At The Surgeon’s Spa – Beachwood and The Surgeon’s Spa – Westlake, neurotoxin injections are performed by experienced injectors trained in the advanced techniques used by triple-board-certified plastic surgeon and facial plastic surgeon Dr. Steven Goldman. Rather than simply “chasing lines,” our team evaluates how your facial muscles move and how that movement shapes your expression, allowing us to smooth wrinkles while preserving natural animation.
Because The Surgeon’s Spa is closely integrated with Dr. Goldman’s surgical practice, we understand how to combine neurotoxins with fillers, skin care, lasers, non-surgical tightening devices, and even surgery to create a cohesive plan. This comprehensive approach is one of the key differences between a surgeon-directed medical spa and a basic, standalone injectables provider.
Cosmetic neurotoxins—such as Botox®, Dysport®, Daxxify®, Xeomin®, and Jeuveau®—are purified proteins derived from botulinum toxin. In very small, precisely placed doses, they temporarily relax targeted muscles that cause wrinkles to form. This softens:
Neurotoxins can also be used strategically to:
The effects are temporary. Most patients enjoy smoother skin for about 3–4 months, though some products and individuals may experience longer durations.
Botulinum toxin works at the neuromuscular junction, where nerves communicate with muscles. After injection into a targeted muscle, the toxin binds to the nerve ending and reduces its ability to signal the muscle to contract. As the muscle relaxes, the overlying skin becomes smoother and expression lines soften or disappear.
Key points:
When administered with an artistic eye and precise dosing, neurotoxins can create a rested, refreshed look without a “frozen” or over treated appearance.
Each FDA-approved neurotoxin has distinct characteristics in terms of onset, spread, and duration. Our injectors have experience with all major brands and will help select the best option—or combination—for your needs.
Common products include:
All of these products can soften wrinkles when administered properly. During your consultation, we will discuss your prior treatment history (if any), your schedule, and your aesthetic goals to determine which neurotoxin is the best fit—or whether a combination approach makes sense.
Your experience at The Surgeon’s Spa begins with a detailed consultation. At this visit, your provider will:
Treatment itself is typically quick:
The skin is cleansed, and a topical numbing cream may be used for additional comfort, though most patients tolerate injections well without it.
Using a very fine needle, small amounts of neurotoxin are placed into specific muscles.
The entire injection process usually takes just a few minutes.
After treatment, mild redness or small bumps at the injection sites are common and usually fade within minutes to hours. Most patients can return to regular daily activities right away, though we may ask you to avoid intense exercise or lying flat for a short period after injection.
Results typically appear on the following timeline:
We will review expectations with you and schedule appropriate follow-up to fine-tune your results when needed.
They are primarily used to soften facial expression lines such as frown lines, crow’s feet, and forehead creases. In selected patients, they can also help elevate the brows, refine the jawline, or adjust certain asymmetries.
Most patients enjoy smoother skin for about 3–4 months, though some neurotoxins may last longer in certain individuals. Consistent maintenance treatments can help sustain your results over time.
Common side effects include temporary redness, swelling, or small bruises at injection sites. Rarely, unwanted muscle relaxation (such as eyebrow or eyelid droop) can occur; choosing experienced injectors who understand facial anatomy is critical to minimizing this risk.
Many patients schedule neurotoxin injections three to four times per year to maintain a consistent appearance. Your provider will suggest an interval that aligns with your lifestyle and how quickly your body metabolizes the product.
You’ll receive specific aftercare instructions, which may include avoiding rubbing the treated area and skipping strenuous exercise for a short time. Most people return to work or social activities immediately.
Surgeon-directed neurotoxin treatments at The Surgeon’s Spa combine advanced technique with a deep understanding of facial aesthetics. Our injectors are trained by Dr. Goldman to deliver nuanced, natural-looking results—not an overdone or “frozen” appearance.
Ready to explore whether neurotoxins are right for you? Schedule a consultation at The Surgeon’s Spa – Beachwood or The Surgeon’s Spa – Westlake to design a personalized neurotoxin treatment plan tailored to your features and goals.
