Can I Exercise After Botox? Insights from Annie Chiu, MD

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Botox near me Redondo Beach, CA Woman exercising with barbell

Staying fit and fabulous seems to be the mantra of the modern age. But when it comes to combining fitness routines with cosmetic treatments like Botox, questions abound. “Can I hit the gym after my Botox session?” is a common query circling the wellness and beauty forums. To shed light on this intriguing subject, Annie Chiu, MD, one of the nation’s foremost experts in Botox and neuromodulators, provides her opinion.

The Exercise Effect on Botox: Myth or Fact?

Dr. Annie Chiu, a distinguished dermatologist at The Derm Institute, clarifies the relationship between physical activity and the longevity of Botox effects. A recent study from July 2023 hinted that those with an active lifestyle might see a swifter decline in Botox’s muscle-relaxing magic. Dr. Chiu elaborates that an increased activity load on muscles from intense workouts could theoretically lead to a quicker metabolic clearance of Botox. This increased activity level may even shorten how long fillers last. So, for fitness enthusiasts, it might be a balancing act between maintaining peak physical condition and optimizing treatment outcomes.

Personalization is Key

According to Dr. Chiu, Botox is not a one-size-fits-all solution. The intricate interplay of dosage, individual metabolism, genetic factors, and yes—activity levels—contributes to the varied duration of Botox’s wrinkle-reducing prowess. It’s a symphony of elements where even the intensity of facial expressions during say, weightlifting, plays a role. A runner’s high might just translate to a quicker return of that furrowed brow.

In the Afterglow of Botox: Post-Treatment Tips

Immediately after Botox injections, taking a very brief hiatus from the gym could be beneficial. Dr. Chiu states theoretically, the spike in circulation and muscle contractions post-workout may dilute Botox’s effectiveness. Thus, not scheduling intense workouts immediately after Botox treatment could improve the duration of results and minimize side effects like bruising.

The Verdict: Does Exercise Affect Botox?

Exercise might fast-track Botox metabolism, but it’s not the sole factor at play. The same results could be observed in non-exercisers with a naturally high metabolic rate or those prone to expressive facial antics.

Botox and Beyond: Dr. Annie Chiu’s Legacy of Excellence

Recognized by Elle Magazine as a “Skin Genius,” Dr. Chiu’s credentials are as impressive as her commitment to patient care. Dr. Chiu isn’t just a scholar of Botox; she is a virtuoso with over a million units to her name. Ranking in the top echelons of U.S. injectors for neuromodulators like Botox, Daxxify, Dysport, Jeuveau, and Xeomin, she has honed the art and science of these treatments to achieve natural-looking, satisfaction-rich results.

Envision a you that’s refreshed, with softened lines and improved skin quality—Botox could be your ticket there. Schedule a consultation with Dr. Chiu and embark on an anti-aging rejuvenation journey tailored to your skin’s unique qualities. Contact The Derm Institute to begin this transformative adventure.


How to Avoid Looking Fake with Fillers: The TDI Difference

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Natural rejuvenation with injectables: botox, fillers, and Sculptra

Yes, there are ways to get fillers without looking fake or overdone.

To achieve natural-looking results with fillers, it is essential to follow certain guidelines and work with a skilled and experienced provider. Here are some key factors to consider:

  1. Choose a skilled dermatologist: Opt for a board-certified dermatologist who is highly trained in facial anatomy, experienced, and stocked with all injectable products on the market. They will have the expertise and knowledge to deliver natural-looking results while ensuring your safety.
  2. Take a full-face approach: Rather than focusing solely on individual wrinkles or folds, consider the overall structure of your face. Addressing volume loss in key areas can help lift sagging skin and reduce the appearance of wrinkles in areas such as the nasolabial folds. Explore before and afters of TDI Journey results here.
  3. Consider who your injector is: Working with an injector like Dr. Annie Chiu, who specializes in a reconstructive anti-aging approach – in that consideration of use of fillers is based only on replenishing what is lost with your individual aging process. So the goal is not to get cheeks or lips you never had.
  4. Use different types of dermal fillers: Different types of dermal fillers such as hyaluronic acid fillers, Radiesse, and biostimulatory treatments that vary in consistency and are designed for specific applications will help avoid the dreaded “puffy face” appearance. Your provider should have a sophisticated understanding of which injectables work best for various areas of the face to achieve natural results without looking overdone.

