6 Ways To Fight Gravity With Thermage®

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Gravity can take a toll over time, and one day you realize you’d like things to be a little higher and tighter than they are. A firm, lifted body is one of the classic signs of youth, but unfortunately, it can feel like a losing battle as time goes on. Although surgery can be an option, it’s not for everyone. Fortunately, we offer some of the best non-surgical skin tightening options on the market, and there’s a lot you should know about Thermage®. Here’s your guide to fighting gravity with the latest in cosmetic technology.

What is Thermage®?

Thermage® is a targeted radiofrequency treatment that gently heats the collagen layer within your skin, causing it to contract. Over time, your body reacts to this heat by building more collagen, which improves the tightening and firming ability of the skin. Thermage® is well-known for its safety and is trusted by many famous faces, including Gwyneth Paltrow, Oprah Winfrey, Demi Moore, Linda Evangelista, and Jennifer Aniston.

What is Treatment Like?

Thermage® can be performed at our state-of-the-art offices and requires no downtime or incisions. It can be performed with a topical anesthetic, which is applied after your treatment area is cleansed and prepared. Then, we’ll assess your treatment areas and make marks on the skin for more precise treatment. While you’re lying on a comfortable table, a specialized pad is placed underneath your back. This pad helps complete the circuit of radiofrequency energy as the handpiece is applied to the area. This generates a deep heating sensation that is controlled by your cosmetic physician for precise results. The handpiece also contains specialized cooling technology to avoid skin damage. Once treatment is complete, you can return home.

How Can Thermage® Help?

One of the great benefits of Thermage® is that it can be used in a variety of effective ways in many different areas of the body. Whatever your goals for a tight, gravity-defying figure, our cosmetic physicians can recommend your best options. Here are 6 ways to use Thermage® to fight gravity:

Bright Eyes

Over time or because of genetics, the upper and lower eyelids can become heavy and sunken. This can make the eyes look small, hooded, and aged. Additionally, it can make it difficult to wear your favorite eyeshadows when it feels like it gets lost or creases even with the best primers. Thermage® can be a great non-surgical way to brighten and rejuvenate the eyes, lifting the eyelids and surrounding areas. Tightening and rebuilding the collagen around the eye will give you a rested and refreshed look (bonus: your eyeshadow will thank you). Consider tear trough fillers for a little extra rejuvenating volume.

Legging-Worthy Legs

There’s no need to ditch your favorite comfy leggings. Leave them wondering how your legs stay so toned and smooth with Thermage® for the thighs. Thermage® tightens and firms the skin, reducing cellulite and eliminating fine lines just above the knee. Whether it’s tight leggings or your favorite shorts, you can feel comfortable your thighs won’t let you down. Got stubborn fat? SculpSure® can reduce fatty pockets with just a few treatments with no downtime required.

A Neck to Remember

Forget a statement necklace or showy fur stole— let your neck do all the talking with your favorite low-cut outfits. If sagging neck skin makes you look heavier than you are, then put away the scarf and consider your non-surgical alternatives. Thermage® can tighten and tone your decollete, neck, and jawline without surgery or downtime. Additionally, Botox® can be a great option for neckbands while Kybella® can sculpt and refine fat under the chin for a profile like no other.

The Midriff of Dreams

Who doesn’t want to look amazing in their all-star swimsuit rotation? “Wow” your friends and family and make sure your quality time at the beach leaves you feeling great with a tightened tummy and renewed confidence. Thermage® can tighten loose abdominal skin for a high and tight midriff that doesn’t leave you dreading pictures. Looking to slim down at the same time? Tone your tummy with Emsculpt®, capable of burning fat and building muscle at the same time.

Hands to Match

You speak with your hands, but are they broadcasting your message or your age? Hands are often one of the first places to show signs of aging because of wear and tear over time from sun damage and collagen breakdown. If you’ve begun to notice that your hands are a little looser and more ‘ropey’ than they used to be, then you’ve got options. Thermage® can tighten up loose skin and provide a nice firming treatment. Radiesse® can also provide plumping volume in the areas between prominent tendons in the hands, leaving your hands looking fresh and young.

Tight, Toned Arms

No matter your fitness level, the upper arms are one of the biggest victims of gravity over time. At a certain point, you might find yourself covering up in your favorite tank tops or dresses. Putting your arms up might even be out of the question. Tell bat wings to take a hike with a firming and tightening Thermage® treatment. Forget covering up your arms with a sweater or stole and enjoy the confidence of beautiful, toned arms. If fatty deposits are part of the problem, CoolSculpting® can reduce fat with just a few easy treatments.

What Results Can I Expect?

Most patients find great results with Thermage® after just one treatment. In the timeframe after your initial treatment, you’ll see additional tightening of the skin with a noticeable reduction in cellulite. You can expect this to occur in the two-to-six month period after treatment with results that last years beyond. You can opt for re-treatment as needed, and our cosmetic physicians can recommend the ideal treatment package for you during a private consultation.

Schedule a Consultation

Thermage® is one of the best non-surgical ways available to tighten skin in your favorite areas without downtime or hassle. Our cosmetic physicians can recommend your best options with Thermage® and our wide selection of non-surgical treatments and technologies during a consultation. To get started, contact our Martinsville and Livingston offices by calling or filling out our online form.

Whether it’s fillers to plump lips or Botox® for frown lines, injectables are some of the most popular non-surgical treatment options each year. This is for good reason— they come with minimal downtime and produce excellent results with the help of an experienced cosmetic physician. However, injectables are constantly evolving and injectors are finding more new techniques than ever for different products and cosmetic goals. If you’re looking for the latest and greatest in injectable treatments for unconventional goals, then here are some techniques to know about.

Radiesse® for Skin Tightening

Radiesse® is a unique dermal filler that stimulates the growth of collagen in the skin. It does this using calcium-based microspheres which form a scaffold for new collagen. So, rather than simply replace missing volume with a hyaluronic acid gel like other dermal fillers, Radiesse jumpstarts your skin’s natural mechanisms for tightening and softening the appearance of wrinkles normally caused by a lack of volume. This has uses outside of the face, too— some studies have shown that it can even be an effective body vectoring method. The best part is that Radiesse lasts for 12 to 15 months, meaning you can enjoy long-term results without the downtime of more invasive procedures.

Sculptra® for Cellulite

Although Sculptra® is a popular option for facial and buttock rejuvenation, it can be effective as a way to combat cellulite. Despite what you might commonly read on social media or with certain products, cellulite is caused by the way that the female body stores fat— mainly that fibers keep the skin pulled down where they attach to the surface skin and deeper tissues. Sculptra is made with poly-L-lactic acid, a common material in dissolvable sutures that jumpstarts collagen production. Over time, this can help lift and firm skin, reducing the appearance of dimples caused by cellulite. Additionally, the process of injecting Sculptra into areas of cellulite can be used to release the fibers under the skin that pull it down and cause telltale dimples. Together, these two effects can be a great way to smooth over your favorite areas with minimal downtime.

