BOTOX® and BOTOX® Alternatives

BOTOX® Cosmetic is a booming and continuously growing aesthetic treatment. BOTOX® is one of the most clinically studied drugs with treatments having being performed in the USA since 2002 with FDA approval for cosmetic use in 78 countries worldwide. BOTOX® Cosmetic is the most commonly heard of injectable treatment for relaxing muscles that cause facial wrinkles, but there are also two BOTOX® alternatives that act in a similar way to BOTOX®: Dysport and Xeomin®.


Common areas treated with these muscle relaxers are frown lines between the eyebrows, crow’s feet, mouth, forehead, and neck. Muscle relaxers are also used to treat medical conditions such as migraines, blepharospasm, excessive sweating, and overactive bladder. All 3 injectables are FDA approved for treatment of specific areas while commonly used off label for others.

The injections themselves are done with a tiny needle and only take a few minutes. The treatment is comfortable with no downtime and often referred to as a small pinch. The injections take approximately 7-14 days for full effect but can be seen as early as 2 days and then can last up to 4 months. The wrinkles will not appear worse once the treatment has worn off; in fact treatment is actually preventive and since those muscles were not contracting the areas to often appear softer.

More About BOTOX®

Made from a purified protein, BOTOX® injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX® is commonly used to treat crow’s feet, worry and frown lines, and may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.

botox for crow's feet before and after

More About BOTOX® Alternatives: Dysport & Xeomin®

What is Dysport?

Even though Dysport is very similar to BOTOX®, Dysport can diffuse muscles one to three centimeters from the injection point, while BOTOX® can only reach as far as one centimeter, allowing for results that reach further areas with just a single injection. For many patients this may be an excellent and preferred alternative.

botox alternatives dysport before  dysport after botox alternatives

What is Xeomin®?

Xeomin® is the newest botulinum toxin type A injectable. It has just been approved by the FDA for use in patients with cervical dystonia and blepharospasm. It has not yet been approved for cosmetic use like BOTOX® and Dysport; however it is being used off label to also eliminate the appearance of fine lines and wrinkles. Unlike BOTOX® and Dysport, Xeomin® doesn’t contain additives. There are a small percentage of people who develop an antibody to BOTOX® and Dysport in which the treatment doesn’t take desired effect therefore Xeomin® can be an excellent alternative.

Which Botulinum Toxin is Right For You?

BOTOX® may be the most commonly heard of injectable, but Dysport and Xeomin® are also efficacious and can provide a great alternative. The injectables can be compared to Coke and Pepsi. They are similar but we often prefer one to the other. Based on results and longevity one injectable may get preferred while often there is little or no difference to be noticed. BOTOX® and Dysport offer rewards programs in which members can receive points redeemable for coupons to use at their next visit.

Where to Go for BOTOX® & BOTOX® Alternatives in North Chicago

Here at Ritacca Cosmetic Surgery & Medspa we are a national training center for Galderma and Allergan, the companies that manufacture Dysport and BOTOX®. We are in the top 2% volume of injections in the nation for Allergan. Results are not based on just the product but primarily on the experience of the injector. Be wary of inexperienced injectors and cheap deals as they are usually are too good to be true. Call us today to schedule your complimentary consultation today and learn more about BOTOX® Cosmetic, Dysport, and Xeomin® with one of our highly experienced injectors (847)367-8815.

Do you have any information about the new treatment that is similar to BOTOX®? Are you going to offer it?


Dysport is a brand of Botulinum Toxin Type A, the same ingredient that is found in BOTOX®. Though similar, they are not identical. Though we anticipate that Dysport will cost less per unit, one will likely require 2-3 times as many units to get the same result. 
At this point we are not certain of any real differences but we have not heard of any red flags with its use.  The hope is that now that Dysport is available, Allergan may choose to drop the price of BOTOX® to compete. Dysport will start being dispensed in our office sometime in June after our experienced staff is trained by the manufacturer.


-Dawn Davidson, R.N.