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    From forehead furrows to frown lines…

    Performing more than 5 million cosmetic procedures each year, ASDS member dermatologists offer many treatments that are less intense, safer and have quicker recovery times than ever before.

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    3 million Americans are diagnosed with skin cancer every year

    Any suspicious new growths or changes should be examined by a dermatologist immediately. ASDS member dermatologists are trained to select the best treatment choice based on the individual patient.

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    From excess fat to wrinkles…

    Offering a range of office-based cosmetic procedures, ASDS member dermatologists can select the appropriate treatment choice to meet your individual goals.

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In This Section

Neuromodulators for Sagging Skin


Treatment Options


Learn more about the treatment options for sagging skin


A minute amount of neuromodulators – wrinkle-relaxing injections of botulinum toxin commercially known as Botox, Dysport and Xeomin – is injected directly into the underlying muscle, causing it to relax and gradually smooth out the appearance of the overlying skin.

Botox treatment to the neck bands.

Photo Courtesy of Sue Ellen Cox, MD  

Why choose neuromodulators for sagging skin

Neuromodulator treatments are non-invasive and well-tolerated by most patients. Recovery time is minimal. Pricing can be substantially less than other treatments.

What you should know about neuromodulators for sagging skin

The neuromodulator is injected directly into the platysmal muscle bands that often are visible on the neck, commonly known as turkey neck. The improvement generally lasts about three to four months before the effect gradually fades and muscle action returns. The average patient usually requires reinjection at various intervals. With repeated treatments, thinning of the muscle may occur, which usually produces longer lasting results.

Possible risks

As with any treatment, there are risks associated it, though they are minimized in the hands of a qualified ASDS dermatologist. These include:

  • Soreness
  • Mild bruising
  • Temporary weakness of surrounding muscles
  • Headache


The average cost for a neuromodulator injection is between $325 and $425. Since most medical insurance companies consider neuromodulator injections a cosmetic procedure, it is usually not covered, except in special cases.

Sculptra to full face and Botox to masseters_BandA 
 Before and after Sculptra to full face and Botox to masseters/jaw area.

Photo courtesy: Rebecca Fitzgerald, MD 


How to prepare for the procedure

Before the procedure, an ASDS dermatologist will review the patient’s medical history. This is the time for the doctor and patient to discuss expectations, potential risks and outcomes of the procedure. You should tell your doctor if you use or have recently taken:

  • Blood-thinning drugs
  • Previous neuromodulator therapy
  • Antibiotics by injection
  • Muscle relaxants
  • Allergy or cold medicine
  • Sleep medicine

What to expect after the procedure

  • Virtually no recovery time is required after neuromodulator injections.
  • Patients should take care not to rub treated areas, which could cause it to migrate to another area.

Find a doctor for your neuromodulators for sagging skin

Visit “Find a dermatologic surgeon” and choose “Neuromodulators” from the dropdown menu. In 2013, ASDS dermatologists performed nearly 1.8 million neuromodulator procedures, up from 1.5 million in 2012. Because ASDS dermatologists are trained in a variety of the best and latest techniques, they are the most qualified to evaluate and select the best treatment choice based on the individual patient’s condition.

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