Subcision with Radiesse for Acne Scars

This process is similar to cellulite treatment but can address pocketed acne scars instead. Acne scars are formed by large acne cysts that damage the walls of the pore, triggering the skin to begin generating collagen to repair it. Sometimes, the generated collagen is not as smooth and clear as the surrounding skin, resulting in pits or pockmarks in the skin. These can be famously hard to get rid of. Fortunately, a technique called subcision can be used to break up the tissue under the skin that keeps acne scars pulled downward (with the help of a local anesthetic). This can be paired with Radiesse, a dermal filler that can generate new collagen and provide volume to ‘fill in’ acne scars. Paired with the right laser and skincare treatments, this can be an extremely effective way to reduce the appearance of acne scars.

Nonsurgical Nose Job and Chin Augmentation

For patients looking for improvement in facial features, cosmetic surgery can be costly and require extensive downtime. With the right cosmetic physician, however, dermal fillers can be an effective option for augmenting and reshaping areas like the nose and chin. These two areas can have a large impact on your overall look and profile, especially if they are weak or under-projecting, so it’s common to look for the best options. Hyaluronic acid dermal fillers like Juvéderm® or Restylane® be used to artistically craft a better, more flattering profile with no downtime and results that last for around one year.

Kybella® for Jowls

Kybella® is one of the most effective options for reducing a double chin without downtime or surgery. It’s made with synthetic deoxycholic acid, which is normally found in the digestive system to aid in fat breakdown. When injected into fatty areas like the chin, it can gradually melt fat with regular treatment sessions. Kybella can also be an effective option for jowls— these often appear because the fat of the face falls forward over time and sags, bringing the skin with it. By injecting a small amount of Kybella in this area, the fat can be reduced for smooth, jowl-free skin.

Hand Rejuvenation

One area where aging can begin to show before any other is the hands. This is because most people neglect sunscreen and skincare on their hands, meaning they can begin to become thin and aged more quickly than areas like the face. Although fat transfer is a traditional option, this can be more invasive than many patients are comfortable with. This means that fillers can be an excellent option, specifically with Radiesse. Along with adding volume, Radiesse can stimulate new collagen in the skin for long-lasting volume even after the product has been metabolized.

Botox® for Jawline Slimming and Lip Flip

Botox has a multitude of uses, both medical and cosmetic. Although it’s most common as a cosmetic treatment for wrinkles in the upper face, there are a lot more options with the right cosmetic physician. Botox works by blocking chemical signals from the brain that often cause movement in the muscles of the body. This process is called neuromodulation, and it’s extremely effective and safe. For patients who grind their teeth or tense their jaw constantly, Botox can be an option to relax the jaw muscles and prevent further damage. The result of this bad habit is often a wider jaw from constant tension, meaning Botox can effectively slim the lower face. Another option is the ‘lip flip’ for patients with thin upper lips as a result of genetics or aging. This works by placing a tiny amount of Botox in the muscle at the top of the lip, causing the lip to curl upward. Often, the result is more lip space and a more balanced top to bottom lip ratio. Both of these techniques can last for between three to six months and comes with no downtime versus surgical alternatives.

Why Choose Reflections for My Injections?

Despite their ease of access and popularity, injectable treatments still come with risks. That’s why it’s important to partner with a cosmetic physician with the right experience and techniques to achieve the results you’re looking for from advanced injection techniques. More commonly, injectable treatments are available at medical practices with no relation to cosmetic treatments like regular physicians, dentists, and gynecologists. Treatments at these offices tend to correlate with bad results and even bigger risks. At Reflections, we are one of the foremost providers of advanced injection treatments in the greater Martinsville and Livingston areas— and beyond. Our award-winning cosmetic physicians focus solely on cosmetic improvement using the latest and most creative techniques for injectable treatments, stretching the bounds of each option for more variety than what is available at any other cosmetic practice. We pride ourselves on being able to offer non-surgical injectable alternatives for the treatment package that fits you and your goals best.

Schedule a Consultation

Injectables can do a lot in the right hands. During a consultation at Reflections, we can assess your ideal improvements and create the right treatment options with the best in fillers and neuromodulators so you can avoid the downtime and high costs associated with surgery. To meet with our expert team and discuss your best options for injectable treatments and your cosmetic goals, contact our Martinsville and Livingston offices by calling or filling out our online form.

In a huge market of catchy-sounding trends, prejuvenation can seem like just another gimmick. This trend, however, is worth paying attention to because it represents a shift in the way we address aging and the treatments that go along with it. If you’ve never heard of prejuvenation, it’s the opposite of rejuvenation— meaning, we start earlier in life to prevent the need for extensive rejuvenation procedures or surgeries later on. For the previous generations, rejuvenation meant surgeries like the facelift to address signs of aging. Now, prejuvenation means smaller, non-surgical proactive treatments that come in many different forms.

It can feel overwhelming to think of the plethora of treatments you might feel like you need to prevent aging, but it can be a lot simpler than that. With a well-rounded treatment plan of low-key treatments in the office supplemented by proper at-home skin care, you can find great results. Here’s a step-by-step guide to getting started on prejuvenating to save yourself the hassle later.


Targeted treatments are a very effective way to prevent signs of aging and improve skin quality. These treatments may include physician-grade skincare treatments to address specific things like mild pigmentation, roughness, or aging signs in certain places. Chances are, you won’t need hefty or extensive treatments. Lasers like the Clear + Brilliant® can offer great results without downtime. You can opt for these low-key treatments as a package to keep up your results and gradually integrate deeper treatments as needed. These can include lasers like the Fraxel® Restore Dual for deeper textural remodeling, or the Vbeam® and Q-Switched lasers for more extensive pigmentation.

Although many patients consider injectables to be a first step in professional treatments, we regularly recommend laser treatments as a starting point. This is because they can function on a sliding scale according to your needs and goals while also providing effective treatment for a variety of concerns. We generally recommend Botox® or Botox alternatives as a preventative treatment at this stage to prevent some of the beginning signs of aging like crow’s feet and forehead lines. However, this should be coupled with some prejuvenating skincare treatments like lasers or medical-grade peels.


Around your mid-20s and early 30s, your body’s production of collagen begins to decrease. Some studies have shown this can be as much as 1-2% each year. This means it’s important to begin opting for treatments that build new collagen and increase your skin’s cell turnover in tandem with your at-home care. Some of the best options for this include microneedling, which uses collagen induction therapy (CIT). Microneedling works by introducing micro-channels in the skin which jumpstart the skin’s wound-healing mechanisms, producing new collagen. Microneedling is a great starting point and can be augmented by other techniques like radiofrequency (RF microneedling).

Although your treatment package will depend on your goals and unique skin concerns, we recommend that most patients begin with a combination of Clear + Brilliant laser treatments and microneedling 1-2 times per year to keep up collagen production and combat volume loss.


If you haven’t optimized your skincare regimen, now is a good time to start. Good basics to have on-hand are a gentle cleanser, sunscreen, active ingredients, and the right moisturizer for your skin. Although the frequency of your active ingredient treatments might vary, daily sunscreen use is essential. It can prevent sun damage, which is a huge contributing factor to wrinkles later on. And don’t skimp on the SPF— many dermatologists recommend you use a separate sunscreen rather than relying on SPF included in many cosmetic products. You should aim for a broad-spectrum sunscreen of SPF 30 or higher for adequate protection during your day-to-day activities.

