Medical Aesthetics
Botox® Alternatives (Xeomin® & Jeuveau®) in Vancouver, WA
Natural-looking results. Never frozen.
We use Xeomin® and Jeuveau® to soften expression lines while preserving natural movement and facial expression. Every treatment is customized to your anatomy, your goals, and how much natural movement you'd like to preserve.
What Neurotoxins Treat
Here's what neurotoxins can improve
Cosmetic
- ✓Forehead lines
- ✓Frown lines
- ✓Crow's feet
- ✓Bunny lines
- ✓Lip flip
- ✓Chin dimpling
- ✓DAO (downturned mouth)
- ✓Platysmal bands
Functional
- ✓Masseter clenching (TMJ)
- ✓Hyperhidrosis (sweating)
Common Treatment Areas
One flat price per treatment area.
We price treatment by the area rather than by the unit.
Most Popular Treatment Areas
Frown Lines (Glabella)
$299Smooth the vertical "11" lines between the eyebrows while maintaining natural expression. One of our most requested treatments.
Forehead + Frown Lines
$499Treating the forehead almost always requires balancing the frown muscles for a natural result. This combination softens horizontal forehead lines while preserving movement and avoiding a heavy brow.
Crow's Feet
$149 alone | $99 add-onSoften the fine lines around the eyes while keeping your smile natural. A brighter, more refreshed appearance without looking overtreated.
Lip Flip
$149 alone | $99 add-onA subtle enhancement that relaxes the upper lip, allowing a little more of the lip to show when you smile. Great for patients wanting a natural enhancement without filler.
Additional Treatment Areas
Brow Lift
TBDA subtle lift of the brow by relaxing the muscles that pull the brow downward. This can open up the eye area and create a refreshed, more awake appearance while preserving natural expression.
Bunny Lines
TBDSoftens the fine lines that appear on the sides of the nose when you scrunch or smile. A quick, subtle treatment that keeps movement natural.
Gummy Smile
TBDGently reduces the elevation of the upper lip when smiling to show less gum above the teeth. A small adjustment that can make a smile feel more balanced.
Mentalis (Chin Dimpling)
TBDSoftens the pebbled or dimpled texture that can appear on the chin when the mentalis muscle is overactive. Creates a smoother, more relaxed chin contour.
DAO (Downturned Mouth)
TBDRelaxes the depressor anguli oris (DAO) muscle that pulls the corners of the mouth downward, helping to create a more neutral or relaxed expression.
Masseter (TMJ / Jaw)
TBDRelaxes the masseter muscle to address jaw clenching, teeth grinding, and TMJ-related tension. Can also soften a wide or square jawline for a more contoured lower face.
Nefertiti Lift / Platysmal Bands
TBDSmooths vertical neck bands and relaxes the muscles that pull down the jawline, helping to define the neck and jawline for a more lifted appearance.
Hyperhidrosis (Sweating)
TBDNeurotoxin can be used to treat excessive sweating in areas such as the underarms, palms, or scalp by temporarily blocking the nerve signals that trigger sweat glands.
Pricing
Why we price by the area instead of the unit
Neurotoxin treatment is about more than counting units. Each treatment area has an established dosing range designed to produce an effective result that typically lasts about 3–4 months, although individual results vary.
One thing we want patients to understand: dose affects duration. Using fewer units doesn't necessarily create a more natural result—it often creates a shorter-lasting result. Thoughtful placement and treatment planning are what allow us to preserve expression while still using an appropriate dose.
That's why we price by treatment area rather than by the unit. It allows us to recommend the dose appropriate for your anatomy and goals without making every additional unit feel like an additional expense. You'll know what your treatment costs before we begin, and we can focus on what actually matters: a balanced, natural-looking result designed to last.
Not sure where to start?
I know I want neurotoxin
Book a Neurotoxin Treatment
Already receiving neurotoxin or confident it's the right treatment? Schedule a treatment appointment. If we determine another approach would better meet your goals, we'll discuss your options before proceeding.
Book TreatmentI'm not sure what's right for me
Book a Facial Rejuvenation Consultation
Not sure whether neurotoxin, filler, laser therapy, PRF, or skincare is the best fit? We'll evaluate your concerns and create a personalized treatment plan. Any consultation fee is applied toward treatment if you decide to move forward.
Book ConsultationPhilosophy
We don't chase wrinkles.
Expression is part of who you are.
Our goal isn't to erase every line or create a frozen appearance. Instead, we use carefully placed neurotoxin to soften strong muscle activity while preserving natural facial movement.
Sometimes neurotoxin is all that's needed.
Sometimes the best result comes from improving skin quality or restoring facial support—not adding more neurotoxin.
Treatment should fit your face—not a trend.
