Below the eyes
Ask about Botox and the conversation usually stays above the cheekbones: forehead lines, the “11s” between the brows and crow’s feet. Yet the neurotoxin page at Montville MedSpa & Pain Center lists several areas lower down that Botox and Dysport can treat for appropriate candidates, and they are the subject of this page. Both are FDA-approved botulinum toxin type A, and both work the same way, by relaxing the muscle that keeps creasing the skin.
The lower-face areas, one by one
- Bunny lines. The small creases that fan across the sides of the nose when you scrunch it or laugh.
- Chin dimpling. The dimpled, uneven surface some chins take on when the muscle there tightens.
- Lip lines. The fine vertical lines that gather above the mouth from pursing and talking.
- A lip flip. A small amount of Botox along the border of the upper lip relaxes the ring of muscle around the mouth, the orbicularis oris, so the upper lip rolls slightly outward and shows a little more of its pink. Nothing is added to the lip, and while it lasts a straw or certain words can feel a little different.
- Neck bands. The vertical cords at the front of the neck, known as platysmal bands.
Where each injection goes is decided by your facial structure, how strongly each muscle works and which lines bother you.
Where filler is the better answer
A neurotoxin only helps lines that movement makes. Several lower-face changes come from volume instead, and a hyaluronic acid dermal filler is the tool for them:
- Smile lines and marionette lines, often treated with Juvéderm Ultra Plus XC or Vollure XC.
- A softening jawline or a receding chin, shaped with Juvéderm Volux XC.
- Lips that have thinned, restored with a lip filler such as Juvéderm Volbella XC, which also blurs fine lip lines.
Loosened skin along the jaw and neck is a third kind of problem, and a PDO thread lift adds the lift that neither injection gives. Plenty of plans combine two of these.
The appointment and the fortnight after
The injections take about 10 to 20 minutes with a fine-gauge needle, after a consultation about your goals and medical history. There is no downtime; leave the treated areas unrubbed for 24 hours. A little redness, swelling or a small bruise usually clears within hours to a few days. Softening starts after three to five days, the full effect arrives by day 10 to 14, and results typically last three to four months.
Who treats you
Every neurotoxin treatment is reviewed and overseen by Dr. Donna D’Alessio, MD, the practice’s founder, who is board certified in Physical Medicine & Rehabilitation. Nurse practitioners Amy Natalicchio, trained by Allergan, Merz and Galderma, and Tanya Santoro inject to the standard she sets.
Coming down from Wanaque
Join I-287 south at Exit 55, leave at Exit 47 for Route 202 and follow Main Road to number 624 in Towaco, about eleven and a half miles and close to 16 minutes without traffic.
Wanaque patients ask
Can the upper face be treated in the same visit? Yes. The forehead, the frown lines and crow’s feet are the most common areas, and a plan can cover upper and lower face together.
Is there an age limit? Neurotoxin treatment is for adults aged 18 and over.
When can I come in? Monday to Saturday, with Tuesday appointments until 7 pm and Saturday ones until 1 pm.
Read lip flip or lip filler: which is better?, see before & after results, or visit the full Botox and Dysport page.
Testimonials
What Our Patients Say About Us
★★★★★
Amy at Montville MedSpa is absolutely amazing! She’s the only aesthetician who’s never made me pass out during a treatment haha which says a lot. For years I’ve been afraid to do my lips again but I’m SO glad I came here to start again. I’ve never felt more safe and more beautiful than when I visit Montville MedSpa with her. Highly recommend!
★★★★★
Amy is the BEST!!!!!! She is so detail oriented and precise with her injections. She is a master at her craft and takes such good care of me. Montville MedSpa and the rest of the staff is absolutely wonderful. 10/10 highly recommend!!!
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