There are different neuromodulators in the market. They essentially all work by weakening the muscle causing the lines by affecting nerve stimulation to that particular muscle. The bacteria Clostridium Botulinum produces a toxin called Botulinum Toxin (BTX). Regardless of the type of neuromodulator, they all inhibit the release of the neurotransmitter acetylcholine (ACH) which prevents muscle contraction of the facial muscle causing the wrinkle.


  • Botox
  • Dysport
  • Xeomin

Botox Reversal or Correction

Botox is self-limiting which means that it will go away on its own eventually. The effect may last up 3-4 months. If you do experience a side effect or some asymmetry this can be managed in a variety of ways.


I was fortunate enough to meet Dr. Rikesh Parikh! Although being only 38, I was blessed with facial aging early. Dr. Parikh recommended a small amount of botox to clear the forehead and eye lines that joined me with motherhood. I was nervous as I didn’t want to look “frozen” but he was very honest and reassuring of the anticipated results. The procedure was seamlessly pain free and within a week I looked several years younger. Not only were my lines gone, but he arched and lifted my eyebrows giving me an ageless look. Several people have complimented me, but nobody has suspected I’ve had any work done. I can’t thank Dr. Parikh enough. Who knew, that something so simple would change my life. I will definitely be returning! M.W.

Preparing for Botox

Your goals should be set, a thorough consultation regarding what areas you want to improve and what areas bother you the most is important. Medications or over the counter supplements that thin the blood can increase the risk of bleeding and bruising. These medications should be stopped a minimum of a 1 week prior to treatment.

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