Before
After
Regenesis Health
Botox & Xeomin
Neuromodulator Injections
For people who feel younger than they look — and are ready to let their face reflect how they actually feel. We offer both Botox and Xeomin to smooth the lines that aging and expression create, matched to your history and goals.
Regenesis Health | Neuromodulators
You look tired. Angry. Older.
Except you don't feel that way at all.
The lines between your brows have settled in, deepening with every frown — even the involuntary ones. Your forehead creases. The crow's feet around your eyes tell a story of worry you don't actually carry. You look in the mirror and see someone who's worn down, when the person looking back is still you — just with facial expressions that no longer match your energy.
Neuromodulator treatments are designed for exactly this: to soften the dynamic wrinkles that time and muscle movement have carved into your face, giving you back the expression you want. At Regenesis Health, it's never about erasing who you are — it's about letting your face show what you actually feel.
The Basics
What Are Neuromodulators?
Botox and Xeomin are both FDA-approved neuromodulators — purified proteins derived from botulinum toxin type A. When injected into specific facial muscles, they temporarily block the signals that cause those muscles to contract, relaxing the wrinkles and creases that form from expression. The result is smoother skin without the frozen appearance that overtreatment can create.
Neuromodulators are the most popular cosmetic treatment in the United States, with over 7 million procedures performed annually. At Regenesis Health, Dr. Claudine Dotson selects between Botox and Xeomin based on your individual history, goals, and response to prior treatments — ensuring the right product for you, not just the most familiar one.
Your Options
Botox vs. Xeomin — Choosing Your Treatment
Both products achieve the same result through the same mechanism. The difference is in their formulation — and for some patients, that difference matters.
Option One
Botox
The most recognized neuromodulator in the world, FDA-approved since 2002 with an extensive safety and efficacy record. Botox contains the active botulinum toxin type A surrounded by accessory proteins, which stabilize the molecule.
Botox is the standard choice for most patients and the product with the deepest clinical literature behind it.
Option Two
Xeomin
A "naked" neuromodulator — it contains only the pure active toxin without accessory proteins. This makes Xeomin a strong option for patients who have developed resistance to Botox over time, since the accessory proteins in Botox are thought to trigger the antibody response behind resistance.
Xeomin requires no refrigeration and carries no risk of accessory protein sensitization — a meaningful consideration for long-term patients.
Dr. Dotson will recommend the right product during your consultation based on your treatment history, response to prior neuromodulators, and aesthetic goals. In many cases, both products are equally appropriate — and the best choice is simply the one that works best for you.
Areas We Treat
Treatment Areas
Neuromodulators work on dynamic wrinkles — the lines created by repeated muscle movement. We tailor each treatment to your facial anatomy and the specific areas where you see aging.
Glabellar Lines
The frown lines between your brows — often the first place aging shows, and the most impactful area for rejuvenation.
Crow's Feet
The lines radiating from the corners of your eyes. Softening them opens the eye area and creates a more refreshed appearance.
Forehead Creases
Horizontal lines across the forehead from raising your eyebrows. Smoothing them creates a more relaxed, youthful brow line.
Bunny Lines
Small wrinkles on the sides of your nose, visible when you smile or wrinkle your nose. Often treated alongside other upper-face areas.
Lip Lines
Fine lines around the mouth from pursing or smiling. Botox can soften these while preserving your natural smile.
Chin Dimpling
The dimpled texture that can develop on the chin. Botox relaxes the muscle underneath for a smoother contour.
Neck Bands
Vertical muscle bands in the neck that become more pronounced with age. Treating them creates a more sculpted neck line.
How It Works
The Science Behind Neuromodulators
Botox and Xeomin both work by blocking the chemical signals that tell your facial muscles to contract. Without that signal, the muscles relax. Relaxed muscles don't create the repetitive creasing that becomes permanent wrinkles.
Blocks Nerve Signals
The neuromodulator prevents acetylcholine from reaching the muscle, stopping it from receiving the "contract" message.
Muscles Relax
Without the signal to contract, your facial muscles soften — especially the ones you use most (frowning, squinting, raising brows).
Wrinkles Smooth
As the muscles relax, the lines and creases they create begin to fade. New wrinkles stop forming.
Results begin appearing in 3–7 days, with full results visible around two weeks. The effects last 3–6 months, at which point the nerve signals gradually return and your muscles resume normal movement.
Your Care Journey
What to Expect
Consultation with Dr. Dotson
We discuss your concerns, examine your facial anatomy, and identify which areas would benefit most from treatment — including which product is right for you.
Personalized Injection Plan
Dr. Dotson maps your facial structure, identifies the specific muscles driving your wrinkles, and designs a treatment plan that softens aging without affecting your natural expression.
Quick Treatment
The actual injection process takes 10–15 minutes. There's minimal discomfort — the needle is very fine, and the injections are brief. No anesthesia needed.
