St. Louis, MO

How Jeuveau Works

Jeuveau, a neuromodulator injection, is an FDA-approved prescription medicine made to temporarily improve the appearance of frown lines in adults by preventing nerves from signaling facial muscles to flex or contract, causing frown lines to appear and worsen. Jeuveau works to smooth dynamic frown lines and prevent the development of additional lines from forming on the face.

Jeuveau St. Louis

Join over 1 million individuals who have embraced a frown-line-free existence since 2019, thanks to Jeuveau (prabotulinumtoxinA-xv). This FDA-approved prescription medicine is a wrinkle-fighting alternative toBotox®, offering a temporary solution to moderate to severe frown lines between the eyebrows, also known as glabellar lines. In a survey of more than 9,000 individuals treated with Jeuveau, 94% of patients expressed great satisfaction with their overall treatment and appearance.

Proven Results = Patient Satisfaction

U.S. clinical studies have shown that around 70% of Jeuveau patients felt that they experienced an improvement in moderate to severe frown lines 30 days after treatment. About 50% of patients witnessed visible improvement after only 2 days with complete results appearing after 30 days. Most patients reported experiencing a more youthful, fresh appearance for up to 4 months, averaging only 3 treatments a year that take about 10 minutes to complete for a year-round rejuvenated appearance.


What Is Jeaveau?
Jeuveau is a prescription injectable treatment that targets moderate to severe frown lines in adults, commonly referred to as glabellar lines or "11s" because they appear like the number 11 between the eyebrows. Jeuveau works to temporarily prevent facial muscles from flexing to smoothen the appearance of frown lines and reverse the signs of aging. It can also work on other dynamic wrinkles, or wrinkles that are caused by muscle contraction. Crow’s Feet, for example, is another popular treatment area.
How Does Jeaveau Work?
When injected into the skin, Jeuveau temporarily stops the communication between nerves and facial muscles, causing muscles to not retract. By restricting muscle movement, Jeuveau effectively reduces the appearance of moderate to severe frown lines and provides temporary improvement in glabellar lines.
What is the Difference Between Jeuveau and Botox?
In the realm of cosmetic injectables, both Jeuveau and Botox have emerged as go-to treatments for minimizing the appearance of wrinkles and fine lines. At St. Louis Skin Solutions, we offer both facial injectable options for our patients to better anticipate desired aesthetic needs. While both share similarities in their active ingredient, botulinum toxin type A, several key distinctions set them apart. Jeuveau can be a more cost-inclusive option; we get to pass our savings along to you, our patient. Understanding these differences is crucial for individuals seeking the most suitable option for smoother skin.

Similar Active Ingredients for Jeuveau and Botox

Both Jeuveau and Botox are made from botulinum toxin type A, but their manufacturing processes differ. Unlike Botox, Jeuveau uses smaller proteins, which can result in quicker and smoother effects with a more natural-looking appearance.

Different Treatment Areas

The FDA has approved both Jeuveau and Botox for treating frown lines between the eyebrows. However, Botox is also approved for forehead lines, crow’s feet, and additional facial regions and is being used off-label as a migraine and TMJ treatment. Wherever Botox® can be used, Jeuveau is a reasonable alternative.

Jeuveau is currently exclusively approved for addressing forehead lines in the glabellar area.

Duration of Results

Typically, both Jeuveau and Botox have temporary results that last between 2 to 4 months. Some patients who use Jeuveau do experience longer-lasting results, suggesting a possible advantage for Jeuveau for glabellar lines.

Side Effects for Jeuveau and Botox

Both Jeuveau and Botox have similar potential side effects including pain, redness, and swelling at the injection site. These side effects are manageable with over-the-counter medication and cold compresses.

For more complicated side effects, Jeuveau has been shown to have a lower incidence rate of eyelid drooping (ptosis) compared to Botox.

Jeuveau VS Botox: Which is the best choice?

