
Dysport Injection
Dynamic wrinkles are reduced with a fast-acting neuromodulator that creates a natural, softened appearance.
Softening lines and refreshing your expression—so you look as vibrant and present as you feel.
Injectable wrinkle relaxers for a naturally refreshed appearance.
Botox is a neuromodulator that temporarily relaxes the muscles responsible for dynamic wrinkles—like forehead lines, crow's feet, and frown lines. The result? A smoother, more rested appearance that still looks like you.
At North Shore Cosmetic Surgery, Botox injections are administered with precision, softening lines without freezing expression. What is Botox? It's preventative care, age-defying refinement, and a few extra minutes in the morning—because your reflection shouldn't require extra effort.
Effortless Radiance, Every Single Day
Botox doesn't change your face—it reveals the most refreshed version of you. You'll notice softer lines, a brighter expression, and a face that reflects how energized you feel inside. Friends will ask if you're getting more sleep or using a new skincare routine. The truth? You just look like yourself—rested, radiant, and effortlessly present. This is beauty that ages gracefully, not loudly.
“Dr. Layliev and his staff were great. I had excellent results and I had no bruising. I wouldn't go anywhere else. I had Botox and fillers done. I also have had breast implants and a breast lift done with Dr. Layliev and I am very happy with the results.”G.
We begin by listening to your goals and the story behind them. Together with your plastic surgeon, you’ll explore options and define an approach aligned with your proportions, lifestyle, and vision.
Your surgical plan is thoughtfully designed around your anatomy, desired outcome, and our philosophy of natural, balanced refinement. Nothing is rushed. Nothing is one-size-fits-all.
From arrival to recovery, every detail is intentional. Our team creates a calm, reassuring environment so you feel informed, supported, and fully cared for.
Healing is guided by close communication, attentive follow-ups, and steady support. We’re with you at every step, ensuring your recovery feels smooth and predictable.
As healing progresses, balance and confidence come into focus. Our goal is for your results to feel unmistakably yours — refreshed, aligned, and effortlessly natural.

Botox typically lasts 3-4 months. With consistent treatments, some patients notice longer-lasting results as muscles become trained to relax. We'll recommend an ideal maintenance schedule during your consultation.
You'll notice initial improvement within 3-5 days, with full results visible at 10-14 days. Botox before and after differences are subtle and natural—lines soften while expression remains intact.
Not when administered correctly. We use precise dosing to soften lines while preserving natural movement and expression. The goal is a refreshed, approachable appearance—never frozen or overdone.
Botox side effects are typically minimal—occasional bruising, mild headache, or temporary redness at injection sites. Serious complications are extremely rare when administered by experienced providers.
This is not cosmetic surgery for a different you.
This is clarity — revealed through balance, intention, and deeply human listening.
“I had injectables today with Dr. Layliev, both Botox and filler. He was gentle and listened to all my concerns. Great office and staff.”Anonymous
“Amazing! I'm very happy with my results. Tummy Tuck - Mastopexy - Liposuction. I feel like a new woman. Thank you Dr. James Romanelli. 5 stars.”A.O.
Whether you’re exploring treatment options or simply gathering information, your journey should feel informed, intentional, and fully supported. At North Shore, our focus is on results that feel natural, balanced, and true to you — guided by experience, artistry, and an unwavering commitment to patient care.
A consultation is a conversation, not a commitment. Let’s talk through your goals and determine the path that makes the most sense for you.

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