Forehead lines
Horizontal creases that deepen with raised brows — commonly the first area patients notice.
Sieveking/Medical Aesthetics/Toxins
Neurotoxins in Nashville
Highly Trained Injector · FDA-Approved Formulations · Medically Directed
If fine lines across your forehead or around your eyes have become more pronounced with time, you are not alone in seeking a solution that looks refreshed rather than frozen. Neurotoxins offer a precise, medically supervised approach to softening expression lines and preserving a naturally youthful appearance — every treatment tailored to your facial anatomy and aesthetic goals.
Soften expression lines. Preserve your expressions. Refreshed, never frozen.
Precise. Reversible. Tailored to your facial anatomy.
Neurotoxins are injectable treatments derived from botulinum toxin, a highly purified protein that temporarily relaxes the targeted facial muscles responsible for repetitive expression lines. When those muscles contract over years of squinting, smiling, and frowning, the overlying skin develops creases. A carefully placed injection interrupts that muscle signal, allowing the skin above to smooth and rest.
The mechanism is precise and reversible. Results are not permanent, which is actually an advantage: your provider can refine the treatment at each visit as your face evolves naturally. At Sieveking Plastic Surgery, injections are performed with the anatomical knowledge of a triple board-certified (including The American Board of Wound Management, ABWM) plastic surgery practice, ensuring placement that enhances your expressions rather than suppresses them.
Treatment areas for neurotoxin injections.
Neurotoxins address a range of areas where repeated muscle movement creates visible lines — treatment is precisely mapped to your individual anatomy.
Frown lines
Vertical glabellar lines between the brows, often called the ‘11s’, that can project tension or fatigue.
Crow’s feet
Fine lines radiating from the outer corners of the eyes, typically visible when smiling.
Brow positioning
Strategic placement to create a subtle, natural-looking lift at the arch of the brow.
Neck bands
Vertical platysmal cords along the neck that become more prominent with age and movement.
Lip lines, lip flip
Softening vertical lines above the lip and creating a subtle upward curl of the upper lip border.
The approach
Which neurotoxin is right for you.
Not all neurotoxins are identical. The practice offers several FDA-approved formulations, including BOTOX® and Dysport® — each with distinct properties that may make one more appropriate for your goals and lifestyle. During your consultation, Susie reviews your muscle activity, skin quality, and desired outcome to recommend the formulation best suited to you.
BOTOX® (onabotulinumtoxinA) is the most widely studied neurotoxin, with decades of clinical data. Onset typically occurs within 3–7 days, with full results visible by day 14 and lasting 3–4 months for most patients. Dysport® (abobotulinumtoxinA) is a well-established neurotoxin known for its slightly faster onset, with many patients noticing initial softening within 2–5 days. Results typically last 3–4 months.
For patients exploring how neurotoxins complement other facial rejuvenation options, dermal fillers are a natural pairing — restoring volume while neurotoxins address expression lines.
Why choose this treatment
Benefits of neurotoxin treatment at Sieveking.
Patients choose neurotoxin treatment here for results that are visible, predictable, and aligned with a natural aesthetic philosophy.
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Natural-looking softening
Every treatment is calibrated to reduce lines without eliminating the expressions that make your face distinctly, recognizably yours.
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No downtime
Most patients return to their daily routine immediately following treatment, with nothing more than possible pinpoint redness at the injection sites.
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Rapid onset
Initial softening is often visible within 3–7 days of treatment, with full results apparent by two weeks for most patients.
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Preventive value
Used consistently over time, neurotoxin treatments can slow the deepening of expression lines before they etch permanently into the skin.
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Highly customizable
Dosing, placement, and product selection are all tailored to your individual facial structure and the specific results you want.
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Part of a continuum
Neurotoxins integrate seamlessly with the broader care available at Sieveking, from facelift surgery to skin rejuvenation and dermal fillers.
Dr. Sieveking’s practice is known throughout Middle Tennessee for conservative, refined outcomes — and that standard extends to every injectable service performed in the aesthetics suite.
Your neurotoxin treatment timeline.
01
Consultation
Candidacy and product selection
Before any injections, Susie reviews your muscle activity, skin quality, and desired outcome to recommend the formulation best suited to you — BOTOX® or Dysport®. Most healthy adults bothered by dynamic expression lines — lines that appear or deepen with facial movement — are good candidates, and neurotoxins are also used preventively by patients in their late 20s and 30s who want to delay the deepening of lines. Pregnant or breastfeeding patients are not candidates. Your first visit may run slightly longer, as your facial anatomy is assessed and your treatment plan confirmed.
02
Treatment
A 15–20 minute appointment
Your appointment typically takes 15–20 minutes. Susie cleanses the treatment areas, marks injection points based on your muscle mapping, and administers the injections with a fine-gauge needle. The injections are generally well tolerated — most patients describe the sensation as a brief pinch at each point, and a topical numbing cream can be applied for those who prefer additional comfort. Mild pinpoint redness or minor swelling at injection sites is normal and resolves quickly, and most patients return to their daily routine immediately.
