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Botox Results

Actual Patient. Individual results may vary from patient to patient.

Actual Patient. Individual results may vary from patient to patient.




Modern life is stressful. It probably causes you to frown, squint, and purse your lips many times throughout the day. Eventually, surface skin cannot rebound from those repeated muscle contractions. Fine lines become deeply etched, evolving into creases and folds. You look tired, angry, or years older than you feel. Botox treatment has helped countless men and women in the Miami, FL area regain a vibrant appearance, without surgery.


Neuromodulators have been a game-changer in medicine and aesthetics, with Botox leading the way. Botox is Allergan’s brand name for botulinum toxin type A. It was the first neurotoxic protein to be used, in a purified form, as medicine.

Botulinum toxin A is produced in nature by a type of bacteria first identified in contaminated food. In 1820, a German medical officer discovered that the toxin has some unique characteristics. By experimenting in part on himself, he concluded that botulinum toxin A interrupted transmission of signals from nerves to various motor systems in the body, without affecting mental function or senses.

By 1977, what was once considered this medicine became a godsend to individuals with strabismus (lazy eye), crossed eyes, and facial tics. The initial cosmetic use, published in 1989, involved a patient with partial paralysis. Wrinkles on the unaffected side of the forehead were smoothed with botulinum toxin. Meanwhile, ophthalmologists began to report that patients treated for eye muscle disorders saw improvement in glabellar lines – vertical folds between the eyebrows caused by frowning.

Today, Botox has many medical uses including treatment of cervical dystonia (neck spasms), chronic migraines, overactive bladder, and excessive sweating. Its value in aesthetic medicine has also blossomed. The American Society of Plastic Surgeons reports that botulinum toxin type A remains at the top of the popularity list of minimally-invasive treatments, with 7.23 million procedures performed in 2017.

Other neuromodulators such as Dysport and Xeomin are also available now. Each has a slightly different molecular composition affecting characteristics like speed of onset (how fast you see results), and diffusion pattern in the skin. For this reason, and many others, is essential to choose an expert injector for natural-looking results.

Dr. Nirmal Nathan is a Board-certified plastic surgeon. He applies medical expertise, a deep understanding of male and female facial anatomy, and natural artistry to neuromodulator injections.


  • Frown lines between eyebrows called glabellar lines or “elevens”
  • Horizontal furrows on the forehead
  • Heavy brows – proper injection of neuromodulators lifts the brow and lightens the look of hooded eyes
  • Crow’s feet at corners of eyes from squinting
  • “Bunny lines” at the top of the nose
  • Lipstick lines radiating from the mouth
  • Chin “cobblestoning” (dimpling)
  • Down-turned corners of the mouth
  • Over exposed gums (a “gummy” smile)
  • Platysmal bands – noticeable cording on the neck

Women who clench or grind teeth sometimes develop thickened masseter muscles, which give the face a masculine square-jawed appearance. Botox injection helps to restore a more feminine oval face shape.

As an added benefit, neuromodulators tend to regulate oil secretions, which can be beneficial to individuals with troubled complexions. Botox can be administered alone, in combination with dermal fillers and other nonsurgical skin rejuvenation treatments, or used to boost the improvement from cosmetic surgery.


The clinical term for a wrinkle is rhytid – a fold, crease, or ridge in skin. Rhytids are not actually visible – what you see is the shadow on skin, cast by the texture of the wrinkle. There are two types of rhytids.

Specific fat pads under skin define features and contribute to rounded facial contours. As we age, these fat pads shrink. Muscle and bone mass may diminish, also. With less underlying scaffolding, skin sags on the lower portion of the face. The rhytids this creates are called static wrinkles, since they occur even with the face is stationary. Static wrinkles are best addressed with dermal filler cosmetic injections or corrective facelift surgery.

The other type of rhytids is dynamic wrinkles. As the name suggests, these are caused by actions of facial muscles. For example, each time you frown, muscles pull your eyebrows together. When skin is young and resilient, it flows easily back into place when you relax those muscles. Over time, however, skin loses elasticity and cannot recover from repeated facial expressions. Fine lines in delicate skin, such as around the eyes and lips, become deeply etched. Areas with thicker skin, like the forehead, develop folds and creases.

Neuromodulators are ideal for dynamic wrinkles. Using a very fine needle, the product is injected into skin at the precise junction where a nerve meets muscle tissue. Nerves release a chemical called acetylcholine, a neurotransmitter which binds to receptors on muscles, telling muscle cells when to contract. The neuromodulator disrupts this signal, blocking release of acetylcholine. As the foundation muscle remains in repose, surface skin flattens out and wrinkles soften.

Though the influence of a neuromodulator on existing nerves is not reversible, the effect of Botox is temporary. Why? Because over the course of several months, the amazing human body produces new nerve terminals and synaptic contacts. However, with continued Botox treatment, muscles atrophy somewhat. This is a good thing. It means that less product and fewer injections are needed at follow-up treatments, to maintain a smooth complexion.


Is Botox safe? This is a common question among people first considering treatment, and deservedly so. However, please do not let the word “toxin” keep you from pursuing youthful radiance. Botox has been used of millions of patients and is approved by the FDA. In the hands of a qualified injector, neuromodulators have an excellent safety record with low risk of side effects.

Dr. Nirmal Nathan is a skilled plastic surgeon in Miami, Florida. He received his medical degree through the Honors Program in Medicine at the University of Miami. Dr. Nathan is among the most sought after plastic surgeons in Miami due to his expansive knowledge, skill and method of treating patients. In his practice, The Nathan Clinic Plastic Surgery and Aesthetics, he provides the excellence that comes from experience.

Dr. Nathan uses only genuine FDA-approved product, supplied by Allergan and Galderma. Freshness is maintained in temperature-controlled conditions, and outdated product is disposed of promptly. Dr. Nathan is extremely experienced in using the correct amount for optimal results on male and female faces, to avoid a frozen appearance.

A Botox injection session takes only about ten to twenty minutes. Topical numbing cream can be used to ensure a comfortable experience. There is no downtime – you may return to usual activities right after your appointment (no heavy lifting or swimming for two weeks, though). Depending on which neuromodulator is used, you can expect to see results within three to five days, with the maximal effect seen at two weeks. In most women, Botox will last three to four months.

Are you ready to learn more about Botox cost, treatment, and benefits? Call (305) 530-8880 to schedule an appointment at The Nathan Clinic in Miami, FL.


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