Botox, Dysport & Xeomin in Las Vegas
Smooth dynamic wrinkles in the forehead, brow, and crow’s feet with FDA-approved neurotoxins, performed by Dr. Robert Troell — a Diplomate of the American Board of Cosmetic Surgery with over 20 years of injectable experience. Subtle, age-appropriate refinement — never overdone.
Botox Treatment In-Office
Watch Dr. Troell explain what Botox does, how soon it starts working, how long it lasts and what else it is used for.
How Does Botox Work, and How Long Does It Last?
In the video above, which the practice also posted on its Instagram (@roberttroell) in September 2024, Dr. Troell names Botox as the most common aesthetic procedure and then explains what it actually does. A neuromodulator, in his words, “relaxes the muscle anywhere you put it,” classically “the animation muscles” of the face, the ones that fold the skin of the forehead, the brow and the corners of the eyes each time you raise your eyebrows, frown or smile. With the muscle at rest, the lines it draws soften. On timing he is specific: “It takes about one to three days to start working,” and the effect lasts, as he puts it, “about three to three and a half months.” That first effect is the start rather than the finish; the smoothing builds through the first week and settles by about day 14, as the recovery section below describes.
He also names the alternatives in the same family, beginning with Dysport, which in his experience “lasts longer,” and Xeomin; both are compared with Botox in the next section. (One on-screen caption in the clip reads “Juvederm” at that point. Juvederm is a dermal filler, which adds volume, and is not a wrinkle relaxer.) And the uses go beyond lines. “We can use it to make the mass of the muscle smaller, to change the shape of your face,” he says, which describes the jawline-slimming treatment of the masseter muscle that appears in the cost section of this page. “You can even use it for other things,” he adds, such as sweating of the palms of the hands. If either of those is your reason for coming in, say so when you book your visit at Troell Cosmetic Surgery in Las Vegas, so the appointment is planned around that area rather than around forehead lines. The video is Dr. Troell speaking to camera with a short animation, product images and a brief clip of a palm being treated; it is a teaching clip, not a before-and-after, and individual results vary.
Botox, Dysport, Xeomin — What’s the Difference?
Dr. Troell offers three FDA-approved wrinkle relaxers — Botox, Dysport, and Xeomin. All are derived from botulinum type A. They differ in onset speed, longevity, and molecular formulation. Selection is matched to your treatment area, history, and goals.
Botox
The best-known brand of wrinkle relaxer. Highly effective for crow’s feet, glabella (between the brows), and forehead lines. Typical results last 3-4 months.
Dysport
Often shows visible effect faster than Botox — many patients see results within 2-3 days. Smaller molecular structure can spread slightly more, useful for larger treatment zones like the forehead.
Xeomin
A "naked" botulinum toxin without accessory proteins, which may reduce the risk of antibody resistance over time. Typical results last 3-4 months.
Wrinkle Relaxer Before & After
This patient was treated with Xeomin for the frown lines between the brows and forehead lines. Both photos were taken while making the same expression — before treatment the glabellar creases fold deeply; after, the same expression no longer etches lines into the skin.
A second patient, shared on the practice’s Instagram in October 2024, was treated with a wrinkle relaxer for forehead lines and crow’s feet, and each pair is photographed in the expression that makes those lines: brows raised for the forehead, a full smile for the outer corners of the eyes. The practice put the concern simply in its post: “Crow’s feet are wrinkles that appear in the outer corners of the eyes, often in a fan-like shape.” Before treatment, raising the brows folds the forehead into horizontal creases and smiling fans lines out from each eye; afterward the same expressions move the face without etching those lines into the skin. The photographs come from the practice’s med spa, Beauty by Design. Individual results may vary.
Am I a Candidate for Wrinkle Relaxers?
Wrinkle relaxer candidates are healthy adults with moderate-to-severe dynamic wrinkles — the lines that appear when you smile, frown, or raise your eyebrows. You should not be pregnant or nursing, and should not have any neurological conditions affecting muscle function.
