Neuromodulators are well-known for their use in treating dynamic wrinkles. These injectables include Botox, Xeomin, and Dysport. Here at PFRANKMD™, Dr. Paul Jarrod Frank has developed a special technique to inject neuromodulators, known as ENSO. This stands for Expressive Neuromodulation and Structural Optimization.
When injected correctly, Botox, Xeomin, and Dysport can be used to treat many different conditions, including teeth grinding and clenching, TMJ, and wide face shape.
If you suffer from one of these conditions, or if you are looking for a minimally invasive way to slim your face, your provider at PFRANKMD by Dr. Paul Jarrod Frank can discuss your specific needs at your initial consultation.
Teeth and Jaw
What are Neuromodulators?
In the aesthetic and wellness world, neuromodulators are known by the names Botox, Xeomin, and Dysport. But what do neuromodulators do? These injectables are able to weaken the signal that is transmitted between neurons, which is another way of saying the muscles are relaxed. The neuromodulators we offer have a temporary effect, so there’s no need to worry about permanent results.
Teeth Grinding and Clenching
Also known as bruxism, this condition where an individual grinds and clenches the teeth can cause serious damage over time. There are steps you can take to stop this habit while you are awake, but many people who experience bruxism do it while they are asleep.
Teeth grinding and clenching is caused by a few muscles in the jaw contracting over and over. When a neuromodulator is injected into these muscles, the grinding can stop. This can keep you from causing damage to your teeth and jaw over time, and it can also relieve the immediate pain that is caused by bruxism.
TMJ
TMJ, which stands for temporomandibular joint, can be caused by a few different medical conditions. It causes pain in the jaw, and it can even cause headaches and ear pain, and it can make it difficult to open the jaw. Neuromodulators can be used to reduce this pain, and if TMJ is caused by acetylcholine (which causes atrophy), then a neuromodulator can treat this as well.
For individuals who are experiencing lockjaw due to TMJ, neuromodulators are effective at relaxing the jaw to some extent. This is an invaluable treatment considering we all use our temporomandibular joint while talking, eating, and swallowing, so it becomes impossible to avoid the pain without the use of neuromodulators.
Facial Slimming
Neuromodulators can be used to achieve a slimmer facial appearance when injected into the correct muscle. Dr. Frank employs the ENSO technique to target specific muscles in the face. Once these muscles have been injected with Botox, Xeomin, or Dysport, the muscles will relax. In their relaxed state, they will experience a certain level of atrophy.
This is sometimes known as non-surgical jaw reduction, as the muscles that are targeted are around the jaw. This treatment will not interfere in any way with a patient’s ability to speak, eat, swallow, or do anything else they are accustomed to doing.
SOCIAL MEDIA
𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐢𝐧𝐠 𝐏𝐨𝐬𝐭-𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐅𝐚𝐜𝐢𝐚𝐥 𝐑𝐞𝐣𝐮𝐯𝐞𝐧𝐚𝐭𝐢𝐨𝐧: 𝐀 𝐂𝐨𝐦𝐩𝐫𝐞𝐡𝐞𝐧𝐬𝐢𝐯𝐞 𝐀𝐩𝐩𝐫𝐨𝐚𝐜𝐡
Achieving the best possible outcome from facial plastic surgery extends far beyond the operating room. Post-surgical care plays a critical role in supporting healing, enhancing results, and maintaining facial harmony over time. Immediate postoperative management focuses on controlling swelling and bruising through modalities such as lymphatic drainage, cold compresses, and, when appropriate, vascular laser treatments like VBeam. These therapies can minimize inflammation, reduce discoloration, and accelerate visible recovery.
Ensuring that incisions heal cleanly and without complications is also essential. This involves proper wound care, scar prevention strategies, and sometimes the early use of treatments like silicone gels or light-based therapy to minimize scar visibility. Neuromodulators (such as Botox or Dysport) may also be used in the early healing stages to reduce tension on healing incisions and prevent the formation of dynamic wrinkles.
As healing progresses, the focus shifts toward refinement and long-term maintenance. Cosmetic injectables—including hyaluronic acid fillers, biostimulatory agents like Sculptra, and neuromodulators—can help restore volume, smooth fine lines, and enhance surgical outcomes without the need for further invasive procedures. These treatments are especially effective in maintaining youthful contours and prolonging the benefits of surgery.
