Serving Fayetteville, Rogers, Springdale, Bentonville, and the Northwest Arkansas area

Wrinkles and fine lines are a natural part of aging, but when they begin to impact your self-esteem, subtle, expert-led solutions can make a significant difference. At Michael Spann, MD, we offer FDA-approved botulinum toxin injections, including Botox and Dysport, to soften facial wrinkles while preserving your natural expressions temporarily.
As a board-certified plastic surgeon with decades of experience, Dr. Spann oversees every aspect of your care. Our boutique approach means each treatment is tailored to your facial anatomy and goals—never rushed, never overdone.

Botulinum neurotoxin (Botox and Dysport)

Treat fine lines and wrinkles

Target dynamic wrinkles like frown lines, crow’s feet, and forehead creases

In-office treatment with minimal discomfort

Visible in 3–7 days, lasting 3–4 months

Cosmetic neurotoxins are injectable treatments derived from botulinum toxin, a purified protein produced by the gram-positive bacterium Clostridium botulinum. When used in precise doses, botulinum toxin safely interrupts nerve impulses that cause muscle contractions, allowing targeted facial muscles to relax temporarily.
There are multiple types of botulinum toxin, but only botulinum toxin type A (such as Botox and Dysport) and botulinum toxin type B (used less commonly in cosmetic treatments) are FDA-approved for cosmetic procedures. At our practice, we primarily use type A neurotoxins for their proven safety, consistency, and aesthetic benefits.
Botox®
Botox is an FDA-approved injectable containing botulinum toxin type A, used to temporarily soften moderate to severe facial wrinkles, particularly in areas such as the forehead, between the eyebrows, and around the eyes. It works by gently relaxing targeted facial muscles, reducing the appearance of dynamic wrinkles caused by repeated expressions. Results typically appear within 3 to 7 days and last about 3 to 4 months.
Dysport®
Dysport is also a botulinum toxin type A treatment that smooths expression lines such as frown lines and forehead wrinkles. It spreads slightly more than Botox, making it ideal for treating broader areas with a natural, even result. Like Botox, it temporarily reduces muscle activity to soften lines without freezing your natural expressions. Most patients notice results within 2–5 days, with effects lasting up to 4 months.
Your appointment begins with a one-on-one consultation to review your medical history, cosmetic concerns, and aesthetic goals. Dr. Spann will examine your facial expressions, muscle movement, and injection sites to create a personalized treatment plan.
The neurotoxin injections themselves are quick, usually taking under 15 minutes. Using a fine needle, small amounts of botulinum neurotoxin are placed into precise facial areas. Most patients experience only mild discomfort, with no need for numbing.
You’ll be able to return to normal activities right away. Minor swelling or redness at the injection site is common and typically resolves within a few hours.

Cosmetic neurotoxins are best known for treating moderate to severe:
In addition to cosmetic purposes, botulinum toxin treatment may be used to treat medical conditions such as chronic migraines, muscle spasticity, cervical dystonia, upper limb spasticity, excessive sweating, overactive bladder, and urinary incontinence, although these medical uses are outside the scope of our aesthetic practice.

Neurotoxins are most commonly used on the forehead, between the eyebrows, around the eyes, around the mouth, the chin, jawline, and upper lip. Treatments can also be customized to refine the neck, lower face, or address asymmetry.
When performed thoughtfully, botulinum toxin injections help smooth lines and wrinkles while preserving the nuances of your facial expressions. The results are:
Neurotoxin treatments can also enhance the effects of dermal fillers and other cosmetic procedures, providing a balanced, refreshed appearance without the need for surgery.
Most adults in good general health are candidates for neurotoxin treatments. Ideal candidates typically:
We’ll always review your full medical history before recommending treatment.

There’s virtually no downtime. Some patients may experience slight swelling, redness, or tenderness at the injection site, but these effects typically resolve on the same day. You’ll be advised to avoid lying down, rubbing the area, or exercising vigorously for the first few hours.
To support optimal results, we recommend following your provider’s aftercare instructions closely.

Most patients begin to see a visible softening of frown lines, forehead wrinkles, and crow’s feet within 3 to 7 days, with full results developing by up to two weeks. The effect typically lasts 3 to 4 months, depending on muscle activity, treatment area, and your unique response.
Maintenance treatments every few months help preserve your results and may reduce wrinkle severity over time.
As a board-certified plastic surgeon with decades of experience in both reconstructive surgery and cosmetic dermatology, Dr. Spann brings precision, artistry, and medical judgment to every procedure, even the most subtle ones. In our boutique setting, we never rush treatments or take a “standard” approach. Instead, we create a plan tailored to your face, goals, and comfort.
Whether you’re new to Dysport or Botox injections or refining your long-term routine, you’ll be in experienced, thoughtful hands every step of the way.
Botox blocks the release of acetylcholine, a neurotransmitter that triggers muscle contraction. This creates a temporary paralysis in the targeted facial muscles, smoothing overlying skin and softening dynamic wrinkles.
Both are botulinum toxin type A products, approved by the FDA for cosmetic use. Dysport tends to spread more evenly, which is ideal for larger areas, such as the forehead. Botox has a more localized effect. We’ll help determine which is best for you.
Yes, when administered by a qualified provider. These treatments have been used safely for decades. Risks are minimal, though rare allergic reactions or temporary asymmetry can occur.
Botulinum toxin relaxes muscles that cause movement-based wrinkles. Hyaluronic acid-based dermal fillers add volume and structure to areas affected by aging or facial hollowness. They're often used together for a balanced result.
Yes. Regular botulinum toxin treatment can help reduce the development of new fine lines and wrinkles by limiting repetitive facial movements—especially in younger patients.
The cost of your surgery will vary based on the extent of the procedure and any additional services included. During your initial consultation, we will provide a detailed quote and discuss financing options. Little Rock Plastic Surgery offers flexible payment solutions through CareCredit and Alphaeon Credit.