Wrinkle-Relaxing Injections (Neuromodulators) in Vancouver & North Vancouver, BC
20+ Years of Experience with Wrinkle-Relaxing Injections for Natural-Looking Results
Both our Vancouver & North Vancouver clinics are led by Dr. Thomas Buonassisi. Our advanced aesthetic RN injectors have over 20 years of experience with wrinkle-relaxing injections (neuromodulators), with a careful approach for natural-looking results.



Neuromodulators®
Neuromodulators, also called wrinkle-relaxing injections, are a popular treatment. Common concerns we address with our patients are fine lines around the eye area, deep set lines on the forehead and between the brows and other common signs of aging in the face.
Our cosmetic injectable specialists are extensively trained in advanced techniques and have trained other professionals at the national level.
Click below to learn more about wrinkle-relaxing injections.
Before & After


Benefits of Wrinkle-Relaxing Injections
Treatments are available at both our Vancouver clinic and our North Vancouver clinic.
- Treatment is quick and you can resume your regular activities right after with no downtime
- Patients enjoy results that last for 3 – 4 months
- Treatment is available at both our Vancouver clinic, and our North Vancouver clinic
- Treatments are customized to your unique facial structure and goals
What wrinkle-relaxing injections cost
In Vancouver, clinics usually price wrinkle-relaxing injections per unit, typically about $10 to $15 a unit. How many units you need depends on the area and your muscles. As a guide, forehead lines often take 10 to 20 units, frown lines 20 to 30, and crow's feet 20 to 30 for both sides. Results usually last 3 to 4 months. Your injector gives you your exact price at your complimentary skin consultation, and financing is available.
Frequently Asked Questions
What is hyperhidrosis and how can injections help?
Hyperhidrosis is excessive sweating beyond normal body needs. Neuromodulator injections block nerve signals to sweat glands, significantly reducing sweat in treated areas.
How do injections work for sweat control?
Neuromodulator injections inhibit nerve signals to sweat glands, reducing sweat production for months.
Where can injections be used to treat hyperhidrosis?
Common treatment sites include underarms (axillae), palms, soles, and forehead.
How long do results last?
Most patients experience 6–12 months of reduced sweating; repeat treatments maintain results.
What are wrinkle-relaxing injections?
Wrinkle-relaxing injections use a neuromodulator, a prescription medication approved by Health Canada that temporarily relaxes specific facial muscles to soften fine lines and wrinkles. They are most often used for forehead lines, crow’s feet and frown lines, and are also used medically for excessive sweating (hyperhidrosis).
What are neuromodulators made of?
Neuromodulators are made from a purified protein, botulinum toxin type A, which comes from the bacterium Clostridium botulinum. For cosmetic use it is highly diluted and purified, so it can be injected into specific muscles to relax them.
What is a lip flip?
A lip flip is a non-surgical treatment where a small amount of neuromodulator is injected into the cupid’s bow and the corners of the upper lip. This relaxes the muscle around the mouth so the upper lip turns slightly outward, for a fuller-looking upper lip without the added volume of a dermal filler.
How do wrinkle-relaxing injections work?
Neuromodulators block the release of acetylcholine, a chemical messenger that tells your muscles to contract. Injected into specific facial muscles, they relax those muscles so they stop “scrunching” the skin. This softens dynamic wrinkles (lines caused by movement) and helps prevent new deep lines from forming.
How long do wrinkle-relaxing injections last in your face?
On average, results last 3 to 4 months. Over time your body breaks down the neuromodulator and nerve signals slowly return to the muscle, so movement (and lines) gradually reappear. First-time patients may find it wears off a little faster.
How long do wrinkle-relaxing injections last around the eyes?
Treatment for crow’s feet (lines around the eyes) usually lasts about 3 to 4 months. Because the muscles around the eyes move a lot when we smile and blink, some people notice movement returning a little sooner than in less active areas like the forehead.
How long do wrinkle-relaxing injections take to work?
Results are not immediate. You may see lines start to soften within 3 to 5 days, and the full effect usually develops in 10 to 14 days. We recommend waiting two weeks before assessing your result or deciding on a touch-up.
How often should you get wrinkle-relaxing injections?
Most people book maintenance appointments every 3 to 4 months, as muscle movement begins to return and before deeper lines have a chance to form.
Are wrinkle-relaxing injections safe?
Neuromodulators are approved by Health Canada and should only be given by a trained, licensed medical professional, such as our registered nurse injectors. Side effects are usually mild and temporary, such as bruising or swelling at the injection site. Your injector reviews your health history before treatment.
Are wrinkle-relaxing injections permanent?
No. The effects are temporary and reversible. Neuromodulators only affect muscle activity for a few months, which makes them a low-commitment option if you are trying anti-aging treatments for the first time.
Do wrinkle-relaxing injections wear off?
Yes, the effect always wears off. It is not a permanent change. As your body naturally breaks down the neuromodulator, nerve signals return and muscle movement is fully restored. If you stop treatments, your face gradually returns to how it looked before.
What should you avoid after wrinkle-relaxing injections?
To protect your results and avoid complications (like the product moving to unwanted muscles), follow these key rules for the first 24 hours:
- Do not rub or massage the treated area.
- Do not lie down flat for 4 hours.
- Do not do strenuous exercise.
- Do not wear tight hats or headbands.
- Avoid excessive heat (saunas, hot yoga).
Can you lie down after wrinkle-relaxing injections?
You should wait at least 4 hours before lying down flat or bending over. Staying upright helps keep the product from moving to other areas of the face, which could cause temporary issues like a droopy eyelid (ptosis).
Can you exercise after wrinkle-relaxing injections?
You should avoid strenuous exercise and heavy lifting for at least 24 hours. Elevated heart rate and blood pressure can increase swelling and bruising, and vigorous movement could theoretically cause the product to spread to unintended muscles.
Can you drink alcohol after wrinkle-relaxing injections?
It is recommended to avoid alcohol for at least 24 hours after your appointment (and ideally 24 hours before). Alcohol acts as a blood thinner, which significantly increases the risk of bruising at the injection sites.
Can you shower after wrinkle-relaxing injections?
Yes, you can shower and wash your face after treatment. Keep the water lukewarm and avoid hot steam. Do not scrub or massage the treated areas while washing your face for the first 24 hours.
Can you wear makeup after wrinkle-relaxing injections?
Yes, you can gently apply makeup after your treatment, but it is better to wait a few hours to let the injection sites close. If you must apply makeup immediately, use clean brushes and use a very light touch to avoid putting pressure on the treated areas.
Can you get a facial after wrinkle-relaxing injections?
You should wait at least 1 to 2 weeks before getting a facial, microdermabrasion or a chemical peel. Facials often involve massaging the face, which can move the product and change your results.
Can you fly after wrinkle-relaxing injections?
Yes, flying after treatment is generally fine. There is no evidence that changes in cabin pressure affect your results. If you are prone to bruising, the dry cabin air may slightly increase swelling, but it is not medically dangerous.
Can you go in the sun after wrinkle-relaxing injections?
Brief sun exposure is fine, but you should avoid prolonged sun exposure and high heat for 24–48 hours. Heat causes vasodilation (widening of blood vessels), which can increase bruising and swelling. Always wear SPF to protect your skin regardless of treatment.
The Essential Guide to Skin Rejuvenation
Our free guide helps you find your concern, from sun spots to volume loss, and the treatments most often used for it.
Inside: wrinkle-relaxing injections and the other treatments for lines, volume and contour, real 8 West before-and-after photos, cost, and your next steps.


