Actual Patients of Philip K. Robb Jr., MD

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Atlanta and Alpharetta Facial Plastic Surgeon Dr. Robb Jr. is an expert in using neuromodulators (Botox, Dysport, Xeomin, Jeuveau) to smooth skin and fine wrinkles to create subtle facial changes that are natural and beautiful while preserving your facial expressions. The ideal treatment does not freeze the face, but allows natural expression that doesn’t result in wrinkles and fine lines. This is extremely patient specific.

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Neuromodulators are a family of medicines that relax or weaken the muscles of where they are injected. Botox, Dysport, Jeuveau, and Xeomin are the four main brands. All brands are widely used and are renowned for preserving beauty and youth by decreasing skin folds and wrinkles. Application of these medications is paramount as erroneous placement of these potent medicines can result in undesired effects. Dr. Robb Jr.’s surgical expertise and understanding of the facial muscle location and depth make him exceptionally qualified to give you the results you want.

Am I too young for Botox(R)?

Neuromodulators such as Botox or Dysport are best used BEFORE wrinkles have permanently set in on your face. These treatments work to weaken the muscles and thus decrease further wrinkling and can significantly slow down the aging effects. Many patients choose to begin treatments in their 20s and 30s. Beginning treatment early has been proven to be effective in an interesting identical twin study pictured below.

Is Botox absorbed into your system? Is it dangerous?

Like any other medical treatment, it’s important that your injector knows the intricate facial anatomy and the fine details of the treatment. When performed correctly, the medicine is not absorbed into the circulatory system. Botox is FDA approved meaning that it has been studied and found to be safe for humans.

What’s the difference between Botox and Dysport?

Here are some points to clear up any confusion regarding the two medicines
– both are FDA approved to be safe
– both are Onabotulinum toxin type A
– Dysport is a smaller molecule (allows it to work faster than Botox)
– both are active for approximately 3 months

I’ve had Botox before and I don’t like how it looks on me.

In experienced hands, we believe that conservative treatments look natural improving anyone’s facial appearance.
– eyebrows can be shaped and contoured
– vertical lines between the eyebrows can be softened or removed
– horizontal lines on the forehead can be softened or removed
– crows feet can be reduced or removed
– lip lines can be softened
– Lower facial thickness can be narrowed

Procedure Information


1-3 minutes


full results in 2 weeks


A lifetime




bruising, undesired effects requiring additional treatment


Neuromodulators (Botox, Dysport, Xeomin) weaken the muscles of the face and are a quick and effective treatment that can make a significant difference in your aging and overall facial appearance.

​When used properly, these treatments smooth the forehead and glabella (area between the eyebrows), prevent or decrease crows feet, and can even raise the eyebrow while preserving the ability to have facial expression.

Through aging and sun damage, the skin becomes thinner, the elasticity decreases, and the subcutaneous facial fat decreases and descends. In addition to this, we have a complex series of muscles under the face responsible for facial movements. As these muscles contract over and over again, the skin gets creased; add in enough years of life and the creases become “static” that is they don’t disappear when the face is relaxed. Through these treatments, we are able to target these muscles and selectively weaken them. We are also able to shape the face using botox including causing eyebrow elevation or narrowing of the lower face. These treatments can but generally do not erase wrinkles that are present at rest, resurfacing procedures may be needed in these circumstances.


This treatment is the best way to prevent aging and provide subtle facial enhancement. Quick, painless, and extremely highly rated, this treatment is foundational in order to prevent aging. Dr. Robb Jr. and our master injector believe that educating our patients is the most important aspect of preparation for botox treatments.

We recommend bringing your makeup if you need it to carry on the rest of your day as Dr. Robb Jr. or our nurse provider will remove your makeup from the treatment areas during cleaning.
The results begin to take effect in 24hrs and peak at 2 weeks. Dr. Robb Jr. and our master injector nurse like to see their patients 2 weeks after injection especially for new patients.

Stopping all blood thinners, Advil, Motrin, Aleve, and herbal medicines can help prevent bruising.

Pineapple and arnica have been shown to decrease bruising as well.


After a thorough discussion to assess your areas of concern and goals, Dr. Robb Jr. or our nurse provider will take pictures for proper documentation.

​Measurements and markings are often made to ensure symmetry or to restore symmetry as most people’s faces are slightly asymmetric. After the marking, the medicine is injected into the skin in a quick and painless fashion.

Areas most commonly treated include the forehead, glabella (area between the eyebrows), and the crows feet, but other areas can be addressed as needed.

Pressure will be held over the treated areas to help prevent bruising. Our goal is always that you can return to life quickly without any signs of treatment.


The medication is absorbed in 10-20minutes after the procedure. To prevent bruising or swelling, waiting at least 4 hours from lying down or intense physical activity is advised.

Minimal bruising can result from treatment on occasional circumstances- these can be covered with makeup.

The effects of these medications is not immediate, allow several days for the muscles to weaken.

If there are any questions or concerns, Dr. Robb Jr. and our master-level injector make themselves available to their patients at all times to ease your mind.


Effects begin to appear in 24-48 hours after treatment and peak at 2 weeks. We like to see first-time patients back at 2 weeks after injection to confirm that they have received optimum results Results last 3-5 months.

Sunscreen combined with medical-grade skincare will preserve your results and your face while allowing our work to stay fresh for longer.

Results are additive; many years of consistent treatment significantly prevent signs of aging.

Click the picture to see botox results.

Schedule Your Consultation Today

If you think you are a good candidate and would like to learn more about Botox & Dysport, please contact our office in Alpharetta, Georgia today to set up a personalized consultation. Our friendly and knowledgeable staff will answer any questions you may have about the procedure and will be happy to assist you with anything you may need.

Dr. Robb is a RealSelf Hall of Fame Physician and Verified Top Doctor.

Facial Plastic Surgeon Board Certificate
RealSelf Hall of Fame
RealSelf Verified Doctor
American Board of Otolaryngology
RealSelf Top Doctor
Facial Plastic Surgery2020 best of north atlanta best cosmetic surgery

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