When it comes to active ingredients, you’ve got a lot of options. Two most effective treatment options are retinoids, vitamin C, growth factors and peptides. Retinoids can do a lot for your skin. Among many things, they make sure that cell turnover and collagen production work more effectively. Unfortunately, they can require an adjustment period, and their strength has to be tailored to your skin. Vitamin C can help brighten the skin and reduce pigmentation with regular use. Growth factors and peptides are important in keeping your skin effective at regenerating itself and the collagen that supports it, meaning they can be extremely beneficial in maintaining results from your treatments or simply maintaining your skin’s youthful properties in general. They can also help repair sun damage and stimulate regrowth. If you’re wondering where to start with the skincare regimen and products are best for you, our cosmetic physicians can help.


There are two types of injectable treatments that can be beneficial in preventing signs of aging when paired with some of the above treatment options. The first is neuromodulators like Botox® or Botox alternatives, which can effectively relax existing wrinkles and prevent new ones from forming. Botox® is effective because it blocks neural signals, preventing muscles from moving. Movements in the face can cause wrinkles to form over time, and halting this process means you can more effectively treat wrinkles using other treatment options like lasers or skincare treatments. You’ll need to opt for retreatment every three to six months, however.

Another injectable option is dermal fillers. Unlike Botox®, these options provide volume in areas that commonly lose support over the course of aging. Different types of fillers exist that can be better suited to different goals— hyaluronic acid fillers like Restylane® or Juvéderm® simply provide volume under the surface of the skin to fill out wrinkles and folds so they can be more effectively treated with skin tightening treatments or laser options. Alternatively, fillers like Sculptra® can help generate new collagen at the same time as providing volume. Although the length of your results will depend on your specific injectable, dermal fillers last for an average of one year or so.


Prejuvenation can seem like a monumental effort, but it’s important to remember that prejuvenation looks different for everyone. The best treatment plan for you will depend on factors like how early you start treatments, your skin’s current condition, your preferences, and your goals for anti-aging. And if it feels like it’s too late to start, then remember that you’ve got options! Because of the constant innovation in non-surgical anti-aging treatments, there’s hope that the need for surgery later in life can be avoided with the best in prejuvenating treatments and at-home care. Despite what you might see on social media, however, it’s important to create an effective treatment plan with the help of a cosmetic physician with expertise and experience in prejuvenating techniques.


The best way to get started on prejuvenation is through a consultation with our cosmetic physicians who can help you understand your options. Whether it’s recommending the best products for at-home care or a treatment plan that fits you and your lifestyle best, we can make sure your surgical considerations remain far off for years to come. To get started, contact our Martinsville and Livingston offices by calling or filling out our online form.

When you got your tattoo, you probably had plenty of people remind you that tattoos are forever. While this might have been true in the past, there’s an increasing number of effective options for removing tattoos safely and effectively. Although these methods aren’t without their risks, a quick internet search can return plenty of excellent before-and-after results for laser tattoo removal. It’s often touted as a miracle cure for unwanted tattoos— and while this can be true, there are some important things to know about what it is, what treatment looks like, and why it’s effective. Here’s a guide to this exciting option.

What is Laser Tattoo Removal?

Laser tattoo removal often gets talked about when the topic of tattoos comes up— usually as a quick fix for a bad tattoo. However, people who haven’t experienced it usually don’t have an accurate idea of what it is or what it can do. On the surface, it seems like something out of science fiction where an unwanted tattoo can just be zapped off in a quick session. Although this would be wonderful, real-life laser tattoo removal can achieve some great results with a package of treatment sessions and even some at-home products, both of which take time and patience. Despite this, laser tattoo removal is still the most effective way to remove a tattoo.

How Does Laser Tattoo Removal Work?

When you think of the term ‘laser’, you might associate it with action movies or playing with a cat. Lasers have a staggering amount of uses in scientific and cosmetic fields, and there are many different types and technologies behind them. Laser tattoo removal uses a technique called Q-Switching. These types of Q-Switched lasers produce extremely short pulses of intense light that can penetrate the skin, where the tattoo pigments absorb it. This is achieved by precisely adjusting the wavelength for specific colors and pigments. For example, black ink requires a different wavelength than red ink because they each absorb different wavelengths.

Once the pigment under your skin absorbs the nanosecond or picosecond bursts of light, the pigment shatters into smaller pieces. This allows your body to dispose of these pieces through your lymphatic system, where it was previously unable to because tattoo pigment particles are too large. This process usually occurs over time using your body’s natural rate of absorption— and it’s safe and effective, since most tattoo pigments are not harmful to your body.

What are the Benefits of Laser Tattoo Removal?

Laser tattoo removal is one of the most effective options available because it produces great results over time without some of the risks of other methods of tattoo removal. Additionally, laser tattoo removal technology is constantly evolving and producing new methods, lasers, and targeted treatments for specific pigments. When administered by an experienced cosmetic physician, laser tattoo removal can be custom tailored to your tattoo for the most effective results. And laser tattoo removal isn’t just for complete removal— many patients who want coverup tattoos can effectively fade an existing tattoo using laser methods.

Are There Other Options for Tattoo Removal?

Historically, surgical removal was one of the “safest” ways to completely remove a tattoo. This isn’t ideal because it comes with a risk of scarring, infection, and can even require a skin graft. In some rare cases, surgical excision can still be preferred, but laser tattoo removal has become the treatment of choice for most cosmetic physicians. Additionally, some patients can find good results with bleach creams designed to fade pigment over time, but this can require daily use for months or years (although you should check with a cosmetic physician about long-term use of these products).

At Reflections, we go to great lengths to warn against other at-home methods that can be extremely dangerous. Methods like salabrasion (deep exfoliation with salt) or burning away the skin can introduce infection and result in permanent scarring. We recommend that you speak with a cosmetic physician and fully explore the risks of these methods if you plan to try them at home.

Why Choose Reflections Center for Laser Tattoo Removal?

Since there are a lot of less-than-safe methods out there, it’s important to select a laser tattoo removal provider that has a reputation for safety and results. At Reflections, we strive to offer the latest and most-advanced laser technologies that are FDA-approved for their safety and effectiveness. Not only this, but we offer a selection of laser systems so that we can treat a variety of tattoo types and colors with fewer treatment sessions. We can also select a laser system for a variety of skin types and tones. During a consultation with our cosmetic physicians, we can tailor a laser tattoo removal package to your unique tattoo using our selection of laser systems.

Will It Remove My Tattoo?

