Smooth Confidence
Here at Southeast Aesthetic + Wellness we specialize in wrinkle reduction and offer anti-aging injectables, including cosmetic neuromodulators, to temporarily minimize lines and wrinkles associated with dynamic movement aka “expression lines”. We offer Botox, Xeomin & Daxxify to soften and prevent dynamic wrinkles and restore a more youthful appearance. Our treatment plans can meet the needs of patients with mild, moderate, and even more severe expression lines with results lasting 3-6 months, sometimes longer!

What Are Neuromodulators?
Neuromodulators are injectables with an active ingredient called a ‘neurotoxin’–a purified protein that relaxes muscles by temporarily preventing communication between the brain and the nerve signal to the muscle in order to treat dynamic wrinkles.
These products can smooth the most common expression lines on the upper half of the face, including crow’s feet, frown lines, and forehead lines. They also have some off-label uses cosmetically and can even address some muscular medical conditions. Neurotoxins are effective because they target one of the root causes of expression lines by relaxing the muscles, allowing the skin to rest, and patients can reclaim smoother and younger-looking skin. There are currently 5 different brands that are FDA approved here in the US for cosmetic use, including Botox, Xeomin and Daxxify. Results show up over 1-2 weeks and then gradually wear off over 3-6 months (or longer). Our expert nurse injectors will help you decide which brand is right for you!
How Do Neuromodulators Work?
Neuromodulators interact directly with the nervous system to temporarily reduce muscle activity. The purified neurotoxin binds to specific receptor sites on the nerve endings at the injection site. Once attached, it blocks the release of a neurotransmitter called acetylcholine, which is responsible for triggering muscle contractions.
Without acetylcholine, the signal between the nerve and the muscle is disrupted, preventing the muscle from contracting fully. This relaxation allows the overlying skin to recover from repetitive movements that cause wrinkles. The effect is localized so it leaves the surrounding areas unaffected when injected by trained professionals. Over time, the nerve endings regenerate their ability to release acetylcholine, and the effects naturally wear off.
What Can Neuromodulators Treat?
Cosmetic Concerns
- Crow’s Feet: Crow’s feet are caused by repetitive squinting and smiling, which create fine lines radiating outward from the corners of your eyes. Neuromodulators provide wrinkle reduction by targeting the small muscles around your eyes. The treatment can be adjusted to balance smoothness with movement for a refreshed look.
- Forehead Wrinkles: Forehead wrinkles form due to repetitive muscle activity when raising your eyebrows. Neuromodulators relax the frontalis muscle to reduce horizontal lines across the forehead.
- Frown Lines: Frown lines, also called glabellar lines or “11s,” appear between your eyebrows from repeated furrowing or scowling. Anti-aging injections reduce the intensity of the muscles responsible for these deep vertical creases. Regular treatments can also help prevent these lines from deepening over time.
- Vertical Neck Bands: Vertical neck bands, caused by an overactive platysma muscle, can make the neck look tense or aged. Neuromodulators reduce the prominence of these bands. Often called a “Nefertiti lift,” this technique enhances the neck’s overall smoothness while maintaining functionality.
Medical Concerns
- TMJ Disorder: Neuromodulators can be used to reduce temporomandibular joint (TMJ) discomfort. This pain and tension often involve overactive muscles in the jaw. Neuromodulators can relieve symptoms such as jaw clenching, teeth grinding, and tension headaches.
- Hyperhidrosis: Hyperhidrosis is a condition that causes excessive sweating. It happens when the sweat glands are overactive, and can be present in areas like the armpits, hands, and feet. Neuromodulators can be used to temporarily block the nerve signals that stimulate sweat production. Patients may see a reduction in sweating within a few days of treatment, with results lasting several months.
- Migraines: Neuromodulators are FDA-approved for the prevention of chronic migraines, defined as 15 or more headache days per month. By injecting neuromodulators into the forehead, temples, or neck, it can help block pain signals and reduce the frequency and severity of migraines.
Why Choose Cosmetic Injectables?
They Are Long-Lasting, But Not Permanent
Cosmetic injectables provide the perfect balance between longevity and flexibility. The results last for several months and allow you to enjoy fewer wrinkles during this time. If you want a treatment that gives you results without the permanence of surgery, injectables could be right for you.
