Botox® is just one of three FDA-Approved neuromodulators. Dysport® and Xeomin® are two other brands of the same protein that works to slow down overactive muscles that create lines and wrinkles1. Reflections offers all 3 of these brands to our patients, to ensure the best possible results for each individual.
Botox & Other ‘Tox Brands Quick Facts
- No downtime
- Results within 1-2 weeks
- Lasts for 3-6 months
3 Brands of Neuromodulators: Same Protein With Unique Outcomes & Results
All are forms of Botulinum Toxin Type A, which is injected to relax the overactive muscles that create wrinkles and fine lines in the face and neck. Botulinum toxin works by targeting facial muscles to reduce wrinkles, and it acts on the nervous system by blocking nerve signals to these muscles, resulting in temporary muscle paralysis and smoother skin.
Botox
The first neuromodulator prescription medicine to be approved by the FDA, Botox has been safely used for over 20 years now and has always enjoyed at least 80 percent of the market worldwide. For a very long time, Botox Cosmetic was the only brand available, and because it has been around for so long, it’s been subjected to many, many clinical trials and is highly effective at treating moderate to severe frown lines, crow’s feet, forehead lines, and other dynamic wrinkles. It’s been approved for many medical uses beyond wrinkle relaxation, including migraine treatment, sweating reduction for hyperhidrosis patients, and muscle spasms. Botox is manufactured by Allergan, makers of the Juvederm family of products.
The actual formulation of Botox includes several protective proteins, which allows the effects of Botox to last slightly longer than Dysport or Xeomin. This also makes the onset of results a little delayed, usually around 3-7 days, with full results seen at 14 days. Side effects include redness or swelling at the injection site and discomfort, but these effects fade within a day or two.
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Dysport
Dysport was approved by the FDA in 20095, making it the second neuromodulator available in the US. It’s manufactured by Galderma, makers of the Restylane family of dermal fillers. Dysport has gained a reputation for allowing for more natural movement. However, Dysport is mixed differently per unit than Botox and Xeomin, and this often leads to a more diffuse or thin application of the product. Used properly, Dysport can achieve the same wonderful results we get from Botox for wrinkle relaxation. Since Reflections believes a natural-looking result includes natural movement and because our expert injectors completely understand the ratio and differences between Dysport and Botox, our results tend to be equivalent between these two products. We typically recommend Dysport to patients in cases of known allergic reaction to Botox or loss of Botox reactivity. It’s why it’s so important to tell your doctor about any allergic reactions or past treatment.
Possible side effects of Dysport may include headache, injection site pain, muscle weakness, or allergic reactions. If you experience side effects, avoid dangerous activities such as driving or operating machinery until you know how Dysport affects you. Seek immediate medical help if you have severe reactions like difficulty breathing or swallowing. Always inform your doctor about any new medicines you are taking, including over-the-counter drugs and cold medicine, before receiving Dysport to help prevent serious interactions.
Learn MoreXeomin
Xeomin has now been on the market since 2011. This “naked Botox” doesn’t carry any protective proteins, making it the purest form of neuromodulator. The theory behind this formulation is that there will be fewer reactions and allergies without these carrier proteins. Xeomin is manufactured by Merz, which also makes Radiesse. Like Botox, Xeomin can also treat medical conditions like cervical dystonia, upper limb spasticity, and migraines. Xeomin is ideal for those who may have developed antibodies or resistance to Botox/Dysport.
Xeomin is approved by the US FDA for specific medical and cosmetic uses. Before receiving Xeomin, inform your doctor if you are taking any medications, including sleep medicine, to avoid potential interactions. If you experience any side effects, report negative reactions to your healthcare provider or regulatory authorities.
In the rare circumstance that someone is allergic to Botox and Dysport, Xeomin is the desired product to use. There may be some bruising, swelling, or injection site pain, but it’s usually minimal and fades in a day or two.

View More Neuromodulator Before & After Results
More Before & Afters
Why Choose Reflections Center For Botox & Other ‘Tox Brands
At Reflections, we believe it is very important (not only for the safety of our patients but for the quality of their results), that Botox, Dysport, and Xeomin, as well as other injectable procedures, only be performed by highly skilled physicians. This allows us to ensure we’re giving every patient a customized, natural-appearing result based on their anatomy, needs, and wants. The physicians of Reflections are proud to have done hundreds of thousands of Botox and dermal filler treatments over the last two decades and there is nothing more important for great results than experience. You will never find a physician’s assistant, nurse, or dentist injecting Botox, Dysport, or Xeomin (or dermal fillers) at Reflections. Be aware there are laws that regulate who can (and who can not) inject these products, but these laws are often neglected.
With Reflections’ skilled physician injectors, you can expect results that highlight your natural beauty and turn back the clock without looking “frozen” or “done.” We believe when you look good, you feel confident, and that creates positive ripples throughout your entire life. Visit either of our locations in Martinsville (Bridgewater) or Livingston, New Jersey, for a complimentary consultation with one of our skilled physician injectors.
Frequently Asked Questions
Can I go for a walk after Botox?
Can Botox age you?
Can Botox cause weight gain?
Does Botox affect the brain?
Does Botox make you look older after it wears off?
Is Botox a poison?
Is Botox a steroid?
Is Botox good for under eye wrinkles?
What are the risks of botox?
How many units of Botox are needed for the forehead?
How long after Botox can I work out?
Can I have wine after Botox?
What is Botox used for?
How much is Botox?
How long does Botox take to work?
What are the uses of Botox?
Can Botox help sinuses?
Can you drink coffee after Botox?
Can Botox lift eyebrows?
Is 50 too old for Botox?
Should I move my face after Botox?
What age should I start Botox?
What do I need to know before getting botox?
Why cant you lay down after Botox?
Does Botox make you shiny?
How long does Botox last?
What are the bad side effects of Botox?
What should you not do after Botox?
Who should not get Botox?
Are Dysport or Xeomin cheaper than Botox?
Does Dysport last longer than Botox?
How do I maximize the duration of Botox or Dysport injections?
What are the most common side effects of these injections with Botox, Dysport, or Xeomin?
Will there be downtime?
What are some important things to know about Botox, Dysport, & Xeomin?
Can Botox treat a double chin?
Is Botox safe?
What is the Botox cost in Livingston, NJ?
Is Botox an FDA approved injectable treatment?
Is QWO non-surgical body contouring?
Botox
Xeomin
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Read MoreSources:
- American Society of Health-System Pharmacists (October 27, 2011). “Botulinum Toxin Type A”. drugs.com.
- Felber ES (October 2006). “Botulinum toxin in primary care medicine”. The Journal of the American Osteopathic Association. 106 (10): 609–14. PMID 17122031.
- Carruthers JD, Carruthers JA (January 1992). “Treatment of glabellar frown lines with C. botulinum-A exotoxin”. The Journal of Dermatologic Surgery and Oncology. 18 (1): 17–21.
- “BOTOX Cosmetic (onabotulinumtoxinA) Product Information”. Allergan. January 22, 2014.
- FDA Approved Drug Products – Dysport”. www.accessdata.fda.gov. U.S. Food and Drug Administration. Retrieved 2016-11-07.

Dr. Mitchell Chasin
Dr. Mitchell Chasin is a Cosmetic & Laser Physician at Reflections Center. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.

