Neurotoxins

All four are neurotoxins that work the same way — temporarily relaxing the muscles that cause dynamic wrinkles like crow's feet and forehead lines. They differ slightly in formulation, onset time, and how they spread once injected. Dr. Gay can recommend which option best fits your goals and treatment history.

Results typically last three to four months before the treated muscles gradually regain movement and wrinkles begin to reappear. Maintaining results usually means scheduling follow-up treatments roughly every few months.

Most patients describe the injections as a quick pinch rather than significant pain. There's no real downtime — many patients return to normal activities immediately, though we recommend avoiding strenuous exercise and lying flat for a few hours after treatment.

Dr. David Gay, a board-certified oculoplastic surgeon with deep expertise in the anatomy around the eyes and face, personally administers neurotoxin treatments — precision that matters most in the delicate areas around the eyes and brow.

Most patients begin to notice a visible softening of lines within three to five days, with full results typically apparent at the two-week mark.

Yes. Neurotoxins are often paired with dermal fillers or laser treatments as part of a broader facial rejuvenation plan. Dr. Gay can discuss combination options during your consultation.