You spend your weekends hiking at the Ice Age Trail, keeping up with the kids at Fireman’s Park, or unwinding along the Sugar River. Life in Verona and the greater Madison area keeps you active and social. Wisconsin winters bring squinting through cold winds, and long summer days outdoors leave their mark around your eyes, forehead, and brow. When expression lines start looking permanent, over-the-counter products can only do so much.
At VIVE Med Spa, we offer five FDA-approved neurotoxins in Verona, WI, for patients across Fitchburg, Madison, Middleton, Oregon, Belleville, Cross Plains, Sun Prairie, and New Glarus. They share the same core mechanism, but they differ in onset speed, how they spread through tissue, and how they are formulated. Our nurse practitioner injector matches the product to your facial anatomy, muscle movement, and goals rather than working from a single default.
Neurotoxins are FDA-approved injectables that temporarily relax targeted facial muscles, softening the appearance of fine lines and wrinkles. They work by blocking nerve signals at the neuromuscular junction, reducing the repetitive muscle contractions that cause expression lines. This is not a filler and not a surgical procedure. It is a precise, evidence-based treatment designed to smooth existing lines and slow the formation of new ones.
All four are botulinum toxin type A. The differences are in onset speed, how the product spreads through tissue, and how it is formulated, which is what your consultation works through.
$13.50 per unit
The most established option, with decades of clinical and cosmetic use behind it. Botox® Cosmetic (onabotulinumtoxinA) is well suited to precise, targeted work across a wide range of treatment areas, and it is often the starting point for patients new to injectables. It is also widely used preventively by patients in their late twenties and thirties who want to address early dynamic wrinkles before they become etched into the skin.
$4.50 per unit | Results in 5–7 days | Lasts 3–5 months
The fastest onset of the four. Dysport® (abobotulinumtoxinA) spreads more readily through surrounding tissue, which makes it well suited to broader, flatter muscle groups like the forehead, where even coverage matters and fewer injection points are needed. If you are working toward a specific date, the earlier onset is a meaningful advantage.
$12.00 per unit
The only one developed exclusively for cosmetic use. Jeuveau® (prabotulinumtoxinA-xvfs) was researched, formulated, and FDA-approved with one purpose: smoothing facial wrinkles. It is produced through a proprietary Hi-Pure™ manufacturing process, and its clinical trials measured success purely in terms of facial appearance and patient satisfaction rather than medical symptom management.
$12.00 per unit | Results in 7–10 days | Lasts 3–4 months
The protein-free formulation. Xeomin® (incobotulinumtoxinA) contains only the active botulinum toxin type A, with no accessory or complexing proteins. Because the body can develop antibodies to those accessory proteins over time, which may reduce effectiveness with repeated use, Xeomin® is worth discussing if you have noticed diminishing results from another neurotoxin.
$7.00 per unit (upper face); $12.50 per unit (lower face)
The longer-lasting, peptide-powered option. Daxxify® (daxibotulinumtoxinA-lanm) uses a proprietary synthetic peptide as a stabilizer and contains no human or animal-derived components. FDA-approved to temporarily improve moderate to severe frown lines between the eyebrows, Daxxify® typically lasts about six months—and may last up to nine months for some patients—making it worth considering if you prefer longer intervals between treatments.
Horizontal creases caused by frontalis muscle activity. Repeated brow-raising deepens these lines over time, and targeted injections relax the muscle, creating a smoother forehead.
The vertical “11’s” between your brows that develop from squinting, concentrating, or frowning. This is the primary FDA-approved indication for most neurotoxins and responds well to a small number of precisely placed units.
Fine lines that fan out from the outer corners of your eyes, typically caused by smiling and squinting. Treatment here softens the lines while preserving natural expression around the eyes.
Vertical bands along the neck that become more prominent with age. Relaxing the platysma muscle creates a smoother, more defined neckline.
Strategic placement near the lateral brow creates a subtle upward lift that opens the eye area and restores a more alert, rested appearance without surgery.
Diagonal wrinkles along the upper bridge of the nose that appear when you scrunch or laugh, smoothed through precise off-label placement.
Targeted placement at the corners of the mouth lifts a persistent downward pull, restoring a more neutral or softly lifted resting expression.
Relaxing the upper lip elevator muscle reduces the visibility of the gums when you smile, creating a more balanced smile line.
