Safety alignment is essential for the responsible deployment of large language models (LLMs). Yet, existing approaches often rely on heavyweight fine-tuning that is costly to update, audit, and maintain across model families. Full fine-tuning incurs substantial computational and storage overhead, while parameter-efficient methods such as LoRA trade efficiency for inconsistent safety gains and sensitivity to design choices. Safety intervention mechanisms such as circuit breakers reduce unsafe outputs without modifying model weights, but do not directly shape or preserve the internal representations that govern safety behavior. These limitations hinder rapid and reliable safety updates, particularly in settings where models evolve frequently or must adapt to new policies and domains. We present NeST, a lightweight, structure-aware safety alignment framework that strengthens refusal behavior by selectively adapting a small subset of safety-relevant neurons while freezing the remainder of the model. NeST aligns parameter updates with the internal organization of safety behavior by clustering functionally coherent safety neurons and enforcing shared updates within each cluster, enabling targeted and stable safety adaptation without broad model modification or inference-time overhead. We benchmark NeST against three dominant baselines: full fine-tuning, LoRA-based fine-tuning, and circuit breakers across 10 open-weight LLMs spanning multiple model families and sizes. Across all evaluated models, NeST reduces the attack success rate from an average of 44.5% to 4.36%, corresponding to a 90.2% reduction in unsafe generations, while requiring only 0.44 million trainable parameters on average. This amounts to a 17,310x decrease in updated parameters compared to full fine-tuning and a 9.25x reduction relative to LoRA, while consistently achieving stronger safety performance for alignment.