Botulinum toxin treatment is a revolutionary approach to reversing the effects of facial wrinkles. These products are derived from a naturally occurring protein that is used cosmetically to soften facial wrinkles by temporarily relaxing certain facial muscles. This treatment is most popular in the frown lines, forehead wrinkles, and crow’s feet. It also can be used to sharpen the jawline, reduce neck wrinkles, soften the lip pucker lines and reduce chin dimpling.
Botulinum toxin injections are performed after the application of an ice pack and are virtually painless. Only a very small sting is felt when the injections are made. It may take 7-10 days to see the full effect of the treatment. The effects are not permanent, and injections may need to be repeated 3 to 4 times per year to retain their benefits.
There are four botulinum toxins available in the US: Botox® (Allergan) and Dysport® (Medicis) and Xeomin® (Merz) and Jeuveau® (Evolus). In our experience, most patients feel that all four products are similar in their effectiveness and longevity. However, in some patients who have less than optimal results from one brand of botulinum toxin, changing brands can often yield a better result.