Botox is onabotulinumtoxinA

Dysport is abobotulinumtoxinA

Xeomin is incobotulinumtoxinA

So, what does that mean? My clients often ask me which product I recommend and why. It is a tad difficult to give a straight answer because they are more similar than different. Obviously, Botox is marketed the most and is owned by Aesthetic giant Allergan. Botox has been around the longest giving them the edge on brand recognition. The loyalty program offered by Allergan is good and keeps clients requesting Botox time and time again. Dyport is made by Galderma and Xeomin is made by Merz. But what is the real physiologic difference?

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The answer is “Not much is different between the three products”. We all notice subtle differences in the business. Dysport tends to spread a tad more, but not in every client. Dysport kicks in at 2-4 days, where Botox takes around 4-7. Xeomin generally kicks in around day 5 as well. I have clients that feel Dysport lasts longer, but not all clients agree on that matter. Xeomin had a little mixing issue in its early launch period that led to less product in the solution. This has since been corrected, but I still have clients say they heard Xeomin does not last as long. This has not been the case in our office. We feel Xeomin lasts as long as Botox and Dysport in the average client. The one thing that is consistent across the board is when a client lands on one product, they have very specific reasons why. Every single person will have a slightly different experience with the three products and will choose a specific product based on that experience. For example, I treat two sisters and one gets at least 3 extra weeks of results with Dysport than Botox. For her sister, the opposite is true. These ladies keep a journal and are very specific about their experiences. They are comparing comparable treatments using different products. This brings me to my next point…

The dose of the drug is far more important for longevity than the drug you choose. I am not saying that one of the above drugs won’t give you better results. I think most people would have a favorite if they tried all three. I am just saying the most important factor for longevity is dose, assuming the placement of the drug was good. Lastly, I like to alternate my neurotoxins to avoid forming antibodies to any one drug. I feel like I get the best results doing this and often recommend it to my clients.

Now that I have confused you, I will try to clear the air. Please try all three neurotoxins to see which you prefer to browse this site. Keep a journal and try to keep doses the same for a specific region when comparing the three. Sign up for both Allergan’s and Galderma’s loyalty programs. I attached the links below. They are easy savings plans to help offset some of the cost. I offer complimentary consultations to answer questions about Botox, Dysport, Xeomin, and all other treatments.

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