The Truth About Tox - A First Timers Guide

Written by Jamie Bump DNP, FNP-BC Aesthetic Nurse Practitioner

Neuromodulator treatments (Botox, Dysport, Xeomin), also referred to as “Tox” scientifically known as botulinum type A was developed from the bacteria which causes botulism, a paralysis of muscles, and is used in aesthetics to treat and prevent wrinkles, most specifically dynamic lines from developing from muscle movements in the face. The areas that can be treated include:

  • Frown lines: Lines in the forehead worsened by frowning and pushing your eyebrows forward

  • Glabellar lines (angry look, or “11’s”): The vertical lines found between the eyebrows and the eyes (above the nose)

  • Crow’s feet: The horizontal lines found on the outer corner of either eyes, caused by squinting

  • Upper lip lines: The subtle lines found above the upper lip

  • Bunny lines: The thin horizontal lines that can be found along the side and middle of the nose

Tox can also be used to treat conditions such as: migraines, excessive sweating, and TMJ by blocking the nerve impulses to muscles and sweat glands. Tox is a safe procedure when performed by trained clinicians and the results can be life changing! Tox also temporarily freezes facial muscles.

Most treatments last 3-4 months. Results are repeatable in this time frame and may result in less units needing to be used in subsequent treatments. By treating the areas on the face where we see dynamic lines, we can prevent static lines from developing. Prevention is key! This is why recommendations are to start Tox earlier in life, prior to the development of static lines. When you start to notice lines in the areas mentioned, you are likely a candidate for Tox and should seek out the guidance of an aesthetic provider.

There are some people who should not have Tox:

  • Those who are pregnant or breastfeeding. It is unknown what impact or effect Tox may have on growing fetuses and what could be transferred to an infant in breastmilk.

  • Those with neuromuscular diseases, especially those affecting acetylcholine receptor sites.

  • Those with weakened immune systems, on immunomodulator therapies, chemotherapy, or those with active infections.

  • Those with allergies to Tox, or any of the ingredients in Tox.

There are some side effects to receiving Tox, most of which are mild and related to the needle injections. Some adverse effects include:

  • Redness, bruising, swelling at the injection sites.

  • Mild headache

  • Fever

  • Itching

  • Dry mouth

  • Nausea

  • Allergic reaction

If you experience any symptom after receiving Tox, you should contact your provider immediately. The cost of Tox is by unit, and number of units recommended will be

discussed during a consultation with your aesthetic provider. Our goal at élan MED SPA is to provide services that help you feel and look your best! We look forward to meeting with you in a consultation to discuss your treatment options!

Jamie Bump DNP, FNP-BC Aesthetic Nurse Practitioner

Jamie is a Nurse Practitioner and Aesthetic Nurse at élan MED SPA

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