Botox, Xeomin & Dysport
Botulinum toxin is purified from a special bacteria and used to specifically target and relax or paralyze small muscles of facial movement to prevent the formation of “dynamic” wrinkles. The FDA approved and most popular indication is for the glabella (the area between the brows). Common off label uses include forhead, “crow’s feet, “bunny lines,” and upper lip lines. A “chemical” brow lift involves placing a small amount just under the most elevated portion of the brow to give a small lifting effect by paralyzing muscles that pull the brow downward. Though botulinum toxin does not technically treat stationary lines, by weakening the muscle overtime and preventing motion, it can soften these with repeated and regular treatments.
Cost of Botulinum varies only slightly between brands. Available options in the US include BOTOX, DYSPORT and most recently XEOMIN. Toxin can be injected in the clinic setting using very fine short needles with only slight discomfort. Numbing cream can be applied for added comfort, however, most patients become accustomed to the procedure and prefer the treatment without numbing. Ice packs are applied for comfort and to minimize any bruising and can be used for the first few hours. Bruising is the most common side effect. Some patients may experience a mild headache for the first few days. It is important to realize that the effect of the toxin is not instant, taking up to 10 days in some cases for the full effect. Touch ups can be done in any case of asymmetry.