Neurotoxins

Movement Control

Regulating Facial Motion

Neurotoxins reduce muscle activity responsible for repetitive facial expressions and dynamic lines.

Treatment planning focuses on muscle strength, facial symmetry, and expression patterns. The goal is controlled relaxation rather than complete immobilization, allowing the face to remain expressive while reducing the formation and visibility of dynamic wrinkles.

How Does It Work

Targeted Muscle Modulation

Neurotoxins temporarily block nerve signals that trigger muscle contraction. By reducing targeted muscle activity, overlying skin experiences less repetitive folding. This controlled relaxation helps soften existing lines and slows the formation of deeper creases without altering facial structure or skin volume.

Dosage and placement are determined by muscle size, strength, and movement patterns. Precise application allows selective modulation while preserving surrounding muscle function. Treatments are adjusted over time based on response, facial changes, and long-term balance rather than fixed dosing templates.

Who Is It For

Appropriate Candidates

Neurotoxin treatments are suitable for individuals concerned about dynamic facial lines caused by repeated muscle movement. Candidates typically seek subtle improvement while maintaining natural expression. A medical evaluation determines suitability based on anatomy, muscle activity, and aesthetic goals.

Patients may include those new to injectables or individuals maintaining prior results. Neurotoxins are also used preventively to slow wrinkle progression. Candidacy depends on overall health, facial symmetry, and realistic expectations rather than age alone or severity of visible lines.

Treatment Benefits

Controlled Aesthetic Improvement

Neurotoxin treatments reduce visible dynamic lines while preserving expression. Benefits include smoother skin appearance, balanced facial movement, and gradual wrinkle prevention when performed conservatively and consistently under medical supervision with individualized dosing and placement strategies.

Reduces repetitive muscle activity without freezing facial expression

Helps soften existing dynamic lines over time

Supports gradual wrinkle prevention with consistent treatment

Customized dosing based on muscle strength and anatomy

Preserves natural movement and facial balance

Short treatment time with minimal downtime

Aftercare Guidelines

Post-Treatment Care

Because neurotoxins are "liquid" upon injection, the first few hours are critical to ensure the product binds exactly where it was intended.

  • Remain upright for several hours after treatment to support proper neurotoxin settling and distribution across treated muscle areas.
  • Perform gentle facial movements as instructed to help product integration without overactivating treated muscles during early post-treatment hours.
  • Follow all provider-specific instructions and report unusual discomfort, weakness, or asymmetry promptly for appropriate evaluation and guidance.
  • Avoid strenuous exercise, excessive heat exposure, or heavy sweating for at least twenty-four hours following neurotoxin treatment.
  • Do not massage, rub, or apply pressure to treated areas to prevent unintended product migration.
  • Avoid lying flat, facial treatments, or tight headwear immediately after injections unless otherwise directed by your provider.
faqs

Any Questions?

Results typically last 3–4 months, at which point a maintenance treatment is recommended to keep the skin smooth.

Yes. While widely known for smoothing fine lines, neurotoxins are highly effective for addressing various structural and functional concerns. At our practice, we use these treatments to alleviate muscle tension, particularly in the masseters to treat TMJ or teeth grinding, and in the trapezius muscles to relieve shoulder tightness and "tech neck." Beyond pain relief, these injections can be used for facial slimming, neck contouring, and treating hyperhidrosis (excessive sweating) by blocking the nerve signals that trigger sweat glands.

provider-led practices utilize precise dosing and strategic placement to preserve enough muscle movement for natural facial expressions.

Most patients schedule sessions every 12 to 16 weeks to maintain a consistent smoothing effect and prevent the recurrence of deep lines.

These treatments are most commonly used for the forehead, glabella (frown lines), and lateral canthal lines (crow’s feet) to create a refreshed look.

The clinical effects generally persist for 3 to 4 months, after which muscle activity gradually returns and a follow-up session is required.

Yes, by relaxing active muscles early, these treatments can prevent static wrinkles from becoming deeply etched into the skin over time.

Patients may experience localized redness, slight swelling, or minor bruising at the injection sites, which typically resolve within a few days.

There is no clinical downtime; patients can resume most daily activities immediately, though strenuous exercise should be avoided for 24 hours.

Neurotoxins function by temporarily blocking nerve signals to specific muscles, preventing the repetitive contractions that lead to etched lines.

Initial softening of lines often appears within 3 to 5 days, with the final, peak effect visible at the 14-day mark post-treatment.

What Our Patients Say

Dr. Capraro is excellent, extremely talented and knowledgeable about what he does. His staff is also very welcoming and attentive.

