Botox and neuromodulators in Palm Beach, FL
Some lines form because of how you live on your face. Frowning at a screen, squinting into the Florida sun, raising your eyebrows when you talk: repeat those movements thousands of times and the skin creases where the muscle folds it. Botox and other neuromodulators relax those muscles just enough to smooth the lines without freezing your expression.
Dr. Justin Bellamy offers four different neuromodulators at his Palm Beach Gardens practice, and as a facial surgeon he chooses among them by how your muscles actually behave, which helps him smooth wrinkles while keeping your face mobile. Here is how they work, how the products differ, what treatment feels like and what to expect from cost and results.
What neuromodulators are
Neuromodulators are injectable treatments made from a purified form of botulinum toxin type A. They temporarily block the nerve signals that make specific muscles contract, which lets the skin above relax. They are FDA-approved to reduce moderate to severe lines around the eyes, eyebrows and forehead, and they help soften deep lines and prevent new ones from forming, without stopping other facial movement.
They are commonly used to smooth:
- Crow's feet
- Glabellar lines, the "11s" between the brows
- Horizontal forehead lines
- Neck bands
- Lines around the lips and dimpling in the chin
Beyond wrinkles, neuromodulators are also used to reduce migraines and jaw pain related to overdeveloped facial muscles, and they play a central role in a non-surgical facelift.
Botox, Dysport, Xeomin and Daxxify
Dr. Bellamy offers four neuromodulators. They work in the same basic way, but they differ in formulation, onset and how long they last.
Botox is the best known and gives reliable, predictable results for most patients.
Dysport tends to spread a little more, which can make it a good fit for larger areas like the forehead.
Xeomin is a "naked" neurotoxin without added proteins, which some patients prefer.
Daxxify is the newest FDA-approved neuromodulator, peptide-powered and designed to last longer. Botox, Dysport and Xeomin typically last three to five months, while Daxxify can last six to nine months, so patients need fewer appointments each year.
Which product suits you depends on your goals, your muscle strength and how long you want the result to last. Dr. Bellamy will recommend one at your consultation.
Looking for the best plastic surgeon in Palm Beach?
Dr. Justin Bellamy uses his esteemed education, cutting-edge techniques, and state-of-the-art medical equipment to create customized treatment plans to meet his patients’ needs and expectations. He has published over thirty peer-reviewed articles and book chapters and is a thought-leader in the field of plastic surgery. Trust Dr. Bellamy for a comprehensive and modern plastic surgery experience.
Botox lip flip
A lip flip is a small-dose treatment that gives the upper lip a fuller, more defined look. Dr. Bellamy injects a precise amount above the upper lip and at the corners of the mouth. It does not add volume. Instead, it relaxes the muscle so the lip curls outward and shows a little more of the pink, which gives the impression of a fuller lip.
Results usually start within three to five days and develop fully by ten to fourteen days. Many patients combine a lip flip with dermal fillers to add real volume and shape, and the two work well together without looking overdone. If you have searched for a lip flip in West Palm Beach, this is a quick, low-commitment way to try a subtle change.
Where Botox works best
Popular treatment areas include the horizontal lines of the forehead, the frown lines between the brows and the crow's feet at the corners of the eyes. Neuromodulators can also soften bunny lines on the nose, lift the brows for a more open look and reduce dimpling in the chin.
The brow lift effect deserves a mention, because it is one of the best uses. By relaxing the muscles that pull the eyebrows down, a few well-placed units can raise the tail of the brow and open the eyes. It is a temporary alternative to a surgical brow lift for people with mild descent who aren't ready for surgery.
Who Botox suits, and who should skip it
Botox is a fit for adults who want softer lines and are happy to repeat treatment a few times a year. Most people start after they notice lines that stay even when the face is relaxed, though some begin earlier to keep lines from setting in. You need to be at least 18.
It is not for everyone. Pregnancy and breastfeeding are reasons to wait, and a history of neuromuscular disease is a reason to talk with Dr. Bellamy and your primary doctor first. Certain medications and a previous reaction to a neuromodulator also matter, so mention them.
The other question is what you are hoping for. Neuromodulators soften lines caused by movement, and they don't lift sagging skin or fill hollows. If your main concern is volume or droop, a different treatment will do more.
Mapping your face before a single injection
No two faces move alike. Dr. Bellamy watches you frown, raise your brows, squint and smile, because those movements show which muscles are doing the most creasing and which ones you rely on for expression. He reviews your medical history and current medications, asks about any previous treatment and what you did or didn't like about it, and talks through your goals.
From that map he chooses the product, the number of units and where each one goes. The aim is to leave your natural movement intact, so you look rested rather than frozen.
Before you come in
Preparing is simple, and a few steps lower the chance of bruising. Stop aspirin and most herbal supplements, especially vitamin E, garlic, fish oil and zinc, with your prescribing physician's approval where relevant. Have no alcohol for 24 to 48 hours beforehand, and avoid smoking, vaping and other tobacco for at least 48 hours before and after, since nicotine slows healing and raises infection risk. Come with a clean face and without heavy makeup.
The appointment itself
The nursing team checks you in, and you go over the plan with Dr. Bellamy before he starts. The injections themselves take only minutes, and the whole visit typically lasts 15 to 30 minutes depending on the number of areas. Most patients describe a slight pinch, and no anesthesia is needed. You walk out and carry on with your day, including work. Mild redness, swelling or bruising at the injection points usually fades within a few hours to a few days.