Ultimately, collaboration between a skilled facial plastic surgeon and an experienced cosmetic dermatologist ensures a 360-degree approach to rejuvenation. By combining surgical precision with advanced aesthetic maintenance, patients can enjoy natural-looking, long-lasting results that evolve beautifully over time.
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Aesthetic and Longevity Healthcare
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PFRANKMD| The Most Cutting-Edge Technologies| Customized Signature Treatments| Only Licensed Healthcare Professionals
In case you missed it… Is 16 Too Young for Botox?
𝐃𝐨 𝐘𝐨𝐮 𝐄𝐯𝐞𝐧 (𝐁𝐫𝐨𝐰) 𝐋𝐢𝐟𝐭, 𝐁𝐫𝐨?
𝐃𝐫. 𝐏𝐚𝐮𝐥 𝐉𝐚𝐫𝐫𝐨𝐝 𝐅𝐫𝐚𝐧𝐤 𝐨𝐧 𝐌𝐞𝐧, 𝐋𝐨𝐧𝐠𝐞𝐯𝐢𝐭𝐲, 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐍𝐞𝐰 𝐄𝐫𝐚 𝐨𝐟 𝐀𝐞𝐬𝐭𝐡𝐞𝐭𝐢𝐜 𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐚𝐭𝐢𝐨𝐧
Written by @aprillong5 for @bustle
Aesthetics for men are no longer about vanity. They’re about longevity.
As Dr. Frank explains, “The big rise in aesthetic procedures for men is happening right now because of the longevity boom.” Men who have long focused on fitness, supplements, and performance are now applying that same optimization mindset to their skin, face, and body.
At 𝐏𝐅𝐑𝐀𝐍𝐊𝐌𝐃, this shows up as a demand for subtle, thoughtful treatments that help men look as good as they feel, especially as longevity tools like GLP-1s and peptides become more mainstream.
𝐊𝐞𝐲 𝐇𝐢𝐠𝐡𝐥𝐢𝐠𝐡𝐭𝐬
• 𝐀𝐞𝐬𝐭𝐡𝐞𝐭𝐢𝐜𝐬 𝐚𝐬 𝐖𝐞𝐥𝐥𝐧𝐞𝐬𝐬
Cosmetic treatments are increasingly viewed as part of a broader longevity and performance strategy.
• 𝐒𝐮𝐛𝐭𝐥𝐞𝐭𝐲 𝐂𝐨𝐦𝐞𝐬 𝐅𝐢𝐫𝐬𝐭
Most men prefer conservative, low-commitment treatments at first, like Botox and lasers, because they’re “afraid of looking too different.”
• 𝐃𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭 𝐆𝐨𝐚𝐥𝐬 𝐛𝐲 𝐀𝐠𝐞
Younger men may seek structural enhancements they never had, while middle-aged men are more focused on looking rested, healthier, and less tired rather than altered.
• 𝐂𝐮𝐥𝐭𝐮𝐫𝐚𝐥 𝐒𝐡𝐢𝐟𝐭
Seeing public figures who still look natural and masculine has helped normalize aesthetic care for men, reinforcing that good work should enhance, not announce itself.
Dr. Frank’s philosophy is simple: aesthetics should support confidence, vitality, and individuality, helping patients age well without looking altered.
Click the link in bio to read the full story.
𝐃𝐞𝐫𝐦𝐚𝐭𝐨𝐥𝐨𝐠𝐲 𝐈𝐬𝐧𝐭 𝐉𝐮𝐬𝐭 𝐒𝐤𝐢𝐧
In this clip from The Pro-Aging Podcast, Dr. Frank reflects on how his early interest in psychiatry never truly left him.
He shares how a psychology background helps him support patients beyond the medical side, especially those dealing with visible skin concerns. Dermatology, he explains, is a field built on connection, trust, and understanding the emotional impact of appearance and wellness.
As he jokes with Dr. Yang
“Our appointments are therapy sessions. Botox works better than Prozac anyway.”
🎙️ A reminder that great dermatology treats the whole person, not just the skin.
Listen to the rest of S3E9 on The Pro Aging Podcast available on Apple, Spotify, YouTube, or anywhere you listen to your podcasts.
