Neurotoxins –
Botox, Daxxify + Xeomin

With over 20 years of experience in medical dermatology and aesthetics, our practice specializes in delivering natural-looking results using the most advanced neurotoxin treatments available today. While Botox® is the most recognized name, we also offer Xeomin® and Daxxify®—giving our patients more options to tailor treatment to their goals, lifestyle, and longevity preferences.

Our approach is precise, conservative, and customized. The goal isn’t to look “frozen”—it’s to look refreshed, relaxed, and like yourself.

Botox in Boulder, CO available at Evolution Dermatololgy

What are Neurotoxins?

Neurotoxins used in aesthetics are derived from botulinum toxin type A, a purified protein that temporarily relaxes targeted muscles. When injected in small, controlled amounts, neurotoxins reduce dynamic wrinkles -the lines that form from repeated facial expressions like smiling, squinting, or frowning. By softening these muscle contractions, the overlying skin appears smoother and more youthful.

Treatments are quick (often just minutes), require minimal downtime, and deliver noticeable yet natural-looking improvements.

Botulinum toxin has been in use since 1970, but it wasn’t officially approved by the FDA for cosmetic use until April 2002 . Since then botulinum toxin has truly transformed aesthetic medicine.

Now neurotoxin treatments  are the most popular single cosmetic procedure in the U.S. In fact, nearly 10 million treatments are performed each year, and that number continues to grow. To put that number in perspective, more people received neurotoxin injections than live in Colorado!

Where can Neurotoxins be used for cosmetic improvement?

Neurotoxins are incredibly versatile and can be used across the face and neck for both cosmetic and medical benefits.

Common cosmetic treatment areas include:

*Frown lines between the brows (glabellar lines)
*Horizontal forehead lines
*Crow’s feet around the eyes
*Bunny lines on the nose
*Lip lines and gummy smile correction
*Chin dimpling
*Corners of the mouth (for subtle lift)
*Jawline and neck bands (platysmal bands)

Additional applications:

Excessive underarm sweating (hyperhidrosis), with results lasting several months

These treatments can also create subtle lifting effects and improve overall facial balance.

How long do these Neurotoxins last?

Patients can begin to see results within five to seven days, with full correction at the fourteen-day mark. These effects are temporary and typically wear off somewhere between 3 and 5 months.

Where can Botox be used - find out from Evolution Dermatology in Boulder CO
What type of Neurotoxins are available in Boulder CO Evolution Dermatology Specialists

Why Choose Evolution Dermatology + Wellness?

With more than two decades of experience, we’ve performed thousands of neurotoxin treatments. Our philosophy is simple:
subtle, refined results that enhance – not change – your appearance.
Whether you’re new to neurotoxins or have been doing treatments for years, we’ll guide you toward the best choice for your goals with expertise you can trust.

Where to begin?!? I was warmly greeted upon arrival and the reception so area is not only welcoming, but calming. The entire facility is extremely clean! Katie was professional and kind, and very thorough with the intake process and expectations. And for Pauli, she’s an artist and the epitome of professionalism and bedside manner. I always feel like I’m her only client. Whether Botox, filler, or IPL, every step is explained along the way and the results are outstanding. Subtle is the key and she gets that! Thank you Pauli & Team, great work!

J.J.- Boulder, CO 
J.J.- Boulder, CO

“Results are what I was hoping for – great ! Pauli always knows exactly what to do !😊”

M.E. - Brighton, CO 
M.E. - Brighton, CO

I have been seeing Kim Guthke as a PA for 15 years for all my medical and cosmetic dermatological needs. Kim Guthke is exceptionally knowledgeable, skilled, compassionate, and forthright. She is determined to get you and your skin the best possible result.

E.K. - Boulder, CO 
E.K. - Boulder, CO

Kim has been our family dermatology PA for 10 yrs.  Skin and doctors, in general, are a sensitive topic for me due to some traumatic past experiences.  Once a year, I happily have a skin check with Kim to care for my 1950’s sunbaked skin.  After my first appointment with Kim, I knew I had found a skilled, trustworthy PA.  I feel at ease no matter what she is helping me with and trust her gentle guidance.  She is kind, calm, sensitive, enthusiastic, compassionate, honest and treats us as family.  Usually I work hard to relax at any doctor’s appointment but am calmed just by her presence.  Kim is loved and appreciated by all her patients.  I have referred many grateful friends who understand how precious it is to find a health practitioner who is skilled, listens and understands people.  Gratefully yours.

C.P. - Boulder, CO Life Coach
C.P. - Boulder, CO

“Kim Guthke is an amazing practitioner.  She is thorough, professional, and attentive.  I have been a patient for over a decade and regularly refer people  to her care  for dermatology.”

A.P. - Boulder, CO Vice President of Strategic Accounts
A.P. - Boulder, CO

“I have been a patient of Kim’s for several years now, and I absolutely LOVE working with her as my dermatology PA.She is thorough, insightful, and so fun and pleasant to see. I trust her implicitly, and know she has a very keen eye. Her professionalism is truly top notch.”

C.E. - Boulder, CO Doctor of Chinese Medicine
C.E. - Boulder, CO

“I have been seeing Kim Guthke as a PA for 15 years for all my medical and cosmetic dermatological needs. Kim Guthke is exceptionally knowledgeable, skilled, compassionate, and forthright. She is determined to get you and your skin the best possible result.”

E.K. - Boulder, CO Speech-Language Therapist
E.K. - Boulder, CO

“Kim allows patients to feel immediately at ease and welcome. Her bedside manner is at the top and she has even helped with our children. I have seen Kim for over 10 years and appreciate her knowledge, experience and professionalism in the dermatology setting. I would highly recommend Kim to any friend, or family member without hesitation. She is the best!!”

L.C. - Boulder, CO Home Staging & Design Business Co-owner
L.C. - Boulder, CO

“Pauli Morrow is a gem of a human being and dermatologist. As an ex-sun worshiper, I really appreciate her thoroughness on skin checks and assistance around sun damage. Pauli is also a true artist with the needle. I walk out of her office knowing I’m going to be super fresh faced in a naturally enhanced way. I owe Pauli so much when it comes to keeping my skin healthy and looking amazing. I am very lucky to be in such amazing knowledgeable hands for the last 10 plus years. I feel beyond cared for – Pauli is simply the best!

J.H. - Boulder, CO 
J.H. - Boulder, CO

“I have seen Pauli for Botox and Facial Filler several times.  She is extremely professional, listens carefully, provides honest objective recommendations and her results are impeccable.  I would highly recommend Pauli to my friends, family and colleagues (in fact I already have!).”

M.M. - Scottsdale, AZ 
M.M. - Scottsdale, AZ