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Neuromodulators

Cosmetic Face Injections

Conveniently located to serve Bellevue, Issaquah, and Sammamish, WA

Neuromodulators, or neurotoxins, are cosmetic injectables designed to minimize facial wrinkles. They can also be used to enhance the contours of the jawline, brow, and nose. At SHADe, neuromodulator treatments are provided by expert injector, Sherisse Hill, RN, MSN, ARNP, FNP(C). Sherisse trained with the world’s foremost aesthetics authorities to master leading-edge techniques, and she is considered a top provider of neurotoxin treatments in Issaquah.

What are Neuromodulators/ Neurotoxin Treatments?

Injectable neuromodulators, such as Botox®, Daxxify®, Dysport®, Letybo, and Xeomin®, are the go-to aesthetic solution for facial expression lines, or dynamic wrinkles. Over time, facial expressions such as frowning, squinting, and raising our eyebrows can cause deep wrinkles. Many people begin to see these wrinkles in their mid-30s and 40s. The earlier you begin neuromodulator treatments, the more effectively you will be able to minimize and prevent these common signs of aging.

Our anti-wrinkle injections can be applied to the forehead, jaw, lips, nose, and around the eyes. Schedule a consultation at our cosmetic dermatology clinic just outside Seattle, Washington.

How Do Neuromodulators Work?

Dysport®, Botox®, Daxxify®, Letybo, and Xeomin® can help to make your face look more youthful and balanced by reducing wrinkles and reshaping targeted facial features. The active ingredient in these injectables is a neurotoxin known as botulinum toxin type A, which interferes with nerve and muscle signals to prevent muscles from contracting.

Relaxing the muscles responsible for creating dynamic wrinkles allows the skin above to flatten out, restoring a smoother skin surface. When injected for facial sculpting, neuromodulators work to decrease the muscle mass of hyperactive muscles, providing a slimming effect. These cosmetic injections work as a non-surgical solution to smoothing and contouring the face.

What Can Neuromodulators Treat?

Daxxify®, Botox®, Xeomin®, Letybo, and Dysport® can be ideal for treating and preventing wrinkles caused by facial expression-related muscle movements. Sherisse can perform anti-wrinkle injections to smooth away “11” lines between the eyebrows, crow’s feet, horizontal forehead wrinkles, bunny lines, and lip lines. She also employs cosmetic injections for:

  • Neck bands
  • Neck lines (tech neck)
  • Chin dimples (peau d’orange)
  • Nose slimming and nose flaring
  • Jawline contouring
  • Uneven smile
  • TMJ symptoms
  • Hyperhidrosis (excessive sweating)
  • Face slimming

 

Neuromodulator treatments work as anti-wrinkle injections by relaxing overactive facial muscles and restoring volume to the skin. Choosing the right neuromodulator​, whether it’s a single injectable or a custom blend, is key to achieving the best results. We work to create a personalized treatment to soften the signs of aging, highlight your natural facial features, and help you feel confident with refreshed, natural-looking results.

What are the Differences Between Facial Injections?

Our cosmetic injectables differ in their formulas, longevity, and how quickly results appear. 

For example, Botox® is the most well-known, offering reliable results that last about 3–4 months. Xeomin® is commonly used on those who have a longer history of facial injections. 

Our recommendations for which cosmetic facial injections will depend on the parts of your face you want treated. Dysport® is effective for larger areas like the forehead, with results lasting up to 4 months. Letybo is typically used for smoothing fine lines and wrinkles.

 

Botox®

Botox® was the first neuromodulator to be FDA-approved for cosmetic use, and it is the best-known product of its kind. Its well-established safety profile and broad range of aesthetic and therapeutic applications make it a popular choice among patients and practitioners alike.

Botox® treatments typically deliver results within three to five days, with optimal effects visible in about two weeks. On average, Botox® results last three to four months. 

Daxxify®

Daxxify® is the longest-lasting neurotoxin. It boasts the purest formulation of any neurotoxin, as it does not contain any human or animal byproducts or complexing proteins. Daxxify® is also notable for its peptide-powered formula, which contributes to its enhanced longevity.

Patients can anticipate initial results in as little as one to two days and results that can last around four months.

