

Neuromodulators
AKA "Botox"
Treats
Wrinkles & fine lines
Region
Face
Lasts
3-4 months

Neuromodulator injections are a simple Nurse practitioner-administered treatment that involves the injection of a purified protein into the specific areas defined by a Nurse Practitioner during a consultation. There are a variety of neuromodulator-safe and FDA-approved non-surgical treatments. It is not permanent, and most patients require a repeat treatment every 3-4 months to ensure that you’re always looking your best and maintaining your appearance.
When administering neuromodulators by our Nurse Practitioners, they will evaluate patterns of facial muscles movement and look for moderate to severe facial lines caused by the action of these muscles. The location, size and action of these muscles that have created these “dynamic lines” vary among patients. We will mark these locations and administer several tiny injections of our neuromodulator selection directly into the muscles that have caused these dynamic lines. Our goal is to create a relaxed and youthful appearance.
What to expect?
Before treatment
Our Nurse Practitioners will review your chart with you and confirm your skin care and what are your beauty goals.
We will discuss the risk factors associated with the treatment, and any other concerns you may have before to proceed with the treatment.
APRN will help you determine which of our top neuromodulators brands are a good fit for you.

During treatment

Mild discomfort may be experienced, but the process isn’t painful. We will cleanse injection sites to work and we may offer numbing agents as requested by patient.
The required number of neuromodulator units varies by patient, and these will be injected below the skin’s dermis layer.
We will smooth out the "toxin" injection to ensure it’s in all the desired places.
After treatment
You may expect to experience mild symptoms such as slight tenderness, temporary redness, swelling, and in rare cases, slight bruising on injection sites. This is temporary, and ice packs will help to relieve any swelling and discomfort you may experience post treatment.
We will schedule complimentary follow-up appointments to discuss how the treatment went and if any retouch is needed.
Enjoy your unique results!

Frequently Asked Questions About Neuromodulators, AKA "Botox" Treatments
What is OnabotulinumtoxinA?
Doctors first used OnabotulinumtoxinA (more commonly known as Botox®) to treat patients with blepharospasm (uncontrollable blinking), strabismus (crossed eyes), and other medical conditions. Its ability to smooth frown lines and wrinkles was first documented in 1989, and the FDA approved Botox® (among other brands we use in our practice" for cosmetic procedures in 2002. Since then, it has become a popular non-surgical cosmetic procedure worldwide.
What are the possible side effects of injecting Neuromodulators?
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Blurred vision
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Drooping eyelids (ptosis)
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Swelling of eyelids
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Dry mouth
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Discomfort or pain at injection site
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Fatigue
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Headache
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Neck pain
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Decreased eyesight
VIVA Bloom Medsthetic offers complimentary consultations with our Nurse Practitioners so that you can discuss any questions and concerns you may have. All of our consultations are confidential and are conducted in our location or via Telemedicine. Together, you and our Nurse Practitioner will review your skincare and beauty goals and determine which treatment is best for you.
How many units should my practitioner use?
The amount of Neuromodulator "toxin" used will vary by patient, depending on the condition of your skin, your age, your skin type, and your overall skincare goals. To determine the number of units that should be used for your individual needs, our Nurse Practitioner will conduct a free skin analysis during your consultation. A personalized plan, including an illustrative face, will be created to map out how many units will be administered.
Where should "Botox" be injected?
The most common injection sites for "Botox" approved by the FDA are:
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Forehead
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Between the eyebrows (glabellar lines)
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Around the eyes (crow’s feet)
Botox should NOT be injected into the lips
What happens if I stop "Botox" treatments?
Since Botox is not a permanent solution, you will need to return for further treatments after approximately 3-4 months, if you wish to maintain results.
Are there any contraindications for "Botox"?
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Allergy to Onabotulinum toxin A
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Bleeding disorders
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Have had surgery recently or plan to have surgery soon
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Weakness of forehead muscles
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Symptoms of a urinary tract infection (UTI)
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Incontinence
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Individuals younger than 21 years old
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Pregnancy, planning pregnancy, and breastfeeding
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Nerve disorders (can cause cornea problems), speak to your doctor before receiving treatment
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Muscle disorders
It is very important that you fill out our health history and consent forms in full detail and discuss any health conditions, medications, or treatments that you are having or have had near to the time of your treatment to ensure your safety and well-being. This product may not be suitable for everyone. Please discuss whether Botox is a suitable treatment for you with our Nurse Practitioner and keep in mind that transparency and communication are crucial.