Neurotoxins Explained

Botox Cosmetic, Xeomin, Dysport, and Jeuveau are among the top provided non-surgical cosmetic procedures in the US to smooth wrinkles that form due to facial expression and movement. Frowning, squinting, smiling, and other facial movements cause the development of static lines and wrinkles.

Many people ask, “When is the best time to start Botox, Dysport, Xeomin, or Jeuveau?”. Many people wait to schedule their first neurotoxin appointment after expression lines appear. The longer you wait the more difficult it will be to smooth the appearance of fine lines and wrinkles. Prevention is the best option and will benefit you in the long run. Get ahead of the expression lines when you notice them and relax them before they continue to set in and turn into static fine lines and wrinkles.

Chronological aging is easier to stop in its tracks than some might think. You don’t have to drive to a big city to prevent and treat your wrinkles.

We provide Amarillo and the surrounding areas with everything they need to prevent significant signs of aging. We carry Xeomin, Dysport, Jeuveau, and Botox in our clinic to give you a variety of all the currently FDA-approved options.

Botox Cosmetic, Xeomin, Dysport, and Jeuveau all contain the same active ingredient, botulinum toxin A, a neurotoxin. They are injected into specific muscles that cause expression lines. Some of the most common placed injections are in the glabella (between the eyes) that cause the “11” lines, the forehead to prevent and soften horizontal lines, and by the eye to help with “crow’s feet”.

Botox Cosmetic, Xeomin, Dysport, and Jeuveau are neurotoxins that have all been FDA approved and have been used safely for years as a low-risk option to prevent and relax fine lines and wrinkles. They work to temporarily inhibit signals in the muscles that cause them to contract to prevent the worsening of expression lines. This will assist to visually decrease “11” lines, horizontal forehead lines, and crow’s feet.

Botox Cosmetic, Xeomin, Dysport, and Jeuveau all contain the same active ingredient: botulinum toxin type A. The main difference between the four products is in the formulation. Currently, in the United States, there are only four botulinum neurotoxins licensed for use. The four products ProgressMD uses are onabotulinumtoxinA (Botox cosmetic, incobotulinumtoxinA (Xeomin), prabotulinium A (Jeuveau), and abobotulinumtoxinA (Dysport). These designated names were developed to emphasize that each of the individual products varies in potency and that they are not interchangeable. This influences the dose and units that you receive depending on the product you select. All work toward the same goals of achieving cosmetic improvement of fine lines and wrinkles (rhytids).

Differences in the formulation include protective proteins attached to the molecules of the product. Botox Cosmetic has larger protein, causing this to be a heavy molecule which takes a little longer to see results. Dysport has small proteins causing it to slightly decrease the onset of results. Xeomin is a more purified version of the botulinum toxin A and doesn’t have any proteins attached. This decreases the incidence of developing a resistance to the product. Juneau’s unique perk is that it doesn’t spread out as far post-injection and it’s best for those who are more prone to having Ptosis and or those who have heavy eyelids before receiving any injections.

With the previously noted difference between Botox Cosmetic, Xeomin, and Dysport, they all work with the same mechanism of action. ALl three neurotoxins prevent acetylcholine (ACh) release from the presynaptic membrane, causing temporary calming of the muscle contractions by blocking the transmission of nerve impulses.

With this temporary effect, the decreased muscle movement helps smooth fine lines and further prevents wrinkles (rhytids) from becoming deeper.

What to expect

Timeline for Results
The onset of neurotoxins results range from 3 to 14 days but are not fully set in until the 14-day mark. The duration of results varies by the patient with an average duration of 3 to 5 months.

Contraindications
This treatment is not recommended for patients who are pregnant or lactating, those who have had a previous allergy to neurotoxin, infection at the treatment site, unreasonable expectations, previous adverse outcomes, and those who have a neuromuscular diagnosis.

Average recovery time
Recovery is minimal with Botox Cosmetic, Xeomin, and Dysport with only light restrictions for 24 hours.

Restrictions include no lying down or leaning forward for 3 hours. No vigorous activity to cause sweating, hot tubs, saunas, or steam rooms for 24 hours.

Pain Level
None to Mild
Topical Anesthetic Available

Length of Appointment
New Patient: 30 minutes
Returning Patient: 20 minutes
Check-Up Suggested: 15 to 20 minutes