“Neurotoxin injections should make you look more like yourself — not frozen, not surprised, not expressionless. Our injectors are trained to use the minimal effective dose that softens lines while preserving the natural movement that makes your face authentically yours. We always start conservatively and adjust. The goal is refreshed. Never done.”
What Botox & Neurotoxins can do for you
Neurotoxin softens the dynamic lines of the upper face — forehead, glabella, and crow's feet — by relaxing the muscles that create them. The goal is never frozen expression; it's a rested, younger-looking face that still communicates how you actually feel.
- A smoother forehead — horizontal lines soften without a frozen, immobile look.
- Softer “11s” between the brows — the chronic frown line eases as the glabellar muscles relax.
- Crow’s feet that read as rested — fine lines around the eyes fade while expression stays natural.
- A subtle, natural-looking lift — restrained dosing preserves real movement; you still look like you, only fresher.
- A quick, near-painless visit — under 15 minutes, no downtime; first changes visible in 5–7 days, full effect at two weeks.
- Lasts 3–4 months for Botox/Jeuveau, 4–5 months for Xeomin, 6–9 months for Daxxify — with consistent treatment, dynamic lines stay softened long-term and ultimately etch in less deeply.
Ready to discuss your neurotoxin treatment goals?
See the work in motion
Understanding Botox & Neurotoxins
What Botox & Neurotoxins is
Neurotoxin relaxes the muscles of the upper face that create dynamic lines — forehead, glabella, and crow’s feet — while preserving your natural expression. Dosed with restraint, it reads as rested, not frozen.
- Visit: <15 minutes, in-office
- Onset: 5–7 days, full effect at 14
- Lasts: 3–4 months (Daxxify 6–9)
- Downtime: none — resume normal activity immediately
Forehead Lines
Horizontal forehead creases from frontalis muscle activity — softened to a smooth, relaxed forehead while preserving natural expression.
Glabellar Lines (“11s”)
The vertical frown lines between the brows — one of the most commonly treated areas, with significant impact on a rested, approachable appearance.
Crow’s Feet
Lateral eye lines from orbicularis oculi activity — softened while maintaining natural smile expression.
Brow Lift Effect
Strategic depressor muscle treatment can produce a subtle 2–3mm brow lift, opening the upper eye without surgery.
Lip Lines & Lip Flip
Soften perioral lines and produce a subtle lip flip — increasing visible vermillion — with precise orbicularis oris treatment.
Neck Bands (Nefertiti)
Relaxing the platysma muscle bands of the neck and producing a subtle jawline lift with the Nefertiti technique.
TMJ & Bruxism
Masseter muscle treatment reduces jaw clenching, relieves TMJ pain, and produces facial slimming as a secondary benefit — narrowing the lower face width.
Hyperhidrosis
Neurotoxin injected into the underarm, palms, or soles dramatically reduces excessive sweating — a highly effective treatment with results lasting 6–12 months.
Gummy Smile
Precise injection of the levator labii superioris alaeque nasi limits excessive gum show when smiling — a subtle, effective non-surgical correction.
Nefertiti Neck Lift
Platysmal band relaxation combined with strategic jaw-border treatment produces a subtle neck lift effect and improved jawline definition without surgery.
Botox
The original and most studied neurotoxin. Onset in 3–5 days, full effect at 14 days. Lasts 3–4 months.
Dysport
Faster onset (2–3 days) and slightly wider diffusion — preferred by some injectors for forehead and crow’s feet. Lasts 3–4 months.
Jeuveau
A newer neurotoxin formulated specifically for cosmetic use. Comparable onset and duration to Botox — lasts 3–4 months — with a strong record on glabellar lines.
Daxxify
The longest-lasting neurotoxin available. Lasts 6–9 months — nearly double the typical treatment. Ideal for patients who prefer fewer appointments per year.
Who Botox & Neurotoxins is for
If any of the following describes you, Botox & Neurotoxins may be worth exploring:
What makes our approach different
From your first non-surgical consultation to your final follow-up, the same standards that define Dr. Truesdale’s surgical practice apply to every non-surgical treatment in our office.
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A credentialed clinical team, personally trained by Dr. Truesdale
Every non-surgical treatment is performed by a Nurse Practitioner, Registered Nurse, or Physician Assistant who has been specifically trained, mentored, and credentialed by Dr. Truesdale himself — not contractors or rotating staff.
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Completely natural-looking results
Conservative dosing, restraint over over-correction, and the artist’s eye Dr. Truesdale brings to every facial-aesthetic decision — never a frozen, overfilled, or “done” look. Friends notice you look refreshed; nobody can identify what changed.
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Excellent patient care, every visit
A private, unhurried experience with continuity from one visit to the next — the same chart, the same standards, the same team. Detailed records of every treatment, dose, and product so your plan evolves with you over time.
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A true one-stop shop — surgery, med spa, and medical weight loss under one roof
Whether your goals are met with a single non-surgical treatment, a coordinated med-spa plan, a medical weight-loss program, or facial surgery — everything happens in the same Beverly Hills practice, with the same team and the same standards. No referrals out, no fragmented care.
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Physician oversight on every plan
Treatment plans are reviewed by Dr. Truesdale and built around your full facial anatomy and long-term goals — not isolated, transactional appointments. The same surgical mindset that informs every Masterpiece procedure shapes every non-surgical recommendation.
“A well-done neurotoxin treatment should be invisible — people notice you, not the injection.”
