BOTOX® & Neuromodulators

Showing expressions of joy or sadness on our faces is a natural part of life, but sometimes frequent facial expressions can lead to expression lines, also called dynamic wrinkles. As we age, these dynamic wrinkles settle deeper into our skin, creating a tired or grumpy appearance. We can smooth these lines and restore a more youthful look with neuromodulators like Dysport®, XEOMIN®, Jeuveau®, DAXXIFY®, and of course, BOTOX.

Serving Toledo and Nearby Communities

Patients from Toledo and surrounding areas choose Bella Via for BOTOX and other neuromodulator injections in a relaxing, luxurious atmosphere coupled with a team of dedicated aesthetic experts who provide attractive, natural-looking results. Some of the areas we serve commonly serve include:

• Sylvania
• Perrysburg
• Sandusky
• Wauseon
• Maumee

Our injectors use their skill and artistry to deliver safe, beautiful outcomes.

Neuromodulators
 Before & After Photos

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Before & After

Case: 1 of 7

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The client came in with concerns about deep wrinkles on her forehead, between her eyebrows (glabella), and around her eyes (crow’s feet). Additionally, she noticed a loss of volume in her cheeks, which contributed to a hollowed appearance and less defined facial contours. She wanted to address both the wrinkles and the volume loss to achieve... Read More

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Case: 2 of 7

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The patient presented with noticeable lateral canthal lines (crow's feet) around the outer corners of her eyes. These fine lines were visible both at rest and more pronounced when she smiled or squinted, contributing to a tired or aged appearance. The wrinkles were moderate in depth, reflecting the natural signs of aging and muscle movement i... Read More

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Case: 3 of 7

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The client came in with concerns about the prominent lines between her eyebrows, commonly known as the "11 lines" or glabella lines. These deep vertical wrinkles were most noticeable when she furrowed her brows, creating a tired or stern expression. She sought a solution to smooth out these lines and restore a more relaxed and refreshed look... Read More

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Case: 4 of 7

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This client approached us with concerns about facial asymmetry caused by nerve damage on the right side of her face. This asymmetry resulted in uneven muscle movement, which affected eyebrow position, and overall facial expression on one side. The client felt self-conscious about the imbalance, as it led to a less harmonious and slightly unev... Read More

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Case: 5 of 7

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The client came in with concerns about the noticeable "11 lines" or glabellar lines, which were deep wrinkles that formed above the nose and between the eyebrows. These lines became more prominent when she furrowed her brow. Despite maintaining a youthful appearance overall, she sought a solution to smooth out these lines and create a softer,... Read More

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Case: 6 of 7

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This client came in with concerns about deep wrinkles on her forehead, the "11 lines" (glabella) between her eyebrows, and crow's feet around her eyes. These areas showed significant lines and creases, especially when she raised her brows, frowned, or smiled. She sought a treatment to reduce the appearance of these wrinkles and restore a more... Read More

Before and After

Case: 7 of 7

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The client came in with concerns about the fine lines and wrinkles around the outer corners of her eyes, commonly known as crow's feet. These lines were most noticeable when she smiled or squinted, and while they were not deep, they contributed to an overall aged or tired appearance. The client expressed a desire for a smoother, more youthful... Read More

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Keep in mind that each patient is unique and your results may vary.

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What Is BOTOX Cosmetic?

For over 20 years, BOTOX Cosmetic has been the trusted choice for smoothing wrinkles caused by facial expressions. It’s proven safe and effective, helping millions of people look refreshed without looking “done” or losing their natural movement. Most BOTOX patients see results in just a few days, with effects lasting about 3 to 4 months.

What Are Popular BOTOX Alternatives?

While BOTOX is often considered the go-to neuromodulator, several alternatives offer similar wrinkle-smoothing benefits. Each has its own unique features, so your injector can help you find the best fit for your aesthetic goals.

Dysport

Dysport is known for spreading more easily and smoothly, making it a great option for treating broad forehead lines and other larger treatment areas.

XEOMIN

Often called the “naked” neuromodulator, XEOMIN is purified to remove accessory proteins, which may reduce the risk of resistance over time. It’s an excellent option for those seeking a “minimalist” formulation.

Jeuveau

One of the newer neuromodulators on the block, Jeuveau is aptly nicknamed “Newtox.” We find it’s especially popular with younger patients looking to smooth frown lines and prevent future wrinkles.

