Botox, Dysport and Jeuveau in Southlake, TX
These soften the lines your brow and forehead keep folding in. Dr. Mikki picks the product for each area and doses it so your face still moves the way you expect.
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Neurotoxins soften lines the muscle keeps making
A dynamic line forms where a facial muscle folds the skin the same way thousands of times. A neurotoxin relaxes that muscle for a few months, so the skin above it creases less. It treats movement, which is why it is a different tool from a filler that restores lost volume.
What neurotoxin treatment involves
Neurotoxins treat movement
When the concern is lost volume, Dr. Mikki reaches for Dermal Fillers or Biostimulators instead. Many plans combine a neurotoxin for the lines with a filler for the support underneath.
| Feature | Neurotoxin | Dermal Filler | Biostimulator |
|---|---|---|---|
| Softens lines caused by muscle movement | Included | Not included | Not included |
| Restores lost volume directly | Not included | Included | Not included |
| Stimulates the body’s own collagen over time | Not included | Varies | Included |
| Visible within days of treatment | Included | Included | Not included |
How Botox, Dysport and Jeuveau differ
All three are botulinum toxin type A and all three relax the muscle that folds the skin. They differ in how concentrated the formula is, how far it spreads once placed, and how fast it takes hold. That is why the product follows the area being treated.
Botox
Onabotulinumtoxin A
The FDA-approved neurotoxin with the longest track record, cleared for medical as well as cosmetic use. It is the more concentrated of the three, which is why it is placed precisely into smaller muscles.
- Best suited to smaller, precise areas: the frown lines between the brows and crow’s feet at the outer eye.
- First change in 3 to 5 days, full effect in 7 to 14 days.
- Results typically last 3 to 4 months.
- Also used for jaw slimming, excessive sweating, migraines, TMJ pain and muscle spasms.
Dysport
Abobotulinumtoxin A
A prescription cosmetic injectable with a thinner consistency that spreads a little more once placed. That spread is the reason it is chosen for broad areas.
- Ideal for larger treatment areas such as a wide forehead.
- First change in 2 to 3 days, full effect in 7 to 14 days.
- Results typically last 3 to 4 months.
- Also used for an eyebrow lift, a lip flip, gummy smile correction, jawline slimming, neck bands and chin dimples.
Jeuveau (Newtox)
Botulinum toxin type A
A purified neurotoxic protein formulated specifically for cosmetic use, with no medical indications. That is where the "Newtox" nickname comes from. It is designed around frown lines.
- Best suited to frown lines, forehead wrinkles and crow’s feet, plus bunny lines and lip lines.
- First change in 3 to 4 days, full effect in about two weeks.
- The practice’s own guidance is that results can last up to five to six months; individual results vary.
- Suitable from age 18 with moderate to severe facial creases and fine lines.
| Axis of comparison | Botox | Dysport | Jeuveau |
|---|---|---|---|
| How it behaves | Botox:More concentrated and precise | Dysport:Thinner consistency, so it spreads faster once placed | Jeuveau:Similar to Botox, with a slightly faster onset |
| Best suited to | Botox:Smaller areas: crow’s feet and the frown lines between the brows | Dysport:Larger areas, such as a broad forehead | Jeuveau:Frown lines and a refreshed upper face |
| First change | Botox:3 to 5 days | Dysport:2 to 3 days | Jeuveau:3 to 4 days |
| Full effect | Botox:7 to 14 days | Dysport:7 to 14 days | Jeuveau:About two weeks |
| How long it lasts | Botox:3 to 4 months | Dysport:3 to 4 months | Jeuveau:Up to 5 to 6 months on the practice’s own guidance |
| Typical units per area | Botox:Forehead 10–20 · frown lines 15–25 · crow’s feet 6–12 per side | Dysport:Forehead 30–60 · frown lines 50–60 · crow’s feet 30–50 both sides | Jeuveau:Dosed to the muscle at consultation |
| Beyond wrinkles | Botox:Jaw slimming, excessive sweating, migraines, TMJ pain, muscle spasms | Dysport:Brow lift, lip flip, gummy smile, jawline slimming, neck bands, excessive sweating | Jeuveau:Bunny lines, lip lines, jawline contouring |
Unit counts are not comparable across products. Dysport spreads more, so it takes more units to do the same work. That is why Dr. Mikki quotes a plan instead of a price per unit. Individual results vary.