They Are Suitable for a Wide Range of Skin Types
Anti-aging injections can be used on all skin types. Whether you’re addressing early signs of aging, like crow’s feet and fine lines, or seeking preventative care, these treatments are gentle on the skin and adaptable to your situation. They are also suitable treatments for patients of all skin tones.
Treatments Are Fast and Comfortable
Cosmetic injectables are ideal for busy schedules. In as little as 15 to 30 minutes—often shorter than a lunch break—you can address concerns like forehead wrinkles or frown lines. The process is straightforward and minimally uncomfortable, and because there’s no downtime, you can walk out of our office and continue your day.
Treatments Are Customizable
No two faces are the same, and cosmetic injectables embrace that individuality. With each treatment, we take into account your muscle structure, the depth of your wrinkles, the location of your wrinkles, and the goals you have for your results. With neuromodulators, it is easy to adjust dosage and injection location to account for all of these differences.
The Treatment Process
Before Your Treatment
During your initial visit, we’ll go over your medical history, discuss any medications or supplements you’re taking, and assess the areas you’d like to address. We may advise you to avoid blood-thinning medications, alcohol, or certain supplements for a few days before your appointment to reduce the likelihood of bruising. If this is your first time receiving treatment, we’ll answer any additional questions you may have to make sure you feel at ease.
Cleaning and Preparing the Treatment Area
When you arrive, we’ll clean the skin to remove makeup, oils, or any residue that could interfere with the process. If desired, a topical numbing cream can be applied to ensure maximum comfort during the injections. We’ll also map out precise injection sites based on the areas being treated.
Administering Injections
Using a fine needle, we’ll administer small amounts of the neuromodulator into the targeted muscles. Each injection lasts just a few seconds, and the number of injections will depend on your treatment plan. We’ll ensure that the placement and dosage balance muscle relaxation with natural movement.
What to Expect Right After Treatment
Immediately following your session, you may notice slight redness, swelling, or pinpoint marks in the treated areas. You can expect this to return to normal within a few hours to a day. While wrinkle reduction results develop over the following days, you’ll be able to resume your normal activities almost immediately. We’ll remind you to avoid rubbing the treated areas for the first 24 hours to allow the product to settle properly.
Aftercare Guidance
Post-treatment care is simple with neuromodulators. We recommend avoiding intense physical activity, saunas, or other activities that may increase blood flow to the area for at least 24 hours. Stay upright for the first few hours after your injections to help the results stay right where you want them.
Our Neuromodulator Options
XEOMIN®
XEOMIN, a staff favorite, is a unique injectable made with a specialized manufacturing process resulting in a double-filtered formula. One of the key advantages of XEOMIN is its purity, as it lacks complex proteins, reducing the risk of antibody formation and potential resistance. With its proven track record of safety and efficacy, XEOMIN continues to be a trusted option for aesthetic purposes, offering patients the opportunity to achieve smoother, more youthful-looking skin.
Patients who begin a wrinkle removal treatment with XEOMIN can live free of frown lines for up to five months post-treatment. After we administer the injections, your results will begin to be visible in 2-3 days, with full results by 2 weeks.
DAXXIFY®
DAXXIFY is an anti-aging cosmetic injectable that can smooth frown lines for up to nine months. Results begin to appear within one day, with full results by 2 weeks.
DAXXIFY contains a peptide for results that can last 1-3 months longer than other brands of neuromodulators. Those who want a solution for frown lines that also contains a peptide for long-lasting results can benefit from this anti-aging treatment.
BOTOX®
BOTOX is a popular anti-aging injectable that is FDA-approved to treat most areas of the face: the forehead, the outer corners of the eyes, and the area between the eyebrows. Patients who choose BOTOX to erase expression lines can expect an improvement in the appearance of the treatment area within the first 24 hours and even better results within the first week.
The best results are visible 30 days post-treatment, and regular injections can help patients maintain smoother skin. After treatment, results, on average, last three to four months.
Treating Medical Conditions
We use BOTOX for wrinkle removal but also for medical purposes and design treatment plans for hyperhidrosis, trap muscle reduction, and TMJ. Hyperhidrosis is when a person experiences excessive sweating, typically from the armpits. Injections into specific areas of the armpit can significantly reduce sweat output to promote patient confidence and quality of life.
