There are many methods of handling facial wrinkles and folds, often with a combination of neuromodulators (BOTOX® Cosmetic or Xeomin®) and facial fillers. BOTOX® Cosmetic and Xeomin® are particularly valuable for smoothing and relieving wrinkles on the forehead and around the eyes. Dr. Miller and a member of the professional staff at the Aesthetic & Vein Center MD will meet with you to determine the most effective method to achieve your desired goal.

BOTOX® Cosmetic

BOTOX® Cosmetic is a purified protein derived from the bacterium Clostridium Botulinum and has been available in the United States for over 10 years. We purchase our BOTOX® Cosmetic directly from Allergan, the only FDA approved source in the U.S. BOTOX® Cosmetic injections have been used safely and effectively for several years to treat many ophthalmologic and neurological disorders, such as excessive sweating.

Brillient Distinctions

Dr. Normand Miller is enrolled in the Brilliant Distinctions program, with which you can earn points for eligible treatments. These points are redeemable for dollars off of future BOTOX® Cosmetic and Juvederm® facial filler treatments. For more information and to register for the program prior to your treatment, visit


Xeomin®, a prescription medication and pure protein comparable to BOTOX® Cosmetic, is also now offered in our office. Xeomin® has been used in Europe for over 4 years and was FDA approved for cosmetic use in the United States in 2011.

How are neuromodulators (BOTOX® Cosmetic / Xeomin®) administered?

Using a very fine needle, a small amount of a neuromodulator is injected precisely into several locations of the face, typically the vertical lines between your eyebrows, the forehead lines, and the lines at the outer corners of your eyes (crow’s feet).

How long does the procedure take?

Following the consultation, the actual BOTOX® Cosmetic / Xeomin® procedure takes less than 15 minutes and is performed by Dr. Miller himself. This treatment can be done during your lunch break; there is no downtime and no one would know you had it done!

How does BOTOX® Cosmetic / Xeomin® work?

BOTOX® Cosmetic Before
BOTOX® Cosmetic After

The protein is injected into a targeted facial expression muscle, blocking impulses from the nerve to the muscle, thereby relaxing the muscle so it does not contract. This causes the overlying skin to become smoother, with fewer lines and wrinkles. The injectable may also be used to create a gentle but definite elevation of the eyebrows, giving you a brighter look. The untreated facial muscles continue to contract in a natural manner, allowing the normal facial expression and feeling to be unaffected.

How quickly will I see results?

BOTOX® Cosmetic and Xeomin® typically start relaxing the treated area within several days, but the full effect may not be realized for two weeks.

How long will BOTOX® Cosmetic / Xeomin® last?

The effects last 3 months on average but everyone is different. We encourage our patients to have the treatment every 12 weeks. Typically, patients who follow this treatment schedule begin to need less and may increase the interval between treatments after 2 years.

If you are interested in exploring whether BOTOX® Cosmetic or Xeomin® will work for you, please contact us by filling out the form on the right or call 603-898-3461.

*Comments from all success stories and reviews are the expressed opinions of those patients and their experience and do not represent guaranteed results. All before and after photo results vary and are not guaranteed.

Dr. Miller specializes in body enhancements and medical spa treatments including procedures such as: liposuction, laser resurfacing, laser hair removal, vein therapy, acne treatments, facial fillers, facial treatments, chemical peel, body contouring, body sculpting, fat reduction, cellulite reduction, lipodissolve. Dr. Miller 's practices are located in Salem and Nashua, NH. Patients from the following cities and areas such as Windham, Hampstead, Derry, Manchester, Londonderry, Pelham, Amherst, Hollis, Merrimack, Bedford in New Hampshire (NH), as well as North Andover, Andover, Haverhill, Methuen, Pepperell, Tyngsboro and Lowell in Massachusetts (MA) can conveniently schedule an appointment with our Salem and Nashua, New Hampshire (NH) offices.

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