Prior to treatment, our office conducts a brief health assessment to confirm injectable treatments are safe for you, including a review of any medications that could increase bruising risk (blood thinners, fish oil). If wrinkle relaxers are not the right fit, Dr. Troell will recommend an appropriate alternative — including dermal fillers, Bellafill, or surgical options.
Why Patients Choose Wrinkle Relaxers
Smoother, Younger Skin
The primary benefit: dynamic wrinkles in the forehead, brow, and crow’s feet are visibly softened, giving the skin a smoother, more refreshed appearance.
Quick & Convenient
Most appointments take 15-30 minutes. There’s no required downtime — you can return to work or your normal routine the same day.
Preventive
Regular wrinkle relaxer treatments in patients in their 30s and 40s can slow the formation of permanent etched-in lines, often delaying the need for surgical intervention by years.
Surgeon-Supervised
Every wrinkle relaxer plan is reviewed and supervised by Dr. Troell — a Diplomate of the American Board of Cosmetic Surgery. The recommendation accounts for what surgical options exist if your goals evolve over time.
What to Expect During Treatment
Before treatment begins, our team confirms your medical history and discusses the specific areas you want to address. We clean the treatment zone and mark the injection sites. A small amount of numbing cream may be applied if you’re sensitive to needles.
The injections themselves take only a few minutes per area. Most patients describe the sensation as a brief pinch. After treatment, you can resume your normal routine immediately, though we ask that you avoid lying flat for 4 hours, avoid rubbing the treated area, and skip strenuous exercise for the rest of the day.
What to Expect After Wrinkle Relaxers
Some minor swelling, redness, or tiny bruise points are normal and typically fade within 1-3 days. You can return to work and most activities immediately, though we recommend skipping strenuous exercise that same day.
Your wrinkles will look the same for the first few days — the toxin needs time to bind to nerve endings. You’ll start seeing visible smoothing within 3-7 days, with full results typically by day 14. Effects last approximately 3-4 months for most patients before retreatment is recommended.
Botox Safety Profile
Botox is FDA-approved with an excellent safety record when administered by qualified providers. Common side effects are mild and short-lived.
- Bruising or swelling. Common, mild, resolves within days.
- Mild redness or tenderness. Expected at injection or treatment site.
- Allergic reaction. Rare; typically limited to the treatment area.
- Asymmetry or under/over-correction. Can be addressed at follow-up.
- Infection. Very rare with proper aseptic technique.
A complete risk discussion is part of every consultation. Dr. Troell will review your specific risk profile based on your health history, medications, and treatment area.
Meet Dr. Robert J. Troell
Dr. Robert J. Troell is the leading provider of cosmetic treatments and plastic surgery in Las Vegas. With over 30 years of surgical experience and six board certifications, the technical understanding of facial anatomy that informs his surgical work directly improves his injectable precision — particularly in difficult areas like the brow, masseter, and platysma.
The masseter is also where the injectable and the surgical conversations genuinely diverge, because the muscle rebuilds once the effect wears off. If you are weighing a repeatable injection against something structural, our guide to whether an injection or a structural approach fits your jaw walks through the twelve-month evidence, and the structural option itself is masseter reduction surgery.
Every wrinkle relaxer treatment is supervised by a Diplomate of the American Board of Cosmetic Surgery, not by an aesthetician. This is especially valuable when subtle results matter most — when you want to look refreshed but not "done."
