Injectables in Bethesda, MD



How do neuromodulators work?  Neuromodulators (BOTOX / Jeuveau / Xeomin / Dysport / Daxxify) are prescription drugs that, when injected, temporarily paralyzes muscles.  These neuromodulators are produced by the microbe that causes botulism and they can be used to treat permanent furrows and deep wrinkles in the skin that are formed by the continual contraction of facial muscles. In addition to their cosmetic applications, they can be used to treat a number of medical problems, including excessive sweating, overactive bladder, neck spasms, crossed eyes, chronic back and jaw pain, and migraines.

Applications for Neuromodulators

What are neuromodulators used for?  Properly placed injections of neuromodulators block nerve impulses sent to muscles, weakening them to the point where they cannot contract, and temporarily eliminating moderately severe furrows and lines. Neuromodulators are used to treat the following:

  • Forehead furrows
  • Frown lines
  • Crow‘s feet
  • Skin bands on the neck

According to each of their manufacturers all have been extensively researched and are safe for the applications listed above.

Neuromodulator Aesthetic Procedure and Results

Where are neuromodulators released?  Using a very fine needle, any one of these neuromodulators are injected directly into facial muscles that are causing furrows and lines. Receiving the injections requires no anesthetic, but some doctors choose to numb the area to be injected with ice packs or a topical anesthetic cream. Results can usually be seen within a few days of treatment, and typically last up to four months, although areas that are treated on a regular basis may retain results longer. Injections should be given only by qualified medical professionals.

Possible Side Effects of Neuromodulators

Are neuromodulators safe?  Injection-site side effects of neuromodulators are usually mild and temporary, and include the following:

  • Pain
  • Infection
  • Inflammation
  • Tenderness
  • Swelling
  • Redness
  • Bleeding
  • Bruising

Upon completion of the procedure we will review post treatment instructions.  These will also be available to you on your portal access.

Are Xeomin And Botox The Same?

Xeomin has the same line-smoothing results as other muscle-relaxing injections, but it is formulated slightly differently. Both Botox and Dysport contain proteins as part of their formulas; Xeomin does not. As such, Xeomin is a purer form of the neurotoxin.

What makes XEOMIN advantageous is that patients are less likely to build a resistance to it over time. Some people begin to notice that Botox no longer performs the same after several treatments. Xeomin can be a wonderful alternative, offering similar results and with less chance of a patient forming antibodies that can reduce the effects.

How Does XEOMIN Work?

Xeomin is designed to soften wrinkles caused by the muscular activity of your face. Your facial muscles move when you make certain expressions and over time, this muscle movement creates wrinkles where the skin folds together. Xeomin works by blocking signals from the nerves to the muscles. When the injected muscle is unable to contract, wrinkles relax and soften.

Using a tiny needle, Xeomin is injected into the muscles below the targeted area. The procedure is quick and requires no surgery or downtime. The injections themselves are relatively painless. Some patients experience minor discomfort at the injection site, but this is only a temporary effect that quickly subsides.

What Results Can I Expect From XEOMIN?

Targeted injections of Xeomin into facial tissue can temporarily interrupt the nerve signals to nearby muscles. By diminishing muscle activity, Xeomin can correct deep-set wrinkles and fine lines.

Xeomin can temporarily erase and eliminate:

  • Forehead wrinkles
  • Frown lines
  • Crow’s feet
  • Horizontal forehead lines
  • Vertical lip lines
  • Bunny lines
  • Downturned corners of the mouth
  • Gummy Smile
  • Facial asymmetry
  • Wrinkling on the neck
  • Platysmal bands
  • Chin dimpling
  • Poor jawline definition
  • Masseter hypertrophy
  • Excessive sweating (hyperhidrosis)

How Long Does Xeomin Last?

In most cases, Xeomin results can last between three and six months. The longevity of the effects is like that of Botox and Dysport. After three months, a patient may consider coming back for another session to touch up areas as needed. Every patient is different, however, and the exact length of time your results will vary depending on:

  • Xeomin Units used: Generally speaking, the more units of Xeomin that are injected into a region, the longer the results will last.
  • Muscle strength: If you have strong facial muscles in a certain area, they may be more resistant to the paralyzing function of the treatment. As a result, more Xeomin may be required to achieve the same duration of results.
  • Follow-up treatment: With follow-up Xeomin injection treatments at RNR, it is possible for your results to last even longer than the average three to four months. Some patients can enjoy results for up to six to eight months with consistent follow-up schedules.


RHA Collection

What are skin fillers and how do they work?    Skin fillers,  such as those of our preferred partner, the RHA Collection is a Swiss-designed hyaluronic acid filler intentionally designed to mimic the natural hyaluronic acid found in your skin. It has a unique combination of stretch and dynamic strength designed to adapt to facial dynamics. It moves with you for a much more natural appearance. Each product is designed for a different use: 

  • RHA® 2 is indicated for injection into the mid-to-deep dermis to correct moderate dynamic wrinkles and folds. 
  • RHA® 3 is indicated for injection into the mid-to-deep dermis to correct moderate to severe dynamic wrinkles and folds. 
  • RHA® 4 is indicated for injection into the deep dermis to superficial subcutaneous tissue to correct severe dynamic wrinkles and folds. 
  • RHA® Redensity is the first and only FDA-approved filler for injection into both the superficial dermis and dermis to treat moderate to severe dynamic perioral rhytids aka “smoker's lines". This filler has a gentle quality allowing our dermatologists to fill even the smallest lines without bulking up the area. Where is RHA® injected?  It is  meant for correction around the mouth and not an augmentation of the lips.

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Visit RNR Aesthetics

Monday-Friday: 9:00 am - 5:00 pm
Saturday: 9:00 am - 2:00 pm
Flexible appointment scheduling available, please inquire.

(301) 828-9077

River Road
Bethesda, MD 20817

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