Neurotoxin

The number of units needed varies from person to person and depends on your individual anatomy, muscle strength, and desired results. Neurotoxin treatments are highly customized, and there is no one-size-fits-all approach.

As a general reference, the FDA guideline for treating the upper face (forehead, frown lines, and crow’s feet) is approximately 64 units, but many clients may require more or less depending on their goals and how their muscles move.

During your consultation, we will assess your facial movement and create a personalized treatment plan to ensure natural, balanced results.

Neurotoxins, like Botox, Jeuveau and Xeomin, are injectable treatments that temporarily relax the muscles responsible for wrinkles and fine lines. They work by blocking the signals from the nerves to the muscles, which prevents those muscles from contracting. This helps smooth out wrinkles, particularly in areas like the forehead, between the brows, and around the eyes, giving you a more youthful and relaxed appearance.

Most people find neurotoxin injections to be relatively quick and minimally uncomfortable. You may feel a slight pinch or a small sting as the needle is injected, but the discomfort is generally brief. If you're concerned about pain, we can apply a topical numbing cream before the procedure to ensure your comfort. The injections typically take just a few minutes to complete.

After your neurotoxin treatment, you may start seeing results within 3 to 5 days, with full effects visible in about 10 to 14 days. The results typically last 3-4 months, depending on your body’s response to the treatment and the area being treated. Regular maintenance treatments are usually required to keep the results looking fresh.

Side effects from neurotoxin injections are generally rare and mild. Some patients may experience temporary redness, swelling, or bruising at the injection site, which typically resolves within a few hours to a few days. In very rare cases, clients may experience a mild headache or eyelid drooping, but these side effects are temporary and subside as the treatment wears off. Our skilled professionals take great care to ensure your treatment is safe and effective.

It’s best to avoid strenuous exercise, excessive rubbing, or massaging of the treated areas for 24 hours to ensure optimal results. Please avoid lying down for at least 4 hours after your treatment. You may resume most daily activities right away; however, we recommend avoiding direct sun exposure and heavy makeup for the first few hours.

 The longevity of dermal filler depends on the product used, the treatment area, and your individual metabolism. At Riverside, we use the Juvederm collection, which is designed for both natural-looking results and long-lasting support.

Typical timelines:

• Volbella (lips + under eyes):
  Approximately 9–12 months 
• Vollure (smile lines / moderate volume loss):
  Approximately 12–18 months 
• Volux (jawline / structural definition):
  Approximately 18–24 months 

Results can vary based on factors like metabolism, lifestyle, and movement in the treated area. Areas with more movement (like lips) may break down filler a bit faster, while areas like the jawline tend to last longer.

During your consultation, we’ll recommend the best product and timeline based on your goals to ensure natural, balanced, and long-lasting results.

 Instantly! With JUVÉDERM® fillers—all formulated with a modified form of hyaluronic acid (HA)—you'll see results immediately after treatment. 

 Dermal filler is a safe and effective treatment for many individuals, but it is not appropriate for everyone.

You may not be a candidate for filler if you:

• Are pregnant or breastfeeding 
• Have an active skin infection, rash, or acne breakout in the treatment area 
• Have certain autoimmune conditions or are immunocompromised 
• Have a known allergy to any ingredients in dermal fillers 
• Have a history of severe allergic reactions (anaphylaxis) 

In addition, clients with certain medical conditions or those taking specific medications may require further evaluation prior to treatment.

A thorough consultation is always performed to review your medical history, discuss your goals, and ensure that dermal filler is both safe and appropriate for you.

 One of the risks with using dermal fillers is the unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. Most of these events are irreversible.