By following these guidelines and working with a qualified professional, you can enhance your appearance with fillers while maintaining a natural look that compliments your features.


4 Benefits of Juvéderm’s Newest Innovation, Skinvive

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In the ever-evolving world of cosmetic dermatology, advancements provide innovative ways to enhance our natural beauty and restore youthful radiance. Juvéderm, a household name in the realm of dermal fillers, has again taken a pioneering step by introducing Skinvive, microinjections designed to transform skin rejuvenation.

Board-certified dermatologist Dr. Annie Chiu wants to introduce you to the fascinating world of Skinvive, exploring what it is, how it works, and why it’s gaining rapid popularity among people seeking to improve their skin texture and overall appearance.

What Is Skinvive?

Skinvive is a revolutionary microinjectable version of hyaluronic acid, a naturally occurring sugar molecule that keeps our skin hydrated and healthy. Skinvive by Juvederm gives the skin a firmer, smoother, and more hydrated appearance.  An injectable moisturizer that lasts 6-9 months! This unique product has gained attention for its ability to rehydrate the skin, improving quality and appearance. Skinvive can be used successfully in any skin type and can benefit the vast majority of our patients.   

Unlike traditional dermal fillers that focus on restoring volume, Skinvive’s formulation boosts hydration, elasticity, and overall smoothness. It’s a perfect choice for anyone seeking a natural-looking result and just more luminous, radiant skin with next to zero downtime!

How Does Skinvive Work?

Skinvive’s active ingredient is hyaluronic acid, a naturally occurring substance that maintains moisture, suppleness, and firmness. Starting in our 30s, the skin’s natural hyaluronic acid levels decrease, leading to the development of fine lines, wrinkles, and a loss of overall skin quality.

Skinvive works by replenishing the lost HA, effectively hydrating and revitalizing the skin from within. The treatment involves a series of tiny micro-injections into target areas like your face, neck, décolleté, and hands. These injections deposit the HA gel beneath the skin’s surface, where it works its magic over time.

Skinvive Benefits

If you want to enhance your skin from within, Skinvive offers numerous benefits.

1. Improved Skin Texture

Skinvive has a remarkable ability to enhance skin texture. This treatment addresses various concerns that can affect your complexion’s smoothness and overall quality.

  • Fewer lines and wrinkles: Injecting Skinvive’s hyaluronic acid gel beneath your skin’s surface replenishes lost moisture and stimulates collagen production. This process gradually smooths fine lines and wrinkles, leading to a more youthful and refreshed appearance.
  • Enhanced skin smoothness: Skinvive’s hydration is particularly beneficial for people with uneven skin tone, rough patches, or acne scars, as it can help minimize these imperfections.
  • Soften acne scarring: Skinvive gives a slight plumping effect on skin that has mild acne scarring to reveal a smoother more even texture.
  • Increased elasticity: Skinvive’s hydration and collagen-stimulating effects contribute to improved skin elasticity. Your skin can bounce back more readily, reducing laxity and sagging.

2. Enhanced Hydration

Hydration is the cornerstone of healthy, youthful-looking skin, and here’s where Skinvive excels. Hyaluronic acid, the primary component of Skinvive, can retain up to 1,000 times its weight in water.

  • Deep and long-lasting hydration: Hyaluronic acid is a moisture magnet, attracting and locking it in. This deep and long-lasting hydration revitalizes the skin’s appearance, making it look plump, supple, and radiant.
  • Dryness and dehydration relief: If you struggle with dry skin, Skinvive can be a game-changer. It replenishes moisture levels, alleviating discomfort, flakiness, and tightness.
  • Improved skin barrier function: Adequate hydration supports the skin’s natural barrier, shielding it from external threats like pollution and UV radiation and leading to a healthier and more resilient complexion.