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Aftercare
Days 1–14: the result arrives
Over days 1–3 the neurotoxin binds to the muscle receptor, and you may not notice visible changes yet. Avoid rubbing the treated areas, lying flat for several hours, and strenuous exercise on the day of treatment. Softening of the targeted lines becomes visible over days 3–7, and the treatment continues to take full effect through day 14. The full result is established by weeks 2–4 — the ideal time for a two-week follow-up if any refinement is desired.
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Maintenance
A rhythm that suits you
With BOTOX® and Dysport®, muscle activity gradually returns around months 3–4, and most patients schedule their next appointment at that point to maintain continuity of results. Patients who maintain regular neurotoxin treatments often find they need slightly less product over time, as the treated muscles become less active with consistent relaxation.
Why Sieveking
Meet Dr. Sieveking
Injectables inside a surgical practice.
Led by Susie Cody RN, CANS, a master injector and former Galderma national trainer; and Jennifer Hammond, licensed clinical aesthetician and laser specialist; under the medical direction of Dr. Sieveking.
Sieveking Plastic Surgery is the only practice in Middle Tennessee integrating world-class plastic surgery, advanced medical aesthetics, and functional medicine under one triple board-certified (including The American Board of Wound Management, ABWM) physician — a level of precision, safety, and anatomical expertise that standalone med spas simply cannot offer.
Neurotoxin treatments are performed by Susie Cody, RN, CANS, a former Galderma national trainer and highly trained injector, within a medically directed environment overseen by Stanford-trained Dr. Nicholas Sieveking. Her national-level training credentials reflect the technical expertise applied at every appointment.
The standard is conservative and refined at every step: dosing calibrated to your muscle activity, placement mapped to your anatomy, and a goal that is always a natural, age-appropriate result — one that enhances your appearance rather than altering it.
Investment
Neurotoxin treatment cost in Franklin, TN.
Neurotoxin pricing at Sieveking Plastic Surgery varies based on the product selected, the number of areas treated, and the amount of product required to achieve your desired result. Factors such as muscle mass, the depth of existing lines, and whether you are treating one area or several all influence the final investment.
Because every treatment sits within a premium, medically supervised environment, pricing reflects the expertise of a highly trained injector with national-level training credentials rather than a volume-based model. A personalized quote is provided during your consultation — contact the practice to schedule your appointment and receive a tailored treatment and cost recommendation.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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Neurotoxin injections involve a very fine needle and are generally well tolerated. Most patients describe the sensation as a brief pinch at each injection point, and the appointment itself is typically completed in 15–20 minutes. A topical numbing cream can be applied before treatment for patients who prefer additional comfort at Sieveking Plastic Surgery in Franklin, TN.
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Results vary by product and individual metabolism. BOTOX® and Dysport® typically last 3–4 months. Your provider will help you identify which formulation aligns with your lifestyle and how often you prefer to be treated.
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Common side effects are mild and temporary, including minor redness, pinpoint swelling, or slight bruising at injection sites. Rare side effects can include temporary eyelid heaviness if the product migrates, which is why precise placement by a credentialed injector matters. Susie Cody’s training as a former Galderma national trainer reflects the level of technical expertise applied at every appointment.
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Both BOTOX® and Dysport® are FDA-approved botulinum toxin formulations that work through the same mechanism, temporarily relaxing the muscles responsible for expression lines. The primary differences lie in their protein formulations, onset speed, and diffusion. Dysport® tends to have a slightly faster onset, with many patients noticing initial softening within 2–5 days compared to the 3–7 days typical of BOTOX®. Dysport® also spreads more broadly from the injection site, which can be advantageous for larger treatment areas such as the forehead. BOTOX® has the most extensive clinical history of any neurotoxin and enables highly precise, targeted placement.
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Most healthy adults who are bothered by dynamic expression lines — lines that appear or deepen with facial movement — are good candidates. Neurotoxins are also used preventively by patients in their late 20s and 30s who want to delay the deepening of lines. Pregnant or breastfeeding patients are not candidates. A consultation with Susie Cody will confirm your candidacy and outline the most appropriate approach for your goals.
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There is no upper age limit for neurotoxin treatments. Patients in their 60s and beyond benefit meaningfully from neurotoxins, particularly when combined with other treatments that address skin laxity and volume loss. The goal at Sieveking Plastic Surgery is always a natural, age-appropriate result that enhances your appearance rather than altering it.
More in Medical Aesthetics.
Lasers & Devices
Begin your journey
Soften expression lines, preserve your expression — at Sieveking Plastic Surgery in Franklin, TN.
If you are ready for natural, predictable results from an injector you can trust, contact Sieveking Plastic Surgery at 1200 Old Hillsboro Road, Franklin, TN, to schedule your neurotoxin consultation. Treatment here sits within a broader continuum of care — injectables, skin rejuvenation, and plastic surgery under one roof, with the same medically directed team at every visit — so the recommendation you receive is the one that suits your face, your anatomy, and your goals.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment