Botox, Dysport, and Xeomin

Botox, Dysport, and Xeomin are the three neurotoxins (muscle relaxers) which are currently available for use in the United States and are also available at our New York City Office. One of these three FDA approved brands are injected to reduce wrinkles in the face, especially around the forehead and eyes. Botox has been around longer than the other neurotoxins and is therefore the most well-known. Just as many people refer to all facial tissues as “Kleenex,” many people refer to all neurotoxins as Botox. Indeed, all three neurotoxins are various forms of botulinum toxin type A. There are small differences between the three types of injectable treatments and advantages to each approach. At the time of consultation, Dr. Rapaport will advise which neurotoxin he recommends for any given area to be treated. Dr. Rapaport is a board certified plastic surgeon and an expert in the use of injectable treatments.

A Scientific Animation Explaining the Mechanism of Botox Treatments

How Botox is Used

Depending on patient preference, Botox can be used to either completely freeze a muscle, or in lower doses they can just weaken the muscle or parts of the muscle. This is a matter of patient anatomy and patient preference, and is discussed with each patient individually by Dr. Rapaport or his nurse injector at our New York City office. The longest a neurotoxin might last is 3-5 months. When very small doses are used, the effect may be even more short lived. One area commonly treated with neurotoxin is the glabella. This is the area between the eyebrows that creates the 11 shaped vertical folds when a person scowls. Many patients simply do not want to appear angry in front of their co-workers or children, and take great pleasure in relaxing this area. The horizontal lines across the forehead can also be treated with Botox, Dysport or Xeomin, either to “freeze” the entire forehead, or with a variety of refined techniques to create an arch in the eyebrows.


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