The first day afterward
Be gentle with the treated areas. Don't rub, massage or press on them for at least 24 hours, because that can move the product. Skip strenuous exercise, saunas, hot yoga and alcohol for the rest of the day, and ideally for 24 to 48 hours, since extra blood flow can affect how the product settles. If you nap in the first few hours, keep your head elevated, either with pillows or in a gently reclined chair, instead of lying flat.
When you will see results and how long they last
Most patients see early changes within three to five days, and full results appear at about ten to fourteen days. Dr. Bellamy often recommends a follow-up visit after your first treatment to check the result and fine-tune it if needed. Results last about three to four months with most products, sometimes up to six months, and six to nine with Daxxify, depending on the product, your metabolism and the area treated. With regular treatment, many patients notice their lines look softer even as the product wears off, because the muscles get used to moving less.
Surgical Mastery Meets Aesthetic Artistry
Side effects and safety
Neuromodulators have a long safety record when they are injected by someone who knows the anatomy. Common side effects are minor: small bumps, redness, tenderness, bruising and occasionally a mild headache that fade within a day or two. Less commonly, product can affect a neighboring muscle, causing a temporary droop of an eyelid or brow or an uneven smile. It wears off as the product does, and a knowledgeable provider can often correct it.
Precise placement is how those problems are avoided. Because Dr. Bellamy is a facial surgeon, he treats only the muscles that create the lines you want to soften and leaves the rest alone, so your expression stays natural. Tell him about any neuromuscular condition, medication or previous reaction before treatment.
Botox pricing: it's by the unit
Neuromodulators are priced per unit, not per visit, which is why two people can pay quite different amounts. In Palm Beach the average cost of Botox is about $15 to $20 per unit, and a typical treatment uses around 60 units, in a range of 20 to 100. Your total depends on how strong your muscles are, how deep your lines are and whether you want subtle refinement or more dramatic smoothing.
It is tempting to chase the lowest per-unit price, but the person holding the syringe matters more than the number. Dr. Bellamy will give you an estimate for your treatment after your consultation.
Choosing where to have Botox
If you have looked for Botox in West Palm Beach or Palm Beach Gardens, you have seen a lot of options. A few things separate them. Ask who will actually be doing the injections, what their training is, how often they treat the areas you want, and how they handle touch-ups and complications. Look at before and after photos that show natural movement, not just still frames. Dr. Bellamy is a fellowship-trained, board-certified plastic surgeon whose focus is subtle, natural rejuvenation that softens wrinkles without looking frozen or overdone.
Ready to try it?
Book a consultation or call (561) 705-0044, and Dr. Bellamy will map out a plan. If you want to pair injections with other skin-quality work, non-surgical rejuvenation can be planned alongside. Patients come to his Palm Beach Gardens office from Jupiter, West Palm Beach and Boca Raton.
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Frequently Asked Questions
Look for a highly trained, board-certified provider with a deep understanding of facial anatomy. Dr. Bellamy is a fellowship-trained, board-certified plastic surgeon who customizes each treatment to your facial structure, muscle movement and goals, with a focus on subtle, natural results.
All four are FDA-approved neuromodulators that temporarily relax muscles to smooth wrinkles. Botox is the best known and very predictable, Dysport may spread a little more and suits larger areas, Xeomin contains no added proteins, and Daxxify is newer and designed to last longer. Dr. Bellamy recommends the best one for your goals.
Most patients enjoy results for about three to four months, and sometimes up to six, depending on the product, your metabolism and the area treated. Daxxify can last six to nine months. Dr. Bellamy can help you plan a maintenance schedule.
Popular areas include horizontal forehead lines, frown lines between the brows and crow's feet. Neuromodulators can also soften bunny lines on the nose, lift the brows, reduce chin dimpling and smooth neck bands.
Early improvement usually appears within three to five days, and full results at about ten to fourteen days. Dr. Bellamy often recommends a follow-up visit after your first treatment to make any fine adjustments.
The average cost is about $15 to $20 per unit, and a typical treatment uses around 60 units, with a range of 20 to 100. Your total depends on the areas treated, your muscle strength and the product used. You will receive an estimate after your consultation.
Avoid blood-thinning medications and supplements such as aspirin, ibuprofen, fish oil and certain herbal products if your prescribing physician approves, limit alcohol for a day or two, avoid nicotine for 48 hours before and after, and arrive with a clean face.
Avoid rubbing or massaging the treated areas for at least 24 hours, skip strenuous exercise, saunas and hot yoga for the rest of the day, and keep your head elevated if you nap in the first few hours. These steps help the product settle where it was placed.
A lip flip uses a small amount of Botox above the upper lip and at the corners of the mouth to relax the muscle so the lip curls outward and looks fuller. It does not add volume. Results appear in about three to five days and are full by ten to fourteen.
Yes. Many patients combine them for a fuller and longer-lasting result. The lip flip adjusts how the lip sits, and filler adds volume and structure, so together they create a balanced enhancement that does not look overdone.
Neuromodulators are also used to reduce migraines and jaw pain related to overdeveloped facial muscles. If that is your goal, tell Dr. Bellamy at your consultation so it can be evaluated properly.
Most side effects are mild and short-lived, such as redness, small bumps, bruising or a slight headache. Occasionally the product affects a nearby muscle and causes a temporary droop or asymmetry, which fades as the product wears off. Precise placement by an experienced provider keeps that risk low.
