At Dr. Garramone’s premier plastic surgery practice in Ft. Myers, FL, we offer a vast array of injectable treatments to meet the diverse needs of our patients. Injectables broadly fall into two categories: dermal fillers and neuromodulators. This post will focus on neuromodulators.
In this procedure, a safe dose of neurotoxin (botulinum toxin Type A) is injected into specific muscles under the skin, making them temporarily relax, and helping reduce the appearance of wrinkles and fine lines. Dr. Garramone provides the following neurotoxins: Botox, Dysport, Jeuveau, and Daxxify. They all work the same way (using a neurotoxin to relax facial muscles), but they have different formulations and therefore have different effects. Here is a brief rundown of them.
Botox is probably the most recognizable brand of neurotoxin because it has been in use the longest. FDA-approved since 2002, it treats moderate to severe wrinkles between the eyebrows, forehead, and around the eyes (crow's feet). Botox affects a smaller area of muscle, which may be helpful if you want to target more specific areas.
Patients start to see results within the first week and usually achieve full effects in about two weeks. Results last around three to five months, after which effects wear off.
FDA-approved in 2009, Dysport is also used to treat wrinkles between the eyebrows and forehead. The difference with Dysport is that it diffuses quicker and affects a wider area, which might make it more desirable to treat larger areas of the forehead.
Results usually appear in two to three days, and its full effects appear in about two weeks. Dysport lasts about three to five months, although some anecdotal evidence suggests it could last longer. Dysport is not recommended for those with milk allergies.
Jeuveau hit the market in 2019 and has been FDA-approved for use in the area between the eyebrows (also known as 11 lines) and forehead. Jeveau was designed specifically for aesthetic and cosmetic purposes (whereas Botox and Dysport are used to also treat certain muscle ailments).
Results appear in two to three days and full effects in around two weeks. Its effects last about five to six months.
Receiving FDA approval in 2023, Daxxify is the newest of these neurotoxins. Daxxify uses peptides instead of human or animal proteins in its formulation. The main difference with Daxxify is that it lasts up to six months, meaning fewer follow-up maintenance appointments.
With longer-lasting effects, it may be a better choice for those who have been trying neurotoxins for a while and want to try something with fewer repeat injections. Conversely, for those who are new to neurotoxins or are trying a different area of their face, using a product that has a shorter duration may be better, especially if the results aren’t what they expected.
What's The Takeaway?
Dr. Garramone can help answer all your questions regarding the different neurotoxins we use and will find the best procedure suited to your personal goals.
Dr. Ralph R. Garramone has been a member of the Fort Myers medical community since 2000 and has earned a reputation for excellence in the two decades he’s been practicing. His medical approach is centered on caring for his patients as if they were family members or close personal friends. He is board-certified by the American Board of Medical Specialties and the American Board of Plastic Surgery.