Mishal Ayaz

I have been seeing Jamie Roth for over a year and she has greatly helped me step up my skincare game, as well as offered different treatment plans to help combat my perioral dermatitis. Not only is she the sweetest, but she is so knowledgeable and skilled at what she does! Thank you, Jamie!

Jessica McCarthy

I would give them 10 stars if I could! Nicole has been a life saver for my face. After kids and COVID, I started sleeping on one side of my face and it caused some asymmetry that she’s been able to fix and maintain over the past few years. She’s a pro at making you look your best without making you look overdone (that’s my personal preference). Most of my friends come here as well and love it ! I’ll be here for the long haul.

Brittany Goodwin

Jamie Roth and Nicole are absolutely amazing!! Jamie is my aesthetician and she absolutely nailed my skin type and concerns on the first visit. A lot of aestheticians I’ve had in the past haven’t really understood my highly sensitive and reactive skin or how to treat it, but Jamie got it right away. And she really listened to my concerns as well. She’s very collaborative and treats you like an individual, not a one size fits all. She recommends products that work for you, but never pushes anything on you. She’s highly professional but also kind and empathetic. I can’t recommend her highly enough. Nicole is also amazing, her surgical background and level of knowledge when it comes to injectables is incredible. She also listens to you, and will treat you as an individual. I want subtle adjustments and that’s exactly what she gives me. She’s really an artist. She can achieve any look you want, but I really appreciate that she leans towards the more natural results, and knows all the best ways to achieve long lasting results. She knows all the latest products and techniques and is so good at recommending what will be best for you based on your needs. Her results are really flawless because she has such an extensive knowledge of muscle anatomy. She’s also a lovely person and is great at putting you at ease. Don’t think, just book!

Kathryn Scott

Excellent experience with Dr. Philippe A. Capraro and the entire team. The nurses were amazing—so kind, attentive, and supportive throughout my care.

Samantha

I cannot say enough wonderful things about Dr. Capraro and his entire staff. I have been treated with the utmost care and respect. Dr. Capraro listens well, connects well with his patients, is patient, highly skilled and meticulous in his practice. He goes above and beyond to create the most favorable outcome.

Tanisha Palermo

I cannot speak more highly of this team of doctors, nurses, techs and all the other behind the scene girls. I flew in from Hawaii just to have Dr. Capraro perform a tummy tuck, lipo, breast lift and implants on me. I personally work in the medical field alongside surgeons and Dr. Capraro is by far the kindest and most genuine doctor I have ever met. The Grossman Capraro Plastic Surgery clinic is classy, uplifting, and made me feel worthy of wanting to fix my body after child birth. Jo Jo, who did all of my scheduling was beyond accommodating with my busy life and our time zone difference. Alli, Dr. Capraro’s nurse is such a gem. She took so much time with me during my IV’s, post op appointments, and was my rock through my post-op emotional ups and downs. And Jamie!!!…this girl has got a gift! She pampered me with a post op facial and fillers and made me feel beautiful even though I’m still recovering. I honestly feel like these girls and the entire team have become my friends through this exciting but vulnerable time. I feel blessed to have found them and encourage anyone thinking about plastic surgery to reach out to them.

Ali Koski

LOVE NICOLE!!! she’s very knowledgeable and has great energy— recommended Renuva an I have done one treatment and LOVE IT— it’s done all that was promised and is so natural looking — no recovery to speak of ! YAY!

Suvi Miller

Dr. Capraro completely exceeded my expectations. From the first consult to post-op care, I felt genuinely seen, supported, and safe. He listened so thoughtfully to what I wanted and helped me feel confident every step of the way. The results are absolutely beautiful—natural, balanced, and exactly what I hoped for. I’ve never felt more confident in my body. I’m so grateful to Dr. Capraro and his incredible team. This experience has been life-changing!

Alli Rosati

Dr. Capraro and his entire staff are all amazing. They are all so patient, kind and very professional! They make you feel like family. Dr. Capraro is worth every penny!

Cece Davey

Dr. Capraro is a very knowledgeable and efficient surgeon. He always puts the patient's wishes and feelings first. And I would recommend him to anyone that has concerns about their skin.

Marsha Havengar

I had my breast implants of 20 years, removed and replaced by Dr. Capraro, and I could not be happier! The surgery went well and the results have exceeded my expectations. Dr. Capraro is not only a great surgeon, an artist if his trade, but a wonderful person, whom I am honored to have met. Dr. Capraro staff, Libi, Allie, Nicole, Jojo, Sandy, Lucy and everyone there is so kind, welcoming and available for any question, and I sure had quite a few. Thank you, Dr. Capraro!