3. Outstanding Results

Skinvive stands out for its ability to provide a subtle-looking improvement. Unlike other injectables designed to volumize, Skinvive prioritizes enhancing skin quality without altering your appearance. This gentle touch-up is an excellent choice for maintaining your natural beauty.

Whether you want to target a specific area of concern or achieve an overall improvement in skin quality, Dr. Chiu can tailor Skinvive treatments to meet your needs and goals. With Skinvive, there is a minimal risk of overcorrection or an artificial appearance. The focus on hydration and skin quality ensures results blend seamlessly with your features.

4. Versatility

Another significant advantage of Skinvive is its versatility. It can improve various areas of your body, including your face, neck, hands, décolleté and anywhere on the body. This flexibility allows you to address multiple concerns in one treatment, making Skinvive a comprehensive and convenient solution. You can achieve a harmonious and youthful appearance across your face and body.

Whether you’re looking to smooth fine lines, boost skin hydration, or achieve a natural-looking rejuvenation, Skinvive can help you attain your skin care goals with minimal downtime and impressive, long-lasting results.

Get Glowing Skin With Skinvive

If you’re considering Skinvive as a treatment option, remember that choosing a qualified provider is the secret to a successful outcome as best results come with customization. With the guidance of board-certified Dr. Chiu in Redondo Beach, you can unlock Skinvive’s full potential and enjoy the benefits of revitalized, radiant skin. Dr. Chiu was a clinical investigator in the studies to earn Skinvive FDA approval in the United States.

Named a “Skin Genius” by Elle Magazine, Dr. Chiu specializes in results-driven skin care and cutting-edge procedures. A Stanford Medical School graduate, Dr. Chiu has earned national recognition and renown as a master injector and instructor of aesthetic clinicians. She takes an artistic and comprehensive approach to skin health. Using multiple techniques including Botox, fillers, chemical peels, the latest lasers, skin tightening, body contouring treatments including CoolSculpting, and tailored cosmeceuticals, Dr. Chiu believes everyone deserves to look their best and feel confident.

Schedule your consultation today by calling (310) 939-9800 or reaching out online.

5 Benefits of Brightening Your Undereyes with Restylane Eyelight

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Are your under eyes plagued by dark circles, bagginess, and fine lines that betray your age or make you appear perpetually tired? Through the expert hands of Dr. Annie Chiu and her skilled team at The Derm Institute, you can unlock many benefits beyond conventional cosmetic procedures.

Restylane Eyelight is a filler that can help address some of these common concerns. The hyaluronic acid-based gel filler is injected beneath the skin to address the volume loss and shadows that contribute to dark circles. As the filler integrates into the skin, it adds subtle volume and triggers collagen production, a critical factor in maintaining youthful skin. This dual-action approach ensures not only immediate improvement but also long-term rejuvenation.

What Is Restylane Eyelight?

Restylane Eyelight is a cutting-edge solution for brightening the under eyes, offering benefits ranging from diminishing dark circles to replacing lost volume. With its non-invasive nature and long-lasting results, this treatment is a game-changer for those seeking to rejuvenate their appearance without surgery.

Unlike other dermal fillers, Restylane Eyelight is carefully crafted to target the specific issues that commonly affect the undereye region, making it a highly effective and specialized option.

One of the distinguishing features of Restylane Eyelight is its unique composition, which includes hyaluronic acid and carefully selected ingredients that target pigmentation concerns. By explicitly addressing the pigmentation that contributes to dark circles, Restylane Eyelight achieves a dual-action effect that adds volume and reduces discoloration. This combination produces a brighter, smoother undereye area that radiates a youthful glow.

Below, Dr. Chiu explores five remarkable benefits of using Restylane Eyelight for brightening your under eyes and how The Derm Institute helps its patients achieve a refreshed and youthful appearance.

1. Diminishes Dark Circles

Dark circles are a common concern stemming from genetics, lack of sleep, and age-related skin thinning. Restylane Eyelight is a specialized dermal filler formulated to address these issues. The treatment involves injecting a hyaluronic acid-based filler under the skin, which adds volume to the area resulting in a visibly brighter, less shadowed, and more smooth undereye area.

