Neuromodulators such as Botox, Dysport, and Xeomin work by temporarily reducing the muscle contractions responsible for dynamic expression lines — the lines that form with movement at the forehead, between the brows, and around the eyes. When placed with precision, the result is a face that looks rested and relaxed, without appearing frozen or overdone.
At GhalMédica, neuromodulator treatments are administered by Dr. Sonya Ghalehii, MD, whose background in anatomy and family medicine informs a technique that prioritizes natural movement and facial balance above all else. Dosing is always individualized. There are no standard templates.
Treatment time is typically 15 to 30 minutes. Results develop over 7 to 14 days and last approximately 3 to 4 months, varying by individual.
Results vary. A physician consultation is required prior to treatment.
Book a ConsultationAvoid blood-thinning medications and supplements where medically safe to do so — including aspirin, ibuprofen, vitamin E, fish oil, and St. John's Wort. Always consult your physician before stopping any prescribed medication.
Avoid alcohol consumption. Alcohol thins the blood and can increase the likelihood of bruising at injection sites.
Arrive with clean skin — no makeup, moisturizer, or sunscreen on the treatment area. Eat a light meal before your appointment to minimize the likelihood of lightheadedness.
Disclose any history of cold sores, neurological conditions, pregnancy, breastfeeding, or previous neuromodulator treatments. This information directly informs your treatment plan.
Pre-treatment instructions are based on Canadian dermatology and aesthetic medicine best practices. Individual instructions may vary — your GhalMédica practitioner will provide personalized guidance at consultation.
Remain upright — do not lie down. Avoid touching, rubbing, or applying pressure to the treated areas. This prevents product migration from the intended injection site.
Avoid strenuous exercise, saunas, hot baths, and direct heat exposure. Avoid alcohol. These activities increase blood flow and can affect how the product settles.
Avoid facial massages, facials, microneedling, or any treatment that applies pressure or heat to the treated area. Allow the neuromodulator to fully integrate before any additional procedures.
Apply broad-spectrum SPF 30 or higher daily. UV exposure accelerates the breakdown of neuromodulators and compromises skin health. Book a follow-up assessment at 2 weeks to evaluate results.
Post-treatment instructions are based on Canadian dermatology and aesthetic medicine best practices. If you experience unusual swelling, asymmetry, or any concerning symptoms following treatment, contact GhalMédica promptly.
Results from neuromodulators develop gradually over 7 to 14 days as the product takes effect on the targeted muscles. A full assessment of your results should be made at the two-week mark — not immediately following treatment.
At GhalMédica, neuromodulators are dosed conservatively and placed with precision to preserve natural facial movement. The goal is a face that looks rested — not treated. Results that appear frozen are typically the result of excessive dosing, which is not our approach.
There is minimal downtime associated with neuromodulator treatment. Some patients experience mild redness or pinpoint swelling at injection sites, which typically resolves within a few hours. Bruising is possible but uncommon when pre-treatment guidelines are followed.
Most patients return every 3 to 4 months, though this varies by individual. Over time, with consistent treatment, some patients find that the interval between appointments can be extended as the targeted muscles become less active.
with a consultation.
Dr. Sonya Ghalehii, MD will assess your skin, understand your concerns, and recommend a treatment path built around you — not a menu.