Xeomin, Dysport, Jeuveau, and Botox… Which one is right for me?
In recent decades, the word “Botox” has become synonymous with almost all botulinum toxin type A injections used to reduce the appearance of dynamic wrinkles by diminishing objectionable movements in certain facial muscles.
Though “Botox” is often essentially used as shorthand for a whole class of treatments, there are actually multiple FDA-cleared products with the same intent on the market — Xeomin, Dysport, Jeuveau and Botox. Each of these cosmetic injectables have the same active ingredient: Botulinum toxin type A. But which of them is right for you? Do they differ from each other, and if so, how exactly?
All 4 products are “neuromodulators” that diminish objectionable muscle movement
Before discussing their differences, it’s important to understand that all of them serve a similar function. All four of these products are “neuromodulators” that limit unwanted muscle activity in parts of your face for cosmetic enhancements. A neuromodulator is a substance that inhibits the transmission of nerve impulses.
Botulinum toxin injections are used to reduce the appearance of dynamic lines and wrinkles on the face due to wrinkle-causing expressions, such as squinting, smiling, frowning, etc. The botulinum toxin is injected into the relevant muscles to prevent contractions in that part of the face, smoothing out the fine lines and wrinkles. The results of each of these injectables last for up to 4 months.
All 4 products are produced in a unique fashion and have different effects on muscle movement
Although each of these neuromodulators have the same primary active ingredient, they are each unique formulations with different effects on muscle movement. For example, the formulation for some of the neurotoxins includes protein blends that affect the injection’s potency. You can also expect differences between their results, dosage and longevity. Botox in particular can take 3-4 days to see the results and reach a maximum effect in about 1-2 weeks which can last for up to four months. Many patients schedule their appointments every three to four months since that is when the effects start to wear off and muscle activity returns.
There is no “equivalent dose” between the individual toxins
The subtle differences in formulations between these injectables also mean they require different levels of dosage. There is no equivalent dosage between the individual toxins. You can’t compare the results of 20 units of Botox with the results of 20 units of Dysport, and this lack of equivalence makes their selection and proper usage a challenge mastered over a long period of use by your plastic surgeon or Physician Assistant (PA). Thus, it is in your best interest to consult an experienced board-certified plastic surgeon to determine how much of which product is most suited to your specific needs and goals.
Botox has the strongest and most reliable track record
Botox is the most studied, and the most safety-proven neuromodulator currently available. For decades, Botox has also been used for medical purposes at very high doses — doses that are much higher than those used in any cosmetic application — and without any issue. Botox is widely hailed as the safest and most effective neuromodulator available.
Dr. Weber prefers Botox for its natural, predictable, safe and long-lasting results
Weber Facial Plastic Surgery is a full-service facial cosmetic facility founded and led by Dr. Stephen Weber, one of the country’s foremost double board-certified facial plastic surgeons. Dr. Weber prefers using Botox over other injectables because of its natural, predictable, safe, and long-lasting results. In a personal consultation, Dr. Weber will assess your concerns and examine your skin type and condition and provide a treatment plan for an ideal outcome that suits your specific needs.