What Are the Best Botox Alternatives?

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.

A longer lasting alternative to Botox is GFX, which is a radiofrequency procedure that lasts approximately 1 year or more. This is due to ablation of the nerves which cause muscular contraction of the glabella (corrugator, procerus, depressor supracillii). Only one treatment is required.

Good morning ! Depending on where you seek your aesthetic care, every facility carries different neuromuscular inhibitors. Our office carries Botox + Dysport. Have a good day

Neuromodulators (such as Botox, Dysport, Xeomin, and Jeuveau) and soft tissue fillers like Belotero can improve the appearance of the forehead by reducing lines, wrinkles and folds. Deeper lines and wrinkles need a combination approach with Botox, fillers, lasers, and microneedling/PRP. I recommend getting a formal evaluation with a cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer

A neuromodulator like Botox is considered the gold standard in reducing wrinkles in the forehead. These lines typically form when you repeatedly make certain facial expressions, such as squinting or frowning. Neuromodulators target the muscles that create these lines, relaxing them so the lines smooth away. Botox has been used safely and effectively in both the medical and cosmetic realms for decades. I also offer Dysport in my office, which works in a similar fashion to Botox. I encourage you to schedule an appointment with an experienced, board-certified injector who can discuss your concerns, weigh your options, and help you find the best treatment plan for you.

Botox alternatives are Dysport and Xeomin. Please see an expert injector for a consultation to discuss options.

I like Dysport. It usually kicks in 1-2 days before Botox.The foregoing information provided is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition.

The best treatment for dynamic wrinkles on the forehead are the neuromodulators made with Botulinum toxin, which includes Botox, Xeomin and Dysport. If you don’t want to use them, you can concentrate on improving the texture of your skin with lasers, and filling in frown lines with dermal fillers. However, the only thing that stops the wrinkles at the source is a neuromodulator. Please consult a board-certified dermatologist who can walk you through all of the possible treatments so you can find the ones that make the most sense for you.

For wrinkles on the forehead, Botox can work quite well, but there are other options. First and foremost, the two injectable medications that are very similar to Botox but made by other companies include Dysport and Xeomin. Both of these are nearly identical to Botox on a molecular level and work in a similar fashion (by relaxing the muscles in the affected area).
Other alternatives for forehead wrinkles include fillers, skin resurfacing, and surgery. I do not commonly use fillers in the forehead simply because Botox, Dysport, and Xeomin work so well and give a very nice result, but fillers can be used to fill in certain deep, static lines in the forehead in select patients. 
Skin resurfacing (peels or lasers) can work well in the forehead area and other areas of the face as well. To get a significant improvement, there is generally some down-time involved, which is not the case with an injectable treatment like Botox. The advantage of skin resurfacing is that the result is essentially permanent and can produce a dramatic improvement.
Finally, surgery is an option, often performed in conjunction with a brow lift. I do not typically try to remove the muscles that cause horizontal forehead lines because this can give an unnatural appearance and affect brow position. I do think that a brow lift can sometimes help to soften horizontal brow lines because the brow is no longer feeling heavy and needing to be lifting by the forehead (frontalis) muscles. Also, during a brow lift, the muscles between the eyebrows in the glabella area that cause frown lines or the vertical "11" lines can be weakened. This does not require any extra incisions or recovery time. Even when this is performed, it does not typically cause an improvement that is dramatic enough to no longer see benefits from Botox (meaning that some motion will typically return over time).
Hopefully this is helpful.
All the best,

So, there is often a misconception of the role of toxin for forehead lines. The toxin paralyzes the muscle. So that stops the active wrinkling of muscles. Many patients come in and they want the forehead wrinkles that are present in repose. So for those lines the best treatment is a combination of laser surgery and fat transfer in my hands. Hope this helps.Best of luck,DrC

An alternative to Botox is Dysport, which is another type of neurotoxin with a similar molecular composition to weaken the muscles that create wrinkles on the forehead. Other than neurotoxins, other options for improving wrinkles on the forehead include dermal fillers or laser resurfacing.