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At Cynthia Salter-Lewis MD Anti-Aging and Cosmetic Medicine in Marlboro, NJ, we offer the most effective neuromodulators to help patients treat expression lines on the upper half of the face. Our treatment options temporarily eliminate those lines that can affect your confidence and make you look older, tired, or unapproachable. With a customized treatment plan, you can achieve smoother and younger-looking skin and enjoy long-lasting results.


What Are Neuromodulators?

Neuromodulators are popular cosmetic injectables that work on the muscular level to treat expression lines. When injected into specific facial muscles, the active ingredients, which are called neurotoxins, inhibit communication between the brain and the nerve signals.


When this occurs, the nerve signals don’t tell the muscles to contract, and as a result, the skin can rest. Those expression lines will slowly fade and become less noticeable. In some cases, they can disappear altogether, restoring the skin of your youth.


Combining Your Neuromodulators With Other Cosmetic Treatments

These injectable treatments can be paired with other professional skin care treatments and injectables like dermal fillers for enhanced results. Neuromodulators work on the muscular level to treat expression lines, also known as dynamic wrinkles. Dermal fillers add volume back into the skin to treat volume loss, which is why they work so well together.


Neuromodulators can give you younger and smoother-looking skin, but they can’t give you healthier skin. When you combine your neuromodulator treatments with other skin care treatments, like RF microneedling or the PDO thread lift, you can improve the quality and health of your skin and eliminate those dynamic wrinkles.


What Are the Benefits?

Those with expression lines, whether mild, moderate, or more severe, know that these lines are very difficult to treat with topical skin care products alone. Even the highest quality, most expensive anti-aging serums can’t smooth expression like these neuromodulators can. Some other treatment benefits include the following:

  • Treatments are quick and take less than 30 minutes to complete
  • You can schedule your appointment during your lunch break
  • Treatments are comfortable and virtually painless
  • Results are long-lasting
  • The products are safe and FDA-approved for cosmetic use
  • There’s no social downtime
  • Maintenance treatments can extend your results
  • You’ll look more youthful and completely natural post-treatment



BOTOX® is one of the most popular cosmetic injectables available. We can use it for aesthetic and medical treatments to help patients improve their appearance and quality of life. BOTOX® contains an active ingredient called botulinum toxin A that works by relaxing the muscles in the treatment area to accomplish aesthetic, aging-related, and medical goals.


After initial treatment, patients typically see results within the first week, and the best results are visible 30 days post-treatment. Results can last anywhere from three to four months, but some patients metabolize the active ingredient at a slower pace, which makes the results last even longer.


What It Treats

We can use BOTOX® to treat the most common expression lines on the upper half of the face, including frown lines between the eyebrows, lines that run horizontally across the forehead, and those etched crow’s feet at the outer corners of the eyes. We can also use it to treat TMJ. Injections into various muscles of the jawline and surrounding area can temporarily relax them to alleviate pain and promote an improved quality of life.


We can also use BOTOX® to treat hyperhidrosis, a condition in which patients sweat profusely, typically from the armpits. This condition can cause patients to feel self-conscious about their appearance, but with a customized BOTOX® treatment plan, we can use the active ingredients in the product to block the sweat glands from producing excess sweat temporarily. Regular injections can treat hyperhidrosis long-term and promote patient confidence.



Dysport® is a neuromodulator similar to BOTOX® that uses botulinum toxin A as the primary ingredient to relax the muscles responsible for the most common expression lines. This injectable treats frown lines that form between the eyebrows. Injections into the muscles around the eyebrows and in the forehead can prevent muscular contractions, softening the skin and restoring a youthful appearance.


After an initial treatment, results are visible within the first few days, and the best results are evident 30 days post-treatment. Typically, results last three to four months, and when you see your frown lines reappear, you can schedule a follow-up treatment to avoid their complete re-appearance.



Xeomin® is similar to BOTOX® and Dysport®, but what sets it apart is that it’s a highly purified product that doesn’t contain any additional proteins. Its purified formula is specifically designed to treat frown lines between the eyebrows. It can naturally smooth the skin in the area without compromising the integrity of your appearance.


After an initial Xeomin® treatment, results are typically evident within the first two to three days and will continue to improve within the first month post-treatment. Results last approximately three to four months, and regular treatments can help you maintain a frown-line-free appearance long-term.



DAXXIFY® is a revolutionary peptide-driven cosmetic injectable that contains peptides that smooth expression lines for significantly longer than other similar treatments. It’s specifically formulated to treat frown lines between the eyebrows, and after an initial treatment, the results can last six to nine months.


Once injected into the area between the eyebrows, DAXXIFY® results will slowly develop within the first few days, with the best results visible at the 30-day mark. Patients looking for a long-lasting solution for frown lines make good candidates for DAXXIFY®.


Which Product Is Right for Me?

Since we offer a variety of neuromodulators, it may be overwhelming to determine which one is right for you. The good news is that it requires zero guesswork on your part because our injectors can evaluate your skin and primary concerns and then, after asking you some questions about your medical history, determine which is right for you.


All of these injectables make good options for adults with healthy skin and who are not allergic to the ingredients in the injectables. After determining that neuromodulators are a safe choice, we can give you more details about each product and determine which will best meet your needs.


Eliminate Your Expression Lines

If expression lines, TMJ pain, or hyperhidrosis are affecting your quality of life and your confidence, there is another solution. Our customized treatment plans can help improve your appearance and quality of life. If you want to learn more about these safe and FDA-approved injectables, we can schedule your initial consultation to answer all your questions and design your customized treatment plan.

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Real reviews from our patients

Sally Ann Rodrigues
Sally Ann Rodrigues
February 16, 2024
Clean & comfortable office & appointment rooms. Dr. Salter-Lewis & staff, Nicole & Karen are friendly, helpful & truthful. I never feel rushed & my questions are always answered. I love the specials & open house pricing! I highly recommend.
Yvette Bonfiglio
Yvette Bonfiglio
February 1, 2024
I was very lucky 12 years ago to find the right Doctor Who I would never leave who knows me so well, and I trust her with everything. ☺️
Violet delila
Violet delila
January 24, 2024
As always Dr.Salter is very friendly & fun person. I go to her for injectables, she is great at what she does. Takes her time to look over the patient and give the best results.
Marilyn Lipton
Marilyn Lipton
January 12, 2024
Dr. Lewis is excellent at what she does. I have been going to her for many years and she is always on top of the latest procedures. She is personable, patient and extremely knowledgeable and professional. I recommend Dr. Lewis to my friends and family.
January 11, 2024
Dr. Salter-Lewis is fabulous. She takes the time to explain every procedure. She is very knowledgeable and doesn’t force anything on you. Her staff is also amazing. I have only been there a few times but have always had a pleasant experience. Highly recommend.
Ini Ukonne
Ini Ukonne
December 16, 2023
Great experience. Great staff. Friendly environment. Would definitely recommend.
Melissa K
Melissa K
May 31, 2023
Very friendly and thorough doctor. Fair pricing too. Will definitely return!