Skip to content
Smooth Fine Lines and Wrinkles with Advanced Neurotoxin Injection Treatments
Elevated, physician-led cosmetic neurotoxin injection treatments tailored to treat wrinkles, soften facial lines and restore a naturally refreshed appearance
Trusted since 2009
MD & RN Supervised
Responsive & Caring Staff
Personalized Treatments for Fine Lines and Wrinkles
Neurotoxin injections work by gently relaxing the facial muscles responsible for dynamic wrinkles – the lines and wrinkles that form when you smile, squint, or furrow your brow. By blocking nerve impulses to muscles at the injection site, these injectable treatments help smooth fine lines like frown lines, forehead lines, and crow’s feet while preserving the natural movement that makes your facial expressions uniquely yours.
At Prime MD, we offer four FDA-approved botulinum toxin options – Botox®, Dysport®, Xeomin®, and Jeuveau® – because no two patients share the same facial anatomy, aesthetic concerns, or goals. Our personalized approach means we explore which neurotoxin treatments are best suited to you during a thoughtful consultation.
Expand each option below to learn what sets each option apart.
Botox® is the most popular neurotoxin injection and the one most patients recognize by name. This botox cosmetic treatment has decades of clinical data behind it, with results that typically last between three to six months.
Onset often begins within three to five days, reaching optimal results around one to two weeks. It tends to work beautifully across a range of treatment areas – from forehead lines and frown lines to crow’s feet – and is also FDA-approved for chronic migraines, excessive sweating, and muscle spasms. Botox injections are not recommended during breastfeeding. For patients who value a proven, predictable option, Botox® remains a trusted choice.
Dysport® offers faster results, typically within 2-3 days after injection, making it a thoughtful option for patients seeking a quicker visible change. Its formulation tends to spread a little more broadly at the treatment area, which can be especially well-suited for smoothing dynamic wrinkles across larger zones like the forehead. Many patients find Dysport® a natural fit when their aesthetic concerns involve broader facial lines rather than very precise, small areas. Results generally last about three to four months, with individual variation.
Xeomin® has a highly purified formulation with fewer proteins – it contains only the core active ingredient without the accessory complexing proteins found in other botulinum toxin type A products.
This cleaner composition means Xeomin® has a lower risk of antibody resistance due to its purity, which may be especially relevant for patients who receive regular neurotoxin treatments over time. Patients may develop antibodies that can reduce the effectiveness of neurotoxin treatments, and Xeomin® is specifically designed to help reduce that possibility.
Onset is generally within a few days, with results lasting around three to four months.
Jeuveau® is a newer neurotoxin approved for cosmetic use, receiving its Food and Drug Administration approval in 2019 specifically for moderate-to-severe frown lines between the brows. It offers a focused, modern option for patients whose primary concern is smoothing those vertical lines that can make you look tired or tense.
Effects typically begin within days and peak around one to two weeks. For patients exploring natural looking results in a cost effective, purpose-built formulation, Jeuveau® is worth discussing during your consultation.
Not Sure Which Neurotoxin Treatment Option is Right for You?
Choosing the right neurotoxin is a personal decision shaped by your facial anatomy, your goals, and your history with other treatments. That is exactly why we start every journey with a consultation – so we can listen, evaluate, and recommend the option that fits you.
Most neurotoxin treatments require multiple sessions for optimal results, and your plan will be tailored to evolve with you. Neurotoxin injections are generally considered safe when administered by qualified professionals, and our physician-led team is here to guide you through every step.
Common side effects include temporary bruising and mild swelling, and possible side effects of neurotoxin injections include pain, swelling, and temporary drooping eyelids. It is worth noting that XEOMIN can cause life-threatening allergic reactions, and serious side effects may occur hours to weeks after XEOMIN treatment – your provider will discuss this with you in detail.
Patients should avoid blood thinners before botulinum toxin injections. Neurotoxin products are FDA-approved and include Botox®, Dysport®, Xeomin®, and Jeuveau®, and newer options like Daxxify® – which may last up to 6-9 months – are also part of the evolving landscape your provider can discuss with you.
We also offer services that work in compliment to neurotoxin injections, like dermal fillers to restore volume and address concerns like nasolabial folds, and medical microneedling to support natural collagen production for a comprehensive approach to facial rejuvenation.
Locations Offering Neurotoxin Injections
Prime MD Raleigh, North Carolina
Prime MD Rolesville, North Carolina
Prime MD Johnson City, Tennessee
See what Others Are Saying
Prime MD Raleigh, North Carolina
Prime MD Johnson City, Tennessee
Prime MD Rolesville, North Carolina
Follow us on Instagram
These before-and-after photos were taken 6 weeks apart following a single VIRTUE RF treatment of the abdomen.
VIRTUE RF combines precision radiofrequency energy with microneedling to stimulate collagen and elastin production within the dermis, helping improve skin laxity, texture, and overall skin quality. As collagen remodeling continues, patients often experience progressive improvements over the following several months.