2. Reduces Puffiness

Puffy under eyes can make you appear tired and older than you are. Restylane Eyelight contains a unique blend of hyaluronic acid and other skin-loving ingredients that work to hydrate and plump the skin, reducing the appearance of puffiness. The treatment provides a refreshed and more awake look by targeting the underlying causes of puffiness, such as fluid retention and weakened skin structure.

3. Smooths Fine Lines

As we age, the delicate skin around the eyes becomes more prone to fine lines and wrinkles due to decreased collagen production and repetitive facial expressions. Restylane Eyelight not only adds volume to hollow areas but helps to smooth fine lines and restore a smoother, more radiant appearance to the undereye region.

4. Quick and Non-Invasive

One of the significant advantages of Restylane Eyelight treatment is its non-invasive nature. Unlike surgical procedures, this treatment requires no downtime, allowing you to immediately return to most daily activities. The process typically takes around 15 to 30 minutes, making it a convenient option for individuals with busy lifestyles.

5. Long-Lasting Results

Restylane Eyelight offers long-lasting results, extending for up to a year or more. This benefit allows you to enjoy your brighter and more youthful undereye area without the hassle of frequent touch-up appointments. The gradual breakdown of the hyaluronic acid filler allows for a natural fade, ensuring the transformation remains subtle and beautiful.

Discover a Brighter You at The Derm Institute with Dr. Annie Chiu

If you’re ready to experience the transformative benefits of Restylane Eyelight for yourself, look no further than The Derm Institute, led by board-certified dermatologist Dr. Annie Chiu. With a wealth of experience and dedication to providing personalized care, Dr. Chiu and her team will help you achieve your aesthetic goals in a safe and comfortable environment.

Dr. Chiu’s expertise ensures you receive a tailored approach that delivers the most natural-looking and beautiful results possible. Whether you’re looking to diminish dark circles, reduce puffiness, smooth fine lines, or all of the above, Restylane Eyelight at The Derm Institute can provide the solution you’ve been searching for.

Your journey to a revitalized undereye area and renewed confidence starts here. Book your consultation today and embark on the path to radiance and beauty.

Meet Volux, Juvéderm’s Newest Filler for Sculpting the Perfect Jawline

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Image provided by manufacturer.

The jawline is a critical facial feature for attractiveness and beauty, and many people desire improved definition in this area. With age, your face loses volume and descends over time with gravity, resulting in jowls that soften the distinction between your jaw and neck. Though skillful makeup application can help in the short term, these hide the problem instead of solving it.

If you want to look your best but struggle with a weaker, smaller chin, droopy jowls, or a less defined than desired jawline either due to age or genetics, Dr. Annie Chiu of The Derm Institute is proud to offer Juvéderm Volux for lower face contouring, including the chin and jawline. Here’s what you need to know about this advanced dermal filler.

Volux for a Defined Jawline

The Derm Institute now offers Juvéderm Volux, an FDA-approved, hyaluronic acid-based dermal filler, to enhance jawline definition and the contours of the lower face.

  • Long lasting results
  • Defined youthful appearance
  • Natural looking results
  • Safe and Effective

Allergan, the makers of Juvéderm, designed Volux to deliver a natural definition to areas like the angle of the jaw, jowls, jawline, and chin. Dr. Chiu can partner with you to create a more defined and youthful lower face. The hyaluronic acid-based filler Volux is a next-generation dermal filler that is designed to give a natural, revitalized lift to the chin and jawline without the telltale signs of artificial filler.  Using advanced injection techniques, Dr. Chiu can use Juvederm Volux to enhance the contours of the lower face, diminishing the appearance of jowls, and create a more chiseled, or heart-shaped face depending on the need. 

Clinical trials showed a high satisfaction level for Volux, with improvements lasting well over a year. Balancing the jawline and chin with an injectable like Volux optimizes facial appearance and improves symmetry.

Potential areas Volux can address include:

  • Visible signs of lower facial aging
  • Jowls
  • A weak or ill-defined jawline
  • A deeply cleft chin, a small chin, or a retracted chin

The choice of fillers for facial rejuvenation is important for optimal results. But choosing who performs the injections is the most critical, which we’ll explain below.

