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Wrinkles come in two different types – Static and Dynamic
Static wrinkles occur from collagen breakdown due to aging and sun exposure and are present when your face is immobile. These wrinkles are typically treated with fillers or laser resurfacing
Dynamic wrinkles are those that occur from muscle movement such as frowning, scowling, lip pursing, laughing and squinting. These are the wrinkles that are treated with wrinkle relaxers.
All 3 injectable products work very similarly and are structured chemically almost identically. All have excellent safety profiles. The choice is often a matter of injector or patient preference.
Botox has been used the longest and has a widely acceptable list of treatment targets which include
Dysport is the newer wrinkle relaxer and is proving to provide a slightly faster onset of action and has more “spread”. Typical treatment targets for Dysport include
Xeomin, the newest FDA approved botulinum product, is very similar to Botox and accomplishes the same results. The difference between the two is that Xeomin has "accessory proteins" removed. What does this mean to you? From a product effectiveness or safety standpoint, nothing. The difference is only relevant to those people who may have used Botox for a long time and have developed an antibody to Botox's protein, then making it less effective with subsequent injections.
Used for Xeomin include