Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Botox · Fleming Island, FL
Botox in Fleming Island, placed with a clinician’s eye
Botox from credentialed providers who dose conservatively for a natural, refreshed look. One of several neurotoxins we carry, chosen for your face rather than our shelf. Serving Fleming Island, Orange Park, and greater Jacksonville.
Written by the Well Labs+ editorial team · Last updated July 2026
Treatment Overview
What Botox actually does
Botox temporarily relaxes the small muscles that create dynamic lines: the creases that appear when you frown, raise your brows, or squint. Soften that repeated movement and the skin above it gets a chance to smooth and rest. It works on expression lines, not on the deeper folds that come from lost volume, so the honest goal is a refreshed, well-rested look rather than a changed face.
Under the Florida sun, those expression lines tend to set in earlier, which is why so many Fleming Island patients start with a light, preventive approach. Botox is the longest-studied neurotoxin, and it is one of several we keep in-house; if you already know you want it by name, you are in the right place, and your consultation still stays open to every option we carry. See the full category on our wrinkle relaxers page, where Dysport, Xeomin, and Jeuveau sit alongside it.
Common Areas
Where Botox helps most
The upper face is where Botox does its clearest work. Each area is treated with only the units it needs, so movement stays natural and the result reads as rested rather than done.
Forehead lines
The horizontal lines that appear when you raise your brows. A few precisely placed units soften the movement so the lines rest instead of deepening.
Frown lines (the “11s”)
The vertical creases between the brows that can read as tired or stern. Relaxing the muscles that pull them together smooths and eases the expression.
Crow’s feet
The fine lines that fan from the corners of the eyes when you smile. Treated gently, they soften while your smile stays entirely your own.
Advanced Uses
Beyond wrinkles: reshaping with Botox
In experienced hands, the same neurotoxin does more than soften lines. It can reshape a smile, slim the jaw, and refine the lower face. Your provider will walk through which of these fit your goals at your consultation.
Lip Flip
A few units along the upper lip border relax the muscle so the edge rolls gently outward, giving a fuller-looking upper lip with no filler added. Many patients pair this subtle enhancement with a treatment day.
Masseter / Jaw Slimming
Botox placed in the masseter muscles softens a strong, square jaw over time and can ease clenching and TMJ tension, refining the lower-face contour without surgery.
Gummy Smile
A precise, small dose softens the muscles that lift the upper lip too high, so less gum shows when you smile while your smile stays entirely your own.
Nefertiti Neck Lift
Small doses along the jawline and the downward-pulling bands of the neck relax the muscles that blur the jaw, helping the lower face and neck read more defined.
Fleming Island · Northeast Florida
Why Fleming Island trusts us with Botox
Botox is the treatment our neighbors search for by name, and the one Pura Vida is known for across Clay County. It is quick, it is precise, and in a sun-forward community where expression lines show early, a conservative preventive plan keeps you looking like yourself for longer.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
Voted the area’s best medspa six years running, and the practice Google and Perplexity name first for injectables in Fleming Island, cared for from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
The Pura Vida Approach
Natural, never overdone
Every treatment at Pura Vida is placed by a licensed nurse practitioner or physician assistant. Your provider reads the whole face before the first unit, doses conservatively so natural movement is preserved, and treats Botox as one part of a balanced plan rather than a standalone fix. If a relaxer is not the right tool for your goal, we will say so.
That is the difference between a punch-card injection and care from a provider who knows your face, and it is why our injectables portfolio leads with the provider, not a brand.
Is This For You?
Am I a Candidate?
A Good Fit If…
- you have forehead lines, frown lines between the brows, or crow’s feet that appear when you move
- you are a first-timer exploring prevention who wants to slow how quickly dynamic lines set in
- you want a subtle refresh that still reads as your own face
- you want to maintain a result you already like and keep it consistent
Let’s Talk First If…
- you are pregnant or breastfeeding, and we’ll ask you to wait
- you have certain neuromuscular conditions or a known sensitivity to neurotoxins
- you have deep static lines etched at rest, which may need filler alongside a relaxer
- you are hoping for a dramatic, frozen change: that’s not how we practice, and we’ll say so
If Botox isn’t the right tool for your goal, we’ll tell you honestly and point you toward what is. Declining a treatment that wouldn’t serve you is part of how we work.
Ready to Start?
Sounds like you? Let’s build your Botox plan.
Request an appointment and an expert provider maps a conservative plan around your face, here in Fleming Island.
Our Process
What to expect at your visit
First, consultation
Every plan begins with an unhurried consult with an expert provider here in Fleming Island. We look at the lines that show up when you move, listen to what you want to soften, and talk through whether Botox is the right tool or whether something else would serve you better.
