Botox Injection Alternate Treatments

Raffy Karamanoukian, MD answers: What are the best Botox alternatives?

Not so sure I want to try Botox.  Are there good alternatives that will help me get rid of wrinkles on my forehead the same way Botox does? 


Raffy Karamanoukian, MD
8 months ago

Botox injection is appropriate for overactive muscles around the eye and on the forehead.

To minimize the need for Botox, one recommendation is to improve the quality of the skin through effective topical regimens, such as Retin A, Hydroquinone, and chemical peels.

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A: There are no real alternatives to Botox except other...

Kenneth D. Steinsapir, MD
27 months ago

There are no real alternatives to Botox except other forms of Botulinum toxin A (the active ingredient in Botox).

Botox and Botox Cosmetic is made and distributed by Allergan, Inc. The vials contain the identical medication. There are medical conditions that benefit from Botox.

However, insurance companies don’t pay for cosmetic treatment. To keep things simple, Allergan elected to market a product that was clearly labeled cosmetic to keep things straight. In France, Allergan markets Botox Cosmetic under the name Vistabel.

  • Medicis Pharmaceutical Corporation, the maker of Restylane and Perlane, will soon be bringing to the United States market a Botulinum toxin A product called Reloxin, currently available in Europe as Dysport. This product has not received FDA approval, which is expected soon. When it is received, Reloxin will compete directly with Botox in the US market.
  • A third company, Mentor Corporation, is investigating another Botulinum toxin A product under the name Puretox. It is not known when this product will reach the market.
  • There is also a Botulinum toxin B product available in the United States under the name Myobloc and elsewhere as NeuroBloc. This product is distributed by Solstice Neurosciences and is primarily used for medical conditions and not cosmetically.
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A: Botox cosmetic (the purified, injectable protein...

John M. Roesler, MD
22 months ago

Botox cosmetic (the purified, injectable protein produced by the Allergan company) is the BEST (safest, simplest, longest lasting, least expensive, and most effective) treatment for dynamic wrinkles in the forehead, between the eyebrows (frown lines), and laterally around the eyes (crow's feet).

There is absolutely no reason to fear Botox, as long as it is administered by a physician who you trust and who is experienced in its use.

Wrinkles come from muscle movement and aging of the skin. Botox specifically and precisely limits muscle movement and both prevents and corrects dynamic wrinkles. Note that wrinkles and furrows that are present at rest may require additional treatments, such as injectable fillers or laser resurfacing.

In my office we could sell any brand of the creams, lotions, or potions that are marketed or produced by physician and non-physician 'skin care professional' companies as an alternative to Botox. Yes, many of these products are excellent moisturizers. Yes, a few of them (prescription strength) help with brown spots. But no, there is no substitute for Botox. Is any product "Better than Botox?" Let me think about that ... no.

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A: Dysport for alternative to Botox

Harold J. Kaplan, MD
6 days ago

While there are treatment alternatives for forehead wrinkles besides injections, Botox works so well in this area that it is almost without compare. A new competitor to Botox  -- Dysport -- also works very well in this area and may be more affordable for some practices.

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