What are neuromuscular blockers?
Neuromuscular blockers, Botox®, Dysport® and Xeomin® are acetylcholine release inhibitors
and neuromuscular blocking agents indicated for the temporary improvement in the appearance
of moderate to severe lines.
Who can administer neuromuscular blockers?
The state of Florida has deemed the administration of neuromuscular blockers a medical
procedure that the Board of Medicine regulates. Under this regulation a Physician, Nurse
Practitioner or Physician Assistant are lawfully allowed to administer these injections.
What is a neuromuscular blocker procedure like?
It is a simple ten minute treatment that consists of a few tiny injections. Kim Cupp, ARNP will
develop a customized treatment plan with you, to decide your individual areas of need. Your
face and expressions are unique! The goal is to enhance your natural beauty without taking
away from your individuality.
Is the procedure painful?
No, Kim Cupp, ARNP specifically purchases the smallest needle available in order to provide
the most accurate injections and the most painless procedure possible.
Do I need to take time off from work to recuperate?
No, Kim Cupp, ARNP can administer a few tiny injections during a lunch break.
When will I start to see results?
Typical results are seen one week after injections. Additional treatments may be required in
order to obtain desired results. Our office will schedule you for a touch up treatment one to two
weeks after initial treatment.
How long will the results last?
Chemical dennervation from neuromuscular blockers lasts up to four months.
How will neuromuscular blockers affect my facial expressions?
Kim Cupp, ARNP takes the time to evaluate your individual expressions so that the effects of a
neuromuscular blocker doesn't take away from your natural unique look but rather leave you
with a refreshed less tired appearance.
Who should not receive a neuromuscular blocker?
Neuromuscular blockers are not recommended for pregnant or nursing mothers due to the fact
that clinical studies have not been performed on this group of subjects. Allergan also cautions
administering Botox Cosmetic® to patients with peripheral motor neuropathic disease or
neuromuscular junctional disorders such as ALS, myasthenia gravis or Lambert-Eaton
What about Xeomin®?
The Food and Drug Administration (FDA) recently approved this new botulinum toxin type A
product to treat severe frown lines or "11's" between the eyebrows. Xeomin was already FDA
approved for use in adults with cervical dystonia and blepharospasm. Cervical dystonia is
characterized by abnormal neck pain and movements, and blepharospasm is marked by
abnormal, involuntary blinking or spasm of the eyelids. Xeomin is manufactured by Merz
Pharmaceuticals, and has been used by more than 84,000 people worldwide. It is now approved
for use in 20 countries. Like other drugs in this category, Xeomin works by paralyzing wrinkles.
It blocks the signals from the nerves to the muscles. As a result, the targeted muscle cannot
What is the difference between Xeomin®, Botox®, and Dysport®?
Botox, Dysport and Xeomin have a lot in common, but they also have some important
differences. Unlike its predecessors, Xeomin does not need to be refrigerated. This may be an
advantage when it comes to distribution. What's more, Xeomin is "naked." There are no
additives — just botulinum toxin type A. This may lessen a patient's likelihood of developing
antibodies to Xeomin. When your body senses a foreign invader, it responds by creating
antibodies and launching an attack. If this were to occur with a neurotoxin such as botulinum
toxin type A, it may not have its desired effects.
Xeomin is said to be more like Botox than Dysport. It takes about one week for the full effects
of Xeomin injections to be realized, and once this occurs the results last from three to six
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