𝐀𝐯𝐨𝐢𝐝𝐢𝐧𝐠 𝐁𝐫𝐨𝐰 𝐇𝐞𝐚𝐯𝐢𝐧𝐞𝐬𝐬: 𝐓𝐡𝐞 𝐈𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐜𝐞 𝐨𝐟 𝐂𝐨𝐦𝐩𝐫𝐞𝐡𝐞𝐧𝐬𝐢𝐯𝐞 𝐅𝐚𝐜𝐢𝐚𝐥 𝐍𝐞𝐮𝐫𝐨𝐦𝐨𝐝𝐮𝐥𝐚𝐭𝐨𝐫 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭
I discuss a patient case that highlights the importance of taking a comprehensive approach when using neuromodulators like Botox. Treating only the forehead can lead to unintended brow heaviness, particularly in patients who have undergone procedures such as a brow lift.
𝐍𝐚𝐯𝐢𝐠𝐚𝐭𝐢𝐧𝐠 𝐍𝐞𝐮𝐫𝐨𝐦𝐨𝐝𝐮𝐥𝐚𝐭𝐨𝐫 𝐑𝐞𝐬𝐢𝐬𝐭𝐚𝐧𝐜𝐞: 𝐏𝐫𝐞𝐯𝐞𝐧𝐭𝐢𝐧𝐠 𝐚𝐧𝐝 𝐌𝐚𝐧𝐚𝐠𝐢𝐧𝐠 𝐏𝐨𝐭𝐞𝐧𝐭𝐢𝐚𝐥 𝐒𝐢𝐝𝐞 𝐄𝐟𝐟𝐞𝐜𝐭𝐬
Options for minimizing potential side effects associated with neuromodulator injections (Botox) include exploring alternative formulations, as well as pre-medication protocols using antihistamines or anti-inflammatory medications. While these treatments are well-tolerated, understanding how to minimize potential side effects and manage neuromodulator resistance is key to maintaining long-term results. Common, temporary reactions may include mild headaches, bruising, swelling, or localized tenderness.
Through a comprehensive consultation, your provider can develop a customized pre-treatment assessment to identify contraindications and establish a post-treatment care plan to reduce adverse effects. For patients experiencing neuromodulator resistance or diminished results over time, adjusting formulations, dosage, or treatment intervals may help maintain effectiveness.
Working with an experienced medical provider ensures safe, individualized care and optimal long-term results.
Click the link in bio to learn more about your options at PFRANKMD.
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Aesthetic and Longevity Healthcare
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PFRANKMD| The Most Cutting-Edge Technologies| Customized Signature Treatments| Only Licensed Healthcare Professionals
𝐁𝐚𝐥𝐚𝐧𝐜𝐢𝐧𝐠 𝐍𝐨𝐧-𝐈𝐧𝐯𝐚𝐬𝐢𝐯𝐞 𝐚𝐧𝐝 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭𝐬
In the evolving landscape of cosmetic procedures, finding a harmonious balance between non-invasive treatments and surgical interventions is crucial for achieving optimal aesthetic results. Patients often seek surgical options, such as facelifts or liposuction, for dramatic transformations; however, it is essential to recognize that these results can be complemented by ongoing non-invasive treatments.
Procedures like Botox, dermal fillers, and laser therapies play a vital role in maintaining the youthful appearance achieved through surgery. Botox can effectively reduce the appearance of fine lines and wrinkles by temporarily relaxing the muscles, while fillers restore volume and enhance facial contours, contributing to a refreshed look. Laser therapies can improve skin texture, tone, and elasticity, ensuring that the skin continues to look vibrant post-surgery.
It is important for patients to understand that surgical results may change over time due to natural aging processes and factors such as sun exposure and lifestyle choices.
Therefore, a commitment to regular maintenance treatments can significantly prolong and enhance the longevity of surgical outcomes. Collaborating closely with a qualified medical practitioner can help tailor an ongoing treatment plan that aligns with individual aesthetic goals, ensuring that both non-invasive and surgical options work synergistically for the best possible results.
🎧 Listen to the rest of this episode now on Spotify, Apple Podcasts, YouTube, or wherever you get your shows.
𝐔𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠 & 𝐏𝐫𝐞𝐯𝐞𝐧𝐭𝐢𝐧𝐠 𝐋𝐢𝐩 𝐅𝐢𝐥𝐥𝐞𝐫 𝐌𝐢𝐠𝐫𝐚𝐭𝐢𝐨𝐧
Lip filler migration can occur for a variety of reasons—most often from overfilling, improper injection technique, or the natural shape and movement of your lips. For patients with a thinner upper lip, we often recommend combining filler with a Botox lip flip. This technique relaxes the muscle around the mouth so the upper lip gently rolls upward, creating a lifted look and more visible lip surface. When used alongside filler, Botox can add support, improve balance, and enhance shape—allowing for a fuller appearance with less filler, which helps reduce the risk of migration.
