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My Preferred Neuromodulator: Botox®, Dysport® or Nuceiva™?

My Preferred Neuromodulator: Botox®, Dysport® or Nuceiva™?

by Dr. Heather Iverson | Apr 20, 2022 | Cosmetic Injections

When it comes to “botox” your options go beyond, well, Botox®. I’m going to sound like a broken record, but it needs to be said–I believe in providing my patients options. Along with the option to have or not have cosmetic injections, you have the choice of which...

Recent Posts

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  • The Sylfirm X PDRN VAMP™ Facial | Dr. Heather Iverson, ND | Parksville BC
  • Lip Filler: Should I get a half or full syringe?
  • The Nefertiti Lift: What You’re Not Being Told
  • What happens to our skin during menopause?

Recent Comments

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  • Correcting Gummy Smile on Vancouver Island - Dr Heather Iverson on Filler Migration: Why It Happens & What To Do
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  • Dr. Heather Iverson on I Tried Mesotherapy with Hyaluronic Acid and Here’s What Happened
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drheatheriverson avatar
drheatheriverson Mar 18

ASK ME ANYTHING | When it comes to your face, your body, your health, there could never be a dumb question. Ask me, then ask again if you’re still unsure. I recently updated my website and added FAQ sections throughout to help answer some of the most common questions. I also have A LOT of resources on my blog specifically written with you in mind. That said, please never feel embarrassed to ask questions during your consult or treatment. That is literally what I’m here for. And if you haven’t noticed already, I genuinely love talking about this stuff.

www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector

Open
ASK ME ANYTHING | When it comes to your face, your body, your health, there could never be a dumb question. Ask me, then ask again if you’re still unsure. I recently updated my website and added FAQ sections throughout to help answer some of the most common questions. I also have A LOT of resources on my blog specifically written with you in mind. That said, please never feel embarrassed to ask questions during your consult or treatment. That is literally what I’m here for. And if you haven’t noticed already, I genuinely love talking about this stuff.

www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector
drheatheriverson avatar
drheatheriverson Mar 17

BOTOX: THE REAL TIMELINE | One way I often explain neuromodulator longevity to patients is by thinking about two different bell curves. The first bell curve is biologic duration. Some people fall on the shorter end of the spectrum and may notice their treatment wearing off closer to two months. Most people fall into the average range of about three to four months. And then there are patients who metabolize it more slowly and may see results lasting five months or longer. But there is a second bell curve that matters just as much, and that is patient preference.

Some patients prefer absolutely no movement and will return earlier in the tapering phase of the treatment. Others are perfectly comfortable allowing some movement to return before they come back. Where you fall on that curve often determines how frequently you choose to treat. It’s also important to understand that movement returning does not always mean wrinkles returning. When skin is healthy and well supported, many patients tolerate some muscle movement without being bothered by it. Cosmetic injections do have limitations, and there are always nuances involved. Dose matters. The specific neuromodulator used can influence how gradually the treatment tapers. And individual biology plays a role in how your body responds over time.

This is why the relationship between patient and injector is so important. A thoughtful treatment plan develops over time as your provider learns how your face responds, how you prefer to look, and where you feel most comfortable in that tapering phase. When patients move from injector to injector, it becomes much harder to refine that plan. It takes time to truly understand someone’s facial anatomy, muscle patterns, and treatment preferences.
•⁠
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector

Open
BOTOX: THE REAL TIMELINE | One way I often explain neuromodulator longevity to patients is by thinking about two different bell curves. The first bell curve is biologic duration. Some people fall on the shorter end of the spectrum and may notice their treatment wearing off closer to two months. Most people fall into the average range of about three to four months. And then there are patients who metabolize it more slowly and may see results lasting five months or longer. But there is a second bell curve that matters just as much, and that is patient preference. 