- FACS — Fellow, American College of Surgeons (since 1997)
- ABFPRS — American Board of Facial Plastic & Reconstructive Surgery
- ABFCS — American Board of Facial Cosmetic Surgery
- 30+ years performing facial and body cosmetic procedures
- Stanford-affiliated Clinical Professor (1995-2013)
Average Cost of Wrinkle Relaxers in Las Vegas
Wrinkle relaxer cost is typically determined by the number of units used, which depends on the area being treated and the depth of the wrinkles. Common treatment-zone unit ranges:
- Glabella (between brows) — typically 20-30 units
- Forehead lines — typically 10-30 units
- Crow’s feet — typically 10-30 units (5-15 per side)
- Masseter (jawline slimming) — typically 30-50 units (15-25 per side)
We provide a detailed cost estimate during your consultation, before any treatment is scheduled. Troell Cosmetic Surgery is a self-pay specialty practice; insurance is not billed for cosmetic care. Financing through CareCredit and Alphaeon is available.
What Our Wrinkle Relaxer Patients Say
"I went to Dr. Troell after getting Botox injections once. I wasn't really thrilled about my results after my first injections and hesitant to try it again. But thank god for this man! He an amazing job, a true perfectionist."
Botox · Verified Google review · Jun 2025"I've been getting Botox for my wrinkles and lines with great results for 2 years. Happy with Dr Troell and his staff."
Botox · Verified Google review · Mar 2020"Dr. Troell is amazing — he is a very knowledgeable and educated individual. He instantly makes you feel comfortable that you are in the right place. I had Botox injected and it was minimal discomfort. If you are in search of a Dr that administers Botox/Dysport in the city of Las Vegas I would search no further. You found him!"
Botox · Verified Yelp review · Jun 2022Botox in Las Vegas, Henderson & Summerlin
Dr. Troell’s clinic at 5375 S Fort Apache Rd in Las Vegas sees Botox patients from Spring Valley and Summerlin South, Enterprise, and across the valley to Henderson and North Las Vegas. Las Vegas gets 85 percent of its possible sunshine, about 3,782 hours a year, by NOAA climate normals, and the American Academy of Dermatology notes that the right sunscreen — broad spectrum, SPF 30 or higher, water resistant — can help prevent early signs of skin aging: a daily habit worth pairing with treatment here.
- Summerlin: ~10 minutes via the 215 Beltway. Convenient for residents along West Charleston, Rampart, and the Red Rock area.
- Henderson, Green Valley & Anthem: 20-25 minutes via 215 East. Free, ample parking on arrival.
- Spring Valley, Enterprise & Southern Highlands: 10-15 minutes via Sahara Avenue and the 215.
- North Las Vegas & the Strip area: 15-20 minutes via 95 South.
- Lake Las Vegas, Mountain’s Edge & Centennial Hills: 20-30 minutes via the Beltway from outer-valley communities.
- Whitney, Sunrise Manor & the East Valley: 15-25 minutes via 515 / Boulder Highway.
Looking for Botox treatment near me? Our Las Vegas clinic is centrally located for the entire Valley — most patients reach our facility in under 25 minutes. To schedule a consultation, call (702) 242-6488 or request an appointment.
Botox vs Surgical Brow & Eye Procedures
Botox is widely used as a non-surgical brow lift — a few precisely placed units in the lateral brow can lift the brow 1–2 mm and soften horizontal forehead creases for 3–4 months at a time. This Botox lift approach is the entry-point most patients start with. For patients who want a permanent correction of deep forehead furrows, brow descent, or hooded upper eyelids, Dr. Troell also offers surgical alternatives that target the underlying anatomy rather than the muscles that create the lines. Consented before-and-after cases of those procedures are in the facelift & brow lift gallery and the eyelid surgery gallery.
- Brow Lift: For deep, persistent forehead lines and brow descent — repositions the brow and softens horizontal creases permanently.
- Upper Blepharoplasty: For hooded upper eyelids that Botox cannot lift — removes excess skin and orbital fat.
- Facelift: For comprehensive lower-face and neck rejuvenation beyond what neurotoxin can address.
Most patients begin with non-surgical options to establish a treatment pattern, then consider surgical alternatives based on their longer-term goals. Dr. Troell will walk you through the right starting point at your consultation.
