Xeomin vs Botox and dysport?

Thank you for sharing your good question. These products are all effective, but from my experience, Xeomin does not seem to last as long as the other two. It is probably more important to choose a very experienced doctor than selecting which product to use. Good luck.

Hi, Emily. Thanks for your question. All Botulinium Type A toxins are not necessarily the same since they are protein molecules with varying sizes and purity.  Having said that, the expert injector and practitioner can adjust the dosing and technique to give you an excellent result with any of these products.  Placement of product is just as important as the amount of product, but patients do report feeling as if certain ones ‘work better’ than others. Much of this is related to the body’s response to a particular product, the concentration of material used vs the specific injection technique and placement. For example if the product is placed literally an 1/8 of an inch from its intended target, you can go from a fantastic result with brow elevation, to a terrible result with brow or lid droop.  Therefore please make sure you pick the health care provider who has extensive experience in facial anatomy and make sure you have seen their actual patient results.

Unit for unit, xeomin is equal to botox. It is mixed the same and administered the same. THE most important factor in determining you result is WHO places the medication. Assuming the toxin is mixed correctly, who puts it in is more important than the toxin itself (in my opinion). I would suggest that you only go to a practitioner who administers this medication on a daily basis. I would steer clear of non-cosmetic practitioners (ie family docs who provide this service).

All work well and I think are depedndent on the injector and the unit dosing/placement.  Best, Dr. Emer.

These are excellent questions to ask your injector prior to treatment. Botox and Xeomin units are mostly interchangeable while for an equivalent effect with Dysport, patients require 2 1/2 to 3 times the number of "Botox units." All of these products are highly effective but their units are not interchangeable as noted above. This does not mean that one is "better" or "stronger" than the other. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Good Afternoon,
I have a lot of experience with all three of these Neuromodulators and I use Dysport the most, followed by Xeomin, then Botox.  There are subtle differences in behavior of each of them, even though they are all Botulinum Toxin A.  My patients report the quickest onset with Dysport and Xeomin, and the longest with Botox, and I being a patient myself would agree!   Many of my patients that have tried all of them request Dysport again because they feel the longevity is a bit longer.   I also will routinely use Dypsort in one area, and Xeomin or Botox in another area on one face in the same visit.   I hope this is helpful!

We have had fabulous results with Xeomin in our office. In fact, we now do more Xeomin injections than Botox. We have had patients see results as early as 36 hours after treatment, but 7-10 days is most common. Although I start my patients off slowly to preserve a more natural look, they see results after one treatment.
I recommend getting treatments at an office similar to mine where a physician-injector administers your injections. Our anatomical knowledge is a huge benefit to maximizing your results. I have my patients come back 10 days after their injection to see if any touch up is needed.

Thank you for your question. Xeomin, Botox and Dysport are all neuromodulators that use Botulinum Toxin Type A, to block the nerve activity in muscles to limit movement and reduce the appearance of facials wrinkles such as frown and forehead lines. For more information, I recommend getting a in person consultation from a board-certified dermatologist. 

All of the neurotoxins are essentially the same and only differ on how they are diluted prior to treatment. It is much more important to have an experienced reputable injector than what neurotoxin is used.

Hello, and thanks for your question. Botox and Xeomin are roughly equal in terms of dosing. Botox/Xeomin are 2.5 to 3 times stronger than Dysport. Best of luck, Dr. Frucht.