Studies indicate that both Jeuveau and Botox offer comparable improvements in treating frown lines, contributing to smooth skin, and facial rejuvenation. Jeuveau's slightly quicker onset of results maybe attractiveness to patients looking for faster effects while others may prefer to choose Botox due to its extensive history of success and its familiarity.

While both formulations share the same active ingredients, Jeuveau's distinct technology focuses on removing potentially dangerous proteins and enhancing product absorption by producing smaller proteins.

Ultimately, the choice between Jeuveau and Botox depends on individual needs and goals. Consultation with St Louis Skin Solutions providers is crucial to determine the most appropriate facial injectable for you.
How Can Jeaveau Improve My Skin?
Jeuveau is used to temporarily improve moderate to severe frown lines between the eyebrows, which are also known as glabellar lines. It uses a purified neurotoxin protein that relaxes the muscles responsible for contracting the skin and creating lines and wrinkles. Once Jeuveau is injected, it stops those muscles from contracting, allowing visible wrinkles to smooth out and disappear.
How Long Does Jeuveau Last?
Typically, both Jeuveau and Botox have temporary results that last between 2 to 4 months. Some patients who use Jeuveau do experience longer-lasting results, suggesting a possible advantage for Jeuveau for glabellar lines.
What Are The Side Effects of Jeuveau?
No serious side effects or drug-related adverse effects were observed in clinical studies for patients who received Jeuveau. The most common side effects patients feel after treatment are mild and include headache, redness, swelling, bleeding, and bruising at the injection site. Please consult with a St. Louis Skin Solutions provider for more information on potential side effects.
What is it Like Before and After a Face Injectable?
For patients who have not experienced an injectable treatment, initial treatment might evoke nervousness. Our providers are here to answer all questions and will walk you through each step of the process as it happens.

There are some possible side effects associated with facial injectables, such as localized pain, inflammation, tenderness, swelling, bleeding, or bruising at the injection site. However, these are usually mild and can be managed with over-the-counter medication and cold compresses. Depending on the individual needs of the patient, our providers will give you a specific set of pre- and post-treatment instructions, which will help you minimize any discomfort and achieve the best possible results.

Jeuveau injections require little to no downtime, which means you can return to your daily activities soon after your treatment. Please consult with our providers with any questions about side effects and pain management after facial injections.
What Should I Tell My Doctor Before Getting Jeuveau?
Before your Jeuveau treatment begins, it is important to inform our providers if you have any nerve or muscle conditions, as this may affect your eligibility for Jeuveau. Please also let us know if you have experienced any side effects from previous botulinum toxin products, have any medical conditions, are taking any medications, have used another botulinum toxin product within the past four months or are pregnant or breastfeeding. Sharing this information with our providers before treatment is essential.


  • L.C.

    “Lora was great!”

  • C.V.

    “I highly recommend Miranda for injections! Very knowledgeable, professional, and skillful!”

  • J.W.

    “My skin always feels so smooth and refreshed after this treatment.”

  • J.S.

    “The best Dr. & clinic around.”

  • J.H.

    “Thank you, Lora!! Great facial treatment!”

  • D.M

    “Great! Quick! Easy! No bruising!”

  • D.S.

    “Dr. Miller did an outstanding job putting Silicone in sunken areas of my face. She definitely did her due diligence, by making me try other filler first. I am one of those people that burn right through all of the other types of fillers on the market. I am very pleased with her work and highly recommend her!”

  • M.B.

    “Always great care.”

  • D.M

    “Natalie’s bedside manners were awesome. Very informative and understanding. She was great.”

  • K.P.

    “Emma was great. Very gentle and explained exactly what she was doing, how it would feel and what it was for.”

  • D.M

    “Always a great experience!!!”

