You have probably know women who have had BOTOX® injections. How about “BROTOX”? That’s the new coined term for men getting BOTOX®. It has become mainstream and you will find articles related to this in magazines like Men’s Fitness, Forbes, New York Times, and GQ Magazine. According to an article from Cosmetic Dermatology, the number of men in America who received neuro-modulator injections like BOTOX® has increased 258 percent in the past 10 years. In 2014,  the number of men who received “BROTOX” injections was 400,000.


So what is behind this trend? Why follow it? Feeling that you are getting older can be disheartening. Around age 25 to 30 , we fall out of sync with how old we are and how old we feel. Research shows that most Americans 40 to 70 years old feel about 20 percent younger than they really are. So while we all want to feel young, it is now also socially acceptable for men to have aesthetic procedures. Male patients who have tried neuro-modulator injections like BOTOX® say they look better, feel better, and believe it gives them a competitive edge.

BOTOX® is just one of three wrinkle modulators available in the United States. Here, we will review what you need to know about these wrinkle modulators and how they help you maintain a more youthful appearance.

Brands available in the USA:

BOTOX®, Dysport®, and Xeomin®


Wrinkle modulators are neurotoxins called botulinum toxin type A (BOTOX®, Dysport®, Xeomin®). It is a natural substance made of purified protein that temporarily suspends the muscle movements, which eases and smooths creases in your face.

Treatment areas:

People often get confused about what areas that wrinkle modulators can be used on the face, thinking that the toxin can smooth out any wrinkle. To clear this up, we will first discuss the most common wrinkles on the face.

  • Worry lines: or surprise lines are horizontal creases on the forehead which are prominent when you raise your eyebrows
  • Frown lines: often called “11 lines” are vertical lines between the eyebrows and are prominent when you frown.
  • Crow’s feet: tiny lines which start from the outside angle of each eye and go towards your temple in a fan-like fashion, similar to the shape of a bird’s foot. They are prominent when you squint.
  • Smile lines: lines that extend from the edges of the nose to the angles of the mouth, also known as nasolabial folds.

Wrinkle smoothing by neurotoxins happens as a result of the muscle relaxing, but it has no direct effect on the skin. When facial muscles are active, they pull on the skin in different directions making wrinkles. By injecting certain muscles, we can prevent or minimize certain motions. This diminishes the constant motion stress on the skin, causing wrinkles and lines in the skin to disappear. This happens faster in well-hydrated and elastic skin of younger individuals, but requires more time the older you are. When lines are static, meaning they are visible even when you relax your face, neurotoxins alone will not be able to smooth the line. Addition of micro needling, laser rejuvenation, and/or fillers are needed to complement the neurotoxin treatment.

Areas with most success from treatment with wrinkle modulators:

  • Worry lines
  • Frown lines
  • Crow’s feet

Areas with some success from treatment with wrinkle modulators:

  • Smoker lines, though these are better treated with dermal fillers

Areas that do not respond to wrinkle modulators:

  • Smile Lines
  • Sagging or lax skin
  • Hollow areas in the face
  • Tear trough deformities

These problem areas can be improved with the use of dermal fillers, micro needling, medical grade peels, and/or laser rejuvenation therapy.


Typically, the treatment takes about 15 minutes and there is no downtime, which we know is beneficial for your busy and active life. There may be some bruising around the injection sites, but most people can return to their daily activities immediately.

Wrinkle modulators typically take effect 2-10 days following treatment.

In general, men can be treated with the same techniques as women, but they will often need more botulinum toxin than women. This is because they often have greater muscle mass than women. Also, people who work out regularly will need treatments more often.


Do not touch or manipulate the treated area for 3 hours following the treatment. It is okay to do facial exercises, like smiling and frowning, to help the neuro-toxin disperse in the muscle. Do not lie down for four hours after your treatment. Laying down can cause the neuro-toxin to track down into the orbit of the eyes, potentially causing a droopy eye. Do not perform activities involving heavy lifting, straining, or vigorous exercise for 6 hours after treatment.


Follow this link to view the pre and post treatment information and to review the consent form. FORMS

Please email us at with any questions you have.