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Botox is injected into expression muscles to improve your look and appearance. Botox is mainly applied to the face, neck and other areas where you develop signs of aging. It smoothes out the skin by relaxing the muscles underneath; thereby reducing the appearance wrinkles, giving you a younger and rejuvenated look.*

It’s commonly known that Botox can be used to help you look your best; however a less commonly known application of Botox is for the treatment of Hyperhidrosis, or excess sweating. Botox cosmetic treatments can be used to inhibit sweat production in key areas like under the arms to alleviate the sometimes embarrassing problem of sweat stains and overactive sweat glands. If you think you may have hyperhidrosis, contact us for a one-on-one, private consultation.*

There are much bigger risks of Botox (when not administered by a professional):

Paralyzing the wrong section of the face
You may be personally damaged for life if something goes wrong.

Xeomin® was recently approved by the FDA for use in the glabellar area. The new product contains the same chains of amino acids but without the complex proteins. Its purity makes it easier to conserve, while having the same therapeutic effects as Botox. Like Botox, it requires the same doses to achieve optimal results.

The number of injections necessary will vary from patient to patient, depending upon how many muscles are affected and the severity of the condition. While patient experience may vary, the results of a Xeomin treatment are usually evident after one week and last, on average, up to 12 weeks.*

Dysport is an FDA-approved treatment used to reduce the appearance of fine lines and wrinkles by relaxing facial muscles. Similar to BOTOX® Cosmetic, Dysport is injected directly into the site of wrinkles to prevent the underlying muscles from contracting. The active ingredient in Dysport is botulinum toxin type A. The inactive ingredient is human albumin and lactose. Dysport may contain cow’s milk protein.*

Dysport was developed in Europe during the early 1990s, and has been used there successfully for several years. In April 2009, Dysport was approved by the FDA for use in the US, and is expected to rival Botox, the most popular cosmetic procedure, with its convenience and long-lasting results.*

There are several articles and forums discussing the advantage of one versus the other. Many physicians are opting for Botox because it has been on the market for many years. Others are using it because of convenience. Some doctors will inject whichever is preferred by the patient.

No studies or reports have indicated that one provides a longer response than the other. Dysport has a wider range of diffusion which makes it attractive for certain indications, such as the eyes or neck. Xeomin has not been used extensively in this country. Some doctors have reported problems similar to those I experienced, related to the reconstitution of the powder prior to its use. We have since corrected the problem so that Xeomin is another option for our patients.

Our practice has experience with all the neuromodulators, their indications, and their safety profiles, so feel free to discuss any of your concerns with us when you come in for your consults.*

By Anca Tchelebi, M.D.

There are three FDA approved products to treat glabellar lines: Botox, Dysport and Xeomin.Botox (onabotulinumtoxinA) is distributed by Allergan and has the longest track record. Dysport (abotulinumtoxinA) is available through Medicis, and the most recently released neuromodulator on the market, Xeomin (incobotulinumtoxin A), is made by Merz.

There are several other products which do not have FDA approval, but are largely utilized in other countries. Many of these are available for purchase on the Internet. Neuronox is used primarily in South America. Botulax and Chinatox are similar products used as neuromodulators (wrinkle relaxants). Any of these products could be used to substitute the FDA approved ones which you are familiar with. However, little is known in terms of efficiency and safety. These products tend to be offered at lower prices.

Take caution when you shop around for such treatments as there are many unbranded products available on the Internet.

When one of these products was tested by Allergan, it was found to contain 250 times the dose of the same size vial of onabotulintoxin A, found in Botox. Keep in mind that in many countries, there are no regulatory organizations or quality control such as there is here.*


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**Results may vary. Unless noted otherwise, testimonials are of real patients who have completed treatment(s.) Before and after images reflect real results from real patients, although individual results may vary. Statements estimating treatment duration and the amount of treatments required are based on the typical experience of patients of Park Avenue Medical Spa, however, duration and amount of treatments needed may vary per client.



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