Some patients prefer absolutely no movement and will return earlier in the tapering phase of the treatment. Others are perfectly comfortable allowing some movement to return before they come back. Where you fall on that curve often determines how frequently you choose to treat. It’s also important to understand that movement returning does not always mean wrinkles returning. When skin is healthy and well supported, many patients tolerate some muscle movement without being bothered by it. Cosmetic injections do have limitations, and there are always nuances involved. Dose matters. The specific neuromodulator used can influence how gradually the treatment tapers. And individual biology plays a role in how your body responds over time.

This is why the relationship between patient and injector is so important. A thoughtful treatment plan develops over time as your provider learns how your face responds, how you prefer to look, and where you feel most comfortable in that tapering phase. When patients move from injector to injector, it becomes much harder to refine that plan. It takes time to truly understand someone’s facial anatomy, muscle patterns, and treatment preferences.
•⁠ 
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector
drheatheriverson avatar
drheatheriverson Mar 13

THE LIP INTRO | Here’s why I often start with a half syringe of lip filler:
1) It allows me to see how your body responds to the product. Everyone metabolizes hyaluronic acid fillers a little differently.
2) It allows us to build slowly and maintain control over shape and proportion. Gradual layering also helps reduce the risk of filler migration, when product moves beyond the vermilion border and into surrounding tissue.
That said, many patients who start with a half syringe end up returning for the second half sooner than they expected because they miss the swell 😂

•
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector

Open
THE LIP INTRO | Here’s why I often start with a half syringe of lip filler:
1) It allows me to see how your body responds to the product. Everyone metabolizes hyaluronic acid fillers a little differently.
2) It allows us to build slowly and maintain control over shape and proportion. Gradual layering also helps reduce the risk of filler migration, when product moves beyond the vermilion border and into surrounding tissue.
That said, many patients who start with a half syringe end up returning for the second half sooner than they expected because they miss the swell 😂

•
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector
drheatheriverson avatar
drheatheriverson Mar 12

While I wouldn`t recommend basing 100% of your life choices on Chat`s responses, but in this case...😏
•⁠
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector

Open
While I wouldn't recommend basing 100% of your life choices on Chat's responses, but in this case...😏
•⁠ 
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjector
drheatheriverson avatar
drheatheriverson Mar 10

SPRING BREAK NOTICE | I’ll be away March 21–28 for a short spring break. If you’ve been meaning to book an appointment, this is your gentle nudge to do it sooner rather than later.

The schedule leading up to the break tends to fill a little faster than usual, so if something has been on your mind lately, this is a good time to secure a spot before I’m away for the week.
•
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjections

Open
SPRING BREAK NOTICE | I’ll be away March 21–28 for a short spring break. If you’ve been meaning to book an appointment, this is your gentle nudge to do it sooner rather than later.

The schedule leading up to the break tends to fill a little faster than usual, so if something has been on your mind lately, this is a good time to secure a spot before I’m away for the week.
•
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay #cosmeticinjections
drheatheriverson avatar
drheatheriverson Mar 10

I had some giggles making this one 😂😂
Is this track stuck in anyone else’s head???

Open
I had some giggles making this one 😂😂
Is this track stuck in anyone else’s head???
drheatheriverson avatar
drheatheriverson Mar 9

DOING IT FOR THE GIRLS | 99% of the time, I’m doing it for the girls. For the women who trust me with their care, whether we’re talking about hormones, skin, aging, or the many things that come up when women finally have space to talk about their health.
They say we tend to dress for the women in our lives, but I think it goes beyond that. I want to show up as the best version of myself so the women around me feel supported to be the best version of themselves. I want to excel in my lane so you can excel in yours. If you`re seeing this post, please let it be your reminder to give an unprompted "you`re doing great" to a woman in your life. God knows she doesn`t hear it enough. OH and hope you enjoyed your 23-hour #internationalwomensday yesterday!

