i.
Consultation
Your provider reviews your medical history, goals, and facial expressions in motion — mapping exact injection points, the right formulation, and the dose that fits your anatomy.
Neuromodulators · St. George, Utah
Botox, Dysport & Xeomin.
The right neuromodulator for your goals, from a team with thirty years of clinical experience.
Not every patient is the same — and neither is every neuromodulator. At Desert Sands, we work with Botox, Dysport, and Xeomin, choosing the formulation that best fits your anatomy, your treatment history, and what you are trying to achieve. Subtle, customized, never frozen.
★ ★ ★ ★ ★
6× Best of Southern Utah · 2020–2025
Appointment
15–30 min
Downtime
Minimal
Results visible
3–14 days
Results last
3–4 months
Section 01 · About Neuromodulators
What a neuromodulator actually does.
Botox, Dysport, and Xeomin are all purified forms of botulinum toxin type A. When injected in precise, small doses into specific facial muscles, they temporarily block the nerve signals that cause those muscles to contract. The relaxed muscle stops creating the repeated motion that etches dynamic wrinkles into the skin — and the skin smooths.
These are the most-studied, most-used aesthetic injectables in the world, with decades of clinical data and multiple FDA approvals for both cosmetic and medical use. All three work on the same principle — but they are not identical, and matching the right formulation to the right patient is part of what makes results look genuinely natural.
The effect is targeted and temporary. We treat one muscle group; surrounding muscles continue to move normally. That is how we deliver refreshed — never frozen.
Areas we treat
Where neuromodulators work.
The dynamic wrinkles neuromodulators address are the ones that appear when you move — frown, smile, raise your brows. Common treatment areas at Desert Sands:
- Glabellar lines (the "11s")
- Forehead lines
- Crow's feet
- Bunny lines (nose)
- Lip lines
- Marionette lines
- Cobblestone chin
- Brow lift
- Masseter (jaw slimming, TMJ)
- Hyperhidrosis (sweating)
Section 02 · The Formulations
Botox, Dysport & Xeomin — how they differ.
All three are FDA-approved botulinum toxin type A neuromodulators. All three relax the same muscles in the same way. The differences are in formulation, behavior, and which patients they suit best — and knowing which to use is part of the clinical skill.
Botox
Allergan Aesthetics (AbbVie) · FDA Approved 2002
The original and most widely recognized neuromodulator — Botox Cosmetic is the brand most patients know by name and the gold standard against which all others are measured. Its predictable, well-studied behavior makes it the go-to choice for most patients and most treatment areas. Onset typically begins at days 3–4 with full results at day 14.
Botox is also FDA-approved for hyperhidrosis (excessive sweating), masseter reduction, brow lifting, and a range of medical indications beyond aesthetics.
Best for: most patients, precise dosing, all treatment areas
Dysport
Galderma · FDA Approved 2009
Dysport has a slightly smaller molecular structure than Botox, which means it tends to diffuse more broadly from the injection point and may onset slightly faster — typically 2–3 days. This makes it particularly well suited for larger treatment areas like the forehead, where broader, more even coverage is desirable.
Dysport is dosed differently from Botox — units are not interchangeable between formulations — and requires a provider experienced with both to translate plans accurately. Some patients who feel Botox has "worn off" earlier find Dysport delivers a comparable or longer duration for them.
Best for: forehead, larger areas, faster onset, Botox-experienced patients wanting an alternative
Xeomin
Merz Aesthetics · FDA Approved 2011
Xeomin is often called the "naked" neuromodulator — it is the only formulation that contains purely the active botulinum toxin without the complexing accessory proteins found in Botox and Dysport. This matters for a specific group of patients: those who have been treated with Botox or Dysport for years and feel results are becoming shorter-lived or less effective.
Accessory proteins can trigger a mild immune response over time, building resistance. Xeomin's clean formulation eliminates this variable entirely — making it an effective reset for long-term neuromodulator patients, and a strong first choice for those who prefer a "pure" formulation from the start.