DAXXIFY

DAXXIFY stands out for its quicker and longer-lasting results. Many people see results in just 2 to 3 days, and it can last up to 6 months or more. It’s ideal for those who want fewer maintenance appointments throughout the year.

How Do Neuromodulators Work?

BOTOX and other neuromodulators work by targeting the facial muscles that cause dynamic wrinkles. The active ingredient in these treatments prevents the nerves from sending signals to these muscles making the lines or wrinkles less noticeable.

Meet Our Injector

Leslie is the aesthetic nurse practitioner injector at Bella Via Medical Spa in Toledo, Ohio. She has over 19 years of experience in aesthetics and has received extensive training in many areas, including neurotoxins, dermal fillers, vascular laser treatments, radiofrequency, laser hair removal, and microneedling.

Learn More About Leslie

What Areas Do BOTOX and Other Neuromodulators Treat?

We use neuromodulator injections to improve the following areas:

• Horizontal forehead lines
• Vertical wrinkles between the eyebrows
• Lines around the lips
• Crow’s feet at the corners of the eyes
• Neck bands
• Chin wrinkles

Units of BOTOX Needed by Treatment Area

If you’ve ever wondered “How many units of BOTOX do I need?” the answer is different for everyone. The right amount depends on your facial anatomy, muscle strength, and the look you want to achieve. During your consultation, your injector will evaluate these factors and recommend a personalized plan to create smooth, natural-looking results that still let your personality shine through.

Here’s a general guide to how many units are typically used for common treatment areas:

• Horizontal forehead lines: 10 to 20 units
• Vertical wrinkles between the eyebrows: 15 to 25 units
• Lines around the lips: 4 to 8 units
• Crow’s feet: 6 to 12 units per side
• Neck bands: 25 to 50 units
• Chin wrinkles: 6 to 10 units

Everyone’s features are unique, so think of these numbers as helpful guidelines rather than exact formulas. Your experienced injector will tailor your treatment for balance, expression, and a beautifully refreshed look that still feels like you.

Nonsurgical Facelift With BOTOX & Dermal Fillers

BOTOX and dermal fillers are powerful treatments on their own, but when used together, they can create a rejuvenated, lifted appearance that provides full-face rejuvenation without the downtime or surgery.

BOTOX relaxes the dynamic muscles that cause lines and furrows, softening areas like the forehead, frown lines, and crow’s feet. Dermal fillers add structure and volume where it’s been lost, enhancing the cheeks, lips, and jawline. Together, they harmonize facial features and refresh your appearance while maintaining your natural expressions.

Other Popular Combinations

For patients who want to enhance skin texture and luminosity while reducing wrinkles, BOTOX pairs beautifully with rejuvenating treatments like chemical peels and microneedling.

Chemical peels exfoliate the skin’s surface to reveal a smoother, brighter complexion beneath. By removing dull, damaged skin cells, these treatments help even out tone and improve the absorption of professional skincare products. When combined with BOTOX, they can enhance overall smoothness and give the skin a healthy, youthful glow.

Microneedling works a bit deeper, creating tiny micro-injuries that trigger the body’s natural healing response and stimulate new collagen production. This process firms the skin and minimizes lines, making it an excellent companion treatment for BOTOX. Together, these staged therapies smooth existing wrinkles while improving skin quality for refreshed, long-lasting results.

Your injector will recommend the ideal treatment combination based on your goals and skin type to reveal skin that looks smoother, healthier, and naturally rejuvenated.

Alternative Uses for BOTOX

While best known for smoothing facial wrinkles, BOTOX also offers powerful therapeutic benefits.

• It can treat excessive sweating (hyperhidrosis) by temporarily blocking the nerves that trigger sweat glands, which is particularly helpful for underarms, hands, and feet.
• For chronic migraine sufferers, BOTOX can reduce both the frequency and intensity of headaches by relaxing the muscles that contribute to tension and pain.
• It’s also commonly used to ease teeth grinding and jaw clenching (bruxism) by relaxing the overactive masseter muscles. This can help relieve jaw tension and prevent damage to teeth over time.
• A BOTOX lip flip can enhance the appearance of the upper lip as an alternative to lip fillers.

These medical applications make BOTOX a versatile option for both aesthetic and functional concerns.

Nonsurgical Brow Lift & Hooded Eye Treatment

If you’ve noticed your brows beginning to droop or your upper eyelids feeling heavier, BOTOX can offer a subtle lift without surgery. When precisely injected, BOTOX relaxes the muscles that pull the brows downward, allowing the opposing muscles to gently lift the brow line. This creates a more open, refreshed eye area and can improve the appearance of mild to moderate hooding.

