Recharge Medical Blog

Recharge Medical
Philippe T. Nguyen

Philippe T. Nguyen, MD
Chief Medical Officer

Botox, Xeomin, and Dysport: How to Choose

woman receiving filler injection

Trying to choose among Botox, Xeomin, and Dysport? If so, you might already know that these are brand names for botulinum toxin type A which was first approved by the United States Food and Drug Administration for cosmetic medical use in 2002. If you know that Tylenol is the brand name for acetominophen, similarly Botox, Xeomin, and Dysport are brand names for botulinum toxin type A. Below I review three brands of botulinum toxin type A.


There are three brand name injectables of botulinum toxin type A: Botox, Dysport, and Xeomin. All three medications:

  • are made from the same botulinum toxin type A neuromodulators.

  • have the same clinical effect.

  • have similar onset of action: from 24 hours to two weeks.

  • last three to four months, depending on the quantity used.

  • have possible side effects of bruising, headaches, and eyelid drooping.


Xeomin does not use bound proteins

Both Botox and Dysport use carrier proteins bound to botulinum toxin type A in their formulation. The human body can very rarely become accustomed to these proteins and form a resistance to Botox or Dysport, causing these injections to become less effective over time. Should this occur, a switch to Xeomin, which does not contain a bound protein, might provider better results.*

Dysport has a wider spread

Dysport spreads wider than Botox or Xeomin. Many providers will not use Dysport around the eyes because of an increased risk of eyelid droop. However, a wider spread can have benefits when injected into other areas where more even smoothing is desired.*

Xeomin might be more likely to cause headaches

Headaches are a possible side effect from any botulinum toxin type A. However, there is some evidence that Xeomin carries a slightly higher risk of post-injection headache.*

The primary factors in cost relate to quality of product and provider

As with other medical procedures, your cost for a botulinum toxin type A injection is a function of many factors. But the primary factor in cost is the skill and experience of your provider. A physician or surgeon with a good understanding of the drugs, extensive training in cosmetic medical procedures, and many years of experience providing injections will know what botulinum toxin injections to use for your needs and how to achieve the best results.

You might also see Dysport injections marketed at cost far lower than Botox or Xeomin. Don’t be fooled. Dysport does tend to be less expensive per unit, but it often takes two to three times as many units to achieve the same results.*

Beware of deep discounts

Everyone loves a bargain, but deep discounts on a botulinum toxin injection could be a warning that the injection itself or the provider performing the injection are not the highest quality.

* Your results may vary.

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