Alternatives to Botox?
“A rose by any other name would smell as sweet.” Well, that may be true for Shakespeare, but sometimes a different name means it’s a different product.
For "neurotoxins" there’s three main players: Botox (Allergan - onabotulinumtoxinA), Xeomin (Merz, incobotulinumtoxinA), and Dysport (Medicis, abobotulinumtoxinA). The chemical make up of the 3 are slightly different, but they all have the same basic function, they relax the targeted muscles and help to smooth wrinkles away. That being said… Notable differences include:
1. Price - Botox is the most expensive, followed by Xeomin (save 1-2 dollars per unit), then Dysport (save 2-3 dollars per unit).
2. Dose - Botox and Xeomin have similar results at equivalent doses (essentially the two are interchangeable). Dysport will require nearly 2.5 times the dose for the same effect.
3. Onset of action (how quickly it works) – Dysport (1 day), Botox (3 days), Xeomin (4 days)
4. Longevity – all 3 will last approximately 3 months. However, in rare instances (very rare) you can develop a resistance to Botox and Dysport and the medication could be less effective. Xeomin does not carry the same risk.
Overall, in the hands of an experienced provider your outcome will be the same. Different practitioners have different preferences on the products they use. As long as they understand the product they are using, there’s no need to fret about which product they use.
I hope this helps demystify the name game in neurotoxins.