www.drheatheriverson.com | #IWD #langley #parksville #nanaimo #courtenay

Open
DOING IT FOR THE GIRLS | 99% of the time, I’m doing it for the girls. For the women who trust me with their care, whether we’re talking about hormones, skin, aging, or the many things that come up when women finally have space to talk about their health.
They say we tend to dress for the women in our lives, but I think it goes beyond that. I want to show up as the best version of myself so the women around me feel supported to be the best version of themselves. I want to excel in my lane so you can excel in yours. If you're seeing this post, please let it be your reminder to give an unprompted "you're doing great" to a woman in your life. God knows she doesn't hear it enough. OH and hope you enjoyed your 23-hour #internationalwomensday yesterday! 

www.drheatheriverson.com | #IWD #langley #parksville #nanaimo #courtenay
drheatheriverson avatar
drheatheriverson Mar 9

WHY PEOPLE ARE SCARED OF LIP FILLER IN 2026 | Tbh I haven`t seen a slow down in lip filler treatments in my practice at all, but here`s why I believe people are scared of lip filler:
1) The “overfilled” look online. Poorly placed or excessive filler is now often associated with looking older, not younger.
2) More public discussion about complications. Patients are more informed about risks like vascular occlusion, migration, and long-term filler buildup.
3) Distrust from inconsistent injector skill. Patients have learned that injector experience, anatomy knowledge, and product choice matter (more than $$).
4) The shift toward natural aesthetics (music to my ears). The current trend favours treatments that look like nothing was done. Even if this "trend" leaves, I`ll be sticking with it. Undetectable results > dramatic changes.
•⁠
www.drheatheriverson.com | #langley #nanaimo #courtenay #lipfiller

Open
WHY PEOPLE ARE SCARED OF LIP FILLER IN 2026 | Tbh I haven't seen a slow down in lip filler treatments in my practice at all, but here's why I believe people are scared of lip filler:
1) The “overfilled” look online. Poorly placed or excessive filler is now often associated with looking older, not younger. 
2) More public discussion about complications. Patients are more informed about risks like vascular occlusion, migration, and long-term filler buildup.
3) Distrust from inconsistent injector skill. Patients have learned that injector experience, anatomy knowledge, and product choice matter (more than $$).
4) The shift toward natural aesthetics (music to my ears). The current trend favours treatments that look like nothing was done. Even if this "trend" leaves, I'll be sticking with it. Undetectable results > dramatic changes.
•⁠ 
www.drheatheriverson.com | #langley #nanaimo #courtenay #lipfiller
drheatheriverson avatar
drheatheriverson Mar 5

IT’S BEEN TOO LONG | Since you did something for yourself. Since you’ve carved our 30 uninterrupted minutes for you. Since you invested in you. If it’s been too long, let’s make a date. Here’s where you’ll find me next:

@xposesalon Nanaimo, BC:

Thursday, March 5
Thursday, March 12
Thursday, March 19
Thursday, April 2

@parksville.wellness.collective Parksville, BC:
Wednesday, March 11
Wednesday, March 17
Wednesday, March 18
Wednesday, April 1

@selflove.langley Langley, BC
Monday, March 9
Tuesday, March 10
Monday, March 30
Tuesday, March 31

@clinicfivelaser Courtenay, BC
Monday, April 13
•⁠
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay

Open
IT’S BEEN TOO LONG | Since you did something for yourself. Since you’ve carved our 30 uninterrupted minutes for you. Since you invested in you. If it’s been too long, let’s make a date. Here’s where you’ll find me next:

@xposesalon Nanaimo, BC:

Thursday, March 5 
Thursday, March 12
Thursday, March 19
Thursday, April 2 

@parksville.wellness.collective Parksville, BC:
Wednesday, March 11
Wednesday, March 17 
Wednesday, March 18
Wednesday, April 1 

@selflove.langley Langley, BC
Monday, March 9 
Tuesday, March 10 
Monday, March 30
Tuesday, March 31

@clinicfivelaser Courtenay, BC
Monday, April 13 
•⁠ 
www.drheatheriverson.com | #langley #parksville #nanaimo #courtenay
drheatheriverson avatar
drheatheriverson Feb 28

LET’S CONTINUE THE CONVERSATION | Over the last few years of focusing my practice on cosmetic injections, I’ve noticed my conversations with patients naturally moving beyond aesthetics. My passion for supporting women — especially those entering perimenopause — in understanding changes in hormones and energy has grown significantly. That’s why I’m expanding this part of my work as a Naturopathic Doctor.