Is Volux the Same as Voluma?

While Dr. Chiu utilizes all current FDA-approved fillers available in the United States, fillers like Restylane Lyft and Juvéderm Voluma create facial symmetry, while Juvéderm Volux is differentiated as a hyaluronic acid filler in that it contains a thicker, more cohesive and robust formula. The durable quality of Juvederm Volux is ideal to enhance jawline definition, lift the jowls, and balance the chin with natural-appearing results like other hyaluronic acid fillers that last up to 18 months. Through cohesive formulas designed with poly-L-lactic acid are appropriate to enhance jawline definition, most patients prefer hyaluronic acid fillers for natural results that last up to 18 months. Therefore, Juvéderm’s Volux can fill the non-surgical gap for jawline improvement.

Like our other Juvéderm injectable products, Volux is a hyaluronic acid filler to address lost facial volume and revitalize treated areas.  On the lower face, the Volux consistency imitates more closely bone and is more proficient in lifting tissues along the lower face including the chin and jawline.

Is Volux FDA-Approved?

On Aug. 3, 2022, Allergan announced the FDA approval of Juvéderm Volux for adults over 21 with moderate to severe jawline volume loss as studied in clinical trials. Lower face volume loss transcends race, gender, ethnicity, and age. Because so many people struggle with this aesthetic issue due to genetics or soft tissue loss, Dr. Chiu is excited to introduce them to Volux to improve chin profiles, jawline definition and eliminate saggy jowls.

Is Volux Available in the U.S.?

Juvéderm’s Volux for jawline contouring is now available with Annie Chiu, MD at The Derm Institute.  Contact us if you are interested! Volux’s FDA approval represents the most significant leap in innovation for Juvéderm’s hyaluronic acid fillers since it introduced Voluma. It complements our product line at The Derm Institute, offering more structure and lift capacity to enhance your jawline contour for first-time impressions or social media posts. This product has high satisfaction in men and women alike.

How Long Will Volux Last?

Juvéderm Volux is Allergan’s longest-lasting hyaluronic acid dermal filler. Clinical studies have shown a duration of up to two years. The length of dermal filler benefits ultimately depends on how quickly your body breaks down the product, which varies from patient to patient. As with all hyaluronic acid fillers, you can have Volux dissolved by using the hyaluronidase enzyme if you are dissatisfied with your results.

What should I expect after my Juvederm Volux Treatment?

You may experience some minor swelling and redness at the injection site.  This is normal and should resolve over a few days. 

If you wish to minimize bruising, please follow our Pre-Filler Directions detailing what medication to avoid to decrease your risk of bruising. 

Image provided by manufacturer.

Can You Combine Volux With Other Injectables?

For comprehensive facial rejuvenation, Dr. Chiu offers the patented TDI Effortless Lift. This non-surgical treatment includes fillers in facial areas and injectable neuromodulators like Botox. Dr. Chiu will sculpt, lift, and volumize facial contours by taking advantage of each product’s slightly different enhancements and using a layering effect. This process is the best approach for total facial rejuvenation, as it doesn’t focus on one problem area but your face as a whole.

The application of various non-invasive treatments, combined with Dr. Chiu’s expertise, sets The Derm Institute apart. She uses no shortcuts, inappropriate dilutions, or discounted supplies. Dr. Chiu and her team prioritize providing safe, expert, and artistic facial rejuvenation.

Juvéderm Volux at The Derm Institute

We unconsciously associate facial symmetry with health and beauty. For most patients, Juvéderm Volux can provide a stronger, more defined chin and jawline without surgery, liposuction, or implants.

If you’re looking for a quick and convenient treatment to reshape your jawline, eliminate jowls, and enhance your weak chin with long-lasting outcomes, reach out to us to schedule a personal consultation. Juvéderm Volux is the only FDA-approved hyaluronic acid filler designed to lift, define, and contour the jaw and chin area.