Even though it can seem like laser tattoo removal is an exact science, your results can depend on many different factors. One of the most important is your expected results— while some patients want complete removal, others simply want to fade it for a coverup piece. Additionally, many different factors about your tattoo itself can affect your results. These include things like whether it’s a professional or amateur tattoo, which colors have been used, how it’s layered, its depth, and its location on the body. Location is important for a couple reasons— firstly, thinner or thicker skin can affect some adjustments made during treatment. Secondly, removing a tattoo that is located closer to certain parts of the lymphatic system will fade more quickly. The size of your tattoo can also determine the length of your treatment sessions and cost, which can be important to many patients. Our cosmetic physicians have plenty of experience in laser tattoo removal and can give you the best idea of what to expect from treatment. Although these factors don’t usually have an impact on laser tattoo removal’s effectiveness, they can have an impact on the number of treatment sessions and laser systems.

How Much Does Tattoo Removal Cost?

For many patients, cost is one of the most important factors in laser tattoo removal. That’s understandable, since laser tattoo removal can require quite a few treatment sessions and a lot of patience. The cost of a laser tattoo removal package is very dependent on how many sessions are needed which are, in turn, dependent on things like skin type, pigments, depth, and many other factors. Along with the number of sessions needed, your cost can be dependent on how many laser systems are needed (we can often perform treatments with multiple platforms, which can be a step above less experienced providers). During a consultation with our cosmetic physicians, you’ll receive a full estimate of your costs for a treatment package.

Schedule a Consultation

There are a lot of reasons to consider laser tattoo removal, mostly because it’s one of the most effective methods available in the hands of an experienced cosmetic physician. At Reflections, we strive to be a premier provider of laser tattoo removal so that our patients can achieve safe, effective results that fit their goals and lifestyle. To meet with our cosmetic physicians and discuss your options with our wide selection of laser systems, contact our Martinsville or Livingston offices by calling or filling out our online form. Also, be sure to check out our tattoo removal before-and-after gallery to find excellent results.

As the most popular non-surgical treatment currently available, almost everyone has heard of Botox. This injectable is the go-to treatment for smoothing lines and wrinkles in the upper face for a more rejuvenated appearance. If you are interested in learning more about this popular injectable or are considering receiving treatments, read on to learn more about what exactly Botox can and cannot do!

What Botox Can Do and Can't Do

Botox: The Basics

Did you know that not all wrinkles form the same way? As we age, we lose elasticity in our skin, and permanent creases can sometimes develop in our skin. This can be caused by repeated facial muscle movements that happen when we make expressions. These wrinkles are called dynamic wrinkles and are the type of wrinkles that Botox is specifically formulated to treat.

Botox is an injectable treatment made up of the protein, botulinum toxin type A. It works by relaxing overactive muscles and preventing repetitive muscle movements for a smoother, more youthful look.

Injectables that are made up of botulinum toxin type A are known as neuromodulators. There are a number of neuromodulators on the market today along with Botox, including Xeomin and Dysport. At Reflections, we carry all three types of neuromodulators to help meet your individual aesthetic goals.

Many people ask us if there are alternatives to neuromodulators. However, because of the way neuromodulators work to relax overactive muscles and prevent future damage to the skin, no other procedure offers the same kind of results.

The Benefits of Botox

Botox has many benefits, which is why it is the most popular nonsurgical treatment to date! These benefits include, but are not limited to:

  • Relatively painless procedure
  • Low risks (when performed by a skilled physician injector)
  • No downtime
  • Can help you look less angry or tired
  • Makes subtle changes that give you a refreshed and natural look
  • Can help with a boost in confidence

What Can Botox Treat?

While Botox is most commonly known to treat lines and wrinkles in the forehead area, it can also address other cosmetic and health issues as well. At Reflections, Botox can be used to address a variety of issues, including the following:

Lines and Wrinkles

Botox is most commonly used cosmetically to address lines and wrinkles in the upper face, including across the forehead, between the eyebrows, and at the corners of the eyes (AKA crow’s feet). Botox has been proven to last for three months in new patients, however, longevity usually increases over time, with regular treatments. More info on how to make your results last longer with Botox can be found here.


Are you dealing with excessive sweat that seems to be interfering with your everyday life? If you are tired of stubborn sweat ruining your favorite clothes, Botox can help! Botox can also be used for the treatment of Hyperhidrosis excessive sweating. This condition can affect men and women of all ages, and can cause embarrassment and frustration. Botox works by disabling sweat glands for 6-9 months and can help you feel more confident without the anxiety associated with excessive sweat.

Lips and Chin

Botox can also be used on the lips, mouth, and chin to help improve your appearance. It can turn up corners of the mouth for a naturally pleasing look, smooth away smokers’ lines above the lip, and correct an overly-gummy smile. Botox can also smooth out a “peach pit” chin, which is dimpling or wrinkling on the chin.

As you can see, Botox is a very versatile product that can address a variety of cosmetic and health issues, which makes it one of the most sought-after injectable treatments in the industry.

Are You A Good Candidate for Botox?

Healthy individuals who are looking to treat their developing lines and wrinkles on their upper face can often benefit from Botox injections. Botox can also help those looking to treat hyperhidrosis, or excessive sweating. Ideal candidates will have reasonable expectations for the outcome of their procedure and follow a healthy lifestyle. The best way to determine if Botox is a good match for you is to schedule a consultation at our office.

During your consultation, we will go over your health history, any medications you are taking, and discuss your personal aesthetic goals. If you are a good candidate for Botox, our team will then create an individualized injection plan for beautiful, natural-looking Botox results!

What to Expect During Your Botox Treatment

Before your Botox treatment, you will be asked to stop taking any NSAIDs, such as Advil or Aleve, and other blood thinners, such as fish oil, and this may cause unwanted bleeding during the treatment. You also want to avoid alcohol for 24 hours before injection, as alcohol does have a blood-thinning effect. Never stop prescription medications without first speaking to the physician who prescribed them.

The Botox treatment is generally quick and simple. After meeting with a physician who specializes in cosmetic injections to determine whether Botox is the right choice for your goals, he/she will gently and precisely inject the Botox into the treatment area(s) using very fine, thin syringes. The entire injection process usually only takes about 5 to 10 minutes to complete, which makes Botox a great treatment option for those with busy schedules.

Following your Botox treatment, you may experience some slight redness and, very rarely, bruising, but this will dissipate quickly and can easily be covered by makeup. Be sure to avoid rubbing or massaging the treatment areas for at least 90 minutes, as this may cause unintended spreading of the Botox. The best part? There is no downtime, so you can return to work or school as soon as you feel comfortable. Results can often be seen after just a few days.

Want to see some real Botox results? Check out our Non-Surgical Before and After gallery.

What Botox Cannot Treat

Neuromodulator treatments such as Botox do not work the same way as dermal fillers, and therefore, cannot treat the same issues that dermal fillers treat. While dermal fillers help to add volume to the face and lips, Botox cannot. It also does not focus on smile lines around the nose and mouth or sagging or loose skin. If you are dealing with these sorts of issues, then dermal filler injections may be a better choice. At Reflections, we also offer a large array of dermal fillers to help meet your individual needs.

If you have any questions regarding Botox vs Dermal fillers, a complimentary consultation is a great place to receive answers!

Why Choose Reflections?