Every treatment plan is customized based on your anatomy, skin quality, and aesthetic goals.
Schedule your consultation to learn if VIRTUE RF is the right option for you.
📍Raleigh, NC & Rolesville, NC
📞 919.948.6355
The best results are never about more, they’re about balance, artistry, and the right hands.
Ready to begin your aesthetic journey? Schedule your consultation today.
📍 Raleigh, NC | Rolesville, NC
📞 919.948.6355
This is a very exciting event for us as it is our very first Women’s Wellness Evening at Prime MD Aesthetics + Wellness. ✨
We’re creating a safe, welcoming space where women can come together for an open and honest conversation about sexual wellness, intimacy, confidence, and the changes so many of us experience but rarely talk about.
Join our provider, Carolyn Namde, PA-C, alongside licensed therapist Shelly Hummel, LMFT, and our Alma Duo clinical expert Kelly Setser as we discuss common concerns, answer your questions, and explore non-invasive treatment options that are helping women feel like themselves again.
Enjoy light refreshments, exclusive event-only specials, exciting giveaways, and the opportunity to connect with other women in a supportive, judgment-free environment.
No topic is off limits. No question is too embarrassing. This evening is about education, empowerment, and reminding women that they are not alone.
🖤Come as you are. Leave feeling informed, empowered, and supported.🖤
Prime MD Aesthetics + Wellness Raleigh Office
• August 27, 2026
• 6:00 PM – 8:00 PM
• Women’s Event (18+)
Sometimes the answer isn’t treating the area that bothers you most. It’s supporting the structures around it.
For this treatment, we used 2 syringes of Radiesse placed strategically in the mid-cheek, preauricular (PA), and along the jawline to restore the face’s natural foundation.
By rebuilding support in these key structural points, we were able to:
• Lift and support the midface
• Improve the under-eye to cheek transition
• Soften the appearance of the nasolabial folds
• Restore balance to the lower face
• Enhance jawline definition
• Create a naturally refreshed appearance without adding unnecessary volume
One of the biggest misconceptions in aesthetics is that every hollow or fold needs to be filled directly. In many cases, restoring the foundation allows the face to lift and rebalance itself.
And because Radiesse stimulates your body’s own collagen, these results continue to improve over the next several months.
Support first. Volume second.
That’s how natural results are created.
Can we just take a moment to admire these beautiful first-time lips? ✨
Achieved with just 1 syringe of RHA, thoughtfully placed to create a noticeable increase in volume while preserving a soft, natural-looking pout. The goal was enhanced shape, balance, and hydration without ever looking overdone.
Natural. Refined. Undetectable. 💋
By @angelawilliamsbsnrn
Your sign to stop shaving 👋✨
Underarm Laser Hair Removal | $99
A quick treatment with long-term benefits. Less shaving, fewer ingrown hairs, and smoother skin year-round.
Offer valid for one treatment per customer. Cannot be combined with any other specials or promotions.
One treatment. Sixteen minutes apart.
These results were achieved with a single Everesse RadioFrequency treatment, no numbing, no downtime, and no recovery required.
Photos were taken at 3:06 PM and 3:22 PM, showcasing immediate skin tightening, contouring, and rejuvenation after just one session.
Subtle. Natural. Effective🙌🏼
The power of collagen stimulation starts the moment treatment begins, with continued improvement developing over the weeks ahead…
And may I add that this treatment is SUMMER SAFE? Ummmm yes please!!!
We’re growing…
Our team is expanding and we’re officially hiring an experienced Nurse Injector 💉
If you’re passionate about aesthetics, have an eye for detail, and love creating confidence through results… this might be your sign 👀
Think you’re the perfect fit? DM us for more info and we’ll send over the details on where to submit your résumé 💌
there is some truth to that 😌💋
because what’s better than spending time with your esti bestie…
facial = therapy
glow = confidence
confidence = everything
so really… it’s not an expense, it’s self care ✨
Our 2026 Spring Soirée was a success! ✨
Thank you to everyone who came out to support us and spend such an incredible evening together. We loved celebrating with you all.
Missed it? Don’t worry… we’re extending our exclusive specials through next Thursday ❣️
We greatly appreciate every visit, referral, and review! 🫶
.
.
.
#rolesvillenc #wakeforestnc #hydrafacialraleigh #fillerraleigh #inmyprime
In our Prime era 📸
#inmyprime #primemdaesthetics #nurseinjectors #medicaleasthetician #rolesvillenc
The beauty of this result?
Both of these are "before pictures" - before tox, 3.5 months apart. 🤯
The difference? One product that our team is OBSESSED with. And for good reason! Clinically proven to lift sagging skin by up to 2mm, this product packs a punch.
For details on this product and how to snag it for 20% off THIS WEEK ONLY, comment "LIFT" ✨️
When we treat you with respect, open minds and hearts, and as the individuals you are: We learned that from them. 🩷
Happy Mother`s Day from our families to yours!