Daxxify: 5 Things to Know About the New Botox Alternative

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In late 2022, the FDA approved Daxxify, a Botox-like injectable for facial wrinkle and line reduction in adult women and men. It is in a family of aesthetic injectables known as neuromodulators, which include Botox, Dysport, Jeuveau, and Xeomin. However, the impact these established injectables typically have are similar but slightly different due to unique formulations. With the very recent FDA approval, Daxxify or “Daxi”, is only currently available in limited select markets and offices. The Derm Institute and Dr. Annie Chiu is proud to be one of the exclusive offices with early access for patients who are looking to be treated with Daxxify.

What is Daxxify?

Daxxify, also referred to as “Daxi,” is a similar neuromodulator to those brands on the market that we are already familiar with, like Botox, Dysport, Jeuveau, and Xeomin. The critical difference is that a peptide is attached to the neurotoxin, which allows muscles to absorb and uptake more of the active ingredient.

Daxxify is used to treat frown lines (the “11s”), forehead wrinkles, crow’s feet, neck bands, and any other dynamic wrinkle  just like the established neurotoxins we’ve used for years. It can also decrease sweating in your palms and armpits and help reduce grinding or TMJ symptoms, just like its predecessors.

So, what’s different about Daxi? In clinical trials submitted to the FDA for approval, eighty percent of participants using Daxxify had benefits for up to 6 months, which is almost double the duration of current neuromodulators on the market, such as Botox and Dysport, which on average last 3-4 months. Daxxify allows patients to have more flexibility in choosing the best wrinkle treatment specifically to their lifestyle its increased duration of results. This is ideal for patients who have busy lifestyles and easier maintenance. Here is more information we think you should know about Daxi.

1: Botox Comparison

All neurotoxins need proteins to help penetrate targeted muscles and wrinkles, and Botox and Dysport use certain accessory proteins for that job. However, Daxxify is the first neuromodulator to use a unique peptide to make Daxxify longer-lasting. Formulated without albumin, Daxxify is also the first and only vegan neurotoxin on the market today.

Daxi or Daxxify was originally developed as a topical alternative medication to offer Botox benefits–scientists attached a peptide to the neurotoxin to help increase the product absorption into the skin and muscle. While this topical variant did not achieve enough penetration through the skin, scientists discovered that their new formulation offered superior wrinkle-reducing benefits when injected into the targeted muscle.

2: Who Is a Suitable Candidate for Daxi?

Board-certified dermatologist Dr. Annie Chiu says almost anyone who has used  Botox or Dysport or is looking for dynamic wrinkle reduction (most commonly in areas like the glabella, crow’s feet, or forehead, will be suitable candidates for Daxxify. In addition, she points to patients who have short-term Botox duration of benefits because of a higher metabolism as being particularly good candidates. Also, some patients have particularly longstanding or stubborn etched lines, especially in the glabella or “11s” of frown lines between the brows, Daxxify can be used for not only better results, but the longer duration will lead to a retraining of these muscles and produce a more softened relaxed effect at baseline. But, of course, this is a conversation longtime Botox users would need to have with Dr. Chiu during a consultation to see what neuromodulators are best for them. At The Derm Institute, Dr. Annie Chiu uniquely customizes different brands of neuromodulators in different areas of the face, offering a bespoke treatment with the best combination of results and duration that is best for your unique features and lifestyle. 

3: Daxxify Treatment Sites

Dr. Chiu recommends Daxi to her patients who are looking for longer-lasting with outcome duration compared to their current Botox, Dysport, Jeuveau, or Xeomin regimen. Daxxify can be used for any area with dynamic wrinkles, most commonly it is the glabella aka frown lines, forehead horizontal lines, and crow’s feet, but like all neuromodulators, Daxi can be artfully used to balance the entire face, including treatment of masseters or TMJ, neck bands, neck tightening, downturned mouth, gummy smiles, to induce a lip flip or brow lift, decrease bunny lines, and chin peppling. Dr. Chiu’s unique style is full face and neck evaluation and treatment for true harmony and optimization, not just the basic areas that most injectors are limited to treating.

