A woman in her later 60s who wanted an improvement in an aged appearance but did not want a facelift or brow lift.
She is shown before and again, 3 weeks after 100 units of Daxxify, placed to the corrugator and procerus muscles, lateral orbicular, and mentalis. She has had a remarkable improvement in the “crow’s feet” area with activity and at rest. The “smile lines” seen in the before view are dramatically better both with activity and even at rest. This is a much stronger effect than I was previously able to obtain with Botox. She does not have a strong “frown” before but it is better after and at rest we can see some slight elevation across her brows. She describes this as feeling “lighter” than her prior treatments with Botox. The chin is less “pruney” after treatment of the mentalis muscles. I have also placed rha-4 along her jawline. This is similar to treating deflation along the cheeks, and this has improved the jowls, and given her a better jawline.
A woman in her early 80’s who is shown before and again, 2 weeks after 100 units of Daxxify. At rest, she actually has a few mm of eyebrow elevation. The skin has a better appearance, something that patients are noticing after Daxxify that we don’t have an explanation for yet.
The smiling view shows dramatic improvement in the crow feet area, which I would not have been able to achieve as well with Botox. The frowning view shows the elimination of the frown. The forehead elevation view shows the normal appearance of the eyebrows with no “Dr. Spock’ or “McDonald’s arches.” Not only is Daxxify shown in studies to last significantly longer (an average of 2 months longer than Botox), but 93% of patients who have previously had Botox, prefer the results of Daxxify treatment at 2 weeks.
A woman in her early 50’s who gets Botox with us every 3 months is shown before and again, 4 weeks after 100 units of Daxxify. She has previously had Botox ( and had it 3 months before) but prefers the early results with Daxxify Studies are showing that 93% of patients who have previously had Botox prefer their Daxxify result at 2 weeks.
She has also been told that her skin looks better which is a result that many patients have mentioned but we are not yet sure how Daxxify is causing this.
On resting view before and after, we can see that she has a few millimeters of eyebrow elevation after the Daxxify. With Daxxify we target the muscles that cause frowning more directly ( corrugator muscles) and avoid weakening the lower frontalis muscles ( which are the only elevator of the brows and can give unnatural shape to the brows if overtreated, ie Dr. Spock brows or “Mcdonald’s arches” at rest or with activity. It is also important to treat the procerus muscle which can pull down the brow when active.
When she actively raises her brows she has a normal look. Some patients are worried that Daxxify hasn’t worked because they can still elevate their brows normally and have lines with activity in the forehead. And we could treat the forehead with Daxxify but didn’t with her to prevent a funny shape to the brows. After reviewing the results she prefers the natural look of the Daxxify and does not want a frozen forehead with unnatural brow position and loss of the brow elevation that we have achieved
The smiling view is also dramatic. She has a much stronger result in the crow’s feet area (lateral orbicularis muscles) than I have been able to achieve with Botos, and the studies suggest that this effect with Daxxify should be good for 5 months as opposed to Botox where the maximum duration we can typically achieve is 3 months.
With 4 months of experience with Daxxify, most of my patients prefer it over Botox. It is dramatically better in the corrugator area ( “ the 11’s”) and in the lateral orbicularis (“crow’s feet”). The results are much stronger at 2 weeks, and studies demonstrate that the results for them should be 2 months longer. Especially for my patients who get treated every 3 months with Botox, as the added duration of Daxxify that expect is even more important. For my patients who are mainly focused on the forehead lines and have been happy with the Botox treatment that we have mapped out in the forehead then I have been staying with the Botox for them for now, especially if they do not have strong corrugator and lateral orbicularis activity.
29 yo with very active lines and wishes to control this as well as prevent the development of deep lines at rest who has received Botox in the past. She is shown before and again, one month after 120 units of Daxxify.
A woman in her mid-40s showed before and again, 2 weeks after 100 units of Daxxify were placed on the glabella ( frown lines) the lateral orbicularis ( “crow’s feet”), and the upper forehead. She has normal positioning of her eyebrow at rest but the forehead lines are diminished at rest and with activity. She can still raise her forehead and did not want to look “frozen”. Her frown lines are gone. The crow’s feet area is improved with smiling.
A woman in her later 50s is shown before and again, nearly one month after 100 units of Daxxify. She has age-related early descent of her brows which explains why her forehead lines are so noticeable before as she works to hold them up. With a light amount of Daxxify to the very upper forehead, The forehead lines are much better after but her brows come down slightly and make the skin of her upper eyelids a little more prominent as a tradeoff. We might skip the Daxxify to the upper forehead at her next treatment.
A woman in her late 50’s who typically receives 50 units of Botox every 4 months. She is shown 2 weeks after 100 units of Daxxify. She holds her right eyebrow higher and we put a small dose of Daxxify on the upper forehead on her right to balance her asymmetry. At rest, it is remarkable how the lateral canthal lines (crow’s feet) are improved. She cannot frown despite her strongest efforts. She can still elevate her brows and describes the Daxxify as more “blended” than the botox. So a stronger effect actually looks softer.
A woman in her early 40s showed before and again, one month after 100 units of Daxxify. She has a natural appearance at rest. The maximum frown shows “ no activity” in the corrugator area ( the “11’s”). The smile view shows the crow’s feet area ( lateral orbicularis) to look natural and improved. The brow position is normal.
A woman in her early 70s who receives neurotoxin for frown lines. She decided to switch to Daxxify, which is a Botulinum Toxin A at its core, like “Botox” but instead of being coated with human serum albumin, it is coated with a proprietary Peptide. She is shown 14 days after her treatment with 100 units of Daxxify. At rest, the frown lines are very smooth and with the new pattern of injection, she has a few millimeters of brow elevation. The horizontal forehead lines are better because the frontalis doesn’t have to work as hard to pull the eyebrows up. The eyebrow balance is good. No “Dr. Spock” eyebrows. With a maximum frown, she would be rated as “none” after two weeks. Her crow’s feet lines are also dramatically improved at rest. And we put a small amount of Daxxify in her mentalis (chin” muscle so the chin appears smoother. In addition to being a stronger effect, the studies suggest that patients on average are getting two months longer in duration.
A woman in her early 70’s shown before and again, one month after 100 units of Daxxify. She had cataract surgery 2 weeks after her treatment and is still using eye drops 4x a day.
With no activity, the maximum frown view shows excellent results in the corrugator and procerus area. The full smile view shows good improvement in the lateral canthal (crow’s feet) lines. She can still elevate her brows and says that after the Daxxify she now “feels like she looks like she should”