For many people, this treatment restores a rested, youthful look. Results appear gradually over a few days and typically last 3 to 4 months. A surgical brow lift may be the better choice for those seeking more dramatic, long-lasting results. Your injector will guide you toward the option that best complements your features and goals.

What To Expect During Your BOTOX Treatment

A typical BOTOX appointment at Bella Via lasts about 15 to 30 minutes, making it easy to fit into even the busiest day. Your injector will ask you to flex the muscles in the treatment area in order to mark the precise location of the injections. We use a short, fine needle and typically start by injecting a small amount of BOTOX or another neuromodulator of your choice so your results look soft and natural.

Depending on the neuromodulator and the person, you may see results as soon as 24 to 48 hours, but it’s more commonly 7 to 14 days for full results.

Tips To Get the Best BOTOX Results

Taking a few simple steps before and after your BOTOX appointment can help you achieve smooth, natural-looking results. Follow these tips to minimize bruising, reduce swelling, and get the most out of your treatment.

What To Do Before Your Appointment

• Avoid blood-thinning medications and supplements such as aspirin, ibuprofen, fish oil, vitamin E, and ginkgo biloba for about a week (unless medically necessary—check with your doctor).
• Limit alcohol consumption for 24 to 48 hours beforehand, as it can increase your chances of bruising.
• Reschedule if you’re feeling unwell or have an active skin infection or breakout in the treatment area.

What To Do After Your Treatment

• Avoid touching, rubbing, or massaging the treated areas for at least 24 hours to prevent the product from migrating.
• Keep your head upright for at least 4 hours after treatment—no lying down or bending over.
• Skip intense exercise, saunas, or hot yoga for 24 hours, as increased blood flow may interfere with your results.
• Discontinue harsh skin products or aggressive treatments for at least 1 to 2 weeks, unless your provider advises otherwise.

How Long Will My BOTOX Results Last?

Most neuromodulator results typically last around 3 to 4 months. However, DAXXIFY results may last about 6 months or more. It’s a good idea to schedule a maintenance treatment before the effects of your initial treatment wear off. Your injector will advise you on the best neuromodulator option based on your aesthetic goals.

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Look and Feel Like a VIP

With built-in treatments and year-round savings, our VIP Program ensures your beauty routine is anything but ordinary.

• Monthly Luxury Treatment — Your choice of a facial, massage, or peel each month.
• Exclusive Member Pricing — Preferential savings on BOTOX®, fillers, and premium skincare products.
• Insider Perks — Complimentary consultations with our surgeons and surprise VIP-only savings.

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BOTOX FAQ

Can you stop BOTOX once you start?

Yes, you can stop BOTOX treatments anytime. When you stop getting BOTOX injections, the effects gradually wear off, and your lines and wrinkles will gradually return.

What is the best age to start BOTOX?

BOTOX can benefit adults of all ages. Many people in their late 20s to early 30s start BOTOX as a preventative wrinkle treatment, often referred to as “Baby BOTOX.” This approach uses smaller, more precise doses to soften expression lines and prevent them from becoming permanent. It’s also an effective rejuvenation treatment for people in their 40s and 50s. The “best” age for BOTOX depends on your individual needs and concerns.

At what age is BOTOX no longer effective?

BOTOX can be effective at any age, but deeper wrinkles and advanced signs of aging may require additional treatments or surgical intervention.

Do BOTOX injections hurt?

BOTOX injections involve minimal discomfort—they’re often described as a small pinch. Treatment is typically quick and well-tolerated, with little to no downtime.

How long should I wait after BOTOX to lie down or touch my face?

Avoid lying down, bending over, or putting pressure on your face for at least 4 hours after your BOTOX treatment. This helps prevent the product from spreading to unintended areas and ensures it settles properly.

Can you exercise after BOTOX?

It’s best to avoid strenuous exercise for at least 24 hours after your BOTOX treatment. Increased blood flow and movement can cause the product to migrate before it fully settles, potentially affecting your results. Gentle activities, such as walking, are fine.

Can you get BOTOX while pregnant?

BOTOX and other neuromodulators have not been studied for safety during pregnancy or while breastfeeding. For this reason, treatment is not recommended if you are pregnant, trying to conceive, or nursing. Your injector will discuss safe alternatives for maintaining your skincare routine during this time.