The key? Choose an injector who shares your aesthetic vision, understands facial harmony, and prioritizes natural, balanced results.
To schedule a cosmetic consultation, click the link in our bio.
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Aesthetic and Longevity Healthcare
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PFRANKMD| The Most Cutting-Edge Technologies| Customized Signature Treatments| Only Licensed Healthcare Professionals
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WARNING: Injectable cosmetic agents, although safe and effective, do carry some health and cosmetic risks . They must be performed by experienced and licensed healthcare professionals and only after thorough consultation of the various options and their relative risks.
𝐖𝐡𝐲 𝐖𝐨𝐦𝐞𝐧 𝐀𝐫𝐞 𝐓𝐮𝐫𝐧𝐢𝐧𝐠 𝐓𝐨 “𝐁𝐥𝐨𝐰𝐭𝐨𝐱” 𝐈𝐧𝐣𝐞𝐜𝐭𝐢𝐨𝐧𝐬 𝐓𝐨 𝐏𝐫𝐞𝐬𝐞𝐫𝐯𝐞 𝐓𝐡𝐞𝐢𝐫 𝐇𝐚𝐢𝐫𝐝𝐨𝐬
𝑼𝒏𝒅𝒆𝒓𝒈𝒐𝒊𝒏𝒈 𝒂 𝒎𝒆𝒅𝒊𝒄𝒂𝒍 𝒑𝒓𝒐𝒄𝒆𝒅𝒖𝒓𝒆 𝒕𝒐 𝒑𝒓𝒆𝒗𝒆𝒏𝒕 𝒔𝒘𝒆𝒂𝒕𝒊𝒏𝒈 𝒅𝒖𝒓𝒊𝒏𝒈 𝒆𝒙𝒆𝒓𝒄𝒊𝒔𝒆 𝒎𝒊𝒈𝒉𝒕 𝒔𝒐𝒖𝒏𝒅 𝒓𝒊𝒅𝒊𝒄𝒖𝒍𝒐𝒖𝒔–𝒃𝒖𝒕 𝒊𝒕’𝒔 𝒏𝒐𝒕 𝒂𝒍𝒍 𝒂𝒃𝒐𝒖𝒕 𝒕𝒉𝒆 𝒉𝒂𝒊𝒓.
𝐁𝐲 𝐒𝐚𝐫𝐚𝐡 𝐊𝐞𝐬𝐬𝐥𝐞𝐫 𝐟𝐨𝐫 @fastcompany
Jeannel has long, thick hair that gets frizzy when she sweats. It takes her 40 minutes to blow dry it and another 20 minutes to curl it, and she’ll go to great lengths to avoid this routine. That used to mean skipping workouts after work and weekend bike rides with her husband.
More recently, it has meant getting several dozen Botox shots in her scalp in order to stop her head from sweating when she exercises—thus preserving her hairstyle for another day or two. She and other women who swear by the method call it “Blowtox.”
Botox, best known as a wrinkle smoother, is also approved by the FDA for excessive underarm sweating. The drug blocks the impulses between nerves that tell a sweat gland to activate and the gland itself. If strategically shot into the scalp—a treatment that lasts anywhere from three to nine months and can cost up to $1,500—a woman can emerge from even the sweatiest of workouts with her hairdo still dry and intact.
Dr. Paul Jarrod Frank, who has a practice in Manhattan, says that he got his first request for Blowtox five years ago, but “this summer the treatment has been more popular than ever.”
𝐀𝐪𝐮𝐚𝐠𝐨𝐥𝐝: 𝐀 𝐌𝐢𝐜𝐫𝐨𝐧𝐞𝐞𝐝𝐥𝐢𝐧𝐠 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐟𝐨𝐫 𝐆𝐥𝐨𝐰𝐢𝐧𝐠, 𝐇𝐲𝐝𝐫𝐚𝐭𝐞𝐝 𝐒𝐤𝐢𝐧
Looking for a NO-DOWNTIME procedure that will leave you glowing?
AquaGold Microneedling is an amped-up version of traditional microneedling with special added ingredients like Botox and hyaluronic acid fillers to give the skin an extra boost of plumpness and glow. The AquaGold microneedling device uses 24-karat gold needles (each smaller than a hair follicle) to painlessly hyper-hydrate and bring out a healthy, glassy-glossy glow while reducing pore size and improving skin texture and tone.
