Jeuveau in King of Prussia & Exton, PA

Written by Dr. Anshul Gambhir

*Also available at all locations

#1 in the Philadelphia Area

What our founder says:

"At our practice, we trust Jeuveau to deliver natural, youthful results our clients love. It’s a modern wrinkle solution designed with precision, helping you look refreshed - never overdone."

What our founder says:

"Botox is one of the oldest and must trusted neuromodulators that helps to relax muscles and soften the wrinkles that follow from excessive movement. Botox can lift the upper face by softening the muscles that are tugging down. It has uses throughout the upper and lower face, with special case uses to help manage pain and sweating. All doses and placement can be adjusted to maintain a patients individuality."

5,426,166

Units of Botox Delivered

#1 in the Philadelphia Region

58,661

Syringes of filler delivered

Why Trust Gambhir for Your Jeuveau

At Gambhir Cosmetic Medicine, we combine expert medical training with aesthetic sensibility. Our providers are experts in facial anatomy and injectable treatments. We apply advanced injection techniques, comfortable treatment protocols, and the latest best practices to deliver natural, refreshed results.

We believe in tailored care. Your face is unique, and so should your treatment plan. We prioritize safety, precision, and patient satisfaction, not a one-size-fits-all approach.

What Is Jeuveau?

Jeuveau (prabotulinumtoxinA-xnwh) is a neuromodulator, sometimes called a “botox alternative”, that temporarily reduces muscle activity to soften dynamic wrinkles. With accurate placement, Jeuveau relaxes targeted muscles, smoothing lines and allowing the overlying skin to rest, without freezing your expression.

It’s FDA-approved for the treatment of glabellar lines (the “frown lines” between the eyebrows) in adults. Many practitioners also use it off-label in areas like the forehead, crow’s feet, and elsewhere, based on individual anatomy and goals.

How Does Jeuveau differ from Botox?

Jeuveau and Botox are both neuromodulators that use botulinum toxin type A to relax facial muscles and smooth expression lines, but they differ in their specific formulations. Botox is made with onabotulinumtoxinA, while Jeuveau uses prabotulinumtoxinA-xvfs, a slightly different strain or complex of the toxin. Although these formulations produce similar clinical outcomes in reducing wrinkles, Jeuveau is often referred to as the “modern” or “new-generation” neurotoxin, as it was developed using a more contemporary manufacturing process specifically for aesthetic use. This has led some patients and providers to note subtle differences in onset or feel, though both products remain effective and widely trusted for achieving smoother, more youthful-looking skin.

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Jeuveau Candidacy

Jeuveau is generally suitable for adults who wish to soften moderate to severe dynamic wrinkles. Ideal candidates:

  • Have lines that worsen with facial movement (frown, forehead creases, etc.)
  • Are in good overall health
  • Have realistic expectations
  • Are not pregnant or breastfeeding
  • Don’t have certain neuromuscular disorders

A consultation is required to review your medical history, goals, and determine whether Jeuveau is appropriate for you.

Benefits of Jeuveau

  • Smooths dynamic lines for a noticeably refreshed appearance
  • Minimal downtime – most patients resume daily activity immediately
  • Results typically appear within 2 weeks
  • Natural-looking, subtle results when dosed appropriately
  • Option to combine with other aesthetic treatments (fillers, skin treatments)

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Jeuveau Beyond Wrinkles

While Jeuveau is primarily used for cosmetic smoothing, some practices and clinicians explore off-label applications. Potential additional uses (administered thoughtfully and selectively) include:

  • Masseter reduction / jaw slimming: relaxing overactive jaw muscles
  • Hyperhidrosis: reducing excessive sweating (e.g. underarms)
  • Brow shaping: subtle adjustment of brow position
  • Migraine / tension relief: in certain protocols

Note: Off-label use should be discussed in consultation, with full disclosure of risks and benefits.

The Jeuveau Procedure

  1. Consultation & planning: We evaluate facial tissue, muscle strength, wrinkle patterns, and discuss your goals.
  2. Marking & dosing:  Key injection sites are mapped, and precise dosages are determined.
  3. Injection: Using fine needles, Jeuveau is injected into targeted muscles. The process is typically quick.
  4. Observation: After injections, we monitor you briefly and provide post-treatment guidance.

The procedure is typically comfortable, and many patients describe only mild stinging or pressure.

Recovery & Aftercare

  • Mild redness, swelling, or bruising at the injection sites is common and typically resolves within hours to a couple days
  • Avoid strenuous exercise, lying flat, or rubbing the area for 4–6 hours
  • Wait at least 24 hours before facial massages or treatments
  • Full effects emerge over ~7–14 days
  • Results often last 3–4 months, varying by individual

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Frequently Asked Questions

How soon will I see results?

 Some softening is visible within 2–4 days; full results typically at ~14 days.

Most patients maintain results for about 3 to 4 months before retreatment is needed.

When administered by qualified professionals, Jeuveau is considered safe. Common side effects include mild bruising, swelling, headache, or temporary droop, these are typically transient.

Yes. Jeuveau works well in combination with dermal fillers, skin resurfacing, lasers, microneedling, and other aesthetic services to achieve a more holistic rejuvenation.

Many practices offer both options and may alternate or choose based on patient response, pricing, or provider preference. We’ll help guide what’s best for your needs.

Over time, the muscles gradually return to baseline. Wrinkle appearance will revert, not worsen beyond baseline.