Refreshed, natural — never frozen
Medically supervised Botox, Dysport, and Xeomin soften frown lines, forehead creases, and crow's feet by precisely relaxing targeted muscles — diminishing existing lines and preventing new ones, with little to no downtime. Every treatment is personalized to your facial anatomy under the oversight of Ashley Sutton, FNP‑MSN.
Relax the muscle, smooth the line
Neurotoxins temporarily block the nerve signals that tell facial muscles to contract. When a muscle can't fully contract, the overlying skin stays smooth — softening the dynamic wrinkles formed by years of frowning, squinting, and raising your eyebrows. This precise, targeted action is what makes the results look so natural.
Three toxins, one goal
The oldest, most tried-and-tested neurotoxin on the market, with the longest track record of clinical use and research. OnabotulinumtoxinA blocks acetylcholine release at the neuromuscular junction to soften dynamic wrinkles.
A botulinum toxin type A with smaller protein complexes. Slightly faster onset and a wider spread make it well-suited to larger surface areas like the forehead.
A “naked” toxin — pure neurotoxin stripped of accessory proteins, which may reduce the chance of developing resistance-causing antibodies over time. Identical mechanism to Botox.
Where a few units make the difference
Botox relaxes the specific muscles that fold the skin. Treating the cause — not the crease — is why a well-mapped treatment reads as rested rather than frozen.

Horizontal forehead lines and the vertical "elevens" between the brows — the two areas patients notice first and the most commonly requested.

Softening the orbicularis around the eyes, and a few precise units to lift the tail of the brow for a more open, awake eye.

Masseter slimming and TMJ relief, the platysmal bands of the neck, and hyperhidrosis for underarms — medical uses as common here as cosmetic.
Questions, answered honestly
All three work the same way, with subtle differences in formulation, spread, and onset. Rather than one being universally best, the right choice depends on the area being treated and your goals — your provider will recommend the best fit at your consultation.
Many clients notice results within a few days, with full effect over about two weeks. Results typically last around 3–4 months, varying by person — your provider will map a maintenance rhythm that keeps you refreshed.
Most find it quick and very tolerable — a fine needle and a brief pinch. Your provider takes steps to keep you comfortable throughout.
Little to none. Minor redness or small bumps at injection sites settle quickly. Simple aftercare: don't rub the area and stay upright for a short period afterward.
Always the goal — natural, refreshed results, never frozen or overdone. Treatment is tailored to your features so you look like yourself, simply more rested.
Our senior injectors — Ashley Sutton, FNP and Tomena Sehnert, RN — under the expert medical oversight of Medical Director Ashley Sutton, FNP-MSN.
What to expect
Come a few minutes early, settle in, and share your goals — every Botox visit starts with a short, unhurried check-in so the session fits you, not a template.
Your provider tailors the work to your body and comfort as you go — speak up anytime; adjusting is part of the craft.
You leave with honest aftercare guidance — what to expect tonight, and how to keep the benefit building between visits.
One roof, every discipline
Clinical services run under the direction of Ashley Sutton, FNP-MSN — spa comfort with medical standards behind it.
Day spa, medspa, Western medicine, and Eastern medicine under one roof — your plan can draw from all four.
Every visit ends riverside — linger in the River Room or on the rooftop instead of rushing back to the car.
Pairs well with
Botox slots naturally into a larger plan — many clients stack these in the same visit or alternate them through the season.
Smoother skin, naturally you
Schedule your neurotoxin consultation — available in Durango and Pagosa.
Book a Consultation