Botox & Other Neuromodulators

Located near Los Angeles and Beverly Hills

Skin care products, when selected appropriately, promote healthy skin and support maintenance of a youthful appearance. Overall, skin appearance can be viewed as a reflection of one’s wellness. Qualities of healthy skin include being smooth, firm, and hydrated.

Our medical grade collection of skin care products integrates up-to-date molecular research with highly effective botanical ingredients. We strive to provide products that are potent, yet gentle for even sensitive skin. All of our products are free of parabens, sulfates, gluten, formaldehyde, fragrance, hormones, and synthetic chemicals.

During consultation, Dr. Foulad provides education regarding various skin care products and customizes a skin care regimen specific for each patient.

Botox & Other Neuromodulators

Conveniently located to serve Los Angeles and Beverly Hills
Neuromodulators (such as Botox®, Dysport®, Xeomin®, Jeuveau®, and Daxxify®) are commonly used to decrease the appearance of facial wrinkles. These injectable medications are purified botulinum toxins that work by relaxing targeted muscles, which reduces the formation of wrinkles that would otherwise result from muscle contraction. Neuromodulators are commonly used to smooth wrinkles around the eyes (crow’s feet), between the eyebrows (glabellar frown lines), and at the forehead. The lower face can also be treated, but this is off-label.

Candidates for Botox & Other Neuromodulators

Candidates for neuromodulator treatment include individuals who want to reduce facial wrinkles at the forehead, glabella (the region between the eyebrows), and sides of eyes (crow’s feet). Neuromodulator treatment can also be performed off-label to treat wrinkles of the nose (bunny lines), lips (smoker’s lines), and chin. In addition to treating wrinkles, neuromodulator treatment can help improve asymmetry, alter the shape of the eyebrows, and slightly lift the corner of the mouth.

How Botox & Other Neuromodulators are Performed

Your initial visit may take 30 to 60 minutes. This visit is important to review all relevant information, understand your goals, answer all your questions, and formulate a plan. Your face will be mapped out to determine the pattern and number of units that will be used. This information and measurements are recorded in your chart for future reference. During the procedure, the neuromodulator (either Botox, Dysport, Xeomin, Jeuveau, or Daxxify) is injected at the regions of concern. Subsequent visits usually take 5 to 15 minutes to perform the treatment.

We highly optimizes the neuromodulator treatment for each patient, ensuring an exceptional experience and excellent results. We are very meticulous during the injections and only use high-quality, delicate needles. Pain is minimal due to the combination of our extremely small needles and careful technique. If desired, topical numbing creams are available to further help reduce discomfort. In addition, we offer the Zimmer Cryo Chiller device to cool the skin, which improves comfort and can decrease the risk of bruising.

How to Prepare for Botox & Other Neuromodulators

It is recommended to avoid medications and supplements that thin your blood in order to reduce the risk of bruising. Ensure to consult with your prescribing physician before stopping any medications. Schedule your filler treatment for a time that it is OK if you happen to develop bruising.

We are conveniently located to serve Beverly Hills, West Hollywood, & Los Angeles. However, we are available to help with coordinating your stay if you are an Out-of-Town Patient.

What to Expect After Botox & Other Neuromodulators

It usually takes 1 to 3 days to start noticing the effect of neuromodulator treatment, and the maximal effect can take 1 to 2 weeks. Some wrinkles that are still present at rest may continue to further soften over months and with additional future treatments. The expected improvement largely depends on the severity of the wrinkles and consistency with treatment.

Gallery

Gummy Smile Filler Treatment Before and After Photo by Allen Foulad MD in Beverly Hills, CA

“A Picture Paints A Thousand Words”

Our Results Speak For Themselves.

Fillers faq

How long does it last?

Neuromodulator treatment usually lasts 3 to 4 months using traditional dosing but varies from person to person. Based on our extensive experience, we have seen treatments lasting between 1.5 and 9 months. Although we have a very lucky patient who benefits from Botox lasting 9 months, this is extremely rare.

Neuromodulator dosing will likely change in the future, and this will increase how long the treatment lasts. For example, using 4 times the amount of units will significantly make the treatment last longer. There are currently several investigations regarding this topic, and Dr. Foulad is highly active in such research. The key is using micro-focused droplets of highly concentrated neuromodulators to achieve a very natural, but long-lasting effect. At this time, high concentration neuromodulator treatment is not feasible because of the high cost. However, this will likely change; it is just a matter of time as a result of competition between various manufacturers.