While Botox can be administered by many different practitioners such as dentists, nurses (in other states – this is not legal in NJ), and other doctors who don’t specialize in injectables, they may be inexperienced, which can cause a much higher rate of complications. Our team at Reflections perform Botox injections throughout the day, every day, and take a reserved approach when injecting for a more natural look. This has led to an array of happy patients who appear younger-looking yet still expressive.

At Reflections, we also carry all types of FDA-approved neuromodulators to help ensure that each of our patients can achieve the look they desire. So, if for some reason Botox isn’t a good match for you, we also carry Dysport and Xeomin to help smooth those stubborn dynamic lines and wrinkles!

Contact Us Today!

Time to say goodbye to those stubborn facial lines once and for all! To learn more about Botox injections at Reflections Center, contact our Martinsville or Livingston office today to schedule a consultation! We would be happy to answer any questions that you may have to ensure that you feel confident with your choice to undergo Botox treatment with us.

The mommy makeover has become an increasingly popular option among women, but if there’s any trend that’s emerged over the last few years, it’s a preference for non-surgical alternatives. New moms have plenty of things to worry about, so surgery may not always be a possibility. If you’re a new mom considering your mommy makeover options, Reflections Center offers a variety of non-surgical procedures that can help you restore your pre-baby body.

What is a Mommy Makeover?

The mommy makeover is most commonly known as a combination of plastic surgery procedures performed that address the areas of the body most affected by pregnancy and childbirth. Traditionally, this includes restoring the stomach and breasts using a tummy tuck and breast augmentation or lift. This has many benefits, including reducing stubborn fat, lifting and reshaping the breasts, and tightening stretched muscles.

There are pros and cons to the traditional mommy makeover methods using surgery. Many women find transformative results that last for years after surgery, making it an effective option for candidates. However, it can require a long recovery due to its invasive nature and use of general anesthesia, with some patients being unable to pick up or play with their child for several weeks. Additionally, a mommy makeover can cost upwards of $12,000, putting a financial strain on some new moms who have other expenses to take care of.

Why Choose a Non-Surgical Mommy Makeover?

Most non-surgical mommy makeover patients have obvious reasons for opting against surgery, such as reduced downtime, no visible scarring, and natural-looking results. Some patients are also unable to undergo surgery, whether due to health or a history of complications. This is because weight and hormone fluctuation can affect surgical results, meaning patients might require additional procedures. Each woman’s body is different, and this can mean that some patients wait a long time before they are ready for surgery (and taking downtime with a toddler can be much more difficult than taking downtime with a newborn). Additionally, if patients are hoping to have more children in the future, surgery may not be the best option.

What Can I Include in My Non-Surgical Mommy Makeover?

There are many different options when it comes to customizing your non-surgical procedure. A non-surgical mommy makeover generally addresses the same areas as a surgical one but has greater freedom in addressing other, less common areas. During a consultation, we can recommend the best non-surgical techniques for you. Here are some of the most common procedures:

Fat Reduction

Many new moms struggle with stubborn weight-gain. In particular, the hips, saddlebags, and tummy pouch (the tummy “donut”) seem to be the most common areas that don’t budge with diet and exercise. There are a few non-invasive and minimally-invasive options that can address these areas, including SculpSure, CoolSculpting, and Liposuction. SculpSure and CoolSculpting are non-invasive techniques that require no downtime and can gradually reduce fat in stubborn areas through a series of treatments. Alternatively, Liposuction is a minimally-invasive procedure that requires tiny incisions and can produce long-term results with one procedure. Most liposuction patients require only a few days of downtime and see immediate results.

Muscle Tightening

EmSculpt is a non-invasive treatment that can tighten abdominal muscles and reduce fatty pockets over the course of a few treatments without any downtime. Although a tummy tuck procedure can successfully repair stretched muscles, EmSculpt requires only a half-hour treatment session that uses the muscles’ own contractions to repair and reshape them. EmSculpt can also be an effective treatment for reshaping the buttocks and reducing fat for an improved figure.

Vaginal Rejuvenation

Most women experience uncomfortable changes in their vaginal health after childbirth, including urinary incontinence, sexual dissatisfaction, and a lack of pelvic support. Both ThermiVa and Exilis Ultra Femme can restore the vaginal area by boosting collagen production, leading to increased vaginal tightness and labial reduction. Both vaginal rejuvenation treatments require no anesthesia or downtime and can produce results within a few treatment sessions.

Skin Tightening

Although many patients find great results with fat reduction, the course of childbearing can leave behind stretched and loose skin. Surgical procedures can leave behind extensive scarring when it comes to lifting and recontouring the body, so treatments like ThermiTight or Exilis Ultra can jumpstart your skin’s restorative functions and collagen production to tighten the skin and increase volume. These treatments are most commonly performed on the abdomen and hips for postpartum patients.

Stretch Marks

Stretch marks are one of the most common frustrations of women that go through pregnancy since they can be famously difficult to get rid of. VBeam and Fraxel are laser treatments that can help reduce the appearance of stretch marks and can reduce redness when they’re treated soon after they appear. These treatments require little downtime and only a few treatment sessions. For textured stretch marks, RF Microneedling can restore collagen and smooth the affected skin.


Cellulite is a common accompaniment to the weight gain experienced during pregnancy and usually requires professional treatment. We recommend ThermiTight and Exilis Ultra to restore the skin and reduce the dimples associated with cellulite, most commonly in the lower body and buttocks.

Acne and Acne Scarring

Because pregnancy and childbirth recovery both come with hormone fluctuations, many women experience increased acne and acne scarring. We can formulate a customized skincare plan for treatment afterward, as well as professional treatments and at-home care during pregnancy and breastfeeding to help combat congestion and reduce the chance of scarring. Melasma is another common skin concern that arises because of hormones, and we can create an IPL or Clear+Brilliant Laser treatment plan to reduce pigmentation.

Scar Revision

For women that undergo a c-section birth, scarring can be a common concern. We commonly perform these revisions with laser liposuction, which can effectively revise scar tissue from underneath the skin using minimally-invasive techniques and minor incisions. Additional topical skincare treatments or laser techniques can also produce excellent results.

Surgical vs. Non-Surgical: Which is best for me?

It can be difficult to determine your best options since each woman is unique and has a very different experience with pregnancy and childbirth. Generally, women who require extensive techniques and who have skin that won’t respond to non-surgical treatments should look at surgical options. Most plastic surgeons prefer patients to be finished having children for best results. The ideal candidate for a non-surgical treatment plan is a mom of one or two kids (or who has plans for more pregnancies) with mild concerns like skin laxity and stretch marks. When looking at your options, it’s important to consider your goals and expectations for your procedures, as minimally invasive and traditionally invasive methods may vary in results. However, if you’re hoping to avoid surgery, scarring, high costs, and downtime associated with a traditional mommy makeover a package of non-surgical treatments could be the right choice for you.

Schedule a Consultation

A mommy makeover procedure can be one of the best ways to restore your body and confidence as you begin the next chapter of your life. The Reflections Center is the leading provider in minimally invasive techniques and cosmetic medicine to address your unique concerns with effective solutions. To begin discussing your options, schedule a free consultation with Dr. Jefferson by calling or filling out our online form.