The areas neurotoxins treat
Most patients start with the upper face. Dr. Mikki maps the muscles that fit your goals at consultation and doses each one to keep expression natural. Because the result is refreshed every few months, regulars often move to a Beauty Club membership for per-unit pricing.
Frown lines and forehead
The vertical "11s" between the brows and the horizontal forehead lines are the most requested areas. Both come from repeated muscle movement, which a neurotoxin relaxes.
Crow’s feet
The fine lines that fan out from the outer eye when you smile. A light dose softens them while your smile stays your own.
Masseter and jaw
An overactive masseter can widen the jaw and drive clenching. Neurotoxin placed in the muscle relaxes it, which can slim the lower face and ease grinding.
Gummy smile and sweating
Small doses can lower a high lip line that shows excess gum, and larger-area treatment reduces underarm sweating. Candidacy for each is confirmed at consultation.
Every area a neurotoxin injection can treat
Medrein treats twelve areas with a neurotoxin in Southlake, TX. Not every area suits every patient, and Dr. Mikki confirms candidacy for each one at consultation.
Face
- Forehead wrinkles
- Frown lines (the "11s")
- Crow’s feet
- Bunny lines on the nose bridge
- Brow lift
- Nose contour
- Lip lines
- Lip flip
Jaw, neck and beyond
- Jawline contouring
- Masseter slimming for a V-shaped face
- Gummy smile correction
- Neck bands (tech-neck)
- Hyperhidrosis (excessive sweating)
What a neurotoxin appointment looks like
Consultation
Dr. Mikki looks at the lines you want softened and checks which of them come from muscle movement. She confirms your medical history rules nothing out, and picks the product and the dose at that visit.
Preparation
The treatment area is cleansed. The needle is ultra-fine, so most patients need no anesthetic at all. Numbing is available on request.
Injection
Small amounts are injected into the targeted muscles with a fine needle. The appointment itself takes a few minutes, and there is no downtime afterward.
The first few hours
Avoid rubbing the treated area, lying flat, or strenuous activity for a few hours. Otherwise you return to normal activity straight from the appointment.
Results
The first change appears within 3 to 7 days, depending on the product, and the full effect settles at about two weeks. Results may vary.
Neurotoxin safety and what to expect afterward
Why neurotoxin injections are considered safe
- All three products carried here are FDA-approved botulinum toxin type A.
- The needles are ultra-fine, the appointment takes a few minutes, and there is little to no downtime.
- Dr. Mikki, a board-certified physician, reviews your medical history and injects only the appropriate dose.
- Nothing is cut and nothing needs anesthesia, so there is no recovery to book time out for.
- Relaxing the muscle also slows new lines from forming, so the treatment works preventatively.
Possible side effects
- The injection site can swell, redden or bruise.
- Some patients get a temporary headache or slight discomfort afterward.
- Rarely, slight drooping of the eyelid (ptosis) or asymmetry, which resolves over time.
- Numbing is available if the pinch of the needle concerns you, though most patients do not need it.
Who neurotoxin injections are for
Dr. Mikki confirms candidacy at consultation against your medical history. She says plainly when a different tool fits better: Dermal Fillers where the loss is volume, or Biostimulators where the whole structure has thinned.
A good fit
- You want to soften wrinkles and fine lines that appear when your face moves.
- You are 18 or over with moderate to severe facial creases.
- You want to head off new lines. Many patients start in their late twenties to early thirties.
- Migraines, excessive sweating or muscle spasms are part of the picture.
- Your general health is good and you have no neuromuscular disorder.
Not the right treatment
- You are pregnant or breastfeeding.
- There is an active infection at the treatment site.
- You have a neuromuscular disease such as multiple sclerosis, Lambert-Eaton syndrome or myasthenia gravis.
- You have vision loss or double vision.
- You have a known allergy to an ingredient in the product.
