SkinCare Physicians

BOTOX®, Dysport® and Xeomin®

The advent of BOTOX®, Dysport® and Xeomin® injections has revolutionized the approach to wrinkle treatment. BOTOX, Dysport and Xeomin injections are quick, relatively straightforward outpatient procedures, with minimal risk. In fact, many patients have now decided to replace more traditional surgical approaches to facial aging with Dysport, Xeomin, and BOTOX. People who live in Boston, MA and surrounding areas visit us to achieve a more youthful appearance in a single 15-minute session with one of our superbly skilled physicians.

If you live in the Boston area and are considering a BOTOX, Dysport or Xeomin treatment, our team of medical professionals can help you look your best. Request a consultation online or contact us at (617) 731-1600 to schedule your appointment.

BOTOX, Dysport and Xeomin are trade names for purified proteins that are used in extremely small doses for certain cosmetic procedures and medical conditions. They are particularly useful for eliminating unwanted lines of facial expression, such as the frown lines between the eyebrows that may persist through repeated, often involuntary action of a muscle called the “corrugator.” BOTOX, Dysport and Xeomin injections are also superb treatments for horizontal forehead creases, crow’s feet around the eyes, lines on the upper lip caused by pursing the lips, and down turned corners of the mouth. These treatments also can be combined with injectable fillers for more complete and longer lasting wrinkle correction.

Before & After Photos of BOTOX® Treatment

Forehead wrinkle lines After treatment with botulinum toxin
Forehead wrinkle lines After treatment with
botulinum toxin
Crow's feet at full contraction After treatment with botulinum toxin
Crow’s feet at full contraction After treatment with
botulinum toxin
Frown and forehead lines After treatment with botulinum toxin
Frown and forehead lines After treatment with
botulinum toxin

Additional uses of BOTOX, Dysport and Xeomin include the non-surgical brow lift, where they are used to effect an elevation of the eyebrows, as well as treatment of neck wrinkles and muscular bands. These are remarkable advances in the treatment of the aging face, as previous traditional approaches to eyebrow depression and neck aging have only been invasive surgical procedures.

BOTOX, Dysport and Xeomin are also highly effective in the treatment of hyperhidrosis, or excess sweating. Many people suffer from overactive sweat glands of the hands, underarms, feet and face, and traditional topical or surgical approaches to this embarrassing and uncomfortable problem have not been very effective. Now BOTOX, Dysport or Xeomin can be injected directly into the areas of sweating, producing a sweat-free environment for up to six to twelve months at a time. This is truly a revolutionary approach to sweating, and our physicians were among the first in the world to use these proteins for hyperhidrosis. It is also helpful in many patients with tension or migraine headaches, and can provide months of relief with one simple treatment session.

BOTOX, Dysport and Xeomin for Wrinkles

Where Do You Put the BOTOX, Dysport or Xeomin?

When you purposefully make a frown, you can feel the corrugator muscle just above the inner part of your eyebrows as a thickening. Injecting BOTOX, Dysport or Xeomin into a facial muscle weakens the muscle and its associated contractions. By inhibiting contractions of the muscle, and stopping the frequent creasing of the skin, the lines gradually improve and may disappear. Therefore, after BOTOX, Dysport or Xeomin injections, not only do the lines improve, but the area between the eyebrows can no longer make an unsightly scowl. Forehead lines are caused by contraction of the frontalis muscle, which can be seen when the eyebrows are raised. Squinting produces a gathering of the skin next to the eyes in the crow’s feet area, and is caused by a portion of the orbicularis oculi muscles. Neck wrinkles and bands are caused by protruding fibers of the platysma muscle. Each of these muscles is readily visible to the skilled physician, and can be safely injected in a single session.

Are the Effects Lasting?

Treatments with BOTOX, Dysport or Xeomin take only a few minutes; the results are noticeable in two to five days and peak in seven to ten days. In some patients, the onset of action for Dysport is a few days faster than with BOTOX. Gradually, over a period of three to five months, the effects of the BOTOX, Dysport or Xeomin will wear off and the muscles will again be functional. Repeat injections are done as muscle function returns.

Is There Any Danger of Botulism from BOTOX, Dysport or Xeomin?

No, it is not possible. Botulism occurs when large amounts of the toxin are ingested into the body, usually from eating contaminated food. The doses we use for cosmetic or medical injections at SkinCare Physicians are on average less than 2% of the maximum you can safely have. There is a tremendous safety margin with BOTOX, Dysport and Xeomin.

How Have BOTOX, Dysport and Xeomin Been Tested, and What are the Side Effects?

