Xeomin, Botox, or Dysport?

You’ve likely heard about Botox when researching facial rejuvenation treatments, but did you know there are two popular alternatives that are just as effective? Botox, Xeomin, and Dysport all belong to a class of drugs known as neuromodulators. Their key ingredient is a naturally occurring bacterium (Clostridium botulinum toxin type A). The version contained in these injectables has been produced and refined in a lab.

While they all address wrinkles similarly, there are some differences between Xeomin, Botox, and Dysport that may make one product better suited to your needs. Below we’re exploring the ways in which these popular injectables differ.


Botox is one of the most popular injectables used to treat movement-related wrinkles, and it was approved by the FDA in 2002. Like other neuromodulators, it works by forcing certain facial muscles to relax, which softens away creases and dynamic wrinkles. Since it’s been around the longest, Botox has undergone the most testing and development, and it is very trusted by both patients and cosmetic professionals.

Botox has a larger molecule than Dysport and Xeomin, so once injected, it stays pretty localized to the treated area. In terms of onset, patients will begin to notice the results of Botox within about two to three days, with full results visible at around two to three weeks.


Dysport received FDA approval in 2009, and it has been growing in popularity as an alternative to Botox. Dysport has a smaller molecule than Botox, so it may diffuse to a larger area. This can be a benefit if you’re seeking more widespread rejuvenation in the treated area, such as across the forehead. It also tends to have a quicker onset, with results becoming visible in just one or two days, and it usually peaks faster.


Xeomin is a relative newcomer, and it was FDA approved in 2011 for the treatment of wrinkles. While Botox and Dysport have some additives in their formulations, Xeomin is pure Botulinum Toxin A. This is beneficial for patients who have an allergic reaction to Botox or Dysport, or who have formed a resistance to them. The body is also less likely to develop a resistance to Xeomin over time. Because it contains no additives, it does not need to be refrigerated before treatment.

The onset of Xeomin’s effects are usually more gradual than Botox and Dysport, with results appearing about three or four days after treatment. Full results are typically visible by two or three weeks.

How Do I Know Which One to Choose?

All three of these neuromodulator injectables are effective at treating movement-related wrinkles. The best way to discover which particular product would best suit your needs is to schedule a consultation. During consultations, facial plastic surgeon Dr. Hershcovitch carefully assesses the nature of patient’s aging and asks about their overall goals. Based on this information, he will create a personalized treatment plan.

If you decide to take the next step, your injection session will likely take no more than about 30 minutes. This is what makes Botox, Xeomin, and Dysport such popular treatments. You can easily get a fresh new look without disrupting your busy schedule, and there’s virtually no downtime.

Ready to learn if these treatments are right for you? Contact Dr. Hershcovitch’s office today to schedule your personal consultation.