Neuromodulators are introductory cosmetic procedures for many dermatology practices. Offering neuromodulators allows aesthetic providers to connect with patients, wowing those patients with dramatic and consistent results and no downtime.
But like anything done in a cosmetic practice, neuromodulator treatments in the wrong hands can lead to disaster, according to dermatologic surgeon Suneel Chilukuri, M.D., of Refresh Dermatology in Houston.
“It’s not just the lid droop that everybody commonly fears,” says Dr. Chilukuri who presented on the science of neuromodulators at the October Maui Derm NP + PA Fall 2019 meeting in Asheville, N.C.
A lot of people nowadays are offering neuromodulators off-label without fully understanding facial anatomy, neuromodulator product differentiators, and how and why individual toxins work, he says.
“When people are injecting around the mouth, we’ve seen issues where people can’t smile fully anymore, or they’re drooling. Similarly when people are injecting the depressor anguli oris – if they are just medial or don’t know the anatomy properly and are injecting in that general area – patients end up looking like they’ve had a stroke,” Dr. Chilukuri says. “On the other hand, we’re seeing patients who get incredible results with neuromodulators. And for many providers, neuromodulators are sort of the mainstay of cosmetic practice.”
Dr. Chilukuri has worked as a consultant and speaker for Alastin, Aerolase, Allergan, Bellus, BTL, Cynosure, Dominion Lasers, Eclipse, Galderma, InMode, Lutronic, Merz, PCA Skin, Revance, Sinclair, Sente, Skin Medica, Theravant, Under Skin, and ZO Skin.