A lip flip is a subtle alternative to lip filler that uses neuromodulator to relax the muscle around the upper lip border (orbicularis oris), allowing the lip to "flip" slightly outward and upward for a fuller appearance without adding volume. This creates subtle definition and makes more of the pink vermillion visible, giving the illusion of a slightly fuller upper lip. Results are more subtle than filler and work best for patients with a thin upper lip that curls inward or disappears when smiling. Treatment takes 2-3 minutes with 2-4 injection points. Results appear in 5-7 days and last 2-3 months (shorter duration than other areas). Can be combined with lip filler for enhanced results.

Related Reading:  The Lip Flip:  Secrets to Effortless, Natural Lip Enhancement Without Filler

11 lines  - the vertical wrinkles/frown lines between your eyebrows — are the most common neuromodulator treatment at our Baton Rouge and Prairieville locations. These lines form from repeated expressions like concentrating, squinting, or frowning, and can make you appear angry or stressed even when you're not. Dr. Z uses precise neuromodulator injections to relax the corrugator and procerus muscles that create these lines, resulting in a smoother, more approachable appearance. All neuromodulators (Botox, Dysport, Jeuveau, Xeomin, Daxxify, Letybo) are FDA-approved specifically for frown lines. Treatment takes 5-10 minutes with 5-9 injection points. Results appear in 2-5 days and last 3-4 months (6-9 months with Daxxify).

Learn more about 11 lines treatment and how neuromodulators can smooth this common concern.

Horizontal forehead wrinkles from raising your eyebrows create an aged or surprised appearance that bothers many patients. Dr. Z strategically injects neuromodulator into the frontalis muscle (the muscle that lifts your forehead) to smooth these lines while preserving natural brow movement and preventing brow droop. The key is conservative, precise dosing—too much product can create a heavy or "frozen" forehead; too little won't smooth the lines. Dr. Z customizes treatment based on your muscle strength, forehead size, and natural brow position. Treatment takes 5 minutes with 4-8 injection points. Results appear in 2-5 days and last 3-4 months (6-9 months with Daxxify). Botox and Dysport are FDA-approved for forehead lines.

The fine lines radiating from the outer corners of your eyes when you smile or squint—called crow's feet—respond beautifully to neuromodulator treatment. These wrinkles form from the orbicularis oculi muscle contracting repeatedly over years of smiling, laughing, and sun exposure. Dr. Z injects small amounts of neuromodulator around the outer eye area to soften these lines while preserving your natural smile. Treatment is quick and well-tolerated, with most patients experiencing only brief pinching sensations. Treatment takes 5 minutes with 3-5 injection points per side. Results appear in 2-5 days and last 3-4 months (6-9 months with Daxxify). Botox, Dysport, and Jeuveau are FDA-approved for crow's feet.

Expert Wrinkle Treatments at Z Dermatology

Bunny lines are the diagonal wrinkles that appear on the sides of your nose when you scrunch or wrinkle your nose. While many people find these endearing, they can become more pronounced with age and bother some patients. Dr. Z treats bunny lines by injecting neuromodulator into the nasalis muscle on each side of the nose. This is a delicate area requiring precise, conservative dosing to avoid affecting natural nose movement or creating an unnatural appearance. Treatment takes 2-3 minutes with 1-2 injection points per side. Results appear in 3-5 days and last 3-4 months.

Overactive mentalis muscle activity causes the chin to appear bumpy or "orange peel" in texture, and Xeomin can relax this muscle to create a smoother, more refined chin contour.

Strategic injections along the platysmal bands of the neck and along the jawline create a subtle lifting effect, improving jaw definition and softening vertical neck cords.

Nefertiti Neck Lift

Neuromodulator injections are FDA-approved for treating hyperhidrosis—excessive sweating in the underarms, hands, feet, or face. The treatment works by blocking the nerve signals that stimulate sweat glands, dramatically reducing perspiration without affecting body temperature regulation. Dr. Z most commonly treats underarm hyperhidrosis, which can be life-changing for patients who sweat through clothing or avoid certain fabrics/colors due to visible sweat stains. Treatment takes 15-20 minutes with multiple small injections across the treatment area. Results appear in 5-7 days and last 6-12 months (longer duration than cosmetic treatments). Botox is FDA-approved for underarm sweating.