Daxxify’s potential is specifically promising for women and men looking to sustain a relaxed forehead with fewer visits to the office. Daxxify is currently only being offered in a select group of offices in the United States, and as a key opinion leader in aesthetics, Dr. Chiu is pioneering the use of longer-lasting Daxxify. With multiple neuromodulators now on the market, treating wrinkles in a natural way has become a complex treatment to perfect, and it takes a well-trained and artistic injector who understands skin structure and facial anatomy.

4: Alternative Uses For Daxi

Like Botox, Daxxify has alternative uses that help our patients deal with medical issues and aesthetics. These treatments are designed to help adults with their quality of life. They include:

Grinding or Clenching of the Jaw (TMJ) 

Treatment of the jaw muscles can help with aching, soreness, or headaches associated with teeth grinding. Daxxify treatment in masseters can be used both symptomatically and to create a more slender, heart-shaped lower face. 

Eyelid Spasms

With its benefits for blocking nerve endings, it also stops muscle spasms that may cause eyelid twitching. So patients with uncontrolled blinking and narrowed eyelids were the first to see benefits from neuromodulator injections.

Excess Sweating

Neuromodulators are excellent treatments to help patients who experience excessive sweating. If antiperspirant products don’t help much, then Daxxify can reduce this issue of excessive underarm sweating.

5: No Downtime

Daxi involves no downtime or significant recovery. You can return to your usual routine once we complete the treatment. Bruising is very uncommon. 

The Bottom Line

So the question is simple: Is Daxxify the new Botox?

Daxi is not a Botox replacement, but it will be another neuromodulator option to offer our patients a more customized approach to wrinkle and fine-line reduction. Now that Daxxify has FDA approval and works so well, it will allow our patients to have an additional option regarding dynamic wrinkles and fine lines. If you are looking for a longer-lasting alternative to botox with perhaps only twice-a-year treatments for maintenance, or you have found your current Botox duration to be unsatisfactory, Daxxify may be an option for you.

Taking the Next Step With Dr. Chiu

Neuromodulator treatments are an easy yet effective way for men and women to maintain their youthful complexion well into their 30s, 40s, and beyond. For more information, contact Dr. Annie Chiu at The Derm Institute in Redondo Beach, California, by calling (310) 939-9800 or contacting us online to schedule a consultation.

Your Ultimate Guide to the Different Types of Injectables | The Derm Institute

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As we age, our faces naturally lose the subcutaneous fat stored just below the skin (think how baby fat conveys youth). With our facial muscles working closer to the skin surface, our smile lines and crow’s feet become more apparent.

In addition to this, the natural aging process results in bone loss in specific areas of the face, in particular the jawline and chin area, leading to a more droopy appearance.  Photodamage and environmental stresses along with intrinsic aging also affect the canvas of our skin– leading to uneven pigment, prominent pore size, and fine lines.  Other factors also affect our facial skin, including stress, genetics, and lifestyle.

Injectables can give you a more youthful look in a fraction of the time, with minimal downtime and at a considerably lower cost than that of a facelift. Read on to learn more about our injectable treatment options here at The Derm Institute!


Also known as neurotoxins, neuromodulators are not fillers but injectable proteins that aid in the relaxation of muscles. They are best for patients with visible wrinkles caused by dynamic muscle movement (such as frowning), smiling, or raising of the brows, resulting in wrinkles that are apparent with repetitive movement.  Over time, these wrinkles can etch the skin and become apparent even when we are not making these faces.  That’s why we believe in early preventative treatment with baby amounts of botox before the lines become deeper grooves.

Most neurotoxin injections last three to four months, with some enduring up to six months.

The neuromodulators highly sought after by patients at The Derm Institute include the following:

Botox, the first original cosmetic and therapeutic neuromodulator, is best suited for glabellar lines (between the eyebrows), periorbital (crow’s feet), and forehead lines. In these regions of the face, movement-related wrinkles (sometimes called “dynamic wrinkles”) can make us look tired or angry.

Dysport, Jeuveau, and Xeomin are often also used and priced exactly the same as Botox.  These are similar products made by different manufacturers with very slight differences that an expert like Dr. Annie Chiu can guide you in choosing the optimal combination.

