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 board-certified cosmetic surgeon with over 20 years of injectable experience. Subtle, age-appropriate refinement — never overdone.
Botox Treatment In-Office
See an in-office Botox treatment from Dr. Troell — precise injection placement, technique, and what patients can expect during a typical visit.
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.
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 board-certified cosmetic surgeon. 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.
Every wrinkle relaxer treatment is supervised by a board-certified cosmetic surgeon, 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 Road #101 in southwest Las Vegas serves Botox treatment patients from across the Las Vegas Valley — including Summerlin, Henderson, Spring Valley, Enterprise, North Las Vegas, and surrounding Clark County neighborhoods. Patients also travel from greater Nevada and the broader Southwest to our AAAASF-accredited facility.
- 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.
- 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. Highly active patients may metabolize wrinkle relaxers faster than sedentary patients.
How long until I see results?
Most patients start seeing smoother lines within 3-7 days of treatment. Some see initial effect sooner. 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.
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