— Dr. Carl Truesdale, MD
Your transformation starts with a conversation.
From first consultation to final reveal
We always tell our patients to ‘trust the process.’ You are in good hands on every step of the journey to your unique masterpiece.
Consultation
Personal session with Dr. Truesdale — facial analysis, honest assessment of candidacy, and a clear plan for what the procedure can and cannot achieve.
Procedure Day
Precision injections in-office by Dr. Truesdale or his trained injector.
Treatment
Quick in-office injections performed by Dr. Truesdale. No anesthesia required; topical numbing available. Remain upright for 4 hours after the appointment. Avoid rubbing, massaging, or applying pressure to the treated areas for 24 hours. Avoid heat exposure (hot tubs, saunas, sunbathing) and strenuous exercise for 24 hours.
Effects Begin
Initial softening of dynamic lines visible at 3–7 days. Mild redness or pinpoint bruising at injection sites resolves within 24–48 hours. No downtime.
Look and Feel Like a Masterpiece
Peak smoothing effect visible at Day 10–14. Lasts 3–4 months.
Individual timelines vary. Dr. Truesdale sets realistic, patient-specific expectations during your consultation — not exaggerated claims.
See if Neurotoxin Treatment is right for you.
Botox & Neurotoxins FAQs
Bring your own questions to consultation — Dr. Truesdale personally answers every one. Below are the questions patients ask most often about Botox & Neurotoxins.
The strongest candidates have dynamic expression lines in the upper face (forehead, glabella, crow’s feet) that show when you move your face. Dr. Truesdale evaluates you personally in consultation and only recommends the procedure when it will genuinely help. If a different approach would serve you better, he’ll tell you that too.
Our injectors carry all four FDA-approved neurotoxins so the choice can be tailored to your goals: Botox, Dysport, Jeuveau, and Daxxify. Each has slightly different onset, spread, and longevity characteristics — for example, Daxxify often lasts 6–9 months while Botox and other neurotoxins typically last 3–4 months. Your injector reviews the differences with you in consultation and recommends the brand best suited to the area being treated and how you respond to neurotoxin.
Botox relaxes muscles that cause dynamic lines. Filler replaces lost volume. Surgery repositions tissue. If your lines show when you move but smooth out at rest, Botox is appropriate. If they are present at rest, you may need filler or a more substantial intervention. Dr. Truesdale’s team evaluates each concern individually and recommends the smallest intervention that will solve it.
Most patients describe the discomfort as mild to moderate. The procedure is involves small injections; most patients describe a quick pinch. Dr. Truesdale’s team is available throughout recovery — you are not managing discomfort on your own.
Our surgical procedures utilize a patient-focused anesthesia technique known as MAC (Monitored Anesthesia Care) and IV Sedation, ensuring your maximum comfort and safety. This method provides a level of gentle, deep sedation comparable to the comfortable experience many patients have during a colonoscopy, which we have found helps make patients less fearful. The anesthesia is administered intravenously and meticulously monitored by a hand-picked group of board-certified anesthesiologists, who are dedicated to your well-being throughout your entire procedure.
Plan on no meaningful downtime of social downtime. Expect small red marks at injection sites fade within 1–2 hours. Most patients resume normal activity immediately. Your follow-up appointments along the way are conducted by Dr. Truesdale and our physician assistant, with Dr. Truesdale seeing you personally at the key milestones.
That’s the entire standard Dr. Truesdale designs for. Expression should still read — the goal is rested, not frozen. Every patient is evaluated in a seated, relaxed state beforehand so the target is based on your real anatomy — never on an idealized template.
3–4 months. Effect fades gradually over 3–4 months. Most patients return every 3–4 months for maintenance.
Yes. A significant portion of Dr. Truesdale’s patients travel from across the United States and internationally. The process begins with a virtual consultation with Dr. Truesdale himself (not a coordinator), followed by in-person pre-procedure evaluation. Our patient-care coordinators help arrange travel, accommodations, and local transportation, and Dr. Truesdale’s team conducts virtual follow-ups after you return home.
Request a consultation through the form at the bottom of this page, email contact@doctortruesdale.com, or call (424) 363-4112. Our team responds within one business day to schedule either an in-person consultation at 150 S. Rodeo Drive, Suite 360, Beverly Hills, or a virtual consultation worldwide. Every consultation is conducted personally by Dr. Truesdale.
Neurotoxin treatment can begin as early as the mid-to-late 20s as a preventative against early lines, and patients in their 60s and 70s continue to benefit. The best time is when you begin seeing lines persist even at rest — that’s when small, thoughtful treatment prevents those lines from deepening into permanent creases.
The cost of botox can vary based on the patient’s situation and whether it is combined with other treatments. At Truesdale Facial Plastic Surgery, we believe the provider’s experience and your comfort with the plan are just as important as the final cost. We can provide an approximate range over the phone, and your patient care coordinator will confirm pricing after your consultation.
Schedule your neurotoxin consultation
Natural, refreshed — never frozen. Dr. Truesdale's team approaches every injection with the same precision and restraint as surgery. We respond same-day, Monday-Friday.
Book your treatment consultation online
After clicking the booking link, select “new patient” under Schedule Your Appointment and fill out the form to see our current availability and book immediately. Call or text us (424) 363-4112 for additional appointment times.All times are based on Los Angeles, Pacific Time (PT).
Book Appointment →Prefer to share details first? Submit the form and a Patient Care Coordinator will reach out the same business day (Monday–Friday).