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.
Wrinkle Relaxers · Fleming Island, FL
Botox, Dysport, Xeomin, Jeuveau: every leading neurotoxin under one roof in Fleming Island, matched to your muscles and dosed conservatively, so dynamic lines soften while your expressions stay your own. Guided by expert providers, never a single brand.
Written by the Well Labs+ editorial team · Last updated July 2026
Category Overview
Wrinkle relaxers, sometimes called anti-wrinkle injections or neurotoxins, temporarily relax the small muscles that create dynamic lines: the creases that appear when you frown, raise your brows, or squint. Quiet that repeated pull and the lines above it visibly soften and smooth. They work on expression lines, not on the deeper folds that come from lost volume, so the honest goal is a refreshed, well-rested look.
We dose conservatively on purpose, because a little movement is what keeps a result looking natural, so we start measured and add at your check-in if you want more. Wrinkle relaxers are one part of our complete injectables portfolio, and your provider will always tell you when a different treatment would serve you better.
The Full Formulary
Because we carry every leading neurotoxin, your provider matches the product to your muscle strength, your goals, and your history, not to whatever a practice happens to stock. Each relaxes muscle activity in the same broad way; the differences are in the details.
onabotulinumtoxinA
The longest-studied neurotoxin, with decades of clinical data behind it and predictable, well-understood behavior across the upper face.
Learn more about BotoxabobotulinumtoxinA
A neurotoxin that diffuses a little more from each injection point, which can suit broader areas like the forehead; some patients also notice onset a touch sooner.
incobotulinumtoxinA
A purified formulation with the surrounding proteins removed, a profile some providers prefer for patients treated regularly over many years.
prabotulinumtoxinA
A newer neurotoxin developed specifically for aesthetic use, often chosen for frown lines between the brows.
Which one is right for you is a decision made together at your consultation, based on your face, not our inventory.
Beyond The Basics
Neurotoxins do more than smooth the forehead. In experienced hands, the same tools reshape and refine in ways that surprise most first-time patients.
Small doses placed along the jawline and the downward-pulling bands of the neck relax the muscles that blur the jaw contour, helping the lower face and neck read as more defined without surgery.
A few precise units soften the muscles that lift the upper lip too high, so less gum shows when you smile, a subtle adjustment that keeps your smile natural.
A small amount along the upper lip border gently relaxes the muscle so the edge of the lip rolls slightly outward, giving a fuller-looking upper lip without adding any filler.
In Expert Hands
Every neurotoxin 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 maps each point to the muscles that create your lines.
Whichever brand fits your anatomy, it is the same expert hands who know your face, visit after visit. And if you already know you want it by name, our Botox page covers that treatment in depth.
Fleming Island · Northeast Florida
Wrinkle relaxers are the treatment our Fleming Island neighbors ask for most, and in a sun-forward community where UV speeds how quickly expression lines set in, starting early keeps them soft. We carry every leading neurotoxin so your plan is built around your face, not one brand.
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
Is This For You?
If a wrinkle relaxer 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?
Request an appointment and an expert provider builds a conservative plan around your face, here in Fleming Island.
What Our Patients Are Saying
"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?
Talk through which neurotoxin fits your face with our Fleming Island team before you schedule.
Real Results
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.
Our Process
Your first visit is an unhurried consultation with an expert provider. We look at the lines that appear when you move, then talk through what you want to soften and what you want to keep.
Your provider chooses the neurotoxin that suits your muscle strength, your goals, and how you have responded before. Because we carry every leading brand, that choice is based on you, not on what is in stock.
We dose conservatively so your expressions stay your own. The appointment is quick and comfortable, and we can add a little more at your check-in if you want more softening.
We review your result together at about two weeks and fine-tune as needed. This check-in is simply how we make sure the result is right.
Proven Excellence
Two Fleming Island locations serving the same families for years, the most-reviewed medspa in the region.
Meet Your Providers
Advanced-practice providers led by Brittany Smith, FNP-C, the same expert hands, visit after visit.
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.
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.
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
Wrinkle relaxers typically last three to four months, whether you choose Botox, Dysport, Xeomin, or Jeuveau. As the muscle activity gradually returns, treated lines soften less, which is your cue to schedule a maintenance visit. With regular treatment over time, some patients find their results hold a little longer.
Wrinkle relaxer injections use a very fine needle, and most patients describe the sensation as a quick pinch that lasts a second or two per point. No numbing is usually needed, and the whole appointment is typically finished in about ten to fifteen minutes. We will always talk through comfort options during your consultation.
Most patients notice softening around three to four days after treatment, with the full effect settling in by about ten to fourteen days. Neurotoxins work gradually rather than instantly, which is why we build your two-week check-in around that timeline, so we can assess the final result and refine if needed.
The main downside is that wrinkle relaxers are temporary, so the effect fades over three to four months and keeping results means repeat visits. Overtreatment from an inexperienced provider can also read as a flattened, less expressive look, which is why we dose conservatively and add more only at your check-in if you want it. Beyond that, neurotoxins are among the most extensively studied aesthetic treatments, with a long safety track record when placed by a qualified provider: at Pura Vida, every treatment is performed by a credentialed nurse practitioner or physician assistant and overseen by our Medical Director, and we review your health history first and decline any treatment we believe is not right for you.
Starting early can be worthwhile: softening the muscles before deep creases set in slows how quickly dynamic lines turn into fixed creases, which matters in the Jacksonville area, where the UV index reaches Extreme levels from April through August and sun exposure drives up to about 80% of visible facial aging. Treatment later still relaxes the movement that deepens existing lines, and it is a good conversation to have at your consultation either way. Static lines already etched into the skin at rest sometimes need filler too, and your provider will tell you honestly what a relaxer can and cannot do.
Pura Vida has two Fleming Island locations, Medical Spa at Island Lane and Day Spa at Eagle Harbor, and treats patients from Fleming Island, Orange Park, Middleburg, Green Cove Springs, and Jacksonville throughout Clay County. We have been voted the area’s best medspa six years running and rank #1 in the Google local pack for "best med spa in Fleming Island," so your wrinkle relaxer plan comes from a team your neighbors already trust. Every provider is a credentialed nurse practitioner or physician assistant carrying every leading neurotoxin, matched to your face rather than to whatever one brand happens to have in stock.
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Ready When You Are
Request an appointment and we’ll talk through your goals, your options across every neurotoxin we carry, and the approach that keeps you looking like yourself.
Not ready to book? Send us a question instead.