Best for: long-term Botox patients, resistance concerns, patients preferring protein-free formulas
A note on units: Botox, Dysport, and Xeomin are measured in units — but those units are not equivalent across brands. A Dysport unit is not the same as a Botox unit. Translating accurately between formulations requires clinical experience with all three. Your provider will give you a clear, area-specific plan at your consultation so you always know exactly what you are receiving and why.
Section 03 · The Visit
What to expect.
Every neuromodulator visit at Desert Sands follows the same pattern: a real conversation first, then the treatment. Total time on site is typically thirty to forty-five minutes for a first-time patient.
ii.
Comfort
We offer topical numbing cream and Pronox (nitrous oxide) for patients who want additional comfort during their treatment.
iii.
Treatment
Your chosen neuromodulator is injected with a fine-gauge needle in a series of small, precise doses. Total injection time is typically 15 to 30 minutes.
iv.
Aftercare
Written instructions before you leave. The basics: no lying flat for 4 hours, no exercise or alcohol for 24 hours, no rubbing the treated area.
v.
Results
Onset begins at days 2–4 depending on formulation. Full results show by day 14. Most patients return every 3–4 months to maintain.
Section 04 · Why Us
What makes Desert Sands different.
There are plenty of places in Southern Utah to get Botox. A few things set us apart.
i.
Thirty years of clinical experience.
Shannon Evans, RN, BSN has spent thirty years as a healthcare professional. Every consultation, every injection, every aftercare plan is approached with that depth of experience — and a conservative philosophy that prioritizes your long-term results over short-term upsell.
ii.
Three formulations, one plan.
Most injectors work with one brand. We work with Botox, Dysport, and Xeomin — and choose based on your anatomy, your treatment history, and your goals. The right tool for the right job, every time.
iii.
A natural-results philosophy.
We dose conservatively, treat in stages, and refuse to over-inject. The goal is that nobody notices the work — they just notice you look rested. If more units would serve you better, we say so. If fewer would, we say that too.
iv.
Six consecutive Best of Southern Utah awards.
Voted by the Southern Utah community as the region's best med spa six years running — 2020 through 2025. The results speak for themselves. The reviews speak even louder.
v.
Multi-modal, never single-tool.
Neuromodulators are not always the full answer. Your provider may recommend pairing with filler, PRX-T33 AquaGold, or laser resurfacing to deliver real, durable results — not pushing one tool at every problem.
vi.
Independent, locally owned, accountable.
Desert Sands is not a franchise. You see the same experienced providers every visit — people who know your face, track your results over time, and adjust your plan based on what they see.
Section 05 · Results
Before & after.
Real neuromodulator results from patients treated at Desert Sands Aesthetics & Laser in St. George, Utah. Conservative dosing, natural movement, refreshed — never frozen.
Real patient results. Individual results vary based on anatomy, dosage, formulation, and treatment goals.
Section 06 · Beyond Aesthetics
Botox for hyperhidrosis.
Beyond aesthetics, Botox is one of the most effective treatments available for hyperhidrosis — excessive sweating that disrupts daily life. When injected into the dermis, the same active ingredient temporarily disables the nerves that signal the sweat glands, producing significant and lasting relief.
Common treatment areas
- Underarms (axillary)
- Palms of the hands (palmar)
- Soles of the feet (plantar)
- Scalp
- Groin
Sweating reduction is typically visible within two weeks, and results last four to six months — slightly longer than cosmetic neuromodulator treatment. Patients typically schedule maintenance every four to five months.
If sweating is affecting your quality of life, book a consultation. We will tell you candidly whether Botox for hyperhidrosis is the right tool for your situation.
Section 07 · Pricing
Honest pricing.
Neuromodulators at Desert Sands
$9–$13 per unit.
