Botox, Dysport and Xeomin

Botulinum toxin A (Botox, Dysport and Xeomin) treatments have quickly become a basic technique for facial rejuvenation. Originally developed for patients with uncontrolled facial muscle spasms, Botox, Dysport and Xeomin can be safely used to temporarily reduce or eliminate contraction of the muscles that create unattractive wrinkles; it is most valuable in treating crow's feet, frown lines and forehead creases. Botox, Dysport and Xeomin are specifically approved for treatment of frown lines between the brows. When used properly, botulinum A rests the portion of the muscle causing these lines while allowing normal facial expression.

Botox, Dysport and Xeomin injections are a simple and easy treatment that can quickly enhance one's appearance, as seen here before and after Botox treatment of crow's feet and frown lines.

Shown here are before (left) and after (right) views of actual patients. Remember, every patient responds differently to surgery, and no one can be certain that he or she will get the results shown. However, these photos will illustrate the changes that are possible with these procedures. 

Botox, Dysport and Xeomin - Process and Procedure

The Process

Botox, Dysport and Xeomin are injected through a tiny needle, and treatment typically takes between 5 and 30 minutes. The effect of Botox, Dysport and Xeomin usually begins in the first 24- 48 hours, but can be gradual and take up to 2 weeks to reach its final effect.

The Procedure

Results typically last 2-4 months, but can last longer in some patients. After that time, no long-term effect can be seen. Longer results are sometimes seen when patients are re-treated before the Botox effects have completely worn off.

What to Expect After Botox, Dysport and Xeomin

Certain physical changes are expected following correction of prominent ears. Some individuals experience all of the following and others only some. The degree to which each person is affected is variable and unpredictable.


A normal diet can be resumed immediately after Botox treatment.


There are no dressings or sutures after Botox treatments.


We ask that you refrain from brisk physical activity for four hours after Botox treatments, to prevent migration of the medication. Walking and non-physical activities are allowed, but no head-hanging, straining or lying down is permitted for these first few hours. We ask that you not rub or otherwise touch the treated area for this time. After that, all activities are allowed.


Cosmetics can be applied before leaving the office after treatment.


Botox begins to work generally in the first 24- 48 hours after treatment, but may take up to two weeks to reach its full effect. Results typically last 2-4 months.


There is usually little to no swelling, and only occasional bruising after Botox treatment. In order to limit bruising and swelling, ice compresses should be applied over the treated area for the first 30 to 120 minutes after treatment.


Minimal oozing of blood and tissue fluid along the injection site can occur for a few minutes following treatment.


Botox treatment takes only a few minutes. Most patients note only a "bee sting" during the injection. This can be blunted by applying an anesthetic cream 30- 45 minutes before treatment or ice compresses to the area just before and just after the injection. Most patients experience no pain afterwards; the most common observation is that of "tingling" or "tension" in the treated area for a few hours afterwards.