How to Get Rid of Knee Wrinkles: Kninkles!

When most people think of wrinkles, they envision them on the face. However, many individuals have concerns regarding wrinkles around their knees! Knees can look older and unattractive in shorter hemlines after weight gain and/or subsequent weight loss, as well as natural aging processes. As we age, our skin loses elasticity and does not bounce back to its original form as easily, which can result in sagging skin or wrinkly knees.

Get Rid of Knee Wrinkles NJ

Also, after menopause, the body devotes a lot less energy to the repairing and rebuilding of collagen, which can further intensify the aging process. The skin begins to thin and appear crepey with lots of fine lines and wrinkles. Most women find their knees to be an area where the skin bunches up in these very fine wrinkles, and some women refer to this as “kninkles.” Most women that complain about this issue say it keeps them from wearing skirts and shorts.

At Reflections, we offer a wide selection of non-surgical treatment options to help address your knee wrinkles for younger-looking legs!

A Customized Approach

At Reflections Center, treatments are customized based on what combination of symptoms we see in the individual. We first need to identify the root cause of the problem, and then treat it from there. For example, not every woman who complains about her knees is having an issue with loose skin – sometimes it’s skin that’s weighed down by fat, sometimes it’s just excess fat and the skin will bounce back once it’s gone, and sometimes it’s really that the skin is too thin and completely lost its elasticity. Each of those needs to be addressed differently. When there’s more than one cause, we often recommend treating those causes with different technologies, and that means creating a package treatment deal. Often these treatments can be done in the same visit to the office.

Knee Wrinkle Treatments

An easy fix for knee wrinkles includes fillers such as Radiesse and Sculptra. Both of these fillers work by stimulating collagen production in the skin. Collagen acts as the skin’s building block that ensures the cohesion, elasticity, and regenerations of connective tissues. By stimulating collagen production in sagging skin around the knees, you can enjoy smoother, more youthful looking skin in the area. These fillers work especially well for older females who have started menopause and are experiencing increased skin thinning from hormonal changes.

Thread lifts are also an effective, minimally-invasive option for lifting sagging knee skin. This treatment entails the use of dissolving threads which has small cones on them which are placed under the skin. The cones then grab ahold of the skin from under the surface, stimulating collagen production and lifting the skin to a more youthful position.

Lastly, Thermage and Exilis Ultra are also great options. While both are skin tightening treatments, Thermage uses radiofrequency while Exilis Ultra combines radiofrequency and ultrasound energy to tighten the skin. They work by remodeling existing collagen and stimulating the growth of new collagen and elastin. Plus, these treatments are completely safe and very effective for all skin types and tones!

Knee Fat Treatments

If stubborn pockets of fat around the knees is your problem, we have solutions! CoolSulpting is a great solution for stubborn knee fat, as it is completely nonsurgical and requires no downtime. The special CoolMini applicator is specifically made to target smaller treatment areas such as the knees for optimal results. During treatment, the applicator will be placed on the knees, and a controlled cooling will freeze unwanted fat cells, eliminating them for good.  Overall, CoolSculpting offers a curved applicator that can fit perfectly to the shape of the knee, offering superior results. Plus, it offers some skin retraction and tightening as well for youthful-looking knees!

Some patients may also be able to benefit from SmartLipo. This laser liposuction treatment uses a unique triple-wavelength technology for optimal results. Plus, this treatment has PrecisionTx, a skin tightening treatment, built right into it to help ensure smoother knees. Smartlipo is unique in that the fat-melting laser helps us to remove stubborn excess fat and create lean lines, while the skin tightening laser ensures you get the fit look you desire.

Say Goodbye to Kninkles Once and For All!

At Reflections, our aim is to help you look and feel your best. That means that we take the time to fully understand your aesthetic goals and always take the time to create an individualized treatment plan to help you meet those goals. With our full collection of cutting-edge and proven-effective technologies and treatments, you can be confident that we can help you say goodbye to knee wrinkles for good!

For more information regarding knee wrinkle or knee fat treatments, contact our office today to schedule your free consultation!

Botox® or Xeomin®: Which is Right for Me?

There are few other products that have made an impact on the cosmetic industry like Botox® has. In fact, the chances are pretty good that someone you know has had Botox treatments— some statistics put the number of Botox procedures performed each year in the several millions. With the wide popularity of Botox, then, it’s easy to imagine that there are alternatives on the market. Xeomin® is one alternative made by the same manufacturers of other non-invasive treatments like Radiesse®, Ultherapy®, and many more. Although Botox and Xeomin might just seem like competing carbon copies, there are a few things that set them apart— and even make them more ideal for some patients than others. If you’re looking at your options for cosmetic wrinkle reducers, then here are two excellent options to consider.

What are Neuromodulators?

Neuromodulators are made from different purified formulations of botulinumtoxin type A. This protein is created by fermenting certain types of bacteria that are known for causing side effects that weaken and prevent muscle movements. In small doses, derivations of botulinumtoxin type A can be effective for both cosmetic and medical treatments that benefit from reduced muscle movement. There’s no need to worry, though, since neuromodulators have been in use since the late 70’s and have undergone numerous studies regarding safety and effectiveness since then.

How do they work?

Neuromodulators work by temporarily blocking neurological signals from the brain to the muscles, which normally cause them to contract and move. This process is called neuromodulation. This is beneficial to your skin because, over time, these contractions can cause creases and lines in areas that commonly experience facial expressions. By injecting these products into the muscles, they can both relax furrowed expressions and prevent further wrinkle formation. For some patients, merely allowing the skin some time to recouperate without such intense dynamic movement will be enough to erase wrinkles, as the skin does some self-healing and “bounces back.” But for deeply set wrinkles, especially in older, sun-damaged skin, the damage is too deep for the skin to fully heal on its own, and in that case other treatments, like lasers and filler injections might be needed to get the best result.

What’s the difference between Xeomin and Botox?

Although Botox and Xeomin both function the same way and share the same end goal, there are a few differences that set them apart. When you’re considering your options, it can be helpful to decide which of these factors is most important to you and your treatment, so that our cosmetic physicians can guide you to the best choice for you. Here are some of the primary similarities and differences between these two options.


Although both options are made with the same core molecule, botulinumtoxin type A, but they differ slightly in their molecular makeup because of their different manufacturing processes. The process of making Botox has been a highly guarded secret, just like the Coca Cola recipe, because while the process to create botulinumtoxin type A is a well-known and documented process, the process of purifying it into a safe and controlled medication is very difficult and complex. That’s why for a long time, Botox was the only option.

Xeomin uses a different manufacturing process than Botox, but both do arrive at a very similar result, so similar that the results from each are very, very similar.

Treatment Areas

Both Botox and Xeomin have FDA-approval, but for different treatments. Botox is FDA-approved for cosmetic treatment in relaxing frown lines (between the brows), forehead lines, and crow’s feet (around the eyes). At Reflections Center, we treat many other areas with Botox that are considered off-label uses, but can be effective options in the hands of our expert injectors. Additionally, it’s FDA-approved for many different medical conditions, including chronic migraines, hyperhidrosis (excessive sweating), many types of muscle spasms, strabismus, and urinary incontinence. This makes it an effective and versatile option if you’re looking for a tried and tested solution for your cosmetic or medical concern.