Michal Ravid

Simply. The. Best. The front desk staff is warm, welcoming, and incredibly organized—they make scheduling and paperwork effortless. Every team member I encountered was professional, kind, and clearly cared about patient comfort and satisfaction. Dr. Capraro is not only an outstanding plastic surgeon but also an attentive listener. He took the time to understand my goals, answer all of my questions thoroughly, and made sure I felt informed and confident every step of the way. The consultation was detailed, never rushed, and I truly appreciated how honest and transparent they were about the procedure and expected results. Post-op care was just as impressive. The nurse & PA [Nicole is the best] and medical team followed up diligently and made sure I was healing well, which gave me peace of mind throughout the recovery process. I have been into the office many times post-surgery for facials, Botox & and occasional filler. Nicole & Jamie are simply outstanding at what they do. If you're considering any kind of plastic surgery or aesthetic procedure, I can’t recommend Dr. Capraro and his team highly enough. They combine professionalism, artistry, and compassion in a way that truly sets them apart.

Emz Run

Dr. Capraro and his team are amazing! I can't say enough good things about the exceptional results and care that I've received over the 15 years that I have been a patient at Grossman Capraro. Dr. Capraro is professional, knowledgeable and takes his time explaining cosmetic options. At the end of my visits, I have a greater understanding of procedures available and a well laid out plan to achieving the best result. I've referred many family members to Dr. Capraro and they all agree that Dr. Capraro went above and beyond their expectations. His team is great and his PA has a fantastic knowledge base of in office procedures and at home skin routines. Dr. Capraro and his staff will not disappoint. They are the best!

Stephanie Scavuzzo

Dr. Capraro is the BEST plastic surgeon EVER!!! He fixed my botched breast reduction and implant exchange surgery from a couple years ago and I couldn’t be HAPPIER. I HIGHLY recommend Dr. Capraro!!! Also, his staff, is the BEST too!!

Cindy Macek

Dr. Capraro is nothing short of amazing. I was nervous before my consultation in general and also because of just being self conscious. Dr. Capraro and Allie were both so nice and welcoming during the consult. He spent so much time making sure any and all of our questions were answered and that we were comfortable. Livia was wonderful during all of my pre op appointments and so patient with all of my questions. My procedure was smooth and the visits from Nicole and Allie in the hospital were so nice. All of my follow up appointments have been wonderful and everyone is just so friendly and sweet. I get excited to come see everyone. The office has been accommodating with my schedule because I live over 3 hours away. I only have my 6 week follow up and one more follow up after that, but I will be sad to not see them after that. Overall, Dr. Capraro and his whole team are the only ones I would recommend for any type of procedure of this nature. I have been a mom since 16 years old and felt like I’ve had my grandmothers body since then. So this mommy makeover was hugely important to me to feel good about myself after I’ve worked so hard to lose weight 3 kids later. I am beyond happy with my results and the whole entire process from consult to the very end.

Tionna Jones

Dr. Capraro, Nicole PA, and all the staff are wonderful, caring, knowledgable, warm people. Dr. Capraro has done surgeries for me over the past 15 yrs; Abdominoplasty, Breast Reduction, and 3 weeks ago a Brachioplasty. His precision, expertise, and genuine care for the very best outcome is amazing. I trust him fully and would recommend him and his team highly. Sincere thanks to the whole wonderful group for making the process so positive!

C Burke

I had a breast lift with implants and lipo, and the entire experience with Capraro Plastic Surgery & Regenerative Aesthetics has been amazing. The staff is incredibly professional, on top of every detail, and always quick to answer my questions — even after surgery. I’m just over two weeks post-op and already so happy with my results. Highly recommend!

Kerry Kraft

I highly recommend Capraro Plastic Surgery & Regenerative Aesthetics and Nicole Kenyon, PA-C, MHS, for anyone looking for an aesthetic injector. Nicole is truly an artist who understands facial anatomy deeply. She took the time to listen to my goals and delivered results that are refreshed and youthful without looking 'done.' The entire office environment is professional and welcoming. If you want natural-looking results from a true expert, go see Nicole!

Beth Lucas

why choose us?

Superior Quality Plastic Surgery Care

Our team pursues continuous training to stay current with evolving techniques, safety standards, and aesthetic advancements, ensuring every recommendation reflects thoughtful, modern judgment. Dr. Capraro remains personally involved from consultation through recovery, offering calm guidance, clear communication, and consistent, patient-centered care throughout treatment.

Take the First Step Toward Confident Results

Book a personalized consultation and receive clear, physician-led guidance focused on your goals, comfort, and long-term results, with thoughtful recommendations designed to feel natural, intentional, and never rushed.