Dysport®

Dysport’s formulation tends to disperse more quickly than some other neuromodulators, so some patients find it provides faster results than Xeomin® or Botox®. It is particularly effective for treating larger areas, such as the forehead, due to its ability to diffuse more evenly across a broader treatment zone. 

Results from Dysport® for wrinkles typically appear within two to three days and can last for up to four months.

Xeomin®

Xeomin® is free of accessory proteins, making its formulation purer than that of Botox® and Dysport®. The lack of complexing proteins reduces the likelihood of developing resistance, making Xeomin® an attractive option for patients who have used neuromodulators extensively in the past.

Patients usually begin to see results from Xeomin® injections within three to four days, with effects lasting around three to four months.

Letybo

Letybo, a cutting-edge injectable treatment, is a new and effective option for those looking to reduce fine lines and wrinkles caused by muscle movement. This non-surgical procedure uses botulinum toxin to temporarily relax the muscles beneath the skin, offering smoother, youthful skin with minimal downtime.

Real Patient Testimonials

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Holland Kaviani
2 October 2026
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I’ve been going to SHADe for nearly two years and have gotten multiple kinds of services. This is the longest I’ve ever worked with an aesthetic derm because this is the best care I’ve received after working with many other providers. Every appointment has been a great experience - punctual, every is super sweet and professional, and I’ve seen measurable improvements every step of the way. Sherisse and her team are so kind and patient with questions. I always feel like I’m in good hands.
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Jenny Katz
21 September 2026
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I’ve had such a great experience here so far! The owner Sherisse has the best energy! I’ve worked with both her and Kira who are both super friendly and also very knowledgable with their treatments. The entire staff & front desk make you feel comfortable from the moment you walk in! I feel like I’m just hanging out with friends during my time there. I’ve only had 2 sessions so far, so I’m still early in my process, but I do notice small improvements after each visit already. I feel like I’m on the right plan for my skin and really trust their expertise. I’m excited to see the results continue to build! Highly recommend if you’re looking for a personalized skin approach!
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Jenae Ghassemieh
5 September 2026
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Kira and Sherisse are great! Always happy with my treatment and feel taken care of.
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Nicole McBride
14 August 2026
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Sherisse is the best!!
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Courtney Bain
7 August 2026
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Sherisse is an amazing talented Doctor. I’ve gotten injectable treatments and skin treatments. Kira and Sherisse are both so professional, gentle and positive! I love that I can text Jessica with any questions or scheduling concerns and she always gets right back to me.
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saswati pal
5 August 2026
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I’ve been going to Shade for about a year now, and I can honestly say it’s one of the best decisions I’ve made for my skincare. The space is always spotless, relaxing, and welcoming, which makes every visit such a pleasant experience. What I appreciate most is that they genuinely care about their clients. They listen to your concerns, take your feedback seriously, and never make you feel like just another appointment. Their service is consistently thoughtful and professional. I first started seeing Sarah before she left for nursing school, and she was truly one of the best estheticians I’ve ever had. She was knowledgeable, gentle, and always made me feel comfortable. Now I’ve been seeing Kira for my Hydrafacial and Glass Lift facials, and she has been wonderful. She’s incredibly knowledgeable, explains everything she’s doing, and always tailors the treatment to what my skin needs. She genuinely wants you to leave happy with the results. I highly recommend Shade to anyone looking for quality skincare treatments and exceptional service. You can tell they truly care about their clients, and that’s what keeps me coming back.
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Faith Zelenko
24 July 2026
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I am 69 and have been in the beauty industry for many years. I went to - more than I can count- spas and medical professionals. Sherisse is truly the best I’ve gone too. I trusted her entirely. She was knowledgeable, kind and my results are exactly what I hoped for. I’ll be a forever client.
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Angelina Aces
16 July 2026
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I interviewed over 25 different medspas after having a few nightmare experiences, and Sherisse Hill & the SHADE team were the only ones who came through for me. My one & only request was someone who wouldn't comment on other areas of my face & body, and just inject the small areas I wanted done without unwanted "analysis." I absolutely hate when providers think they have a right to analyze you, even if it's to say "those lines aren't too bad," or something they think is a compliment! Or worse yet, the ones who try to push more treatments to "balance" things you haven't asked to be balanced! I'm not coming to medspas to be given new insecurities. I wanted to remain entirely mentally unmolested. I told her I needed her to pretend that I look perfect, besides the small area I did want treated. And believe it or not, Sherisse actually understood and respected that! I've been lured into clinics before that swore up & down they would absolutely not "assess" me or point out anything extra they "thought" needed correcting, or comment on my facial features & body *at all* but without fail, every one of them broke that promise. I called many clinic managers in tears over that betrayal of trust. Largely, it's a harmful industry. I was overjoyed to finally find a place like this. Sherisse listened, strategized collaboratively with me, performed my injections masterfully and worried about my pain during injections more than I did (which was basically non-existent). The office staff is always truly warm and friendly and seems to genuinely like people. They communicated with me beautifully and even called me back one time on a day off (totally not expected or necessary!) But more than that, I felt actually respected as a person! I'm not sure when I'll want another treatment, but I know this place is first on my list when I do!
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Mel
15 July 2026
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I had a great experience at Sherisse Hill Aesthetic Derm. From the moment I walked in, the office felt welcoming, clean, and relaxing. Sherisse took the time to listen to my concerns, explain my options, and recommend what would work best for me without ever making me feel pressured. I really appreciated her honest approach and attention to detail. The results look natural, which was exactly what I was hoping for. The entire staff was friendly and professional, and the process was smooth from start to finish. I would definitely recommend Sherisse to anyone looking for high-quality aesthetic care with a personalized touch.
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Cristine Varzali
14 July 2026
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Sherisse and her team are wonderful! I completed my second round of bio-peel and microneedling, and am so happy with the results. My complexion is brighter, smoother and more even toned. I'm looking forward to continued treatments.