Xeomin was FDA-approved much more recently than Botox, but can still address a few different cosmetic and medical concerns. Xeomin is only FDA-approved for cosmetic use in glabellar lines, also called frown lines, but it can still effectively treat many of the same concerns that Botox can, although this is considered off-label. Additionally, it can also be used on-label to treat conditions like cervical dystonia and blepharospasms.

Although it can seem overwhelming when looking at the treatment areas for each neuromodulator, it can be more helpful to focus on which area you would most like to address and how, so that our cosmetic physicians can guide you to the right choice.


It can be virtually impossible to distinguish between Botox and Xeomin before and after photos, so the quality of your results should only be a factor when looking at your options for an expert injector. Botox and Xeomin do differ when it comes to their results timeframes, however. This is because, after injection, it can take some time for the botulinumtoxin to take full effect. In Botox, this timeframe can be around three days. Xeomin takes the longest out of any neuromodulator, coming into effect at around four or more days. With both options, it’s important not to massage the treatment area during the 90 minutes following injection because it can cause the product to spread to unwanted areas.

It can be difficult to judge how long each injectable will last, since this can be unique to each patient and treatment area (depending on how quickly your body metabolizes the product). Generally, Botox both last between three to four months. Since your skin has had that time period to “heal” itself, the wrinkles don’t reappear immediately after the product stops working, but over time those repetitive motions will bring the wrinkles back. Because the goal is to keep skin protected from those repetitive motions, we recommend retreating before the product fully wears off, and at the very least when it first wears off, not after the wrinkles have had time to come back (and do further damage to the skin).


Although cost should never be your primary concern when it comes to selecting cosmetic treatments, it can be worth noting that Botox and Xeomin can sometimes vary when it comes to cost (measured in units). The cost per unit can be very similar between the two, but each can require slightly different dosages based on the treatment area. During a consultation with our cosmetic physicians, you’ll receive a full estimate of your costs with Botox or Xeomin.

We do charge the same fee per unit for Xeomin and Botox, at $16 (as of 2019). In New Jersey, pricing for Botox or Xeomin typically ranges from $15 to 20 per unit. Typically, a treatment for wrinkles on the face will range from $250 to $550+ at our practice. We’re not the least expensive practice in New Jersey, but for physician injectors who are consistently ranked in the top 250 nationwide, we feel this price is an incredible value.

Which one is right for me?

When it comes down to making the decision, you’ll greatly benefit from the guidance of our cosmetic physician injectors. This is because we can take a full assessment of your unique goals and medical history to guide you to the right option. However, there are some generalities to help you guide your decision-making process.

Botox is a tried and tested option that has been in use for many years, meaning it comes with a reputation backing it. If brand and reputation are important to you, then Botox can produce great results with low risks. It’s also highly versatile, meaning you have a lot of options for treatment. Alternatively, Xeomin is a more recent addition to the market that offers a slightly different treatment experience. If you think that you’ll opt for long-term treatment (especially in the case of medical conditions) or aren’t a candidate for surgical options, then Xeomin can be your best option because of its lower risk of becoming resistant to it. Additionally, if you have a history of reactions to certain additives, then Xeomin can be a safer option for you.

Ultimately, the differences between Botox and Xeomin can be subtle, requiring the expertise of an experienced injector to decipher which is best for you. As long as you focus on your goals and preferences, we can guide you to the right options.

Schedule a Consultation

At Reflections Center, we believe in highlighting and enhancing the individual’s unique beauty in such a natural way that it appears to be a genetic gift, not the result of a treatment. During your free consultation, we’ll discuss the best options for you based on your goals, and together we’ll create a plan that fits your budget and lifestyle, so that you can age gracefully and beautifully. If you decide to have Botox or Xeomin, you’ll be injected by an expert physician injector who has the experience to make the procedure comfortable and effective, with the natural-looking results you’re after.

We warmly welcome you to our offices for a complimentary consultation.

As time passes, it’s not uncommon for physicians to find an alternative or off-label uses for medications and in the case of Latisse, that’s actually how it’s cosmetic use started. A few years back, there was a study performed to see the efficacy behind using latanoprost (an active ingredient found in Latisse) as a way to darken hypopigmented scars due to the commonly reported side effect of skin darkening reported by users of Latisse or eye drops for glaucoma.

The developing research around this new method also discusses the addition of laser treatment. At Reflections Center, we are proud to offer our patients over 26 different types of lasers that treat a variety of skin concerns. With hypopigmentation being some of the most difficult scars to address, we’re excited to see additional treatments being researched in the hopes of becoming a viable option.

What is Hypopigmentation?

Hypopigmentation is the discoloration of the skin that occurs after an injury has occurred to the skin. An injury to the skin could be accidental or caused by a previous surgical procedure that has left a scar. Certain skin types and injuries can result in hypopigmentation which is when the healing skin loses pigmentation, often looking white or several shades lighter than the unaffected skin surrounding the scar. This type of scar can be harder to camouflage since you would be attempting to deepen the tone of the scar rather than conceal a deep reddish-brown color more commonly seen in healing scars.

What Causes Hypopigmentation in Scars?

After an injury or surgical procedure scars that develop can heal in a few ways. The three main ways a scar will appear is with hyperpigmentation (the most common way), hypopigmentation and hyperpigmentation with the formation of a keloid. We see all three varieties at Reflections Center and have been treating patients looking to soften the appearance of their scars for years using a variety of lasers and alternative skin rejuvenating techniques.

When the skin heals after a surgical incision or injury, the skin is essentially damaged and begins to heal itself; which is different for every unique skin type. In most cases patients will experience hyperpigmentation, darkening of the skin, with the skin eventually lightening with time and blending in easily with the surrounding skin. In other cases, patients will see their skin heal to a lighter shade than their natural skin. This can cause patients to feel self-conscious about their scar being noticeable due to its much lighter color. In the past, we have used CO2 lasers to improve the appearance of hypopigmentation by breaking up the scar tissue and triggering the skin’s natural healing process.

Latisse & It’s On-Label Use

Latisse was not originally brought to the market under its current name nor for its current cosmetic use. Latisse contains an active ingredient that was originally formulated into eyedrops for the treatment of glaucoma. Patients using these eyedrops over time began to report accelerated eyelash growth. With this reported side effect, Allergen, the makers of Botox would eventually package this ingredient in a topical lash growth serum for cosmetic use. Latisse is highly effective in growing longer, fuller lashes when used daily.

Latisse as an Alternative Treatment

The idea of using Latisse as an additional measure or treatment in hypopigmented scars started with a study in 2015 by the Indian Journal of Dermatology. The study dives into the idea of adding lost pigmentation back into hypopigmented scars using Latisse after a series of CO2 laser treatments rather than just treating with CO2 lasers alone.

