we have performed over 25,000 separate treatments using botulinum toxins. That adds up to a huge amount of experience with these products. We know how they can be safely used to deliver industry leading results, and at a fair price.

What are Botox, Dysport, and Jeuveau and how do they work?

Botox, Dysport, and Jeuveau are FDA approved injectables. Collectively we call them toxins. They work by temporarily relaxing the muscle, leading to softening of lines and wrinkles. Our treatment goal is natural looking results. We are not looking to freeze movement or take away natural expression.

Dr Abbott has tried other toxins that are FDA approved and has selected Botox, Dysport and Jeuveau as the best performing toxins on the market today.

Toxins are administered using small, short needles. Multiple injections are needed, and the number of injections varies by treatment area, and the pattern of your wrinkles.

Redness and swelling from the injections are normal, but this resolves in several minutes. A small amount of bleeding may occur, and although bruising may occur, it disappears quickly and can be easily concealed.  Most visits result in no bruising.

How long do toxins last?

Most people start to see some benefit after 3-4 days. Full effect takes up to two weeks.

The anti-aging, anti-wrinkle benefits last an average of 3-4 months (with a range of 2-9 months). Everyone is different on how long the benefit lasts, and how well the toxins work. We are often asked “Which toxin is best?” That answer is not known until we treat you with one, two or even all three toxins at different visits. You and your provider will then know which toxin is best for you. On average, we can confidently say that all three toxins work equally well - but the results will vary from person to person.

When the effect wears off the wrinkles will return, but they will not be worse.

Regular use of toxin is preventative, leading to a more youthful face.

Where can I use Botox, Dysport and Jeuveau?

Grab a mirror and look at your face as you read and learn about areas that we can use toxins.

Common areas to treat wrinkles on the face:

• horizontal forehead lines that occur with raising our eyebrows (frontalis muscle)

• frown lines between the eyebrows, often called the “elevens” (glabellar complex of procerus and corrugator muscles)

• under the outer edge of the eyebrow to provide a brow lift (orbicularis oculi muscle)

• on the sides of the eyes to lessen “crow’s feet”. Toxin here also increase the aperture of the eye for a brighter more open eye. (orbicularis oculi)

• wrinkles on the sides of the nose called “bunny lines” in women, and “wolf lines” in men (nasalis muscle)

• vertical lines between the upper lip and nose area that we call “smoker’s lines”, although you don’t need to have been a smoker to earn these wrinkles. These are more common in women after age 50, than in men, due to the higher number of hair follicles in men and the drop in estrogen levels in women associated with menopause. Toxin in this area often wears off in 2 months. (orbicularis oris muscle)

Other areas on the face that we can treat include:

• the chin area where dimpling can occur, the so called “golf ball chin”. This occurs from overuse of the mentalis muscle, commonly seen in those who clench or grind their teeth. Toxin relaxes this muscle and smooths the skin. (mentalis muscle)

• we can treat “gummy smile” which occurs in some people who show the gum on the upper teeth when they smile (LLSAN muscle)

• TMJ dysfunction, clenching and grinding teeth lead to damage to your teeth and headaches. The masseter muscle is the key muscle we use to clench and chew food, but overuse leads to a large muscle that can cause damage. A large masseter muscle can also lead to a rounder face. Toxin injection into the masseter muscle is easily performed and the benefits are dramatic. (masseter muscle)

• Excessive underarm sweating, or hyperhidrosis is treated with toxin injections into the axilla (our name for the armpit)

• Trapezius injections - Some people develop prominent muscle in the shoulder area. Some women do not like the physical appearance of this prominence. This muscle can also be a trigger for headaches. Toxin can safely be injected into the trapezius muscle.

• “Lip Flip” describes the use of toxin along the margin of the upper lip, and area we call the vermillion border. Low doses here will help evert, or “flip” the lip, making it appear slightly larger. Toxin in this area often wears off in two months.

How many units will I need and how much does toxin cost?

Toxins are measured in units. One unit of Botox is equivalent to one unit of Jeuveau, so there is no dosing conversion. Dysport is different. One unit of Botox or Jeuveau is converted to three units of Dysport, so keep this conversion in mind when you count units and price per unit.

The number of units that you will need depends on how many areas are being treated, your gender (male or female at birth), your age, whether you ever smoked or not, genetics, whether or not you do weight lifting and the amount of exposure to the sun.

The dosing guidelines offered below are for Botox or Jeuveau. For Dysport, multiply that number by three.

As a very rough guide for aesthetic treatment of the forehead, frown lines and crow’s feet I suggest you budget 1 unit per year of age if you are a women, and 1 and 1/2 unit per year of age if you are a man. Men need more toxin than women because they have larger faces, and larger muscles.

For treatment of the forehead, frown lines and crow’s feet the FDA approved dosage is 64 units. That is more than most people will need. We assess your needs, and match it to your goals, to come up with a custom dose of toxin that is just right for you.

The masseter muscle is very large and doses of 40-50 units are typical.

Botox: $13/unit

Dysport: $4/unit

Jeuveau: $11/unit

Lip Flips: $75 (regardless of how many units are used