An Unconventional Use for Neuromodulators


Anyone who has experienced a little facial volume loss or has been around long enough to develop a few lines around the mouth can appreciate the value of dermal fillers. Due to wearing our thoughts on our faces and repeatedly making the same motions over a lifetime, little lines become etched in the skin. The skin begins to fall because the fat and bone volume that was once there, no longer is. Now there is too much skin envelope for the foundation. Not a pretty look.

Gratefully we have answers for this universal problem. Juvéderm Voluma® or Restylane Lyft can replace that mid-face volume (think cheek and cheek-bone) that immediately results in a much more youthful, positive appearance. The treatment is quick and nearly pain-free. For the lines around the mouth influenced by all the movements the mouth makes…smiling, puckering, grimacing, gritting, etc…both the Restylane family of fillers and the Juvéderm family of fillers have beautiful products that can fill and erase those unwanted etchings. They also replace the subtle volume lost in those areas. The end result is a smooth, fresh look.

Because having a youthful lower and midface would look out of place with worry lines or crow’s feet around the eyes, Anushka Cosmedical Centre is offering something very special for September. When you purchase 2 syringes of filler, you will receive 1 site of Botox or Dysport free. Therefore, we can keep your entire face looking fresh and rested!



Since the advent of neuromodulators (Botox, Dysport, etc.) decades ago, more and more uses are being found to alleviate conditions that are either detrimental or undesirable. We know they can alleviate unpleasant lines and wrinkles in some areas, alleviate excessive (or just annoying) sweating under the arms, reducing painful muscle spasticity in patients with cerebral palsy, even reshape the jawline for those with hypertrophic masseter muscles. It has even been used in the calf muscles to reduce the size of the muscle for a more delicate leg contour. 

One area new to me is for weight-lifters (I’m assuming more women than men) who develop trapezius hypertrophy from heavy weights. The trapezius is a very long and wide muscle that affects the use of the arms and scapulae. The part of the muscle that sits right on top of the shoulders is where the hypertrophy is visible — resulting in a more manly, bulky look. Therefore, neuromodulators have been placed in this muscle to slim the contour of the neck. The article I first read was out of the Aesthetic Plastic Surgery Journal from 2018. The results are subtle but remarkable. 

While this is not a wide-spread issue, at least in my own practice, it is indeed an issue that can be addressed. Eagerly waiting to see what’s next! 

Dr. Bonnie Marting, DNP, APRN Bonnie K. Marting, DNP, APRN, is a renowned aesthetic and laser specialist. Clients from all over the world value her deep knowledge of facial anatomy and her ability to transform their look with a light and natural touch at Anushka Medical Spa in West Palm Beach, Florida.

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