Facial Plastic Surgery Blog

There are three mainstream products designed to reduced wrinkles and frown lines:

  1. Botox
  2. Dysport
  3. Xeomin

All three are injectable products in the same class of medications, known as Botulinum toxins.

How do they work?

They temporarily and locally paralyze the targeted muscle to reduce wrinkle and fine line production

Which Botulinum product should I use?

Its tough to decide which one to use. They all claim to work the longest, fastest, and leave patients with the least frozen look.

Most physicians will be happy to use any of the products, but have a preference. That preference is almost always due to experience with the individual product; not actual medication differences.

Its just what they feel most comfortable with, and know the exact number of units that they typically get good results with.  Physicians will switch products when a patient doesn’t have the expected results with one of the products.

They all say products starts working within 24-48 hours. But full results aren’t achieved for at least one week, and to be sure, 2 weeks.

But, here’s a few considerations to know about when making this choice.

  • Botox has most name recognition, after being around the longest.
  • Both Botox and Dysport have protective proteins around them, but Xeomin does not.  This relates to the science and pharmacological make up.
  • Thus, Xoemin is lighter, and “might” work faster.
  • Xeomin is “naked”, so theoretically it has more efficacy since there are no “protective proteins masking its ability to produce the intended effect.  However, it is smaller, since it has less of a protective barrier, so it “might” diffuse easier, increasing the likelihood of spreading to unintended areas more.
  • Xeomin also claims to have less allergic reactions, since it’s not covered by all these protective proteins.
  • Xeomin states it doesn’t have to be refrigerated, like the other two products.

To me, they all behave relatively the same.

In short, these three injectable products are all members of the same class of medications. They behave similarly and last similar lengths of time. Marketing ploys try to differentiate the three, but there are no discernible differences (only theoretical).

I hope that helps, if you have any other questions, you can email me directly at info@drundavia.com.

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