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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.


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.


  • BOTOX, Xeomin, and Dysport in NYC
  • BOTOX, Xeomin, and Dysport in NYC
  • BOTOX, Xeomin, and Dysport in NYC

All photos are of models except before and after images.

© Darren M Smith MD. All Rights Reserved.

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Coronavirus Operations

Dear patients and friends, we are excited to share that we have been given the go ahead by state officials to see in-person consultations immediately. These will be conducted in accordance with the highest safety standards and following exacting protocols. Some measures will include personal protective equipment for staff and patients, staggered booking, and meticulous cleaning between patients. We will not be performing procedures until later in June (date subject to change as guidelines are updated). Virtual consultations and emergency house calls remain available. Please contact us for more details. We can’t wait to see you (with a mask)!

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