So... is it Botox or "Fauxtox" if it`s $7/unit?
All jokes aside, we field these questions a lot and we get it! Treatments can really add up.
When you shop around for an aesthetics team cheaper is almost NEVER a better option. Wondering what drives the costs? 👇
Reputable, top-notch clinics have:
⭐️ high cost of goods - driven by the product manufacturers, not us!
⭐️ insurance - to protect the safety and wellbeing of our patients and staff
⭐️ invested thousands annually in training for their staff
⭐️ safety and comfort measures in place that add up financially
⭐️ cutting edge technology and products
⭐️ payroll and commissions to account for
And the big one:
⭐️ EXPERIENCED STAFF
So just know that if a price sounds way too good to be true, it probably is.
If you work in the industry, what other hidden costs did we miss?! 👇
Thinner skin + daily sun exposure + constant screen use = a neck that ages faster than the face 🫠
If surgery is off the table for you, read on for how you can reverse the signs of a less than youthful neck.
✨️ We are thrilled to announce our newest addition to the Rolesville Office: Kasen Moore, LE!✨️
Kasen is a licensed medical aesthetician with years of experience in the medical and cosmetic dermatology sector, and will be an invaluable asset to the growing Rolesville area and our team at Prime MD 👏
She will be performing:
✨️ Custom Facials
✨️ Hydrafacials
✨️ Customized Chemical Peels
✨️ SkinPen Microneedling
✨️ Korean Glass Skin Facials
✨️ And brow services including: brow mapping and laminations, waxing and tinting
Kasen also has extensive laser knowledge and will help us grow that service area in the near future. Her passion for customer relationships and easy to digest skin education is evident from the moment you meet her, and we know you will all adore her!
When not in her esti room you will find Kasen spending time with her husband and their mini goldendoodle puppy, Theo 🐶 She loves to travel and has lived in 6 different states, but calls NC home.
💫💫 Lastly, as a warm welcome to her new and existing patients, we will be offering 15% OFF ALL SERVICES with her thru April!
Call 919-948-6355 option 2 to book with Kasen, and be sure to follow her for all things skin!
Beautiful lips created over different sessions 💋
From @juliainjects: "This patient desired additional height and hydration to her lips, so by layering filler types over the course of a couple sessions we were able to give her better definition and hydration. Depending on the lip tissue and patient`s desires, a slow and steady approach is sometimes necessary for the perfect result!"
Interested in a plumper pout? Call 919-948-6355 option 2 to schedule your aesthetic consultation
Feeling dry and itchy? Let`s face it: this winter has been BRUTAL.
And it`s affected everything from our work and school schedules to our skin. When relative humidity drops for long periods of time your skin is often the first place to show it.
Flaky skin isn`t just an eyesore, it`s a sign of a compromised skin barrier which can lead to
🚨 rosacea and acne flare ups
🚨 ruddy skin tone
🚨 and increased susceptibility to UV rays.
In addition to drinking plenty of water and running a humidifier 24/7, we recommend the following simple skincare routine for these dry winter months:
DAILY:
💧 gentle cleanser
💧 vitamin C
💧 hyaluronic acid
💧 a rich daily moisturizer
💧 tinted physical SPF during the day
💧 hydrating retinol at night
💧 a 100% silk pillowcase
WEEKLY:
💧physical exfoliation 2 - 3x
💧hydrating sheet masks or overnight masks
MONTHLY:
💧 a deluxe hydrafacial with dermaplane
For a complete list of our winter skin saviors comment "SOS" 💌
. . . . . . . . . .
#selfcareraleigh #raleighmedspa #bestfacialraleigh #wakeforest #rolesvillenc
The flexibility to achieve your 2026 skincare goals on your own terms this year ✨️
To get started call 919-948-6355, sign up on our website, or at your next appointment. Perks begin immediately!
If 2026 is your year to finally prioritize your skin`s health and condition, scroll through for our staff`s foolproof recommendations on achieving your best. skin. ever 👏
✨ Angie is back in town next week ✨
Now’s the perfect time to treat yourself. Whether you’re due for a refresh or have been wanting to book, don’t wait—appointments fill quickly!
📅 Reserve your spot with Angie💖
The beautiful faces that will greet you for your appointment! 🤍
✨ Welcome to the team, Chris Rudd! We’re so excited to have Chris join the Prime MD family as our new wellness provider . We can’t wait for you all to meet him and experience the exceptional care he’ll provide!
✨ Angie is coming June 24th & 25th! ✨
Don’t miss your chance to see her—appointments are limited, so be sure to book yours today! 💕 @angelawilliamsbsnrn
We’re “fully staffed” according to the schedule!☺️
Work done by our talented aesthetician! @theskintaylar 🩷 Book an appointment to get your brows laminated and tinted!
Client Results with Neurotoxin Injections