Neuromodulators at Desert Sands are priced between $9 and $13 per unit depending on the formulation and treatment plan. Total cost depends on the number of units required to treat your specific concerns — which varies based on your goals, your facial anatomy, the areas you would like to address, and the formulation your provider recommends.
During your consultation, your provider will tell you exactly which formulation they recommend, how many units, the total cost, and what to expect in maintenance going forward. There is no obligation to book treatment at the consultation.
Financing. Cherry and CareCredit accepted for treatments above $500. Payment plans can break a single visit into manageable monthly amounts.
Section 08 · FAQ
Common questions.
If your question is not here, give us a call. We are happy to answer anything in advance of a consultation.
What is the difference between Botox, Dysport, and Xeomin?
All three are FDA-approved botulinum toxin type A neuromodulators that work by temporarily relaxing targeted facial muscles. The differences are in formulation and behavior. Botox (Allergan) is the gold standard — the most widely used, most studied, and most predictable. Dysport (Galderma) has a slightly smaller molecule that diffuses more broadly and may onset 1–2 days faster, making it particularly well suited for the forehead and larger treatment areas. Xeomin (Merz) contains only the pure active toxin with no accessory proteins — making it the preferred choice for long-term neuromodulator patients who feel Botox or Dysport results are becoming shorter-lived, as accessory proteins can trigger mild immune resistance over time. Your provider will recommend the right formulation at your consultation.
How much does Botox cost in St. George?
Neuromodulators at Desert Sands are priced per unit. Total cost depends on how many units are needed to treat your specific areas, which formulation your provider recommends, and the areas being treated. We do not publish per-unit pricing because every plan is customized to the individual patient. Your provider will give you a clear plan with transparent pricing at your consultation. Financing is available through Cherry and CareCredit for treatments above $500.
Does it hurt?
Most patients describe neuromodulator injections as a quick pinch with each injection — very manageable for the vast majority of people. We use a fine-gauge needle and offer topical numbing cream and Pronox (nitrous oxide) for patients who want additional comfort during treatment.
How long do results last?
For cosmetic treatment, results typically last three to four months for all three formulations. Dysport may onset slightly earlier than Botox and Xeomin. With consistent treatment over time, some patients find effects last slightly longer as the treated muscles gradually adapt. Neuromodulator treatment for hyperhidrosis (excessive sweating) typically lasts four to six months.
When will I see results?
You will begin seeing the effect two to four days after treatment depending on which formulation was used — Dysport may show onset slightly earlier than Botox or Xeomin. Full results are visible at approximately day 14 for all formulations. It is important to allow the full two weeks before evaluating results, as the neuromodulator continues to take effect during this period.
Can I exercise after treatment?
Avoid strenuous exercise for 24 hours after treatment. Light walking is fine. Elevated blood flow during the first day can theoretically cause product to migrate from the targeted muscles, reducing precision and effectiveness.
Is Botox safe?
Botox has been FDA-approved for cosmetic use since 2002 and for medical use even longer, with decades of clinical data behind it. Dysport and Xeomin are also FDA-approved with extensive clinical histories. The most common side effects are mild bruising at the injection site, temporary redness, or a light headache in the first 24 hours. Serious complications are rare when treatment is administered by an experienced provider.
What is the difference between neuromodulators and dermal fillers?
Neuromodulators like Botox, Dysport, and Xeomin relax the muscles that create dynamic wrinkles — lines that appear with movement like frowning, squinting, or raising the brows. Dermal fillers such as Juvéderm and Restylane add volume to address static wrinkles, hollow areas, and lost facial structure that are visible even at rest. The two are frequently used together as part of a single comprehensive treatment plan, and Desert Sands offers both.
Book a Consultation
Ready to begin?
Your care starts with a personal conversation with one of our highly trained medical providers. We'll review your goals, assess your facial movement, and give you a candid recommendation — including which formulation is right for you and why.
Or call us directly (435) 522-5828
· Reviewed by Shannon Evans, RN, BSN & Dr. Eric Evans, MD