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Dr. Groysman is an expert on the use of neuromodulators( BOTOX®/Xeomin/Dysport). She has been using neuromodulators for 8 years and has taught many new physicians on the technique of proper injection.


Neuromodulators (BOTOX®/Xeomin/Dysport) are prescription medicines that are injected into muscles and are used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines), forehead, around eyes (crow’s feet), and mouth. Injection of these medicines into small muscles temporarily paralyzes those muscles, thereby improving the appearance of wrinkles. This paralysis is temporary, and re-injection is generally necessary within 3 to 6 months to maintain benefit. This treatment is incredibly effective at reducing the prominence of dynamic skin lines.

How are BOTOX®/Xeomin/Dysport Administered?

BOTOX®/Xeomin/Dysport are delivered by injection and do not require a hospital setting. It is virtually painless, and there is no recovery time.

How do Neuromodulators (BOTOX®/Xeomin/Dysport ) Work to Remove My Wrinkles?

BOTOX®/Xeomin/Dysport injection weakens, through inhibition, the muscles that cause the wrinkles, but does not normally interfere with facial expressions. Weakening the muscle that causes the wrinkles to form creates dramatic improvement in appearance that can be seen within seven days.


What Should I Expect During and After the BOTOX®/Xeomin/Dysport Treatment?

There may be, at most, mild discomfort when the Dr. Groysman administers the injections and some slight bruising may appear in the few days after the treatment. This can be easily covered with makeup. It is possible to return to work immediately after your treatment.


How Long Does Neuromodulator Treatment Last?

The muscles that were weakened by a neurotoxin injection eventually regain their strength and the wrinkles may reappear. On average, the treatment lasts for three months, but it may stretch for up to six months.

Will There be any downtime?

You may resume normal activities immediately. Vigorous exercise or lying flat may be restricted for a few hours following treatment. Many patients undergo BOTOX®, Xeomin and Dysport treatment during their lunch break and return to work after treatment.

What are the benefits of BOTOX®, Xeomin and Dysport?

BOTOX®, Dysport and Xeomin have no downtime as opposed to other wrinkle reducing methods. Also, following treatment there is no pain or discomfort. Results can be seen within 1 – 10 days depending on several factors.

Are BOTOX®, Dysport and Xeomin injections painful?

The only pain or discomfort is a slight pinprick sensation from the small needle injecting the BOTOX®, Xeomin or Dysport.

Who is a candidate for BOTOX®, Xeomin and Dysport injections?

Candidates for BOTOX®, Xeomin and Dysport injections are age eighteen and older, interested in improving the appearance of their face. Many candidates are seeking relief from wrinkles and brow furrows, and looking to achieve a more rested, relaxed appearance. Generally, after three to four months, the BOTOX®/Xeomin/Dysport effects will begin to fade and facial features will gradually return to their former state. Maintenance treatments are necessary to keep the effect for long periods of time.

What are the limitations of neuromodulators?

BOTOX®/Xeomin/Dysport is not a permanent answer to reducing wrinkles. Also, results vary and occasional problems with asymmetry may occur.

Who provides neuromodulator injection?

All BOTOX®/Xeomin/Dysport treatments at Cahaba Dermatology are performed by Dr. Groysman.

Instructions before treatment:

Avoid alcoholic beverages and anti–inflammatory medications, especially aspirin, before treatment. Schedule a BOTOX®/Xeomin/Dysport appointment at least two weeks prior to any special events to allow time to heal.

Instructions after treatment:

Treat any mild discomfort with Tylenol, and expect temporary swelling. Do not massage the treated areas because it may move the BOTOX®/Xeomin/Dysport around and create a different effect. It is generally recommended to remain upright for four hours after injections and avoid aerobic activity for a few hours.

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Claims of results, patient testimonials, treatment recovery time, and before/after images may not be representative for every situation or be applicable to every patient. Individual results may vary. Always seek the advice of a physician or other qualified health care provider with any questions you may have regarding a medical condition, treatment, or elective procedure.
Dermatologist Birmingham Alabama 35254