This avenue was explored because of a known harmless side effect to Latisse, skin darkening. This often occurs on the eyelid of patients using Latisse to grow longer thicker eyelashes. The study was performed using 28 patients with hypopigmented scars divided into two random groups. After 12 weeks of treatment with Latisse and CO2 laser or just CO2 laser alone, 11 out of the 14 patients in Group A (CO2 & Latisse) noticed at least a 50% improvement in their hyperpigmentation in comparison to group B who did not treat with Latisse. After the study, it was concluded that combining CO2 laser treatment and Latisse was both a safe and viable option for patients looking to improve the appearance of hypopigmented scars.

Learn More

At Reflections Center, we are committed to bringing our patients the most cutting edge and innovative treatment options available. With new treatment options emerging all of the time, we keep an eye on the research being done on new cosmetic treatment methods as a way to consistently offer our patients the best treatment possible.

If you are interested in learning more about the treatment of hypopigmented scars contact one of our New Jersey offices today to schedule your private consultation with one of our cosmetic physicians.

Rezaei, R., Asilian, A., Abtahi-Naeini, B., Rakhshanpour, M., Raei, M., Hosseini, S. and Siadat, A. (2015). Repigmentation of hypopigmented scars using combination of fractionated carbon dioxide laser with topical latanoprost vs. fractionated carbon dioxide laser alone. [online] National Center for Biotechnology Information. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533534/ [Accessed 3 Jan. 2019].



Both Dysport and Botox are brands of cosmetic wrinkle reducers that block muscle contractions in order to prevent the formation of dynamic wrinkles. Dynamic wrinkles are wrinkles or lines caused by repetitive facial movement while other wrinkles and sometimes folds are caused by volume loss and facial aging. While both injectables are sometimes used to treat spasms from neurological disorders and other medical conditions, they’re more widely used as cosmetic wrinkle treatments for the face. Both Dysport and Botox are derived from botulinum wrinkle relaxers, which are safe in small amounts.

Still, these two treatments have their differences, considering injection technique, concentration, and desired results. Keep reading to learn more about the similarities and differences between the two injections and what to look for in an injector.

Dr. Chasin’s Take

Dr. Chasin is both the founder of Reflections and a sought-after cosmetic physician. In his professional option, he believes that the difference between the two injectables is how you use them. The two brands do have some marginal differences; for instance, how much you each “spreads” after they are injected, when they exactly kick in and how long they last. An experienced injector like Dr. Chasin may even use Botox and Dysport on the same patient for different indications within the same treatment. One of the clearest differences between the two is that Botox tends to stay put once injected and Dysport spreads out, dispersing from the injection site. Dr. Chasin may opt to use both in one session because each patient is unique and certain areas of the face may call for targeted treatments and other areas may benefit from a more “diffused” injection; allowing for a truly custom treatment.

Neuromodulators: The Basics

After treatment, the muscles gradually become relaxed allowing the overlying skin to appear smooth and unwrinkled. Alone, or in combination with other facial rejuvenation procedures, these products can offer a significant improvement in one’s appearance.

Your cosmetic physician will determine where to administer the injections in order to achieve the best cosmetic outcomes. No anesthetic is required, and patients may return to daily activities immediately. Results can be seen as early as three to seven days and the full effect can be expected after two weeks. Results of the treatment generally last around three-four months.

Both products can also be used to improve excessive sweating in the underarms, hands, and feet – a condition known as hyperhidrosis.

Botox & Dysport: The Main Differences

The exact differences between the two lies in the concentration of trace proteins (the active ingredient), which can make one stronger than the other. These neuromodulators are used to reduce or even eliminate the lines across the forehead, between the eyebrows (frown lines), and around the eyes(crow’s feet), by relaxing the muscles responsible for the development of dynamic lines or wrinkles.

Dysport Vs. Botox Units

The success of your results and cost for your treatment truly comes down to who is injecting you, not the brand wrinkle relaxer utilized. The cost of all three injectables is similar if an injector uses the products properly. By properly, we mean that it takes 2.5 units of Dysport to make up 1 unit of Xeomin or Botox. Therefore, the price-per-unit is less expensive for Dysport but you need 2.5 times more Dysport units to achieve the same results of a Botox treatment.

The number of units your doctor will use depends on the area being treated, desired results and your unique anatomy.

Dysport Vs Botox Cost

The cost of Dysport or Botox depends on the area of skin you’re treating, as you might need multiple injections. Some doctors may charge per injection.

At our offices in New Jersey, Botox usually costs $16 per unit and the whole treatment will typically cost around $250 to $600.

Dysport and Botox units are not equal. At Reflections, we have matched up the pricing to make the results from Dysport and Botox consistently priced. Dysport is $6.40 per unit and Botox is $16.00 per unit. However, to get a comparable effect, you’ll need two and a half times the number of Dysport units than you would with Botox units. This makes their total cost for treatment exactly the same at our offices; allowing us to focus on technique and results rather than choosing an injectable for the price.

Dysport Vs. Botox Side Effects

Overall, both Dysport and Botox are considered safe with minimal side effects for suitable candidates. Common but momentary side effects may include tenderness, numbness, and headaches. More moderate and less common side effects include droopy eyelids, sore throat, and muscle spasms.

Dysport vs Botox: Which lasts longer?

While Dysport can start taking effect in just 2-3 days which is faster than Botox taking in effect in 5-7 days; in our experience, both Botox and Dysport tend to last around 3-4 months. Your results can even be extended with regular maintenance.

No Matter the Brand – Choose an Experienced Physician

It’s not so much whether you’re treated using Botox or Dysport, it’s the technique and experience of your injector that really matters. While some people claim that Dysport may kick in a little bit sooner or Botox may last longer, it’s really the technique and how the cosmetic physician use these agents that are responsible for creating beautiful customized results that appear natural. Nothing can replace the experience that is gained after having injected hundreds of thousands of patients over the last few decades as Dr. Chasin has.

At Reflections Center, we believe it is essential to not only the safety of our patients but to the result of their injections, that Botox and Dysport procedures are only be performed by highly skilled cosmetic physicians. This allows us to certify that we’re giving every patient their desired results, based on their anatomy. You will never find a physician’s assistant, nurse or dentist injecting Botox or Dysport or any other injectable cosmetic at Reflections. Consumers should be aware that there are laws that regulate who can and cannot inject these products, but sadly these laws are often neglected for the purpose of making money.

If you’re interested in learning more about the wrinkle treatments available at Reflections, Call either of our locations, in Martinsville (Bridgewater) or Livingston, New Jersey, to schedule a complimentary consultation with one of our skilled physician injectors. All of our cosmetic physicians are committed to providing patients with safe and effective treatments that help you to achieve your aesthetic goals.


Dysport vs Botox: What’s the Difference? Healthline. https://www.healthline.com/health/dysport-botox. Accessed December 27, 2018.

El Kahky, H., Diab, H., Aly, D. and Farag, N. (2019). Efficacy of Onabotulinum Toxin A (Botox) versus Abobotulinum Toxin A (Dysport) Using a Conversion Factor (1 : 2.5) in Treatment of Primary Palmar Hyperhidrosis. [online] www.ncbi.nlm.nih.gov. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819791/ [Accessed 4 Jan. 2019].

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