I’ve opened a small number of spaces to support women through perimenopause and beyond, using a deep, evidence-based, lab-driven approach. To keep care personal and thoughtful, I’ll only be accepting a few new patients each month. To join, comment WAITLIST and I’ll send you everything you need to know to get started. For more women’s health content, follow my dedicated account @dr.heatheriverson.nd
•⁠
www.drheatheriverson.com | #perimenopause #nd #naturopathicdoctor #hormonehealth #womenshealth

Open
LET’S CONTINUE THE CONVERSATION | Over the last few years of focusing my practice on cosmetic injections, I’ve noticed my conversations with patients naturally moving beyond aesthetics. My passion for supporting women — especially those entering perimenopause — in understanding changes in hormones and energy has grown significantly. That’s why I’m expanding this part of my work as a Naturopathic Doctor.

I’ve opened a small number of spaces to support women through perimenopause and beyond, using a deep, evidence-based, lab-driven approach. To keep care personal and thoughtful, I’ll only be accepting a few new patients each month. To join, comment WAITLIST and I’ll send you everything you need to know to get started. For more women’s health content, follow my dedicated account @dr.heatheriverson.nd
•⁠ 
www.drheatheriverson.com | #perimenopause #nd #naturopathicdoctor #hormonehealth #womenshealth
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Mar 14

I’m trying something new. I want to see if this is a realistic lifestyle suggestion for us busy moms !

No, I didn’t come up with this. I don’t know who did.

I’m finding (especially with the time change), waking earlier in the morning to get a workout in, isn’t happening. So I’m trying to get 100 push-ups done in a day -throughout the day !

Honestly… first attempted I only got 20 in 🤣
Second attempt I got 50… and now I’m too sore today (day 3) but let’s see if I can get another 50 in 🤔 (and not at once! I can only do 10 continuous push-ups)

You can also do this with squats/crunches/etc!

Let me know if this has worked for you with a 👋 or if you want an update on how this goes haha 🤣

8 1
Open
I’m trying something new. I want to see if this is a realistic lifestyle suggestion for us busy moms ! 

No, I didn’t come up with this. I don’t know who did. 

I’m finding (especially with the time change), waking earlier in the morning to get a workout in, isn’t happening. So I’m trying to get 100 push-ups done in a day -throughout the day !

Honestly… first attempted I only got 20 in 🤣
Second attempt I got 50… and now I’m too sore today (day 3) but let’s see if I can get another 50 in 🤔 (and not at once! I can only do 10 continuous push-ups)

You can also do this with squats/crunches/etc!

Let me know if this has worked for you with a 👋 or if you want an update on how this goes haha 🤣
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Feb 9

This space has been quietly taking shape ✨

A place for deeper conversations, longer visits, and care that actually connects the dots.

If you’ve been following along… you already know what this is about.

Waitlist is open 🤍 link in bio

35 5
Open
This space has been quietly taking shape ✨

A place for deeper conversations, longer visits, and care that actually connects the dots.

If you’ve been following along… you already know what this is about.

Waitlist is open 🤍 link in bio
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Feb 1

Melatonin has helped me at times and especially with falling asleep.
But when my sleep stayed restless or unrefreshing, I had to look further.
That’s what this carousel is about. Melatonin is a signal, not the whole system. Hormones, iron status, stress, and circadian rhythm all influence whether that signal actually lands.
Sleep in perimenopause is rarely about one supplement — it’s about understanding the bigger picture.

Has melatonin helped you? Or left you confused?