A small number of units along the upper orbicularis oris rolls the lip edge subtly outward, creating definition and the appearance of fuller lips without filler.
Smooths uneven, pebbled texture across the chin caused by overactive mentalis muscle contractions.
Off-label masseter treatment reduces jaw clenching, relieves TMJ-related tension, and slims the lower face for a more contoured jawline.
Reduces underarm perspiration by blocking the nerve signals that trigger sweat glands. This is a practical, FDA-approved solution for patients who have not responded to topical treatments alone.
We examine your facial anatomy, review your goals, and assess your skin elasticity and muscle movement. If you have had previous neurotoxin treatments, we factor that into your plan, including which product was used and how you responded to it.
Based on your assessment, we determine which neurotoxin suits your anatomy and goals, along with the ideal injection sites, unit count, and technique. Because unit scales differ between products, your consultation includes a clear cost estimate before anything begins.
The procedure typically takes 15 to 30 minutes and causes minimal discomfort. You can resume daily activities immediately afterward.
We check in after your appointment to confirm healing is on track and results are meeting your expectations.
Onset and duration vary by product. See the comparison above for what to expect from the neurotoxin you and your provider select. For consistent results, we recommend a maintenance schedule of every 3 to 4 months.
The VIVE Wallet is a monthly savings program that lets you set money aside for future treatments. Your contributions stay yours to spend on services, and membership adds preferred neurotoxin pricing, savings on retail skincare and aesthetic services, and additional perks through the year. Three levels are available: Silver, Gold, and Platinum.
At VIVE, we believe every face tells a story, and your treatment should enhance that story rather than erase it. Our nurse practitioner brings over 30 years of clinical nursing experience to every injection, combining precision technique with an understanding of how facial muscles work together. We spend time with each patient to understand their goals before recommending a treatment plan. You will never feel rushed, and you will never receive a one-size-fits-all protocol.
Carrying five neurotoxins is part of that commitment. When we recommend one over another, we will explain exactly why it suits you specifically. You will know your treatment cost upfront and understand what to expect from your first session through your follow-up. Whether you are visiting from Fitchburg, commuting from Middleton, or traveling from Oregon, Belleville, or New Glarus, VIVE is your destination for evidence-based wrinkle treatment in the greater Madison area.
There is no single best option. The core mechanism is the same across all five, but diffusion, onset speed, formulation, and unit ratio differ. The right choice depends on your anatomy, your goals, your treatment history, and your injector’s assessment of which product will deliver the most natural result for you.
Yes, and some patients do. Switching is worth discussing if your results have been fading faster than expected, if you want a quicker onset, or if you have noticed diminishing effect over time with repeated treatments.
Most patients see results for 3 to 4 months, with Dysport® reaching up to 5 months for some. With consistent maintenance appointments, results often last longer over time as the targeted muscles gradually weaken from repeated treatment.
Pricing ranges from $4.50 to $13.50 per unit depending on the product. Because unit scales differ between neurotoxins, per-unit price is not a direct comparison between them. The total number of units varies by treatment area and individual anatomy, and we provide a clear estimate at your consultation so there are no surprises.
Yes. These FDA-approved neuromodulators have been used in cosmetic and medical applications for decades. Side effects are typically mild and temporary, including slight redness, minor swelling, or bruising at the injection site, which usually resolve within hours to a few days.
Frown lines, often referred to as the “11’s,” typically require 10 to 30 units, depending on muscle strength, wrinkle depth, product selected, and your desired outcome. Many patients also treat the forehead lines and crow’s feet in the same session for a more comprehensive result. Your individual goals and your provider’s assessment will guide your treatment plan.
Neurotoxins pair well with dermal fillers for comprehensive facial rejuvenation, chemical peels for skin texture, and microneedling for collagen stimulation. Timing and spacing between treatments matter, so we will develop a plan that maximizes your results without overloading your skin.
Expression lines do not have to define the way you look or feel. At VIVE Med Spa in Verona, we have helped patients across Fitchburg, Madison, Middleton, and the surrounding communities achieve smoother, more refreshed results with personalized treatments that look natural, not overdone.
Schedule your consultation today and find out which treatment plan best fits your goals, anatomy, and lifestyle.
Book a consultation to explore your goals, ask questions, or learn which treatments are the best fit for you. If you are ready to book or simply want to learn more about what we offer, our team is happy to walk you through your options. We are here to help.
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