Injecting Botox into the masseter muscles gradually reduces their bulk over multiple treatment cycles, creating a slimmer, more refined oval facial contour for patients with a wide or square lower face. Botox masseter treatment also provides meaningful therapeutic relief from teeth grinding (bruxism) and chronic jaw tension or TMJ-related discomfort — making it both a cosmetic and functional treatment. As the most established neuromodulator for masseter reduction with the most extensive clinical evidence, Botox is the gold standard for this indication. Results develop over 4–6 weeks as the muscle atrophies and last 4–6 months.

Strategic Botox injections along the platysmal bands of the neck and jawline create the Nefertiti lift effect — improving jaw definition, softening vertical neck cords, and subtly tightening the lower face for a more sculpted, youthful profile. Botox is the most established neuromodulator for platysmal band treatment, with well-documented dosing protocols developed through decades of clinical use. This treatment is particularly popular for patients in their 40s and 50s who are beginning to notice jawline softening and vertical neck banding as early signs of facial aging.

Nefertiti Neck Lift

A gummy smile—where excessive gum tissue shows when you smile—can be softened with neuromodulator injections. Dr. Z injects small amounts into the levator labii superioris muscle (the muscle that elevates your upper lip) to reduce how high your lip lifts when you smile, revealing less gum tissue. The goal is natural smile refinement, not eliminating your smile. This treatment requires expert dosing and placement to avoid affecting speech, eating, or natural facial expressions. Treatment takes 2-3 minutes with 1-2 injection points per side. Results appear in 5-7 days and last 3-4 months. Not all gummy smiles respond to neuromodulator; consultation with Dr. Z determines candidacy.

Botox Cosmetic is the most established neuromodulator with over 20 years of FDA approval and the most extensive safety data. As the gold standard, Botox is FDA-approved for frown lines, forehead lines, crow's feet, and therapeutic uses including chronic migraines and hyperhidrosis. Results appear in 3-5 days and last 3-4 months. Botox uses a 1:1 unit dosing standard that all other neuromodulators reference for comparison.

Dysport is distinguished by its slightly broader diffusion pattern—making it ideal for treating large areas like the full forehead where smooth, even coverage is desired. Results appear quickly within 2-3 days (faster than Botox) and last 3-4 months. Dysport uses different unit measurements than Botox (approximately 2.5-3 Dysport units = 1 Botox unit), but total treatment cost is comparable. FDA-approved for frown lines.

Xeomin is the only "naked" neuromodulator—purified to remove accessory proteins (complexing proteins) that other formulations contain. This may reduce the risk of antibody formation with repeated use, making Xeomin ideal for patients concerned about long-term effectiveness or those who prefer the most minimalist formulation. Results appear in 3-4 days and last 3-4 months. FDA-approved for frown lines.

Daxxify is the newest FDA-approved neuromodulator offering breakthrough longevity—results last 6-9 months (nearly twice as long as other neuromodulators). This means fewer treatments per year (2-3 sessions instead of 3-4), reducing appointment frequency while maintaining smooth results. Daxxify uses a novel peptide technology for extended duration. Results appear in 2-3 days. FDA-approved for frown lines. Ideal for patients seeking convenience and longer-lasting results.

Letybo is the newest FDA-approved neuromodulator in the United States (approved October 2023), though it has been used internationally as Bocouture since 2013. Letybo features a highly purified, low-protein formulation similar to Xeomin and offers 1:1 unit conversion with Botox for predictable dosing. Results appear in 3-5 days and last 3-4 months. FDA-approved for frown lines. Ideal for patients seeking the latest innovation with proven global track record.

Jeuveau is marketed as "Newtox" and offers the fastest onset of results—most patients see improvement within 2-3 days. Jeuveau typically costs less per unit than Botox, making it a budget-friendly option without compromising results. Results last 3-4 months. FDA-approved for frown lines. Popular among younger patients seeking cost-effective preventative treatments.