Find out more from board-certified dermatologist Dr. Annie Chiu at The Derm Institute, who perfected the “art” behind combineing neuromodulators Botox, Jeuveau, Dysport, and Xeomin.  Beyond treating just the upper face, full facial botox including bunny lines, lip flips, jawline tightening, smoothing a dimply chin can all be achieved with botox.  The art is in these little areas to create a harmonious, natural, and not frozen appearance.

Injectable Fillers

Dermal fillers are gel-like substances injected below the skin’s surface to help restore volume loss, smooth out fine lines and wrinkles, and enhance the natural contours of the face.

There are multiple types of fillers, including hyaluronic acid (HA) fillers (the most common), calcium hydroxyapatite, and poly-L lactic acid fillers. The results from some of these can last one to two years.

Hyaluronic Acid Wrinkle Fillers

The category of wrinkle fillers most popular with dermatologists is hyaluronic acid (HA), a natural sugar molecule. Each type works differently with results that can last from several months up to two years.  Patients often inquire what is the difference between these fillers.  With over 20 HA fillers available in the US, expert non-surgical cosmetic dermatologists can help you refine the best product of choice, based on consistency, softness, flexibility, and duration.  Think of different fillers like different paint brushes–some are meant for fine etched superficial lines, some is for broad lifting strokes.

Juvederm Fillers

Juvederm fillers are amongst the world’s most popular HA fillers and are composed of a hyaluronic acid gel which is has over 25 years of safety data.

Learn more

Vycross Fillers

Voluma, Vollure, and Volbella are the latest and longest-lasting dermal fillers on the market today, producing results that can last up to two years. Although they are related to the Juvederm family of HA-based fillers, they differ. Being uniquely cross-linked, they provide a longer, smoother, and more natural appearance with reduced swelling and more immediate results.

Learn more

Restylane Fillers

Restylane is a family of popular dermal fillers used to replenish volume, contour the face, eliminate fine lines, and soften wrinkles and folds. All are HA-based, which provides support and fullness for beautiful, healthy skin.

Learn more

RHA (Resilient Hyaluronic Acid) fillers

RHA fillers are a newer generation of HA-based fillers that uniquely provide soft, discreet, subtle results that adapt to your own facial expressions. They have longer chain hyaluronic acids that are more flexible and integrate into your skin.

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Belotero Balance® is a dermal filler with a lower density than other HA-based fillers and designed to smooth extremely fine lines and mild superficial wrinkles. It is injected into a more superficial layer of the skin, instantly smoothing fine lines, making the skin appear more radiant, luminous, and hydrated.  The undereye hollow is a common area where Dr. Chiu utilizes this filler.

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Biostimulatory Wrinkle Fillers

Sculptra Aesthetic

Sculptra®, an injectable poly-L-lactic acid that works by stimulating collagen production, is one of The Derm Institute staff’s favorite treatments for global skin rejuvenation. Dr. Chiu’s highly recognized expertise with Sculptra allows the most natural and gradual improvement compared to all the other injectables as it has a biostimulatory effect to grown in your own collagen over time.

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Radiesse® consists of calcium-based microspheres similar to the ones our bodies naturally produce. The filler stimulates natural collagen and elastic tissue production, adding volume to deeper lines in the nasolabial folds, lifting the cheeks, adding structure to the jawline, and filling in hollows as in the temples.

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Get Your Next Rejuvenation Treatment atManhattan Beach and Redondo Beach, CA

Dr. Annie Chiu’s boutique dermatology and aesthetics focused expert practice offers you the most advanced age-defying rejuvenation solutions, including injectables such as Botox®, Dermal Fillers, and the newer generation of hyaluronic acid fillers known as Resilient Hyaluronic Acid (RHA) Fillers. Dr. Chiu is a leader in the field of non-invasive injectable treatment, as she conducts clinical trials with upcoming pipeline products, and is considered an industry leader in innovative techniques.  Under Dr. Chiu’s care, you’ll enjoy some of the most natural results, giving you smooth contours and a natural, youthful, rested look for up to 15 months.

Call us today at (310) 939-9800 or contact us online to schedule your personalized consultation!