Additional Neuromodulators Info

What to Expect with Neurotoxin Treatments

Your neuromodulator injections will be administered in-office in one of the relaxing and luxurious private treatment rooms at SHADe. Most neurotoxin treatments take only 10 to 15 minutes.

You will not need downtime after your neuromodulator injections. However, you will need to adhere to the aftercare instructions Sherisse provides to promote the best possible results.

How Much Do Neuromodulators Cost?

The price of your neurotoxin treatment will largely depend on the specific product used and the number of units required to accomplish your desired results. During your consultation, Sherisse will determine the optimal product and dosage for you based on your unique concerns and needs. She can then provide exact cost details.

Schedule a Consultation

Under Sherisse’s care, patients benefit from her vast experience and rigorous training. To access your personalized treatment plan and incredible, natural-looking neuromodulator results, contact SHADe today to schedule a consultation for neurotoxins in Issaquah. 

Neuromodulator Injection FAQs

Can face injections be combined with other cosmetic treatments?

K
L

Yes, Sherisse often combines neuromodulators with other aesthetic procedures, particularly when it comes to positive aging and facial harmonization treatments. These advanced, combination treatments often include neurotoxins along with facials and peels, dermal fillers, Kybella®, and microneedling for dramatic, yet natural-looking facial rejuvenation.

How long until I see results from the face injections?

K
L

he onset of results varies depending on the neuromodulator used and your body’s unique response to the treatment. Botox® results usually appear within 3-7 days; Dysport® can show effects in 2-3 days; Xeomin® results appear in about 3-4 days; and the effects of Daxxify® may start to show in as little as 1-2 days.

Can face injections prevent wrinkles?

K
L

Yes, starting neuromodulator treatments early can help prevent the formation of deep dynamic wrinkles by relaxing the corresponding muscles. Many patients begin preventative neurotoxin treatments in their late 20s to early 30s.

How long do cosmetic face injections last?

K
L

The longevity of results depends on the specific neurotoxin used. Botox®, Dysport®, Daxxify® and Xeomin® typically last around three to four months. Sherisse will advise you regarding the optimal retreatment schedule for maintaining your desired look.

Are the neuromodulator treatments painful?

K
L

No, the injections are done with an extremely fine needle, and any discomfort is usually minimal and brief. The anti-wrinkle injections typically feel like a quick pinch. Topical and injectable numbing is available for clients.

How often will I need maintenance treatments?

K
L

It depends on the type of neuromodulator and your cosmetic history; our face injectables last about 3–4 months. Your ideal maintenance schedule may vary based on your cosmetic goals, how your body responds, and our injector’s recommendations.