Now that Botox is practically a household name, there are multiple different types of neurotoxins to choose from these days. We thankfully have Botox, Dysport, Xeomin and the latest is Jeuveau. Botox and Dysport, are the most popular products requested by my own patients, but as the aesthetic industry is growing, we are welcoming new toxins to the market. Basically, these toxins produce the same outcomes, but are formulated with slight differences from competing companies. As a provider, most often, I will tell my patients to try them individually and develop their own personal opinion, to decide which product suits them best. In my experience, most patients will narrow their choice down to whether a certain product gives them more longevity. However, most of the toxins are markedly similar in terms of their cost, result and lasting effect.

Whether you are treating with one neurotoxin or another, there are some subtleties that I can share that I have noticed in many of my own patients. Botox can sometimes yield a better lift for a patient who has issues with lid ptosis (or eyelid hooding).  Dysport, can provide a block that might be more agreeable to someone with stronger muscles.  However, these effects can vary greatly from person to person.  We all have different muscles and respond to different things in different ways. This tends to make “us” (La Chelettes) lean towards the notion that toxin choice can be individualized by each patient’s unique anatomy, and end result. An ideal product to use on those patients with stronger muscles or many stacked fine lines, may not be the best choice for a different person with those same symptoms. The result can vary from patient to patient, from toxin to toxin, dependent upon many anatomical factors.

Pricing may vary from practice to practice, however, both Botox and Dysport can last up to 5 months. Botox average onset is anywhere from 3-6 days and Dysport (considered the “event Botox”) can kick in at 2-5 days, both intensifying up to two weeks. They are both a type of botulinum toxin A used to relax facial muscles that are genetically overactive or have begun to create long standing frown lines in the forehead, and crow’s feet area. Both of these products have been used and loved by many patients, for many years (including myself, since age 32). They both have a high safety profile and similar side effects, which are primarily benign.

Lastly, in addition to being among the best wrinkle erasers out there, both of these products have reward programs. When signed up for these programs, you can accumulate dollar points that yield reward coupons, and … they are free to sign up. As if being “wrinkle free” isn’t a reward enough, these pharma companies care enough to try and save us a buck!

In my opinion, you can’t go wrong with either Botox or Dysport. But, take the time you need to develop your own personal opinion as to which toxin is the right fit for you. Also, developing a relationship with your injector, and having them get to know your anatomy and muscle activity is key. Ideally, you’d want to be sure that aesthetic injecting is your providers main passion – because there certainly is an art to it. Looking to soften the lines that bother you (not to the point of overcorrection), but to the point where no one can tell you’ve had it done, is where the beauty of botulinum toxin injections lie..

-Jaclyn McCreesh RN, BSN