People don’t always read your mood correctly. A friend says you look tired when you feel fine, or a photo makes your brow look sharper than it felt. That’s muscle habit, not character. If you’re ready to soften the center crease without changing how you move your face, Jeuveau is a straightforward option at Total Aesthetics in Westport. Your care is planned and delivered by Dr. Joseph B. O’Connell, a board-certified plastic surgeon. The visit is calm, the guidance is plain, and the dosing is measured. We start light, let things settle, and follow up to make sure the change fits your features. It’s a surgeon-led approach to neuromodulator injections that respects expression and time.
Jeuveau is a prescription treatment in the botulinum family. In clinical terms, it’s prabotulinumtoxinA-xvfs, a botulinum toxin type A product that’s FDA approved to temporarily improve moderate to severe glabellar lines—the frown lines between your brows. These facial lines show up when underlying muscles pull the skin into vertical lines. Jeuveau quiets those nerve signals so the contraction eases and the crease softens. You still make normal facial expressions; the skin just folds less each time you frown. That’s the appeal: a more youthful appearance that still looks like you.
The label covers severe glabellar lines in adults. Some people also ask about forehead lines or crow’s feet. Those areas can be discussed case by case during a thorough consultation—they’re common in aesthetic practice but considered off-label in the United States. The goal is to treat patterns that fit your anatomy and keep brow support stable. If volume loss or static folds are your main concern—think deeper nasolabial folds that sit there even at rest—we’ll talk fillers instead of toxin. If sun and texture are the issue, we’ll talk skin. One tool rarely solves everything well; choosing the right lane does.
Total Aesthetics is deliberately low-pressure. You meet with an experienced injector who also happens to be a surgeon; that matters when decisions involve brow position, symmetry, and safety. We use Jeuveau and Botox Cosmetic every week and have a clear view of how different botulinum toxin products behave on real faces. If you’ve done well with Botox injections for years, there’s no obligation to switch. If you’re curious about “jeuveau westport” because you’ve heard it feels clean or fits your schedule better, we’ll plan a careful, conservative try. It isn’t about teams—“botox dysport vs Jeuveau”—it’s about mapping the treatment area, watching the muscle activity, and dosing for your pattern. Units aren’t interchangeable across brands, so we don’t copy numbers from other botulinum toxin injections. We dose for this product, this anatomy, this plan.
All neuromodulators share a simple idea: block the message that tells a muscle to contract. Less contraction means less folding of the skin over that muscle. Jeuveau is one of several botulinum toxin injections that achieve this. Most people begin to notice softening in the first week, with the clearest change at about two weeks. That softening typically holds for three to four months, and then repeat injections keep things steady. We schedule at a pace that makes sense—often three treatments a year for busy patients—so the face doesn’t spike and crash between visits.
A good result starts with a map. During consultation, we review health history, medical conditions, and the other medicines and over-the-counter medicines you use, because certain antibiotics, blood thinners, and supplements can raise the risk of bruising or change how you respond. We take photos, watch how the brow peaks, and mark the planned injection site points so you can see why each matters. Treatment uses a fine needle and a measured number of points across the frown complex; five is common for the glabella. A topical numbing cream is available if you want it. Most sessions fit a lunch break, and most patients head right back to the day.
Aftercare is short and practical. Keep your hands off the area, keep your head upright for a few hours, and avoid rubbing or pressing on the sites that day. Hold intense workouts until tomorrow. A small mark or tiny bruise can happen; it usually fades quickly. We’ll give a straightforward plan to minimize bruising and schedule a quick check around the two-week mark to confirm the plan landed well. If a small refinement helps, that’s when we consider it.
Every prescription medicine carries risk, and botulinum toxin is no exception. The most common side effects after jeuveau injections are mild and short-lived—tenderness at the injection site, a small bruise, or a brief headache. Less common events include drooping eyelids, a heavy brow, or a minor asymmetry; these are typically temporary as toxin effects fade. We watch for them and adjust the plan as needed.
We also review rare warnings because your safety comes first. If you ever develop trouble breathing, trouble swallowing, or sudden muscle weakness that spreads beyond the treated area, seek emergency medical help immediately. The same goes for vision problems, double vision, blurred vision, eye pain, droopy eyelids, a severe rash or allergic reaction, chest pain, or symptoms that could suggest a heart attack. These events are uncommon across cosmetic botulinum toxin products, but they’re serious. When in doubt, get emergency medical attention and call your healthcare provider. You’ll receive a printed Medication Guide that summarizes these risks and the choices we’ve made to reduce them.
Some people shouldn’t be treated today. We avoid injections over a skin infection, postpone for pregnancy and nursing because effects in breast milk aren’t established, and take extra care—or decline—when certain neuromuscular disorders are present, including amyotrophic lateral sclerosis (also known as Lou Gehrig’s disease). If you’re under specialty care for medical uses of toxin—such as excessive sweating, limb spasticity, or bladder control—tell us. Always share other drugs you take so we can plan safely and reduce possible risk.
People ask if Jeuveau will feel different than Botox. Sometimes it does, sometimes it doesn’t. On faces that respond equally, both can improve frown lines. The bigger drivers of a good outcome are mapping and dose restraint. “More units” isn’t the answer if the points are wrong or brow support isn’t respected. We choose the product that fits the plan, not the other way around, and we’re comfortable with both Botox and Jeuveau. If you want to compare, we’ll do it cleanly and keep the calendar predictable.
