Dr. David Samuels is a periodontist from Boston, MA, who comes to Bermuda every month to perform a variety of procedures, including cosmetic and TMJ treatment using XEOMIN® , and dermal fillers with Restylane®.
Book a Consultation Today by calling the office @ 296-0990 or email us.
Frequently Asked Questions
Cosmetic

WHAT IS XEOMIN®?
XEOMIN® (incobotulinumtoxinA) is a prescription medication injected into muscles and used to temporarily improve the appearance of moderate to severe frown lines between the eyebrows (glabellar lines) in adults. XEOMIN® contains botulinum toxin type A, a protein purified from the bacterium Clostridium botulinum.
WHAT IS THE DIFFERENCE BETWEEN XEOMIN® AND BOTOX®?
Botox is commonly used to treat wrinkles with the neurotoxin, botulinum toxinA, however, it must be kept at a certain temperature to avoid denaturing, which is difficult to achieve as Dr. Samuels travels with the product from Boston. XEOMIN® is a safer option as it comes in the powder form and can be rehydrated before your appointment.
HOW DOES XEOMIN® WORK?
When you squint or frown, the muscles between your eyebrows contract, causing the skin to furrow and fold. Over time, as your skin ages and loses some of its elasticity, these repeated contractions can cause persistent frown lines. Botulinum toxin type A – the active ingredient in XEOMIN®– acts on nerve endings in muscles to prevent muscle fibers from contracting. By reducing these contractions, XEOMIN® can temporarily reduce the lines between your eyebrows.
WHAT CAN I EXPECT DURING TREATMENT?
During treatment, which usually takes about 10-20 minutes, your doctor will inject XEOMIN® into the muscles in your forehead that cause frown lines between your eyebrows. No anesthesia is required; however, your physician may use a topical anesthetic or cold pack to reduce any discomfort.
WHEN CAN I EXPECT TO SEE RESULTS?
You may begin to see visible smoothing as early as 3-4 days after injection. The median first onset of effect was less than a week. The maximum effect occurred at 30 days. The typical duration of effect was up to 3 months in clinical trials but may last significantly longer or shorter in individual patients.
Dermal Fillers

WHAT IS RESTYLANE?
The Restylane family of products is a brand of hyaluronic acid dermal fillers, which includes Restylane Silk, Restylane Lyft, Restylane, Restylane Refyne and Restylane Defyne. Each is a clear gel formulation of hyaluronic acid specifically formulated to act like your body's own naturally produced hyaluronic acid. Each Restylane product is designed for a specific purpose.
WHAT ARE DERMAL FILLERS?
Dermal fillers are facial injection treatments used to help diminish wrinkles while restoring volume and fullness in the face. There are several types of dermal fillers, one being hyaluronic acid. All Restylane products are transparent hyaluronic acids, which are sugars naturally found in the skin that help provide hydration, fullness and elasticity.
HOW LONG DOES IT LAST?
With full treatment, you can see lasting results for up to 18 months with Restylane; up to 12 months in the cheeks and up to 6 months in facial wrinkles and folds, such as nasolabial folds, with Restylane Lyft; 6 months with Restylane Silk; and up to 12 months in the facial wrinkles and folds (such as nasolabial folds and marionette lines) with Restylane Refyne and Restylane Defyne.
The Restylane family of products is a brand of hyaluronic acid dermal fillers, which includes Restylane Silk, Restylane Lyft, Restylane, Restylane Refyne and Restylane Defyne. Each is a clear gel formulation of hyaluronic acid specifically formulated to act like your body's own naturally produced hyaluronic acid. Each Restylane product is designed for a specific purpose.
WHAT ARE DERMAL FILLERS?
Dermal fillers are facial injection treatments used to help diminish wrinkles while restoring volume and fullness in the face. There are several types of dermal fillers, one being hyaluronic acid. All Restylane products are transparent hyaluronic acids, which are sugars naturally found in the skin that help provide hydration, fullness and elasticity.
HOW LONG DOES IT LAST?
With full treatment, you can see lasting results for up to 18 months with Restylane; up to 12 months in the cheeks and up to 6 months in facial wrinkles and folds, such as nasolabial folds, with Restylane Lyft; 6 months with Restylane Silk; and up to 12 months in the facial wrinkles and folds (such as nasolabial folds and marionette lines) with Restylane Refyne and Restylane Defyne.
TMJ Treatment

WHAT IS TMJ DISORDER?
It is a type of temporomandibular disorder (TMJ) that can cause pain in your jaw joint and in the muscles that control jaw movement. This can also result in headaches, neck pain or migraines.
HOW CAN XEOMIN® BE USED TO TREAT TMJ SYMPTOMS?
XEOMIN® is used as an alternative treatment for TMJ (temporo-mandibular joint) disorders and associated jaw tension and pain. When injected into facial muscles afflicted with soreness and discomfort, XEOMIN® relieves TMJ and jaw tension for many patients. The injections often eliminate headaches resulting from teeth grinding, and, in cases of severe stress, XEOMIN® can even minimize lock jaw.
ARE THERE ANY SIDE-EFFECTS?
The most common reported side-effects of Xeomin treatment are headaches, respiratory infection, flu syndrome, temporary eye-lid droop, and nausea. Less commonly reported effects are pain, redness at spot of injection, and muscle weakness. These symptoms are thought to be connected with the injection and occur within the first week.
It is a type of temporomandibular disorder (TMJ) that can cause pain in your jaw joint and in the muscles that control jaw movement. This can also result in headaches, neck pain or migraines.
HOW CAN XEOMIN® BE USED TO TREAT TMJ SYMPTOMS?
XEOMIN® is used as an alternative treatment for TMJ (temporo-mandibular joint) disorders and associated jaw tension and pain. When injected into facial muscles afflicted with soreness and discomfort, XEOMIN® relieves TMJ and jaw tension for many patients. The injections often eliminate headaches resulting from teeth grinding, and, in cases of severe stress, XEOMIN® can even minimize lock jaw.
ARE THERE ANY SIDE-EFFECTS?
The most common reported side-effects of Xeomin treatment are headaches, respiratory infection, flu syndrome, temporary eye-lid droop, and nausea. Less commonly reported effects are pain, redness at spot of injection, and muscle weakness. These symptoms are thought to be connected with the injection and occur within the first week.