What are the different types of neuromodulators for treating wrinkles?

Botox was the first FDA-approved neuromodulator for cosmetic use and has become a very popular brand.
Dysport is another type of neuromodulator that has a similar effect as Botox, but requires different dosing. Approximately 3 units of Dysport is equivalent to 1 unit of Botox. This conversion is factored into pricing, and thus 3 units of Dysport is usually a similar cost as 1 unit of Botox. Typically, you may notice the results take effect sooner with Dysport as compared to Botox. This makes Dysport especially useful in situations that require quicker onset of results.
Xeomin is made with botulinum toxin type A, the same purified protein that is used in Botox and Dysport. However, unlike Botox and Dysport, Xeomin can be thought of as being “purer” because it leaves out various accessory proteins. This may reduce the risk of your body forming antibodies to the product. Many of our patients describe treatment with Xeomin as feeling relatively “lighter” compared to other neuromodulators. Occasionally, some patients will have a short period of headaches or a feeling of tightness after Botox treatment to the forehead. Many of these patients have noted that Xeomen is less likely to cause those symptoms. However, this “lighter” product may not last as long as the other neuromodulators.
Jeuveau is the newest neuromodulator that has been FDA for wrinkles and is very similar to Botox.

Which neuromodulator product is best for me?

Each neuromodulator product has its specific advantages and disadvantages. Based on your goals, we can determine the best neuromodulator product for you.

What are the post-procedure instructions?

• For the first several hours after the treatment (ideally until the next day), avoid applying pressure to the treated areas. For example, you should avoid massaging or resting your head on treated areas. When cleansing your face or applying makeup, perform this gently. This is to avoid pushing the neuromodulator treatment to other areas.
• Ideally, do not perform strenuous exercise until the day after the treatment.

Case samples

Crow’s Feet Treatment

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Botox treatment was performed to reduce the wrinkles around her eyes.

Dynamic wrinkles are formed during facial expression, such as smiling. Muscle contraction creates grooves in the skin, which can lead to permanent wrinkles over time. The goal of neuromodulator treatment is to weaken the muscle contraction that causes wrinkles. Although the effect of neuromodulator treatment is most noticeable during facial expression, wrinkles visible at rest can also be improved to a certain extent. In the before and after photographs, the wrinkles around the eyes have significantly improved both during smile and at rest.

Forehead Wrinkles Treatment

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This lovely patient desired to treat her forehead wrinkles that have started to become more prominent. A touch of Botox was all that was needed.

Gummy Smile Treatment

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Our beautiful patient simply received 4 units of Botox to treat her gummy smile. The appropriate muscles associated with the upper lip must be targeted properly in order to reduce the amount of gingival display, while maintaining a beautiful and natural appearing smile.

Identifying the cause of the gummy smile is important when determining whether Botox or other neuromodulators are an appropriate treatment option. Gummy smile, also referred to as excessive gingival display, can be due to soft tissue and/or bone related reasons. For example, gummy smile can be caused by hyperactivity of muscles that control the upper lip, a short upper lip, overgrowth of the jaw, and/or excess gingival tissue. Although Botox is FDA approved for various cosmetic conditions, it is not approved specifically for the treatment of gummy smile and is considered off-label use in this situation.

Chin Treatment

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Botox was used for this lovely patient to improve the contour of her chin, reduce chin dimpling, and soften the mental crease (the indentation between the chin and the lower lip). She was a great candidate for this treatment considering her extremely hyperactive mentalis muscle. The before and after photographs were taken with her at rest and demonstrate the dramatic improvement that can be achieved with proper injection technique.

Neuromodulators such as Botox®, Dysport®, and Xeomin® can be a great option for select patients to improve the appearance of the chin without the use of surgery or fillers. The treatment works by targeting and relaxing the mentalis muscle. Although Botox is FDA approved for various cosmetic conditions, it is considered off-label use in this situation.