If your main concern is a stern center crease, Jeuveau focuses directly on it and leaves the rest of your expression intact. Many patients ask about forehead lines or crow’s feet as well; those are common requests that we evaluate individually, because a dose that smooths a wide forehead can also change how the brow sits. We explain those trade-offs before a single drop is placed. When the concern is deeper folds, particularly nasolabial folds, the toxin won’t lift the crease. That’s where fillers make sense. And when tone and texture are the problem, injections won’t fix the skin. Those issues live in the skincare lane. Matching the tool to the job is how you get a result you can wear to work the next day.
Jeuveau doesn’t shout. It builds. The face usually looks a bit more rested by the first weekend, easier by day ten, and “right” at two weeks. That two-week read is the moment we like to assess balance and tweak if necessary. The plan from there is simple: hold your result with repeat injections no sooner than three months apart. Many schedules settle into three or four months, depending on how strong the muscles are and how the calendar looks. We’ll keep your pace steady and your result low-drama.
Good candidates are adults with moderate to severe frown lines who want a natural change and can commit to maintenance. If you have a big life event in the next forty-eight hours and a tiny bruise would be a disaster, schedule smarter. If you’re taking something new, ask us if it could affect areas of response or affect Jeuveau through drug interactions; it’s an easy conversation, and it helps. If a specialist manages you for a medical toxin, bring that information so we’re aligned. We also ask you to come with clean skin and no heavy products over the brow. It keeps the treatment session tidy and helps us read movement clearly.
If your resting face says “annoyed” when you aren’t, the central frown is doing most of the talking. Jeuveau to the glabella softens the line and lets the rest of your expression read correctly. If you raise your brows to open your eyes and hate the lines you make while doing it, we’ll look carefully at forehead dosing and brow support; some foreheads are good candidates, some are not, and we’ll explain why. If the corners of your eyes show too many spokes in photos, a small plan for the outer eye can quiet those lines while keeping the smile alive. If hollowness or shadow lives under the eyes, toxin won’t help. That’s a filler or skin conversation, and we’ll map it honestly.
Most people step back into normal life immediately. Redness at a site fades fast. If a spot feels tender, a cool pack helps. Keep the area alone that day, avoid pressure on the points, and hold an intense workout until tomorrow. You should begin to see change within the week and a clean read at two weeks. When the softening begins to fade around three to four months, we plan the next visit. That rhythm—predictable and low-stress—is what patients appreciate most.
Many new patients ask how soon they’ll see a change. The honest answer: early softening in about a week, with the best look at two weeks. Longevity lives in the three-to-four-month window, and we don’t re-treat sooner than three months. People ask if Jeuveau can treat forehead or crow’s feet. Sometimes yes, sometimes no; it depends on anatomy and safety, and we’ll map that together. Others ask if it’s the same as Botox. Both are botulinum toxin type A; the formulas and unit scales are different. We’re fluent in both and choose based on your plan. A lot of people worry about bruising. Small bruises happen; timing, prep, and technique keep that risk low, and we’ll help you schedule around events. Safety questions come up as well: the most common side effects are minor and short-lived, while serious side effects are rare but important to know. We’ll cover the warning signs before you leave and give you the Medication Guide so you have them in writing.
Botulinum toxin has many medical roles—spasticity, migraine protocols, excessive sweating, and even some bladder issues. Those belong with the specialist who manages them. Our focus here is aesthetic care for facial wrinkles. If you’re being treated medically elsewhere, please tell us so we can coordinate and avoid stacking doses or timings. If you’ve ever had a severe allergic reaction to a toxin product, or you live with a condition such as amyotrophic lateral sclerosis, we need that information upfront. Some medical conditions mean we recommend waiting; that’s a safety choice, not a sales choice.
Jeuveau is a steady way to look like yourself with a softer center. It’s measured, quick, and predictable when mapped well. At Total Aesthetics in Westport, a surgeon does the mapping and the injections, the plan is conservative, the follow-through is real, and the pacing fits your life.
Ready to start? Call (203) 454-0044 or visit us at 208 Post Road West, Westport, CT 06880. We also see neighbors from New Canaan, Greenwich, and Fairfield. Bring your questions, your med list, and the goal you want to hit. We’ll build the map and keep it human.
Total Aesthetics in Westport and Fairfield County
Most people notice softening in 3–7 days, with the clean read at two weeks. Results typically hold about 3–4 months. We don’t re-treat sooner than three months, and we’ll set a steady schedule so you don’t see a big drop-off.
Jeuveau is FDA-approved for glabellar frown lines. Forehead lines and crow’s feet can be considered off-label, case by case. It depends on your anatomy and brow support. We’ll map it with you during the consult.
They’re all botulinum toxin type A with different formulas and dosing scales. Many patients do well on more than one. We choose based on your response, goals, and treatment area. Units aren’t interchangeable, so the dose is set product-by-product.
Minimal. Head back to your day with simple rules: avoid rubbing or pressing the area, keep your head upright for a few hours, and skip hard workouts until tomorrow. A topical numbing cream is available. We check the results in two weeks.
Skip treatment if you’re pregnant or breastfeeding, have a skin infection at the injection site, or have certain neuromuscular conditions (e.g., myasthenia gravis, ALS). Share all medicines and supplements. We’ll confirm candidacy during your consultation.
Common: tiny bruises, mild tenderness, brief headache. Rare but urgent: trouble breathing or swallowing, spreading weakness, vision changes, severe allergic reaction, chest pain. Seek emergency care if serious symptoms appear, then contact our office.
Dose depends on muscle strength, anatomy, and goals. We map precise points and start conservatively. Most patients repeat every 3–4 months; many land on three treatments per year. We refine at the two-week visit if needed.
The first step towards a new, beautiful you is to schedule a personal consultation.
Along with providing the highest level of care, no effort is spared to create an environment where each patient is nurtured and cared for as an individual. Use our form to contact Dr. O’Connell with questions about any of our aesthetic or plastic surgery procedures.
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