Comparing the 5 FDA Approved "Tox" Brands

By Pinch Med Spa Staff

In aesthetic medicine, the advent of neuromodulators has revolutionized facial rejuvenation practices. Neuromodulators (known as "Tox" or Botox"), also known as neurotoxins or botulinum toxins, comprise a diverse array of formulations designed to mitigate facial wrinkles by temporarily paralyzing underlying muscles. While Botox, the pioneering neurotoxin, holds a prominent status, several counterparts have emerged, each with distinct formulations and attributes.

This blog aims to educate on the nuances among prevalent neuromodulators, delineating how they work,  dosages, advantages, and limitations. Through a systematic evaluation, practitioners and patients alike can discern optimal treatment modalities tailored to individual requisites and preferences, fostering informed decision-making in the pursuit of facial rejuvenation.

Specifically, we'll be discussing the different brands of neurotoxins available on the market, including Botox, Dysport, Xeomin, Jeuveau, and Daxxify.

1. Botox (Allergan)

Let's start with the OG of neurotoxins: Botox. Manufactured by Allergan, Botox has been a household name in the world of aesthetics for decades. It's FDA-approved to treat moderate to severe frown lines, crow's feet, and forehead lines. Typically, Botox injections come in doses ranging from 20 to 60 units, depending on the treatment area.

Pros: Botox is known for its reliability and effectiveness in reducing the appearance of wrinkles. Many patients report seeing results within a few days, with full effects kicking in within two weeks. Additionally, Botox injections require minimal downtime, making them a convenient option for busy individuals.

Cons: While Botox is generally well-tolerated, some patients may experience side effects such as bruising, swelling, or headache. Additionally, the effects of Botox are temporary and typically last around three to four months, meaning regular maintenance treatments are necessary to maintain results.

Pricing: As the archetype of neuromodulators, Botox commands a premium price point reflective of its established reputation and efficacy. On average, Botox treatments range from $300 to $800 per session, contingent on the treated area and requisite units.

2. Dysport (Galderma)

Next up, we have Dysport, another popular neurotoxin in the aesthetic industry. Manufactured by Galderma, Dysport is FDA-approved to treat moderate to severe frown lines. Like Botox, Dysport injections are administered in doses ranging from 50 to 150 units.

Pros: Dysport boasts a slightly faster onset of action compared to Botox, with some patients noticing results within a day or two of treatment. Additionally, Dysport may spread more evenly across larger treatment areas, making it a preferred choice for certain facial areas.

Cons: While side effects are rare, some patients may experience temporary muscle weakness or drooping eyelids after Dysport injections. Like Botox, Dysport's effects are temporary and require regular touch-up treatments to maintain results.

Pricing: Dysport presents a competitive alternative to Botox, often priced slightly lower to attract clientele. With rates averaging between $250 and $700 per session, Dysport embodies a cost-effective option without compromising quality.

3. Xeomin (Merz)

Moving along, let's talk about Xeomin, manufactured by Merz Pharmaceuticals. Like Botox and Dysport, Xeomin is FDA-approved to treat facial wrinkles, including frown lines. Xeomin units are typically dosed similarly to Botox and Dysport, with injections ranging from 20 to 60 units.

Pros: One of the unique aspects of Xeomin is its "clean" formulation, meaning it doesn't contain any additives. This may reduce the risk of developing antibodies to the neurotoxin, potentially making it a suitable option for patients who have developed resistance to other brands.

Cons: While Xeomin offers similar results to Botox and Dysport, some patients may find that it takes slightly longer to see the full effects. Additionally, like other neurotoxins, Xeomin's effects are temporary and require maintenance treatments to sustain results.

Pricing: Xeomin's "clean" formulation may offer cost savings, as it typically falls within the mid-range pricing spectrum. Patients can expect to invest between $275 and $750 per treatment, mirroring Botox and Dysport rates.

4. Jeuveau (Evolus)

Now, let's shine the spotlight on Jeuveau, the newest kid on the block in the world of neurotoxins. Manufactured by Evolus, Jeuveau is FDA-approved to treat moderate to severe glabellar lines, also known as frown lines. Jeuveau units are typically dosed similarly to Botox and Dysport, with injections ranging from 20 to 60 units.

Pros: Jeuveau offers a fresh perspective on neurotoxin treatments, with some patients reporting smoother, more natural-looking results compared to other brands. Additionally, Jeuveau may appeal to patients who are looking for a more affordable option without sacrificing quality.

Cons: As with any new product, some patients may prefer to wait until more long-term data is available before trying Jeuveau. Additionally, like other neurotoxins, Jeuveau's effects are temporary and require regular touch-up treatments.

Pricing: Positioned as a budget-friendly option, Jeuveau endeavors to democratize neuromodulator therapy. With rates averaging between $200 and $600 per session, Jeuveau appeals to cost-conscious consumers seeking effective wrinkle reduction.

5. Daxxify (Revance)

Last but not least, let's talk about Daxxify, manufactured by Revance Therapeutics. While not as widely known as some of the other brands, Daxxify offers a promising alternative for patients seeking neurotoxin treatments. Daxxify is FDA-approved to treat moderate to severe glabellar lines, with units dosed similarly to other neurotoxins.

Pros: Daxxify stands out for its unique formulation, which includes a proprietary peptide called daxibotulinumtoxinA. This peptide may offer longer-lasting results compared to other neurotoxins, potentially reducing the frequency of maintenance treatments.

Cons: As a newer product, Daxxify may not be as readily available as other neurotoxins in some areas. Additionally, while Daxxify's long-lasting effects are promising, more research is needed to fully understand its efficacy and safety profile.

Pricing: As a novel entrant, Daxxify's pricing may exhibit variability and possibly higher upfront costs due to its proprietary formulation. While exact figures are contingent on market dynamics, Daxxify aligns with premium-tier pricing akin to Botox.

The world of neurotoxins offers a variety of options for patients seeking to rejuvenate their appearance and minimize the signs of aging. Whether you're a loyal fan of Botox and Xeomin or curious to try something new like Jeuveau or Daxxify, it's essential to consult with a qualified expert injector who can help you choose the best treatment option for your individual needs. Pinch Providers are always avalible to answer any treatment questions and inform you of which product offering is best for you.

That wraps up our deep dive into the world of neurotoxins.As always, if you have any questions or would like to schedule a consultation, don't hesitate to reach out to your Pinch Provider.

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