Testimonials

Terry Moler
Terry Moler
2022-03-07
Dr.Foulad and his staff are amazing. The results speak for themselves. Dr. Foulad is meticulous. The experience was beyond great. I had a neck lift, a mid face lift and an upper eye lift. Dr. Foulad was very attentive. Chelsea, the practice manager, took care of every detail. I felt at ease and very taken care of. I had prepared myself for a painful surgery and recovery period but it was not like that at all. There was no pain and very little discomfort. It felt more like a well needed vacation. I had all my surgery on a Friday and I saw Dr. Foulad and Chelsea through the weekend. By the following Saturday I was at an important social function and with a little make up, no one could tell I was a week out from surgery. Some people would call this vanity. I disagree. I don’t feel 63. Why should I have to look 63.(or older!) It’s the best thing I ever did for myself. I can't thank Dr. Foulad enough. If you are considering doing this, I beg you to pull the rip cord, take the plunge, whatever you want to call it, but do it! It’s worth it. You’re worth it!
carol cusson
carol cusson
2021-12-11
There aren't enough stars for this review to tell you how pleased I am with Dr Foulad, Chelsea and the staff. It was so worth the miles traveled to have my facelift, neck and brow lift. Their attentiveness from the consult all the way through to the aftercare has been amazing. He continues to check in with me 2 months later. His attention to detail and his warm and caring personality made this such an enjoyable experience. I could not believe there was minimal pain and you cannot even see where the stitches were. I feel AND look like a new woman. Judge for yourself with my pictures! Highly recommend Dr Foulad and his staff
Kristy Franklin
Kristy Franklin
2021-10-06
Dr. Foulad performed my facelift and neck lift a few months ago and my results are phenomenal! He is kind, talented, and did beautiful work on my face and neck. He is very honest and takes a lot into consideration when giving his recommendations. He takes so much time to answer your questions and explain everything to you. Everything about my experience was top notch. I have seen other doctors in my past and none of them followed up with me or spent the amount of time with me the way Dr. Foulad has. His staff was also incredibly pleasant and accommodating with me. I can’t recommend Dr. Foulad enough. He genuinely cares deeply about his patients and does excellent work!
Miriam Vernia
Miriam Vernia
2021-09-13
Dr. Foulad loves what he does and it shows. He is professional, knowledgeable, skilled, and dedicated to his patients. His "bed manners" are without equal. He follows up on his patients for weeks after surgery, providing timely advice and encouragement. He is honest and upfront about what benefits surgery can provide and he refers to other surgeons procedures that he does not feel comfortable performing.
Victoria Lampley
Victoria Lampley
2021-03-26
Dr Foulad is absolutely amazing! He is super patient, takes the time to thoroughly explain all your issues, thoughts, and goals and maps out all of your options without pushing anything whatsoever (if anything he does the opposite and explains everything in depth). He was completely attentive and super eloquent and smart when describing all of the ways he can help heal and preserve my skin and shared a wealth of knowledge. The practice manager Chelsea is patient, kind and super sweet and helpful. I'll definitely be telling my family and friends to become patients of Dr Foulad's practice. He is a perfectionist in the best way possible.
Kyrra White
Kyrra White
2021-03-14
I went to Dr Foulad for Jowl liposuction. Dr Foulad is a very informed facial artist and a master of his craft. I appreciate how delicate he was with my face during the procedure. He paid close attention to every detail of my face, and his effort shows in my results! I highly recommend Dr Foulad for any facial procedure. It’s important to have someone who is invested in your vision as you are, and that is Dr Foulad.
Aiko Fujimoto
Aiko Fujimoto
2021-03-01
Dr Foulad and his team are the definition of white glove service. They will take the time to explain everything in thorough detail and take all extra precautions to ensure your procedure is done as effectively and safely as possible. I'm incredibly happy with my results and will only be trusting my facial needs with Dr Foulad for all procedures going forward!
Sydney Skinner
Sydney Skinner
2020-12-16
Wow, I am so impressed! From the minute I walked into his office I was warmly greeted by his staff and ushered off for my consult with Dr. Foulad. He was extremely through (I ask a lot of questions) and he was very patient and did not rush me. I followed up the next week for my procedure which I’m thrilled with the outcome and feel so much confident! I’m looking forward to a long relationship with his office and it’s nice because he offers the entire package of treatments, products and procedures to cover all the bases! So no more running around to different offices!
Katia Rodriguez
Katia Rodriguez
2020-11-10
My experience at Dr. Foulad’s office has been nothing but great! From my very first consult, he made me feel comfortable and explained everything with detail. Him and his staff are so kind and were there to help guide me along the process. The results of my surgery were everything and more! I am so happy with the results and would recommend him to all my friends and family.
calvarezds
calvarezds
2020-09-17
I am so happy with my results after going to Dr. Foulad. He is a complete perfectionist and explains everything to you before go through with any injections or procedures. He makes everything look natural and seamless. I am definitely recommending him to all of my friends and family.