Follow-Up & Results
We schedule a follow-up in two weeks to assess your results and ensure they align with your goals. Touch-ups can be made at this point if needed. You'll establish a maintenance schedule that fits your lifestyle.
Your Physician
Dr. Claudine Dotson, MD
Founder & Physician, Regenesis Health
Dr. Dotson's approach to neuromodulators is rooted in facial anatomy and the desire to preserve natural movement. She doesn't inject based on a template — she evaluates your unique facial structure, your primary concerns, and the specific muscles driving your aging expression.
Every treatment at Regenesis Health is personally administered and monitored by Dr. Dotson, ensuring precision, safety, and results that enhance rather than erase.
Investment in Refinement
Understanding Your Investment
Pricing is straightforward and transparent. Below is a general guide to what you can expect at Regenesis Health. Final costs depend on the treatment areas you choose, the product selected, and the amount needed for your specific anatomy.
Initial Consultation
Your first visit with Dr. Dotson includes a full facial analysis, discussion of your goals, product selection, and a detailed treatment plan with pricing for your specific areas.
Per Treatment Area
Most treatments involve 1–3 primary areas (e.g., glabellar lines, crow's feet, forehead). Dr. Dotson will provide exact pricing after your consultation based on your anatomy.
Maintenance Schedule
Results typically last 3–6 months. Most patients schedule treatments quarterly or bi-annually to maintain their refreshed look without scheduling conflicts.
We provide a clear, itemized estimate during your consultation — no surprises. Call us at (540) 665-4444 for current pricing and to schedule your complimentary consultation.
The Regenesis Difference
Neuromodulators as Part of Your
Comprehensive Facial Rejuvenation
While Botox and Xeomin soften the dynamic wrinkles created by muscle movement, they work best alongside other treatments. Dermal fillers restore volume in areas where neuromodulators alone can't address static lines (like the nasolabial folds or loss of cheek definition). Combined, they create a more complete rejuvenation — addressing both expression lines and age-related volume loss.
Neuromodulators also pair beautifully with skin treatments like exosomes or laser therapy to improve texture and tone while you're smoothing expression lines. At Regenesis Health, we build comprehensive plans where each treatment amplifies the others — creating results that feel refined, natural, and truly yours.
Frequently Asked Questions
Does Botox hurt?
Most patients experience minimal discomfort. The needle used for Botox injections is very fine, and the injections are quick. Some describe it as a light pinch. If you're concerned about pain, we can apply topical numbing cream beforehand. No anesthesia is required.
How long does Botox last?
Results typically last 3–6 months. The timeline varies slightly from person to person based on metabolism and muscle mass. Regular maintenance treatments help you maintain your refreshed look without ever looking overdone.
What's the difference between Botox and Xeomin?
Both are FDA-approved botulinum toxin type A products that work the same way — temporarily relaxing facial muscles to smooth expression lines. The key difference is formulation: Botox contains accessory proteins surrounding the active molecule, while Xeomin is a "naked" neuromodulator containing only the pure active toxin.
This can make Xeomin a better option for patients who have developed resistance to Botox over time, since the accessory proteins in Botox are thought to trigger the antibody response behind that resistance. For most new patients, either product is appropriate — Dr. Dotson will discuss which makes the most sense for you during your consultation.
When will I see results?
You may notice subtle improvements within 3–7 days. Full results are typically visible around two weeks as the muscles fully relax. This gradual onset is one of the reasons Botox results look so natural.
Will I look frozen or expressionless?
No. When administered properly by an experienced physician like Dr. Dotson, Botox softens wrinkles while preserving your natural facial expressions. The goal is to look refreshed and like yourself — just without the creases. Poor Botox comes from overtreatment or placement in the wrong muscles. Dr. Dotson's approach prioritizes anatomy and natural movement.
Is Botox safe?
Botox has been FDA-approved for cosmetic use since 2002 and has an excellent safety profile when administered by a qualified physician. Xeomin received FDA approval in 2011 and carries an equally strong safety record. At Regenesis Health, Dr. Dotson personalizes every treatment based on your medical history, medications, and aesthetic goals. We discuss any concerns during your consultation.
How often do I need treatments?
Most patients return for touch-ups every 3–6 months to maintain results. Some people's results last longer. During your follow-up appointment two weeks after treatment, Dr. Dotson will help you establish a maintenance schedule that fits your timeline and goals.
Can Botox be combined with dermal fillers or other treatments?
Absolutely. In fact, combining Botox with dermal fillers creates more comprehensive rejuvenation — Botox addresses dynamic wrinkles (lines from movement), while fillers restore volume in areas like the cheeks, lips, and nasolabial folds. Many of our patients integrate Botox into broader plans that include skin treatments and BHRT for whole-person rejuvenation.
Dr. Dotson is my forever aesthetic doctor! With a full analysis, she could understand what I wanted: a natural look and enhance my favorite features. Dr. Dotson is the doctor of the doctors, highly recommend!— Dr. Brutten, M.D.