What to expect
your neurotoxin visit
Every treatment starts with a plan.
During your consultation we'll evaluate:
- Your facial anatomy and natural balance
- How your muscles move
- Your skin quality
- Any previous neurotoxin treatments
- Your goals and priorities
We'll recommend only the areas that will make a meaningful difference.
Neurotoxins we use
Why We Choose Xeomin® and Jeuveau®
There isn't one "best" neurotoxin for every patient. We primarily use Xeomin® and Jeuveau® because both deliver predictable, natural-looking results when selected for the right patient and treatment area.
Rather than being loyal to one brand, we're focused on choosing the product that best fits your anatomy, your treatment history, and your goals.
Xeomin®
Xeomin® contains only the active botulinum toxin molecule, without accessory proteins. Some patients prefer this "naked" formulation, particularly if they've received neurotoxin treatments for many years or simply want a highly purified product.
Jeuveau®
Jeuveau® is a modern neurotoxin developed specifically for aesthetic use. It offers excellent precision and consistent cosmetic results, making it a great option for many patients seeking treatment of expression lines.
Which one is right for me?
Most patients don't need to decide before their appointment. During your consultation, we'll discuss your goals, review any previous neurotoxin treatments, and recommend the product we believe is the best fit for you.
Frequently asked
Good questions.
How long does neurotoxin last?+
Most patients enjoy results for about 3–4 months, although this varies from person to person. Regular treatments help maintain smoother expression lines and may reduce the development of deeper wrinkles over time.
Does it hurt?+
Most people describe the sensation as a quick pinch. Treatments are brief, and we use fine needles to keep discomfort minimal. If you're concerned, let us know and we can talk through options.
Am I too young?+
Xeomin® and Jeuveau® are FDA approved for cosmetic use in adults 18 years of age and older. Beyond that, age alone doesn't determine whether treatment is appropriate. During your consultation, we'll evaluate your facial anatomy, muscle movement, skin, and goals to determine whether neurotoxin is likely to provide a meaningful benefit.
Am I too old?+
There is no upper age limit for neurotoxin if you're in good health. Results depend more on skin quality, muscle movement, and your goals than on age. During your consultation, we'll discuss what neurotoxin can and can't achieve for you.
What's the difference between Xeomin and Jeuveau?+
Xeomin® is a 'naked' neurotoxin, meaning it contains only the active molecule without accessory proteins. Some patients prefer this purified formulation. Jeuveau® is a modern neurotoxin developed specifically for aesthetic use and offers excellent precision. We choose the product that best fits your anatomy and goals.
What should I avoid after neurotoxin treatment?+
For the first 24 hours, avoid strenuous exercise, heavy lifting, and hot environments such as saunas, steam rooms, and hot tubs. Light activities like walking are generally fine after a few hours. We'll review all aftercare instructions before you leave. Additionally, you should avoid rubbing or massaging the treated area for the remainder of the day and remaining upright for about four hours after treatment to avoid migration of the newly placed product.
Can I touch my face after treatment?+
We recommend avoiding unnecessary touching, rubbing, or massaging of the treated areas for the rest of the day. If you wear makeup, wait at least four hours before applying it and do so as gently as possible. We'll review all aftercare instructions before you leave.
Can men get neurotoxin?+
Absolutely. Neurotoxin is one of the most popular aesthetic treatments for men. We adjust dosing and placement to preserve masculine features while softening lines and refreshing the appearance.
How often will I need treatment?+
Most patients return every 3–4 months to maintain their results. However, everyone responds a little differently. Patients with stronger facial muscles or those who exercise intensely may notice their results wear off a bit sooner, while others find they can comfortably go longer between treatments.
Can neurotoxin help prevent wrinkles?+
Yes. Neurotoxin relaxes the muscles responsible for expression lines. By reducing repetitive muscle movement, it can help slow the development and deepening of certain dynamic wrinkles over time. Starting treatment is a personal decision and isn't based on age alone. We recommend treatment when it's likely to provide a meaningful benefit—not simply as a preventative measure.
Can I combine neurotoxin with filler?+
Absolutely. Neurotoxin and dermal filler treat different aspects of facial aging. Neurotoxin relaxes the muscles that create expression lines, while filler restores facial support and volume that naturally change over time. Many patients achieve their most natural-looking results by combining both treatments, and when appropriate, they can often be performed during the same visit.
Can I combine neurotoxin with laser treatment?+
Absolutely. In many cases, combining neurotoxin with laser therapy addresses different aspects of facial aging—neurotoxin relaxes the muscles that create expression lines, while laser therapy improves skin quality, texture, redness, and collagen. Depending on the laser treatment and your goals, we may perform both during the same visit or recommend staging them over time.
Ready to soften expression lines?
Book your consultation.