
Botox, Dysport, Daxxify, Xeomin
Botox Before and After
Neurotoxins relax the muscles that crease the skin when you frown, squint, or raise your brows. The goal at La Miel is softer lines with natural movement, never a frozen look.
Every result below was treated in our North Raleigh office by a master-certified RN injector under physician supervision. Filter by area to see forehead lines, the 11s between the brows, crow's feet, lip flips, and lower-face results.
Tox treatments at La MielSeveral small muscles shape the lower face. Results show within about 2 weeks. Here is how real La Miel patients changed.

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections
Crow's feet, also called lateral canthal lines, are the lines that spread out from the outer corners of the eyes. Results show within about 2 weeks. Here is how real La Miel patients changed.

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections
Forehead lines are the horizontal lines that run across the forehead. Results show within about 2 weeks. Here is how real La Miel patients changed.

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections
Frown lines, often called the 11s or glabellar lines, are the vertical lines between the eyebrows. Results show within about 2 weeks. Here is how real La Miel patients changed.

- Treatment:
- Neurotoxin injections
- 3 weeks apart

- Treatment:
- Neurotoxin injections
- 2 weeks apart

- Treatment:
- Neurotoxin injections
The forehead, the brows, and the eyes work as one group: the muscles that lift the brows and the ones that pull them down balance each other. Results show within about 2 weeks. Here is how real La Miel patients changed.

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections
The orbicularis oris is the ring of muscle around the mouth. Results show within about 2 weeks. Here is how real La Miel patients changed.

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections

- Treatment:
- Neurotoxin injections
Individual results vary. Photos show typical outcomes for the treatment shown, not a guarantee of your result.
Every photo is shared with the written consent of the patient. Thank you to each of them.
What are expression lines?
Expression lines, also called dynamic wrinkles, form where muscles fold the skin every time you frown, squint, or raise your brows: the forehead, the 11s between the brows, and the crow's feet around the eyes.
Over years of movement, sun, and collagen loss, lines that once showed only with expression start to stay visible at rest.
How neurotoxins treat them
Neurotoxins such as Botox, Dysport, Daxxify, and Xeomin temporarily relax the muscle behind a line, so the skin above it folds less and the line softens.
Each area is dosed on its own, with the goal of softer lines and natural movement. Choose an area above to see what it is and how we treat it.
What to know about Botox results
Botox and the other FDA-approved neurotoxins we use (Dysport, Daxxify, and Xeomin) relax the muscles behind expression lines: forehead lines, the 11s between the brows, crow's feet, a gummy smile, and the chin and jaw. The photos above show the same patient before treatment and after the product has taken full effect.
With Botox, the first softening shows at day 4 to 7 and the peak effect arrives at 2 weeks, so plan appointments 2 to 3 weeks before an event. Results last 3 to 4 months on average, and most patients maintain with 3 to 4 treatments per year.
Our approach is conservative first. We would rather see you back in two weeks for a small top-up than leave you over-relaxed.
Your Botox timeline
Typical for Botox. Dysport works a little faster and Daxxify lasts longer; see the comparison below.
Day 0
Treatment
A few small injections. Avoid lying flat for 4 hours and skip strenuous exercise and facials for 24 hours.
Day 4 to 7
First softening
The treated muscles start to relax and the lines begin to soften.
Week 2
Full effect
The peak effect arrives. This is when we check in and adjust with a small top-up if needed.
Months 3 to 4
Time to retreat
Results last 3 to 4 months on average. Most patients maintain with 3 to 4 treatments per year.
Botox, Dysport, Daxxify, or Xeomin?
All four are FDA-approved neurotoxins for frown lines, and La Miel carries all four. Here is how they differ.
| Neurotoxin | Made by | First softening | Peak effect | Typical duration | Known for |
|---|---|---|---|---|---|
| Botox | Allergan | Day 4 to 7 | 2 weeks | 3 to 4 months | The most widely studied neurotoxin, FDA-approved for cosmetic use since 2002 |
| Dysport | Galderma | Day 2 to 3 | 7 to 10 days | 3 to 4 months | Faster onset and smooth diffusion |
| Daxxify | Revance | Day 7 to 14 | 2 to 4 weeks | The longest-lasting option | |
| Xeomin | Merz Aesthetics | Day 5 to 7 | 2 weeks | 3 to 4 months | No accessory proteins |
Timing varies by person, dose, and area. Your injector will recommend one at your consultation.

Who treats you
Adriana Sandoval Veliz, RN/MSN
Owner and Lead Injector
- Master injector certification, Empire Medical Training
- Master certification, Aesthetic Medical Educators Training (AMET)
Under the medical direction of Dr. Susan Lovelle, MD, a former plastic surgeon.
Meet the teamTreatment options
Each result above uses one of these treatments. Their pages explain how each one works, who it suits, and what to expect.

Botox
Botox in Raleigh NC delivered by a master-certified RN injector under physician supervision.
Learn about Botox
Daxxify
Daxxify in Raleigh NC is the newest FDA-approved neurotoxin and the longest-lasting option available.
Learn about Daxxify
Dysport
Dysport in Raleigh NC is the Galderma neurotoxin, FDA-approved since 2009, best known for its faster onset compared to Botox.
Learn about Dysport
Xeomin
Xeomin in Raleigh NC is the Merz Aesthetics neurotoxin, FDA-approved since 2010, and the only botulinum toxin type A on the market without accessory proteins.
Learn about Xeomin
Concerns these results address
Common questions
Botox results: common questions
Botox lasts 3 to 4 months on average. Some patients see 2 to 3 months, some see 4 to 5. Duration depends on metabolism, dose, muscle activity, and consistency of treatment.
Ready When You Are
Two ways to start: book the specific treatment you came for, or book a consultation and we will build your plan together.
Tue to Wed 10 to 5, Thu 10 to 9, Fri 10 to 3. Closed Sat to Mon.
7718 Six Forks Road, Suite 106, Raleigh, NC 27615





