Face
Read about Wrinkles and Fine Lines
Wrinkles and Fine Lines
Every option for lines, including those that remain at rest.
Details
Injectables
Botox, Dysport and Letybo in Ponte Vedra Beach
FDA-approved wrinkle relaxers for forehead lines, frown lines and crow's feet, placed by a dermatologist and priced by the area treated rather than by the unit.
From
$350 per area
Treatment time
10 to 20 minutes
Downtime
None
Results last
3 to 4 months
What are Botox, Dysport and Letybo, and what do they treat?
Short answer
Botox, Dysport and Letybo are FDA-approved neurotoxins, purified botulinum toxin type A injected in small, precise doses to relax the facial muscles that create expression lines. With the muscle relaxed, the skin over it smooths out. They treat forehead lines, frown lines (the "11s"), crow's feet and other dynamic wrinkles, and help prevent new lines from forming.
Dynamic wrinkles form from repeated expression. Every time you frown, squint or raise your eyebrows, the muscles underneath contract and the skin folds. In younger skin those creases disappear when the muscle relaxes; over time they become lines that stay visible at rest.
Neurotoxins block the nerve signal (acetylcholine) that tells the muscle to contract. The effect is temporary, lasting about three to four months, after which muscle activity gradually returns and a repeat treatment maintains the result.
At Dermagnify the approach is results-driven, not units-driven. Rather than charging by the number of units injected, treatment is structured around the areas you want to change, so you receive the right dose for your anatomy and goals.
Three options
Botox, Dysport or Letybo?
All three are safe, FDA-approved and clinically effective. Dr. Cappel recommends the one best suited to your anatomy, treatment history and goals.
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Botox, the original
OnabotulinumtoxinA, FDA-approved since 2002 and the most studied neurotoxin worldwide. Predictable, precise results for forehead lines, frown lines and crow's feet, for first-time patients and long-term plans alike.
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Dysport, the fast-acting alternative
AbobotulinumtoxinA, FDA-approved since 2009. A slightly faster onset (2 to 5 days) and broader diffusion make it well suited to larger areas such as the forehead.
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Letybo, the newest generation
LetibotulinumtoxinA, FDA-approved in 2024 and studied specifically for glabellar lines (the 11s). Manufactured to a high purity standard, and currently Dr. Cappel's favorite.
Which areas can be treated?
The upper face responds best: forehead lines, frown lines and crow's feet, the three areas in our Upper Face Refresh. Dr. Cappel personalizes dosing to your muscle strength and how much movement you want to keep.
Neurotoxin is also used to slim a square jawline (masseter), relax vertical neck bands (platysma), lift the outer brow, soften bunny lines and lip lines, turn up the corners of the mouth, and smooth a dimpled chin. It can also treat excessive underarm sweating.
- Forehead lines: frontalis, typically 10 to 20 units
- Frown lines (11s): corrugators and procerus, typically 20 to 25 units
- Crow's feet: orbicularis oculi, typically 10 to 12 units per side
- Non-surgical brow lift: depressor supercilii, 4 to 6 units per side
- Neck bands: platysma, typically 20 to 40 units
- Jawline slimming: masseter relaxation for a softer, V-shaped contour
Will I look frozen?
Not when the dose and placement are right. Dr. Cappel starts conservatively and refines at your follow-up visit, so you look refreshed while keeping your natural expressions.
Placement matters as much as dose. Crow's feet, for example, are treated with small superficial injections, because overtreating that area can flatten a smile. A frown line treatment often produces the most visible improvement of any single area, since those lines make people look tired or tense.
Why see a dermatologist for neurotoxin?
A board-certified dermatologist brings detailed knowledge of facial anatomy, familiarity with the full range of skin conditions, and the ability to manage any complication directly. At Dermagnify, Dr. Cappel personally administers all neurotoxin treatments.
Neurotoxins pair well with other treatments. Laser treatments such as Aerolase improve skin quality, and medical-grade skincare maintains results between visits. Dr. Cappel sequences combined treatments for safe, optimal results.
Treatment overview
What to expect, from consultation to results
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01
Consultation
Dr. Cappel evaluates your facial anatomy, goals and medical history, and recommends which areas to treat and how often.
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02
Preparation
Avoid blood thinners such as aspirin, ibuprofen, vitamin E and fish oil for one week. Arrive with clean skin, free of makeup.
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03
Treatment
Precise injections with a very fine needle, felt as small pinpricks. Ice or topical numbing is available. 10 to 20 minutes.
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04
Aftercare
Small bumps fade within an hour. Stay upright for four hours and skip rubbing, hard exercise, alcohol and heat for 24 hours.
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05
Results
Results appear in 2 to 7 days, are complete at two weeks and last three to four months.
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06
Follow-up
A review at one to two weeks, with a touch-up if needed, is included with every treatment.
Suitability
Is neurotoxin right for you?
