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BOTOX, Dysport, and Xeomin are injectable neuromodulators, all of which, when injected, limit the constant muscle motions producing “dynamic wrinkles”—the facial lines that appear between brows, as furrows in the forehead, and around the eyes. These products can also be injected to smooth other facial or neck areas showing the signs of age.


BOTOX is the most recognized brand of neuromodulating injectables, and BOTOX injections are one of the most popular of all facial treatments worldwide. While BOTOX has been in use for decades and relied upon by many to keep the face looking young and fresh, some develop antibodies to the product and over time, do not get the smoothing results they did in the past. In these cases, other options are now available.



Dysport is a unique, thinner formula, with a similar active ingredient to BOTOX. Some patients feel the result achieved with Dysport is more natural in appearance, with less likelihood of producing a “frozen” look. In fact, whether the injectable you choose is BOTOX or another neuromodulator, the results are a direct result of the skills of your injector.



Xeomin, another injectable option that produces results similar to BOTOX, is different in that the accessory proteins that do not produce any smoothing effect have been removed for a purified version of the neurotoxin. Many patients choose Xeomin due to the purity and state-of-the-art manufacturing process.


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Which injectable is best, BOTOX, Dysport, or Xeomin?

You have several options if you are considering injections to smooth facial lines resulting from smiling, frowning, concentrating, or other facial expressions. To achieve a look that appears fresh, inviting, open, and natural, it is imperative that you have a highly-skilled, expert injector. Dr. Smith may advise you to use one or more of these injectables to create the look that you want.

What will injections feel like?

When performed by Dr. Smith, your injections, whether BOTOX, Dysport, or Xeomin, will not involve much discomfort. Most patients do not require any numbing, but if you are particularly sensitive, a topical numbing cream can be applied prior to your injections. The treatment takes only minutes to perform but requires a high level of accuracy to produce excellent results. Dr. Smith has an outstanding background in aesthetics, having completed one of the top aesthetic surgery fellowships in thw world, and is known for his high-level injection skills.

Will my face look frozen?

It is always a concern that an aesthetic treatment will go wrong. When considering injections with BOTOX, Dysport, or Xeomin, you want to ensure that your treatment is performed by a board-certified plastic surgeon with the skills and knowledge to inject the right product in the correct quantity to achieve a very natural-looking outcome. Be suspicious of very low pricing for these injections as counterfeit versions have been identified in cut-rate spas in the USA.

How fast will I see the results?

With BOTOX, your results appear over the days following your injections, with each person having a slightly different response, but typically within seven to ten days. With Dysport, as the formula is thinner, the smoothing effect may appear more quickly – a benefit if you have an upcoming event and want to ensure you are looking your best.

How often will I need injections?

The smoothing effect of these products wears off over time, and most patients require retreatment about every three to six months. Some patients do not require as many units
to maintain the refreshed look with regular injections, but everyone is different. One point holds true – beautiful results that appear natural are the result of the skills of your injector, above all.


  • Darren M. Smith MD
  • Darren M. Smith MD
  • Darren M. Smith MD
  • Darren M. Smith MD

All photos are of models except before and after images.

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