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“Botox” Isn’t What You Think

  • Face First Medical Aesthetics & Wellness
  • Apr 21
  • 6 min read

If you’ve been Googling “natural-looking Botox in Canada”, “Botox alternatives near me”, or “how to smooth forehead lines without looking frozen”—you’re in the right place.


As a Nurse Practitioner and the owner of Face First Medical Aesthetics & Wellness, I’m here to give you the facts about neuromodulators—what they are, what they do (and don’t do), and why they’ve become one of the most popular non-surgical treatments for people wanting smooth, natural, confident results.


Let’s clear up the confusion and talk about what you really need to know.



First Things First: “Botox” Is Just a Brand Name


Just like “Kleenex” is a brand of tissue, Botox® is simply one brand of neuromodulator. Neuromodulators are the medical treatment category that includes purified proteins used to temporarily relax facial muscles and reduce dynamic wrinkles.


At Face First Medical Aesthetics & Wellness, I proudly offer the following Health Canada–approved neuromodulator options:


  • Botox® by Allergan

  • Dysport® by Ipsen (note: typically dosed at a 3:1 ratio compared to Botox®)

  • Xeomin® by Merz

  • Letybo® by Hugel


Each of these products contains botulinum toxin type A, but they differ slightly in formulation, onset, and spread. I help you choose the best one based on your anatomy, aesthetic goals, muscle activity, and previous treatment history.


What Are Neuromodulators & How Do They Work?


Neuromodulators (often called wrinkle relaxers) work by temporarily blocking the signals between nerves and muscles, which relaxes the targeted muscle and smooths out the lines caused by repetitive facial movements—like squinting, frowning, or raising your eyebrows. They do this by targeting the neuromuscular junction, where nerves normally release a chemical messenger called acetylcholine that tells muscles to contract. By temporarily blocking acetylcholine, neuromodulators prevent the muscle from contracting fully. This gives the overlying skin a chance to rest and recover, reducing the appearance of fine lines and helping to prevent deeper wrinkles from forming.


From a health and safety perspective, neuromodulators are well-studied, FDA-approved, and considered safe when administered by a qualified professional. They’re localized and temporary—affecting only the treated muscles—and typically wear off over 3 to 4 months as the body naturally regenerates the nerve endings. Common side effects are mild and short-lived, such as light bruising or minor swelling at the injection site.


Neuromodulators are not just corrective—they’re also preventative. When used proactively (often starting in your late 20s or early 30s), they can delay the development of static wrinkles by minimizing the repetitive muscle movements that cause them. This approach, often referred to as “baby Botox,” uses lower doses for subtle, natural-looking results. If you choose to stop treatment, your facial muscles will gradually return to their normal function—you won’t “age faster” or look worse than before.


Treatment is fully customizable based on your goals, whether you're hoping to soften existing lines or maintain a smoother appearance over time. While neuromodulators are effective on their own, they also pair well with other treatments—like medical-grade skincare, microneedling, or dermal fillers—for a more robust, long-term approach to skin health and facial rejuvenation.


By reducing this movement, neuromodulators allow the skin to rest, helping prevent and soften lines such as:


  • Forehead lines

  • Frown lines (“11s” between the brows)

  • Crow’s feet

  • Bunny lines (on the nose)

  • Lip lines or lip flip

  • Chin dimpling

  • Gummy smile

  • Neck bands

  • Jawline slimming or TMJ tension

  • Excessive sweating (hyperhidrosis)


Beyond Aesthetic Benefits | Headaches & Hyperhidrosis


Neuromodulators aren't only for cosmetic enhancement—they also have well-established medical applications that can significantly improve quality of life. At Face First Medical Aesthetics & Wellness, we offer personalized therapeutic consultations for the following conditions:



  • Chronic Migraine Management

    For those who suffer from chronic migraines (15 or more headache days per month), neuromodulators like Botox® can help reduce the frequency and intensity of migraine attacks. By targeting specific muscle groups in the head and neck, this treatment helps block pain signals before they reach the brain—offering long-term relief and fewer sick days.


  • Excessive Sweating (Hyperhidrosis)

    If you experience uncontrollable sweating in areas like the underarms, hands, feet, or face, neuromodulators can provide relief by temporarily disabling the overactive sweat glands. This treatment is fast, effective, and can dramatically improve daily comfort and confidence.


These medical treatments are approved by Health Canada and are often eligible for insurance coverage. 