We can design a treatment plan with BOTOX for TMJ to relax tense jaw muscles and relieve patients from the discomfort associated with this condition.
Dysport®
Dysport is a neuromodulator designed to smooth frown lines between the eyebrows. After an initial treatment, the results are evident within the first two to three days and will continue to improve for the following 30. Results typically last three to four months before a repeat treatment is needed.
FAQ
Patients who are unhappy with their appearance because of dynamic wrinkles can begin a treatment plan with neuromodulators to reclaim their youthful skin. Treatments are quick and virtually painless, can be scheduled during a workday, and require no social downtime. Other treatment benefits include the following:
- Visible wrinkle reduction
- Smoother skin
- Younger-looking skin
- Require little to no social downtime….remember a small bruise or two are possible
The effects of neuromodulators typically last between three to six months. This can be different based on the product we use and how your body responds to the treatment. The strength of your muscles, your metabolism, and the amount of movement in your face can all impact longevity.
We recommend waiting 90 days minimum for repeat treatment. Still, depending on the product and how quickly your body metabolizes it, your results may last longer, so you’ll need fewer follow-up appointments to maintain smooth and wrinkle-free skin.
We can give you details about how to schedule your maintenance treatments so you can avoid any significant change in your results and maintain wrinkle-free skin year-round.
While there is always a risk of mild bruising when we put even a tiny needle in the skin, Patients need to prepare for this which is why we suggest avoiding NSAIDS / aspirin / alcohol / vitamin E / ginkgo for 4-5 days prior.
One of the main benefits of these anti-aging injectables is that you won’t have to plan around social downtime. You can return to work, go out for lunch, and participate in social situations without feeling self-conscious about your appearance. However, you will need to be mindful of the injection sites by following specific aftercare instructions. You will need to avoid the following for the first 24 hours or longer:
- Strenuous workouts
- Anti-inflammatory medications
- Alcohol consumption
- Hot environments
- Touching the treatment sites
- Professional skincare treatments
You’ll also need to keep your head elevated for at least four hours after your treatment to ensure the product effectively relaxes your muscles in the desired area and doesn’t migrate to other areas.
If you’re looking for an anti-aging, non-surgical treatment that can erase your expression lines for several months, you may be a good candidate for one of these neuromodulators. Patients must not be allergic to the neurotoxins in the products and should have healthy skin without any infections. Pregnant and nursing women don’t qualify for treatment.
The cost of neuromodulators depends on the number of units required, which varies based on the areas treated and the strength of the muscles involved. Pricing may also differ depending on the brand used, as options like Botox, Xeomin, or Daxxify can vary slightly. We’ll provide a detailed breakdown of the recommended treatment plan, the number of units recommended, and associated costs.
At Southeast Aesthetic + Wellness, we design treatment plans based on your goals and facial structure to make sure your results look natural and refreshed. Led by Angel Turlington, a Board-Certified Women’s Health Nurse Practitioner, we have extensive training and experience in the precise techniques needed for neuromodulators. We use the latest techniques to address your wrinkles while focusing on achieving balance and harmony in your appearance. We emphasize overall well-being in all of our services. Whether you’re considering injectables for the first time or refining previous results, we provide expert care with attention to detail you can trust.
Experience the Benefits of a Customized Wrinkle Removal Treatment Plan With Neurotoxins
Our anti-aging injectables can restore smooth skin and help you reclaim a youthful appearance. If you want to look awake, refreshed, and like your younger self again, we can help you achieve your goals with a customized treatment plan. We can give you more details about BOTOX, DAXXIFY, XEOMIN, and Dysport at your consultation and determine which product is the right choice for you.
Request Your Neuromodulator Appointment
At Southeast Aesthetic + Wellness, our neuromodulator appointments offer personalized consultations and expert injections tailored to your aesthetic goals. Trust our skilled team to deliver natural-looking results and a comfortable experience. Call us today at (919) 243-8146 or reach out to us through our online form.
*Patient treated with Xeomin. For cosmetic use only.
Request Your Neuromodulator Appointment
At Southeast Aesthetic + Wellness, our Neuromodulators appointments offer personalized consultations and expert injections tailored to your aesthetic goals. Trust our skilled team to deliver natural-looking results and a comfortable experience.