A good fit if
- You have forehead lines, frown lines or crow's feet
- You want to prevent permanent wrinkles from forming
- You prefer a non-surgical treatment with no downtime
- You want natural results that keep your expressions
- You are happy to maintain results every three to four months
Not the right treatment if
- You are pregnant or breastfeeding
- You have a neuromuscular disorder such as myasthenia gravis or ALS
- You are allergic to botulinum toxin or albumin
- You have an active skin infection at the injection site
For lines that remain at rest or for loose skin, see wrinkle treatment and skin tightening.
Compared
Botox, Dysport and Letybo compared
| Neurotoxin | FDA approved | Onset | Best for |
|---|---|---|---|
| Botox | 2002 | 3 to 7 days | Precise targeting of small muscle groups; masseter, sweating and TMJ uses |
| Dysport | 2009 | 2 to 5 days | Larger areas such as the forehead; patients wanting faster results |
| Letybo | 2024 | 2 to 5 days | Frown lines (11s); patients wanting the newest formulation |
Results
Before and after
Results for this treatment, photographed before treatment and at review.
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Before
After
Botox · Male, age 35 to 44 -
Before
After
Dysport · Female, age 25 to 34 -
Before
After
Letybo · Male, age 35 to 44
Individual results vary. Photographs depict actual outcomes for specific patients and are not a guarantee of the results any individual patient will experience.
Cost
What Botox costs at Dermagnify
Pricing
Neurotoxin is priced by area, not by unit. One area is $350, two areas are $600 and the full Upper Face Refresh (forehead, frown lines and crow's feet) is $750. DermagnifyVIP members pay $300, $500 and $600. Every treatment includes a facial assessment, a custom plan and a follow-up visit with any touch-up you need.
| Treatment | Typical range | Sessions |
|---|---|---|
| Targeted treatment, one area | $350 ($300 VIP) | Every 3 to 4 months |
| Two treatment areas | $600 ($500 VIP) | Every 3 to 4 months |
| Upper Face Refresh, all three areas | $750 ($600 VIP) | Every 3 to 4 months |
| Bring a Friend, per person | $600 ($500 VIP) | Upper Face Refresh together |
| Neck bands (platysma) | From $450 | Every 3 to 4 months |
| Masseters (jaw slimming) | From $600 | Every 3 to 4 months |
| Lip flip, bunny lines, DAO or chin | From $150 each | Every 3 to 4 months |
VIP prices are unlocked through DermagnifyVIP, a $20 per month membership powered by RepeatMD. Cost and payment options
Who performs this
Dr. Mark A. Cappel, MD
Double board-certified dermatologist and dermatopathologist
Dr. Cappel personally administers every neurotoxin treatment at Dermagnify. He starts conservatively, reviews you at a follow-up visit in one to two weeks, and refines dosing from there, so the result reads as rested rather than frozen.
Read full profileQuestions
Questions about Botox
At Dermagnify, Botox, Dysport and Letybo are priced by area: $350 for one area, $600 for two and $750 for the Upper Face Refresh across all three upper-face areas. DermagnifyVIP members pay $300, $500 and $600. Premium areas such as neck bands start at $450 and masseters at $600.
All three are FDA-approved neurotoxins with the same mechanism. Botox (2002) is the most established and gives precise, targeted results. Dysport (2009) works slightly faster and spreads more broadly, which suits larger areas like the forehead. Letybo (2024) is the newest, studied specifically for frown lines. Dr. Cappel recommends the best fit for you.
Our approach is results-driven, not units-driven. Pricing by area aligns the cost with the result you want and ensures you receive the right dose for your anatomy, rather than a unit count.
Results begin within 2 to 7 days. Dysport and Letybo usually show earlier (2 to 5 days) than Botox (3 to 7 days). The full effect is visible at 10 to 14 days.
Three to four months for all three products, depending on your metabolism, muscle strength, dose and the area treated. Regular maintenance every three to four months sustains results and may allow lower doses over time.
Most patients describe a brief pinch or slight sting. Ultra-fine needles are used and topical numbing is available on request. Treatment takes 10 to 20 minutes.
Preventative treatment in your 20s and early 30s has become common. Used early and conservatively, it may help delay deeper static wrinkles. Dr. Cappel evaluates each patient individually.
No. Neurotoxin treatment is not recommended during pregnancy or breastfeeding. Postpone treatment until after breastfeeding is complete.
Where
Botox in Ponte Vedra Beach, FL
At our office at 100 Executive Way, Suite 114, Ponte Vedra Beach, under the care of Dr. Cappel, a double board-certified dermatologist and dermatopathologist.
Patients see us from Ponte Vedra Beach, Ponte Vedra, Nocatee, Jacksonville Beach, Atlantic Beach, Neptune Beach, Jacksonville, St. Augustine and Palm Coast and across Northeast Florida.
- HoursMonday to Friday, 8:30 am to 3:30 pm
- Phone(904) 686-7771
- PaymentSelf-pay, credit cards, CareCredit and Cherry
Also consider
Treatments that pair with this one
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Resurface tone and texture alongside your neurotoxin results.
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The daily routine that maintains results between treatments.
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