10 1
Open
Melatonin has helped me at times and especially with falling asleep.
But when my sleep stayed restless or unrefreshing, I had to look further.
That’s what this carousel is about. Melatonin is a signal, not the whole system. Hormones, iron status, stress, and circadian rhythm all influence whether that signal actually lands.
Sleep in perimenopause is rarely about one supplement — it’s about understanding the bigger picture.

Has melatonin helped you? Or left you confused?
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Jan 31

This isn’t about crushing workouts.
It’s about doing what actually fits in this season of life.

Short. Focused. Repeatable.

Strength/resistance training in perimenopause isn’t optional, it’s protective.
For muscles, bones, metabolism, hormones, and long-term health and mobility.

If this looks doable… that’s the point ☝️

Let’s share ideas! What works for you??? Comment below 👇

#perimenopause #resistancetrainingforwomen #naturopathicmedicine #womenshealth #menopause

27 7
Open
This isn’t about crushing workouts.
It’s about doing what actually fits in this season of life. 

Short. Focused. Repeatable.

Strength/resistance training in perimenopause isn’t optional, it’s protective. 
For muscles, bones, metabolism, hormones, and long-term health and mobility. 

If this looks doable… that’s the point ☝️

Let’s share ideas! What works for you??? Comment below 👇

#perimenopause #resistancetrainingforwomen #naturopathicmedicine #womenshealth #menopause
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Jan 23

I think most of us have dabbled with Melatonin 😉
But it’s actually the end of a much bigger pathway.

Meaning… there’s more to the story.
-Hormones
-Iron status (guilty!)
-Stress (cortisol)
-Circadian rhythm
-Genetics
All influence how well our body makes and responds to melatonin.

Shout-out to my friend Morgan @feed.your.genes for the work she’s done for me and in helping her patients personalize nutrition, lifestyle and exercise through a genetic lens !!

If you want to learn more I suggest following her page as well!

#womenshealthandwellness #naturopathicmedicine #genetichealth #sleepbetterlivebetter #perimenopause

9 3
Open
I think most of us have dabbled with Melatonin 😉
But it’s actually the end of a much bigger pathway. 

Meaning… there’s more to the story. 
-Hormones
-Iron status (guilty!)
-Stress (cortisol)
-Circadian rhythm
-Genetics 
All influence how well our body makes and responds to melatonin.

Shout-out to my friend Morgan @feed.your.genes for the work she’s done for me and in helping her patients personalize nutrition, lifestyle and exercise through a genetic lens !! 

If you want to learn more I suggest following her page as well! 

#womenshealthandwellness #naturopathicmedicine #genetichealth #sleepbetterlivebetter #perimenopause
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Jan 21

Does melatonin work for you?

Great if it does! But it’s very common that it won’t.
Sleep in perimenopause is about the whole system, not just what we take at night. I’m on a journey to really explain and understand all the pieces to the puzzle !

Give me a wave if you value your sleep 👋

#naturopathicdoctor #sleepeducation #sleephealth #womenshealthcare #perimenopauseeducation

20 4
Open
Does melatonin work for you?

Great if it does! But it’s very common that it won’t.
Sleep in perimenopause is about the whole system, not just what we take at night. I’m on a journey to really explain and understand all the pieces to the puzzle ! 

Give me a wave if you value your sleep 👋

#naturopathicdoctor #sleepeducation #sleephealth #womenshealthcare #perimenopauseeducation
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Jan 20

Are you waking between 2-4am? I’ve been there too.

Hormones play a role but aren’t always the whole story. Learn along with me as I dive deeper to understand why your sleep is disrupted and how to support yourself naturally or when it’s worth looking deeper and reaching out to a certified health care professional 🩺

Feel free to comment any specific questions you’d like a video on 😉 I’m here for you and to connect the dots.

This content is for educational only and isn’t a substitute for individual medial care.

#naturopathicdoctor #perimenopause #sleephealth #menopauseeducation #hormonehealthforwomen

12 2
Open
Are you waking between 2-4am? I’ve been there too. 