Botox vs Bellafill — Different Tools, Different Concerns
Botox and Bellafill are the two longest-running non-surgical aesthetic injectables, and patients often ask which one is right. The short answer: Botox treats the muscle movements that cause wrinkles, while Bellafill restores volume and supports collagen where the skin has thinned or scarred. The two products work on different layers of the face and address different aging signals.
Botox (Wrinkle Relaxer)
- Treats: Dynamic wrinkles — forehead lines, frown lines (11s), crow’s feet
- Mechanism: Temporarily relaxes the muscles that pull skin into creases
- Duration: 3–4 months per session
- Best candidate: Lines that appear when expressing emotion but smooth out at rest
- Onset: 4–7 days; peaks at 2 weeks
Bellafill (Long-Lasting Filler)
- Treats: Static wrinkles — nasolabial folds, marionette lines, acne scars
- Mechanism: PMMA microspheres in collagen carrier; stimulates the body’s own collagen scaffold
- Duration: Up to 5 years — longest-lasting filler on the U.S. market
- Best candidate: Lines that remain visible at rest; soft-tissue volume loss
- Onset: Immediate; final result at 3 months
Many patients use both together — Botox to relax the dynamic muscle pull above and around the eyes, Bellafill to restore the volume and texture below. Dr. Troell will walk through which pattern fits your concern at a consultation. Learn more about Bellafill long-lasting filler and its FDA-approved indications.
Wrinkle Relaxer FAQs
Which wrinkle relaxer lasts longest?
Lifespan depends more on your body chemistry, treatment area, and lifestyle than on the specific brand. Daxxify can last 6-9 months in some patients (longer than the others). Botox, Dysport, and Xeomin typically last 3-4 months. In Dr. Troell’s clinical experience, Dysport lasts longer than Botox. Highly active patients may metabolize wrinkle relaxers faster than sedentary patients.
How long until I see results?
In Dr. Troell’s clinical experience a wrinkle relaxer takes about one to three days to start working, and most patients see smoother lines within 3-7 days of treatment. Full results typically arrive by day 14, when the toxin has fully bound to nerve endings.
What do wrinkle relaxer injections feel like?
Most patients describe the injections as a brief pinch. The needles used are very fine, and the procedure is over within minutes. Numbing cream is available if you're sensitive to needles.
What should I do before and after injections?
Before: avoid blood thinners, fish oil, and excessive alcohol for 24-48 hours to reduce bruising. After: stay upright for 4 hours, avoid rubbing the treated area, skip strenuous exercise the same day, and avoid extreme heat (saunas, hot yoga) for 24 hours.
When should I choose Botox over surgery?
Wrinkle relaxers address dynamic wrinkles — lines caused by repeated muscle movement (frowning, squinting, raising brows). Surgery (brow lift, facelift) addresses static skin laxity and structural sagging. If your concern is etched-in dynamic wrinkles in the upper face, wrinkle relaxers are usually the right starting point.
What is Botox used for besides wrinkles?
Botox is a neuromodulator: it relaxes the muscle it is placed in, which is why its familiar use is softening the lines that facial movement creates. In the video in the From Dr. Troell section of this page, Dr. Troell describes two uses beyond wrinkles. The first is making a muscle smaller to change the shape of the face, which is how the masseter muscle is treated for jawline slimming. The second is sweating of the palms of the hands. At Troell Cosmetic Surgery in Las Vegas, tell us which of these you are coming in for when you book, so the appointment is planned around that area. Individual results vary.
Schedule Your Wrinkle Relaxer Appointment
Most patients are in and out of the office in under 30 minutes. Initial consultations include a discussion of which wrinkle relaxer (Botox, Dysport, Xeomin) is the best fit for your treatment goals and a transparent unit-based cost estimate.
Ready for Refreshed, Natural Results?
A consultation is the first step toward a precise, surgeon-supervised Botox plan. No obligation, no pressure — just an honest conversation about your goals with the team behind 30+ years of cosmetic-surgery expertise.
Mon–Fri, 8:30 AM – 5:00 PM