Neuromodulators – Botox

Five types of botulinum neuromodulators are available:

  • Botox Cosmetic (onabotulinumtoxinA). Botox is encased within a protein structure. This protein casing on Botox can cause immune reactions that can eventually block the actions on botulinum toxin when injected.
  • Xeomin (Oncobotulinum Toxin). “Naked” botox. Head-to-head studies with Botox Cosmetic showed identical effect and duration.
  • Dysport (abobotulinumtoxinA). A different form from Botox or Xeomin; it spreads more easily than Botox, making it a better choice for larger areas like the forehead. 
  • Daxxify (daxibotulinumtoxinA-Ianm) uses a novel peptide as a stabilizer and does not contain human or animal byproducts. This lasts longer in some patients.
  • Letybo (letibotulinumtoxinA-wlbg) is engineered to minimize accessory proteins, similar to Xeomin, which some studies suggest may reduce the risk of antibody formation and potentially lead to longer-lasting results. 
  • Jeuveau (prabotulinumtoxinA-xvfs) is created with a different process, but Dr. Ling has found it does not last as long, so does not offer this.

Most people respond the same to all of these, but if we find your body is particularly responsive to one, we will continue to use that brand for your treatments.

Effective Treatment For:

What It Does:

Botox relaxes the muscles that causes a wrinkle. Stops the flow of sweat glands (for hyperhidrosis). This does not eliminate pre-existing lines or creases. Ask us about other retexturing procedures to help your body reduce the appearance of the creases.  Dr. Ling will determine which neuromodulator is best for you, based on lifestyle, muscle structure, and goals.

What to Expect:

Effects BEGIN to show four days after injection, but full effect at two weeks from injection. If you feel you need more, you need to wait the two weeks to determine this. As she prefers you have a natural look, Dr. Ling prefers to see what your minimal dose is, and adjust after the two weeks. Results will last 3 months on most people. You will need the same dosage each time you receive the injections every 3 months. Runners and heavy exercisers tend to have shorter duration of effects.