  • Teresa W.
    I have great respect for the St. Louis Skin Solutions team! Lora is exceptionally talented esthetician. Dr. Miller’s mastery is extraordinary. “Magic by Miller” should be her tagline. These two professionals continue their learning and it shows. The depth and breadth of their knowledge and skill levels are tour de force.
    Teresa W.
  • Monique W.
    I have been a client 8+ years and I could not be happier with the services! I am so impressed with Dr. Miller’s patience and how much time she gives to her clients to ensure they are satisfied! The team is beyond awesome!”
    Monique W.
  • Toni G.
    Dr. Miller is amazing taking care of all my concerns, helping me get to a better me! The staff is welcoming and friendly like old friends. Great experience.”
    Toni G.
  • Susan P.
    I am always happy with the professionalism at St. Louis Skin Solutions. I would never go anywhere else!”
    Susan P.
  • Mandie D.
    Dr. Miller is a magician!”
    Mandie D.
  • Heather N.
    I love how Dr. Miller takes her time with me and is amazing at filler.
    Heather N.
  • Carol T.
    Very professional and excellent results. I enjoyed it.”
    Carol T.
  • Meagan R.
    Most professional with excellent customer service and results are fabulous!
    Meagan R.
  • Anonymous
    This is the team you want to put your best face forward. I look forward to every visit because they are more than professional and they care what is going on in my world. They want to help me erase any worries and help me to have the relaxed and perfect look that I want. Nice!”
  • Katina M.
    My experience with the staff at St. Louis Skin Solutions is always enlightening and amazing. They listen to what I need and achieve my goals every time!
    Katina M.
  • Heidi O.
    You guys are the best. Love how good my skin is looking! Love the services! Love the skincare products you offer!”
    Heidi O.
  • Paneesha B.
    Loved the services, advice and products. All the questions were answered with patience. Love the ambience. I rate it 5 stars.”
    Paneesha B.
  • Dina J.
    ESR session went well. Lora is so patient with me; can’t believe the difference the treatments are making.
    Dina J.
  • Megan Pritchard
    I've visited St Louis Skin Solutions a number of times for various services including laser for scars, visible facial capillaries, botox and fillers. Most of these were my first time receiving the treatment so needless to say, I was nervous. They always do an excellent job and the injections have left me with zero bruising! I will continue to come back, and all the way from the deep urban city limits. Worth it.
    Megan Pritchard
  • Nancy Pasternak Cunneen
    The staff members are always kind and helpful. Easy to get appointments. Their parties are fun and informational. Dr. Miller is easy to work with on any issues. Prices are reasonable and they offer great products.
    Nancy Pasternak Cunneen
  •  Wendy Gauntt
    Dr. Miller and her entire team are wonderful. I’ve been thrilled with every treatment I’ve had, as well as the skincare products I now use at home. Because I’ve lost a lot of weight, I’ve been especially concerned about loose skin, and they’ve been able to help address this - and do so much more! I feel more confident than ever in my appearance.
    Wendy Gauntt
  • Bruce Karmazin
    Been going to Dr Miller for years and she is awesome !! I am a busy veterinarian that drives 40 minutes one way and she ALWAYS takes care of my needs ! She realizes that my only morning off is Wednesday , the day she is off !!! Thank you for going the extra mile to squeeze me in at the last minute !! You rock !! Thank you for making it easier for me to accommodate my patients !! I'll be sure to recommend your facility !
    Bruce Karmazin
  •  Julie Milonas McClellan
    St. Louis skin solutions is the best! The entire staff is professional, fun and friendly! Would never go anywhere else for services!
    Julie Milonas McClellan
  • Gabriela Flores
    Dr. Miller and the rest of the ladies were so kind and helpful! I was taken care of quickly and still enjoyed the time I was being seen, very good visit for me and will return in the future!
    Gabriela Flores
  • Jaclyn Avenevoli Schmitz
    Educational... caring and understanding. Have a variety of services at great prices. Dr Miller and her team are very helpful and extremely supportive. I will be back!
    Jaclyn Avenevoli Schmitz

What type of treatment are you looking for?

Service Contact Form

Skip to content