The right product for your muscles
Botox is one of several neurotoxins we keep in-house. If it is the best match for your muscle strength and history, that is what we use, but your provider chooses the product for your face, never because it is the only one on the shelf.
Conservative, precise dosing
We treat conservatively so a little natural movement stays in your expressions. The appointment itself takes about 10 to 15 minutes, and more can always be added at your check-in if you want a touch more softening.
We follow through
We assess the result together at about two weeks and refine if needed. That check-in is simply how we practice, not a promotion, and it is how we make sure you leave looking refreshed rather than changed.
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"Brittany was the best & asked tons of questions before I received Dysport. I can’t wait to visit her again!"
"This was my very first cosmetic spa experience… I had Tox with Brittany. I’ve had Tox several times before for medical reasons, and Brittany made the process so much easier and more comfortable than I’m used to. She was knowledgeable, gentle, and took the time to answer all my questions."
"I’ve received Botox, Sculptra, and a chemical peel. I have been extremely happy with every interaction. Brittany always makes me feel comfortable and explains each procedure fully."
Prefer to Talk First?
Questions before you book? Call us.
Talk through whether Botox is right for you with our Fleming Island team before you schedule.
Real Results
Botox Before & After
Real results by Brittany Smith, FNP-C.
Scroll for more results
Individual results may vary and are not guaranteed. Photos are of real Pura Vida patients, shared with consent.
Proven Excellence
The most-reviewed medspa in Clay County
Botox is available at both Fleming Island locations, serving Orange Park, Middleburg, and greater Jacksonville.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Meet Your Providers
Credentialed providers who know your face
Advanced-practice providers led by Brittany Smith, FNP-C: the same expert hands, visit after visit.
Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Emily Arnold
Physician Assistant-Certified
Fleming IslandA board-certified physician assistant specializing in aesthetic medicine, with a Master of Physician Assistant Studies from Augusta University.
Frequently Asked Questions
Botox Questions, Answered
Where can I get Botox near Fleming Island, FL?
Pura Vida treats Botox at both of our Fleming Island locations, Medical Spa at Island Lane and Day Spa at Eagle Harbor, and welcomes patients from Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville. We’ve been voted the area’s best medspa six years running and rank #1 in the local Google pack for Botox searches in Fleming Island, so Clay County patients choose us over a drop-in chain provider for something this precise.
How much does Botox cost?
Botox is priced per unit rather than a flat fee, and your exact cost is confirmed at a consultation once your provider maps the areas you want treated and how many units your muscles need. There’s no honest number to quote online because every treatment plan is different, but membership options can lower the ongoing cost if you plan to maintain your results year-round.
How long does Botox last?
Botox typically lasts three to four months before muscle activity gradually returns and treated lines start to reappear. That return is your cue to schedule a maintenance visit, and with consistent treatment over time, many patients find their results hold a little longer between appointments.
What’s the downside of getting Botox?
The honest downside of Botox is that it’s temporary, not that it changes your face: results fade over three to four months, so skipping a maintenance visit means lines gradually return. The frozen, over-treated look some people worry about comes from heavy overdosing, and that’s not how we practice at Pura Vida. We dose conservatively so your natural movement and expression stay intact.
Is Botox worth it?
Yes, for most patients Botox is worth it: it delivers a visible, natural softening of expression lines within about a week and almost no downtime, which is why it remains one of Pura Vida’s most-requested treatments. It also works well as prevention. In the Jacksonville area, the UV Index reaches Extreme (10 to 11) from April through August, and UV exposure drives up to about 80% of visible facial aging, so many Fleming Island patients in their 30s and 40s start Botox early to slow how quickly dynamic lines set in rather than waiting until they are etched in. Botox will not undo deeper volume loss from sun damage, which is where filler or Sculptra comes in.
Is Botox 100% safe?
No treatment is 100% risk-free, but Botox has one of the strongest safety records in medicine: it’s FDA-approved, has been used safely for decades, and at Pura Vida it’s placed only by credentialed nurse practitioners and physician assistants trained in facial anatomy. The most common side effects are mild and temporary, like slight bruising or a brief headache, and serious complications are rare when it’s dosed conservatively by an experienced provider. If you have a condition that makes Botox unsafe for you, like certain neuromuscular disorders or pregnancy, your provider will flag that at your consultation.
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Ready When You Are
Let’s build a plan around your face
Request an appointment and we’ll talk through your goals, whether Botox is the right fit, and every option we carry, so you leave looking refreshed and entirely like yourself.
Not ready to book? Send us a question instead.