Two things worth knowing before you book
The result builds. The first change shows in a few days and the full effect settles at about two weeks, so judge it at day 14. And bring your full medical history to the consultation. A neuromuscular condition, an active infection at the site or a pregnancy changes the answer, and Dr. Mikki screens for all of it before anything is injected. Results may vary from patient to patient.
Dr. Mikki watches your face move, works out which lines the muscle is making, and picks the product and dose for each area. You leave knowing what will soften, what will not, and when to judge the result.
Neurotoxin aftercare: the first 24 hours
- Do not rub or massage the treated area. For the first 24 hours, leave it alone entirely.
- Stay upright: avoid lying flat for a few hours after your appointment.
- Skip strenuous exercise for 24 hours, then return to your usual routine.
- Everything else is normal. There is no downtime, and you can resume routine activities right after the procedure.
- Expect the change to build. Book any touch-up conversation for after the two-week mark.
Why patients trust Dr. Mikki with their tox
These illustrate common patient sentiment. They are not word-for-word quotes, and individual results vary.
I asked for a lot of Botox because I was tired of my forehead lines. Dr. Mikki actually talked me down to a lighter dose so I would still look like myself, and explained why. I could still raise my eyebrows and the lines were softer. Results may vary, but I trusted that she was thinking about the result, not the units.
She used Dysport on my forehead and Botox between my brows, and told me why each area got a different product.
Frequently asked questions
How do neurotoxins work?
Neurotoxins are purified botulinum toxin type A. Injected in small amounts into a targeted muscle, they temporarily relax the movement that folds the skin into a line. The three products used at Medrein are Botox, Dysport and Newtox/Jeuveau. Dr. Mikki performs the injections herself.
Which product will Dr. Mikki use?
The choice follows the area. Dysport tends to have a slightly faster onset and diffuses a little more, which suits a broad forehead. Botox and Jeuveau are placed more precisely for smaller muscles such as the frown lines between the brows. Dr. Mikki selects the product and dose at your consultation.
What areas can neurotoxin injections treat?
The most common areas are the frown lines between the brows (the "11s"), horizontal forehead lines, and crow’s feet at the outer eyes. Neurotoxins are also used to slim a clenched masseter, soften a gummy smile, lift the brow slightly, and treat underarm sweating.
Will I look frozen or overdone?
A natural result is the point. Dr. Mikki doses conservatively, so expression is preserved and the treated line softens without the face going still. If you prefer a stronger effect, the plan can build toward it across visits. Results may vary from patient to patient.
How soon will I see results?
Most patients notice a change within 3 to 7 days, with the full effect by about two weeks. Results may vary by product, dose and how active the muscle is.
How long do the results last?
Results typically last 3 to 4 months. The treatment is refreshed as the movement returns, which is why most patients come back on roughly that cadence.
Does a neurotoxin injection hurt?
The injections use a very fine needle and take a few minutes. Most patients describe a quick pinch. Numbing is available on request, though most patients do not ask for it.
Is there any downtime?
You can return to normal activity the same day, avoiding heavy exercise and lying flat for a few hours. Small red bumps or occasional bruising settle quickly.
Can neurotoxins be combined with other treatments?
Yes. Many patients combine a neurotoxin with Dermal Fillers, Facials or skin rejuvenation treatments, because each tool addresses a different problem: the neurotoxin softens lines that come from movement, while a filler restores volume the face has lost. Dr. Mikki sequences the treatments into one plan.
What are the common side effects of a neurotoxin injection?
Mild swelling, redness or bruising at the injection site, and occasionally a temporary headache or slight discomfort. Rarely, slight drooping of the eyelid (ptosis) or asymmetry can occur, and it resolves over time. Dr. Mikki reviews your medical history and injects only the appropriate dose to keep that risk low.
Who should not have a neurotoxin injection?
Neurotoxin injections are not recommended if you are pregnant or breastfeeding, if the treatment site is infected, if you have vision loss or double vision, or if you have multiple sclerosis, Lambert-Eaton syndrome, myasthenia gravis or another neuromuscular disease. Tell Dr. Mikki about any allergy to the product ingredients at consultation.
Is a neurotoxin right for your lines?
Dr. Mikki reads which lines come from movement, picks the product for each area, and sets a dose that keeps you looking like yourself.
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