BOTOX vs Dysport vs Xeomin Comparison | SkinViva Training

BOTOX vs Dysport vs Xeomin Comparison

cosmetic injectionsOne question that a lot of new practitioners ask is about anti-wrinkle injection brands.

What is the difference? Certainly a cost saving can look attractive comparing either of the more popular alternatives with BOTOX, but what other differences should be considered?

Anti-Wrinkle Injections

Botox, Dysport and Xeomin are all injectable neuromodulators, which means that they block the nerve impulses of injected muscles, therefore reducing or eliminating contraction-induced wrinkles.

Each product is based on a slightly different formulation of Clostridium Botulinum, or Botulinum Toxin A, but it works in the same way. With all the injectables, the effect is temporary , lasting a few months.

Who Makes Them?

  • Botox is made by Allergan, who also make Juvederm fillers
  • Dysport is made by Medicis
  • Xeomin is made by Merz

FDA Clearance

  • BOTOX cosmetic was approved by the FDA in 2002 for treating glabellar lines (wrinkles between the eyebrows)
  • Dysport was approved the FDA in 2009 for treating forehead wrinkles and frown lines
  • Xeomin was approved in 2011 for temporary treatment of moderate to severe glabellar lines


On, New York cosmetic dermatologist Dr Debra Wattenberg said:

“They are all very similar. In certain situations, one may get a slightly different reaction versus the other. I personally think Dysport has a little bit more diffusion, which is better for correcting a lot of little crow’s feet because it has a more even distribution. But if I need to make a small correction of a rogue wrinkle, I usually use Botox.”

“In general, I use all three of them all interchangeably.”

How Fast Do They Work? How Long Do They Last?

Some research shows that it takes Botox three to five days to work, while Dysport takes effect within one to two days.

In terms of how long results last, some studies have shown that Dysport results last for 6-12, while Botox lasts for about 3-6 months

Other Information

Unlike Botox and Dysport, Xeomin contains no additives and also does not require refrigeration, making it easier to store and transport.

You should also consider what support is available from the manufacturer/supplier.

In terms of product safety, the general consensus is that all products have a similar profile. As the feature on Yahoo explains:

“Botox-gone-bad cases are more often the result of the doctor who’s injecting it than the injection itself.”

That’s why as practitioners it is absolutely vital to ensure that you have the proper training in order to carry out anti-wrinkle injections safely.

Cosmetic Treatments Training

Botox and Fillers Courses, Manchester

SkinViva Training Academy offers a comprehensive range of botox and fillers training courses designed for medical professionals such as suitably qualified and registered medical professionals who wish to learn and build on their skills in delivering these procedures.

Courses start at foundation level and delegates can progress through to advanced skills with further training.

As well as the core practitioner skills, delegates benefit from business advice and support during and after the course.

SkinViva Training Academy was established by Dr Tim Pearce MBChB BSc (Hons) MRCGP. The SkinViva Training team upholds high standards of clinical training providing a combination of fully-supervised practical experience together with essential theory.

For further information, to discuss which course is right for you, to enquire about availability or to book a training course please call 0161 850 2491, or email

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