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Introduction to Neuromodulators for Hyperhidrosis
Neuromodulator injections for hyperhidrosis are a quick, minimally invasive treatment that blocks the nerve signals to sweat glands in areas like the underarms, hands, feet or forehead. At 8 West Clinic, our injectors provide personalized care based on a detailed assessment of your sweat patterns. The 20 to 30 minute appointment involves precise micro-injections, with little to no downtime. Your injector will explain what to expect and how often treatment is usually repeated.
Neuromodulators for Hyperhidrosis
Neuromodulator treatment is a non-surgical medical option for excessive sweating, given with precise injection techniques and tailored for comfort.
- Reduces sweating in the treated areas
- Quick procedure (~20–30 minutes) with no downtime
- Can be repeated when sweating returns
- Uses a medication approved by Health Canada
- Precise targeting for underarms, palms, feet, or forehead
- Boosts comfort, confidence, and quality of life
Videos
Treatment Experience


Lisa did my botox and lip filler and I am very pleased with the service I received. She listened carefully to what I wanted and even encouraged something different than what I had originally thought. She was absolutely right and I had the perfect look and balance for my face.


Lisa Roberge at 8 West is a total pro. I’ve been seeing her for a few years now and am always happy with the results. I love her “less is more” approach to fillers and botox. She knows how to make subtle changes that have a huge impact. Very skilled and knowledgeable
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Our Team
We treat aesthetic injectables as both a science and a finely-tuned art form. Handpicked with the highest of standards by Dr. Thomas Buonassisi, our injectable treatments are performed by providers who carry extensive experience and advanced training in wrinkle relaxing injections, dermal fillers, and biostimulator injections.
Our team continues to upskill and trains other professionals at a national level for many of our brand partners.

Madison Patrick, RN
Madison is highly skilled in IV Therapy, Ozone Therapy, and cosmetic injectables, including neuromodulators. She emphasizes natural-looking results and collaborates closely with patients to deliver safe, customized treatment plans that support wellness and rejuvenation.

Caroline Genove, RN
Caroline assists with pre- and post-operative care and performs cosmetic injections. Her dual experience in surgical nursing and injectables ensures safe, well-rounded care throughout every patient journey.

Mimi Le Fox, RN
For over 20 years, Mimi has been helping patients look and feel their best through laser rejuvenation, vein therapy, and injectable treatments. Mimi's passion is creating personalized treatment plans that respect your natural features and align with your individual goals. She believes aging is a unique journey for everyone, and is here to support you through every stage with honest guidance, education, and results-focused care.

Dr. Shehla Ebrahim, MD
Dr. Ebrahim brings 20+ years of experience in family and aesthetic medicine. She leads our private dermatology services at 8 West Clinic, with a focus on hormonal health, skin health, and prevention.

Jennifer Sheaves, RN
Jennifer leads our nursing team and specializes in advanced injectable treatments. With extensive experience in aesthetic medicine and hormone replacement therapy, she’s known for her precision, patient care, and commitment to delivering natural-looking results.
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Lisa Roberge, RN CSANS
Lisa is known for her expertise in advanced injectables and sclerotherapy. She focuses on precision and patient education, delivering safe, effective treatments tailored to each individual’s needs.
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