As a Nurse Practitioner, I  will work one-on-one with you throughout the process—from clinical assessment to completing and submitting all insurance paperwork—ensuring your experience is seamless and fully supported.

If you're struggling with migraines or hyperhidrosis, you don’t have to manage it alone. Let us help you explore a solution that works.


Most Frequently Asked Questions (And Honest Answers)


Will I look frozen or unnatural?

Not here! At Face First Medical Aesthetics & Wellness, I take a refined, less-is-more approach. The goal is always natural-looking results—you’ll still be expressive, just smoother and more refreshed.


How long do results last?

Depending on the product and your body’s response:

  • Most neuromodulators last 3 to 4 months

  • Letybo® and Dysport® may show slightly faster onset for some clients

  • Xeomin® offers a more “naked” formulation with no additives, which some people prefer

Over time, consistent treatments may allow for longer-lasting results or reduced doses.


Is it painful?

Most people describe the injections as quick pinches. Treatments are fast, and I use gentle, precise techniques to minimize discomfort.


How long before I see results?

  • You may begin seeing results within 2–4 days with Dysport®

  • Other products like Botox®, Xeomin®, or Letybo® typically take 3–5 days to start showing, with full results in 10–14 days


Is it safe?

Yes—when administered by a trained medical professional. I use only Health Canada–approved products, and as a Nurse Practitioner, my team and I follow strict safety, dosage, and hygiene protocols.


Can it prevent wrinkles?

Absolutely. Neuromodulators are a powerful preventative tool, helping younger clients delay the development of deeper static lines by relaxing facial muscles before creases set in.


Busting Common Myths About Neuromodulators


Let’s break down some of the most common misconceptions I hear:


❌ “Once you start, you have to keep going forever.”

False! You can stop at any time. If you don’t continue treatments, your muscle activity will return to normal, and your wrinkles will return to how they were before—not worse.


❌ “Neuromodulators erase all wrinkles.”

They treat dynamic wrinkles caused by movement, not deep lines at rest. For deeper creases, we may recommend dermal fillers, collagen induction treatments, or medical-grade skincare in combination.


❌ “Everyone will know I had work done.”

Not if it’s done well. When properly placed and dosed, neuromodulators provide subtle, refreshed results that make you look well-rested—not overdone.


❌ “All products work the same.”

Not quite. While all four neuromodulators offered at Face First—Botox®, Dysport®, Xeomin®, and Letybo®—contain botulinum toxin type A, they differ in:

  • How quickly they work

  • How much they spread in the tissue

  • Whether they contain accessory proteins (e.g., Xeomin® does not)

During your consultation, I’ll recommend the product that suits your facial anatomy, goals, and previous treatment history best.


Why Choose Face First for Neuromodulator Treatments?


At Face First Medical Aesthetics & Wellness, you receive more than just injections—you get:


  • One-on-one consultations tailored to your face, features, and confidence goals

  • Medically sound, personalized recommendations from a Nurse Practitioner

  • A warm, welcoming, and inclusive environment where you can ask anything 

  • Expert care using only Health Canada–approved products:

  • Botox®, Dysport®, Xeomin®, or Letybo®

  • Natural-looking results that still look and feel like you


Ready to Put Your Face & Wellness First?


Neuromodulators are a powerful, customizable, and safe way to refresh your appearance, reduce unwanted lines, and boost your confidence—without losing your natural expressions.


Book Your Neuromodulator Consultation Today

Ready for a refreshing boost and fresh look?


Whether you're looking to soften fine lines, prevent future wrinkles, or refresh your natural look, neuromodulators can help you achieve subtle, beautiful results with zero downtime.


Book your personalized consultation today and discover which neuromodulator—Botox®, Dysport®, Xeomin®, or Letybo®—is the best fit for your goals, facial anatomy, and lifestyle.


Our expert team at Face First Medical Aesthetics & Wellness is dedicated to helping you feel confident, refreshed, and empowered with advanced, personalized care. Whether you're exploring wrinkle relaxers for the first time or maintaining your results, we're here to guide you every step of the way.


Phone: 705-418-2903



 
 

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Our goal is to provide expert, confidential cosmetic injections. Our services include the administration of Neuromodulator “wrinkle relaxers” such as Hyaluronic Acid Dermal Fillers such as Teosyal®, Restylane®, Revanesse®. All treatments provided and devices used are Health Canada approved.

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