Every line has a muscle behind it

An expression line is the crease left by a muscle that pulls on the skin in the same place, day after day, for years. Botox and Dysport, both FDA-approved botulinum toxin type A products, relax that muscle rather than filling the crease, so the first step of any treatment at Montville MedSpa & Pain Center is working out which muscle is doing the pulling.

A map of the face

  • Forehead lines come from the frontalis, the muscle that raises your brows. Dosing there is strategic, so the brows can still lift.
  • The “11s” between the brows are made by the corrugator and procerus muscles when you frown. Dysport has been specifically studied and approved for moderate-to-severe lines in this zone, and it diffuses evenly across it.
  • Crow’s feet belong to the orbicularis oculi, the ring of muscle around each eye that tightens when you squint or smile.
  • Neck bands, known as platysmal bands, along with bunny lines on the nose, a dimpled chin and lip lines, can also be treated where suitable.

Where each injection goes is decided by your facial structure, how strong each muscle is and which areas bother you, which is why a consultation always comes first.

Why a rehabilitation physician

Dr. Donna D’Alessio, MD, who founded the practice and reviews every neurotoxin treatment given here, is board certified in Physical Medicine & Rehabilitation. Her specialty is concerned with muscles, nerves and movement, and it gives her a detailed understanding of the small facial muscles a neurotoxin relaxes. Nurse practitioners Amy Natalicchio and Tanya Santoro inject to the standard she sets, so the goal is the same whoever you see: softer lines with your expressions intact.

More than two decades in use

Botox has been used as a cosmetic treatment since it first received FDA approval in 2002, and it was originally developed to treat eyelid spasms and excessive sweating. Neurotoxins have medical uses too, among them relief from the symptoms of an overactive bladder, easing muscle-related pain such as TMJ disorder and neck tension, reducing chronic migraines when placed at specific points, and treating excessive underarm sweating.

Boonton Township patients ask

What is the difference between Botox and Dysport? Both block the same nerve signal and belong to the same family, but their formulations differ, and so does how they spread, which can affect how quickly results appear and which areas each is used for. Your provider recommends one after watching your face move.

How long is the drive? Rockaway Valley Road turns into Taylortown Road as it enters Montville and ends at Main Road; turn left and our office is about two and a half miles along at number 624. From the middle of the township, allow about 15 minutes without traffic.

What happens afterwards? There is no downtime. Leave the treated area unmassaged for 24 hours, then expect softening after three to five days and the full effect between day 10 and day 14.

How often will I come back? Every three to four months is usual, and with regular treatment many patients find their results stretch further between visits.

Are you open late? Until 7 pm every Tuesday.

See before & after results, or read the full Botox and Dysport page.

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See Real Before and After Results

Explore real transformations from our happy patients at Montville MedSpa. From smoother, rejuvenated skin and pain-free living, our gallery showcases the powerful results of our expert care.

Before and after: botox, filler, radiesse & skinvive
Botox, Filler, Radiesse & SkinVive
Before and after: botox & filler – full face
Botox & Filler – Full Face
Before and after: botox & filler
Botox & Filler
Before and after: dysport & skinvive
Dysport & SkinVive
Before and after: tox booster – vi peel with botox
Tox Booster – VI Peel with Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: botox
Botox
Before and after: dysport
Dysport

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