This simple 10-minute treatment causes only a few hours of redness and yields results that last up to six months.
Click the link in bio to learn more and call 212-327-2919 to schedule this quick and easy treatment - and give your skin an extra boost.
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Aesthetic and Longevity Healthcare
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PFRANKMD| The Most Cutting-Edge Technologies| Customized Signature Treatments| Only Licensed Healthcare Professionals
𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐢𝐧𝐠 𝐏𝐨𝐬𝐭-𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐅𝐚𝐜𝐢𝐚𝐥 𝐑𝐞𝐣𝐮𝐯𝐞𝐧𝐚𝐭𝐢𝐨𝐧: 𝐀 𝐂𝐨𝐦𝐩𝐫𝐞𝐡𝐞𝐧𝐬𝐢𝐯𝐞 𝐀𝐩𝐩𝐫𝐨𝐚𝐜𝐡
Achieving the best possible outcome from facial plastic surgery extends far beyond the operating room. Post-surgical care plays a critical role in supporting healing, enhancing results, and maintaining facial harmony over time. Immediate postoperative management focuses on controlling swelling and bruising through modalities such as lymphatic drainage, cold compresses, and, when appropriate, vascular laser treatments like VBeam. These therapies can minimize inflammation, reduce discoloration, and accelerate visible recovery.
Ensuring that incisions heal cleanly and without complications is also essential. This involves proper wound care, scar prevention strategies, and sometimes the early use of treatments like silicone gels or light-based therapy to minimize scar visibility. Neuromodulators (such as Botox or Dysport) may also be used in the early healing stages to reduce tension on healing incisions and prevent the formation of dynamic wrinkles.
As healing progresses, the focus shifts toward refinement and long-term maintenance. Cosmetic injectables—including hyaluronic acid fillers, biostimulatory agents like Sculptra, and neuromodulators—can help restore volume, smooth fine lines, and enhance surgical outcomes without the need for further invasive procedures. These treatments are especially effective in maintaining youthful contours and prolonging the benefits of surgery.
Ultimately, collaboration between a skilled facial plastic surgeon and an experienced cosmetic dermatologist ensures a 360-degree approach to rejuvenation. By combining surgical precision with advanced aesthetic maintenance, patients can enjoy natural-looking, long-lasting results that evolve beautifully over time.
•
Aesthetic and Longevity Healthcare
•
PFRANKMD| The Most Cutting-Edge Technologies| Customized Signature Treatments| Only Licensed Healthcare Professionals
Botox for Excessive Sweating with Hyperhidrosis Treatments
Excessive sweating—also known as hyperhidrosis—can make warm weather uncomfortable and unpredictable. Whether it’s your underarms, hands, feet, scalp, or even menopausal hot flashes, constant sweating can impact your confidence and your comfort. Luckily, there’s a simple solution.
Botox isn’t just for wrinkles—it’s also an FDA-approved treatment for excessive sweating. By temporarily blocking the nerves that activate sweat glands, Botox and other neuromodulators can significantly reduce or even stop sweating in targeted areas for up to six months.
Treatment is quick, virtually painless, and requires no downtime. Results typically start to appear within a week, making it the perfect treatment to consider before the summer heat hits.
Feel dry, confident, and comfortable in your clothes all season long—ask us about hyperhidrosis treatment today.
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Aesthetic and Longevity Healthcare
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PFRANKMD| The Most Cutting-Edge Technologies| Customized Signature Treatments| Only Licensed Healthcare Professionals
For more information about the right treatment for reliable relief from jaw pain, lockjaw, TMJ, and more, schedule a consultation with an expert provider at one of our dermatology offices in New York City. Virtual consultations are also available.
Related Conditions & Services
Emface TMJ
EMFACE™ TMJ is the latest FDA-cleared indication of the EMFACE platform, now officially approved to treat temporomandibular joint (TMJ) dysfunction. This means EMFACE is cleared for:
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Relief of symptoms associated with muscle spasm
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Treatment of TMJ dysfunction and associated pain
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Muscle re-education (helping facial/masticatory muscles return to healthier function)
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Increased local blood flow
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Maintenance or improvement of mandibular range of motion
EMFACE TMJ uses the same combined technologies —- radiofrequency (RF) + HIFES® (high-intensity facial electrical stimulation) — but configured to target the masseter, temporalis, and surrounding jaw musculature. It’s injectable-free, non-surgical, and now a recognized option for patients looking for relief from TMJ-related symptoms.