Hormones play a role but aren’t always the whole story. Learn along with me as I dive deeper to understand why your sleep is disrupted and how to support yourself naturally or when it’s worth looking deeper and reaching out to a certified health care professional 🩺

Feel free to comment any specific questions you’d like a video on 😉 I’m here for you and to connect the dots.

This content is for educational only and isn’t a substitute for individual medial care. 

#naturopathicdoctor #perimenopause #sleephealth #menopauseeducation #hormonehealthforwomen
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Jan 19

Sleep issues can be the most frustrating thing 😫 I know because I’ve been there as well.

I’ve chosen to dive into the most common issues as we are approaching “midlife” (yes, I said midlife 😬) and entering our perimenopause journey!

I’m hoping to address some common issues and help you troubleshoot some reasons behind sleep struggles to give you back that rest you deserve 💤

Follow along, tag a friend who could benefit and comment if you have any questions!

#SleepAndHormones #SleepHealth #perimenopause #lutealphase #hormonecycle

19 0
Open
Sleep issues can be the most frustrating thing 😫 I know because I’ve been there as well. 

I’ve chosen to dive into the most common issues as we are approaching “midlife” (yes, I said midlife 😬) and entering our perimenopause journey! 

I’m hoping to address some common issues and help you troubleshoot some reasons behind sleep struggles to give you back that rest you deserve 💤

Follow along, tag a friend who could benefit and comment if you have any questions! 

#SleepAndHormones #SleepHealth #perimenopause #lutealphase #hormonecycle
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Jan 18

Sleep disruption is one of the most common concerns I hear from women in perimenopause. Over the next week or so, I’m going to cover the most common sleep issues women experience and simplify why they happen.

This isn’t about “trying harder” or better sleep hygiene alone. It’s about understanding hormones, neurotransmitters, vitamins, minerals and how they all interconnect and change across a women’s cycle.

Save this and follow along if your sleep has felt off lately-or tag a friend who could benefit too!

19 1
Open
Sleep disruption is one of the most common concerns I hear from women in perimenopause. Over the next week or so, I’m going to cover the most common sleep issues women experience and simplify why they happen. 

This isn’t about “trying harder” or better sleep hygiene alone. It’s about understanding hormones, neurotransmitters, vitamins, minerals and how they all interconnect and change across a women’s cycle. 

Save this and follow along if your sleep has felt off lately-or tag a friend who could benefit too!
dr.heatheriverson.nd avatar
dr.heatheriverson.nd Dec 16

Not gonna lie… I’ve been off my routine lately 🙋‍♀️
And then I remembered: perimenopause is not the time to ghost your dumbbells.

🦴 Quick bone facts we don’t talk about enough:

☑️ Women reach our peak bone density around the age of 20
☑️ Bone loss can begin in early perimenopause but accelerates during the later years
☑️ Women can lose up to 20% of bone density in the years around menopause (50-54)

🏋️ Strength training is one of the most effective ways to slow bone loss and reduce fracture risk

This isn’t about aesthetics.
It’s about staying strong, steady, and independent for decades.
Posting this because if I needed the reminder… maybe you did too ????

#Perimenopause #StrongNotThin #BoneHealth #LiftForLongevity #MidlifeStrength

19 1
Open
Not gonna lie… I’ve been off my routine lately 🙋‍♀️
And then I remembered: perimenopause is not the time to ghost your dumbbells.

🦴 Quick bone facts we don’t talk about enough:

☑️ Women reach our peak bone density around the age of 20
☑️ Bone loss can begin in early perimenopause but accelerates during the later years 
☑️ Women can lose up to 20% of bone density in the years around menopause (50-54)

🏋️ Strength training is one of the most effective ways to slow bone loss and reduce fracture risk

This isn’t about aesthetics.
It’s about staying strong, steady, and independent for decades.
Posting this because if I needed the reminder… maybe you did too ???? 

#Perimenopause #StrongNotThin #BoneHealth #LiftForLongevity #MidlifeStrength
Dr Heather Iverson Black Logo Medical Naturopathic Treatments British Columbia Best
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