BOTOX® Cosmetic, Dysport®, and XEOMIN® are the three leading FDA-approved injectables that reduce the appearance of fine lines and wrinkles by relaxing facial muscles.
The effects of these injectables are temporary, but the average patient usually maintains results for up to four months. Both men and women can benefit from this procedure and experience the physical and emotional effects of an improved appearance.
Injections are administered directly into the facial muscles that cause frown lines and other wrinkles. Most common injection sites are forehead lines, between eyebrows and outer lower eyes (commonly called “crow’s feet”).
These injections are generally painless and do not require anesthesia, although a numbing agent may be used to help minimize any discomfort from the injection for patients who are anxious about the procedure. Treatment sessions usually take fewer than 15 minutes and can be administered at six-week intervals.
Most patients achieve their desired results with three to five injections. Patients will notice that the specific facial muscles will gradually relax over the next few days.
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Made of a protein derived from botulinum toxin A, BOTOX® Cosmetic relaxes the targeted muscles and is FDA approved for treating fine lines and wrinkles, deep lines on the forehead, frown lines and furrows between the eyebrows, and crow’s feet. BOTOX® Cosmetic typically takes four to seven days for the onset to be noticeable, and the results usually last between three and six months.
In addition to cosmetic facial rejuvenation, BOTOX® is also an FDA-approved treatment for chronic migraine headaches, primary axillary hyperhidrosis (excessive underarm sweating), and an overactive bladder.
Dysport® has been FDA approved for use in the United States since 2009. Dysport® is similar to BOTOX® Cosmetic but has a slightly faster onset, with results becoming apparent in one to two days. Dysport® offers natural-looking results that last up to four months.
XEOMIN® is similar to BOTOX® Cosmetic and Dysport®, and it contains the same active ingredient – botulinum toxin A – to paralyze the muscles and smooth wrinkles. XEOMIN® is FDA approved for improving the appearance of moderate to severe glabellar wrinkles (frown lines between the eyebrows). Results from XEOMIN® typically become noticeable in three to four days and last for about three months.
Boris M. Ackerman, MD
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