BOTOX has been used since 1980 for treatment of two facial conditions, strabismus (lazy eye) and blepharospasm (uncontrolled eye blinking). It was first used for forehead wrinkles in 1989. Dysport has been studied in Europe since 1988, been used outside the U.S since 1991, has an excellent safety record, and was approved by the U.S. FDA in 2009. Xeomin has been approved in Europe since 2005 and was granted FDA approval in 2011.

Side effects from BOTOX, Dysport and Xeomin are minimal when they are properly administered by a physician trained in their use. There will be a little discomfort as the solution is injected at the treatment site, and there is a small chance of bruising. There have been no known reports of permanent side effects with BOTOX, Dysport or Xeomin. In very rare cases, there is a temporary, slight lowering of the eyebrow or eyelid, which often goes unnoticed by the patient.

How Will I Look After My Treatment?

Immediately after the treatment, there may be a mild amount of redness at the injection site, but this resolves in a few hours. Bruising is very uncommon. We encourage patients to use the muscles more for the first hour after injection to maximize the effects of BOTOX, Dysport and Xeomin. Some patients ask if they will have a mask-like appearance or lose facial expression. The answer is no when the procedure is done properly. Our skilled physicians have performed over 15,000 BOTOX/Dysport/Xeomin procedures, and have not observed any significant negative alterations in facial motion or expressions. These injections are an art form as much as they are a science. The physicians at SkinCare Physicians are very skilled at muscular shaping with BOTOX, Dysport and Xeomin, and teach their injection techniques to other dermatologists and plastic surgeons around the world.

BOTOX, Dysport and Xeomin treatments in Boston are useful for improving frown lines, crow’s feet, forehead wrinkles, neckbands, and ridges, drooping eyebrows, furrows of the upper lip, turned down corners of the mouth and certain other wrinkles by relaxing the muscles so that they appear less noticeable. They can be used successfully and synergistically along with other injectables such as Restylane® and JUVÉDERM®, and other implants and laser procedures.

BOTOX, Dysport and Xeomin for Hyperhidrosis

Excess sweating of the palms, face, and underarms can be an embarrassing problem for patients. Social interactions can be adversely affected, and many patients are eager to have their sweating eliminated. BOTOX, Dysport and Xeomin injections are performed in a simple 15 to 30 minute outpatient session in our state-of-the-art facility. Anesthesia of the area to be treated is sometimes obtained with a topical anesthetic (applied at home a few hours before the procedure) and/or local application of ice. Multiple injections with a tiny needle are carefully performed into the areas of sweating.

The effects of BOTOX, Dysport and Xeomin injections begin to be apparent two to three days after the injection session, and last on average six to twelve months. Repeat injection sessions are performed as the initial effect begins to dissipate. Side effects are minimal to non-existent, and include minor bruising and occasional short-term very mild hand weakness (when the palms are treated). Driving and normal activities are generally not affected, and the weakness resolves within two to four weeks.

BOTOX, Dysport or Xeomin injections for axillary (underarm), palmar (hand), and facial sweating are amazingly effective procedures, often referred to by our patients as the equivalent of turning off a faucet of dripping and sweating. Our physicians are pioneers in this technique, and possess the unique skill and knowledge needed to produce consistently superb results.


At SkinCare Physicians, our doctors and staff are highly experienced with performing BOTOX, Dysport and Xeomin treatments to improve your complexion, help you look years younger, or minimize excess sweating concerns. To get started, request a consultation online.

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Chestnut Hill, MA (617) 731-1600

SkinCare Physicians®
1244 Boylston Street (Route 9)
Chestnut Hill, Massachusetts 02467

Phone: (617) 731-1600 Fax: (617) 731-1601

Medical Website Design & Marketing
by Etna Interactive

SkinCare Physicians®
1244 Boylston Street (Route 9)
Chestnut Hill, Massachusetts 02467

Phone: (617) 731-1600 Fax: (617) 731-1601

Medical Website Design & Marketing by Etna Interactive

The dermatologists and other medical professionals at SkinCare Physicians specialize in a wide range of dermatology treatments and services, including laser hair removal, laser skin treatment, hair transplant, eyelid surgery, body contouring, psoriasis, skin cancer, BOTOX® Cosmetic, fillers, and Thermage®. From their offices in Chestnut Hill, they serve Boston, Arlington, Bedford, Belmont, Brookline, Burlington, Cambridge, Carlisle, Concord, Dedham, Dover, Framingham, Lexington, Lincoln, Natick, Needham, Newton, Somerville, Sudbury, Waltham, Watertown, Wayland, Wellesley, Weston, Westwood, Winchester and Woburn.