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Difference Between Botox Dysport and Xeomin

According to the most recent statistical data released by the American Society for Aesthetic Plastic Surgery (ASAPS), cosmetic injectables composed of a form of botulinum toxin – which includes BOTOX® Cosmetic, Dysport®, and Xeomin® – were the most popular aesthetic procedures performed all of last year. Designed to achieve a more youthful appearance, these injectable treatments work by temporarily preventing the contraction of specific muscles responsible for creating lines and wrinkles on the face. When administered by a qualified practitioner, BOTOX® Cosmetic, Dysport®, and Xeomin® can help minimize frown lines and crow’s feet, refresh the brow area, and rejuvenate the upper third of the face.

So if each of these neuromodulator injectables is composed of botulinum toxin and utilized to target similar aesthetic concerns, what’s the difference between the three? While the dissimilarities are few and far between, the following information can help you differentiate BOTOX® Cosmetic, Dysport®, and Xeomin® from one another:

  • BOTOX® Cosmetic – BOTOX® Cosmetic is a purified protein form of botulinum toxin. Once injected, the effects of BOTOX® Cosmetic typically appear within about one week, and results generally last approximately three months. This can often be a great option for reducing wrinkles on the forehead, between the eyes, and around the corners of the eyes.
  • Dysport® – The Dysport® solution is composed with less proteins than BOTOX® Cosmetic, which means fewer antibodies may form against it when it is introduced into the body. Once administered, the effects of Dysport® may start to become visible in as little as 24 hours for some individuals, and the results usually last anywhere from 12 to 16 weeks. This is frequently an excellent solution for vertical creases between the eyebrows.
  • Xeomin® – The Xeomin® solution has no additives, which again reduces the chance that antibodies will form against the product once it is injected into the targeted area. The effects of Xeomin® often become apparent within seven days of treatment, and results typically last about three months. This can be a good option for many women and men seeking to diminish frown lines.

Ultimately, results may vary with BOTOX® Cosmetic, Dysport®, and Xeomin®, and patients might find that one of the injectable treatments works better for their particular concerns than another. For this reason, I strongly encourage you to consult with a Fellowship-trained facial plastic surgeon who has experience in all three neuromodulator injectables to determine which one would be best for your specific needs and goals.

Scott Shadfar, MD

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