Lines that come from good moods
Crow’s feet are the fan of creases at the outer corner of each eye, and most of them are earned cheerfully: a real smile, a laugh, a squint into bright sun. The muscle behind them is the orbicularis oculi, a ring that circles the eye and tightens whenever the eye closes or crinkles. In younger skin those lines disappear the moment the face relaxes; after years of repetition, they start to stay. At Montville MedSpa & Pain Center they are one of the three classic neurotoxin areas, beside forehead lines and the vertical creases between the brows.
What a neurotoxin does beside the eye
Botox and Dysport, both FDA-approved forms of botulinum toxin type A, block acetylcholine, the chemical messenger a nerve releases to make a muscle contract. Small amounts placed in the orbicularis oculi quiet the pull that folds the skin at the corner of the eye, and the fan of lines eases into a more rested look. Only the muscle making the crease is treated, so the rest of your expression keeps working as usual.
Why this area calls for precision
- The eyelid is close by. On rare occasions, product that drifts from where it was placed causes a slight droop of an eyelid or brow. Careful placement based on your anatomy is what keeps that risk low.
- Not every line near the eye is a muscle line. A crease that remains when your face is perfectly still often reflects lost volume, and a hollow beneath the eye is a job for dermal filler in the tear trough rather than a neurotoxin.
- Fine lines on the surface belong to skin treatments; the practice lists Laser Genesis among the options for fine lines around the eyes.
Who places it
Injections are given by Dr. Donna D’Alessio, MD, founder of the practice, or by nurse practitioners Amy Natalicchio and Tanya Santoro. Dr. D’Alessio is board certified in Physical Medicine & Rehabilitation, a specialty built around how nerves and muscles work together, and she reviews and oversees every neurotoxin treatment here.
The timeline, start to finish
- At the appointment: roughly 10 to 20 minutes of small injections with a fine needle, once a consultation has covered your goals and medical history.
- That day: no downtime, though the treated area should be left unrubbed for 24 hours.
- Days three to five: the creases start to soften.
- Days ten to fourteen: the full effect, and the fair moment to judge.
- Three to four months on: movement gradually returns as your body breaks the product down.
Up Route 23
Leave Little Falls on Route 23 heading north, switch to Route 202 at Mountainview Boulevard, and keep on 202 through Lincoln Park until it becomes Main Road in Towaco. Our office at number 624 is about eight miles from the township, roughly 14 minutes without traffic.
Little Falls patients ask
Will my smile still look like mine? That is the intention. The dose is judged so the lines soften while your expressions keep working, and a follow-up once everything has settled lets your injector refine anything small.
How often would I come back? Most people return every three to four months, with at least three months between touch-ups, and with regular treatment the effect often stretches further.
Can I come on a Tuesday evening? Yes, until 7 pm, and Saturday mornings run from 9 to 1.
The practice’s own results are on its before & after page, and the Botox and Dysport page covers every other area treated.
Testimonials
What Our Patients Say About Us
★★★★★
I have been to see Dr. D'Alessio over the past 5 years. I especially drive for over an hour, she and her whole office are simply the BEST! She has done my leg veins, Botox and now I see her for my GLP weight loss treatments, she is truly AMAZING and CARING! She will work with your insurance and help you find the best course of treatment to bring the cost down, if possible. She is always conservative, attentive, kind and has so much patience when listening to your exact needs. I would never go anywhere else. I trust her and her staff fully!
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