Cosmetic Dermatology

Botox®, Dysport® and Daxxify®

Botox®, Dysport® and Daxxify®

The advent of Botox® and Dysport® injections over 20 years ago revolutionized the approach to wrinkle treatment. The recent introduction of a next generation neuromodulator, Daxxify®, is a significant advance. While Botox and Dysport remain a central part of our wrinkle treatment strategy, Daxxify adds a third option with the potential for more durable results.

Botox, Dysport and Daxxify injections are quick, relatively straightforward outpatient procedures, with minimal risk. In fact, many patients have decided to replace more traditional surgical approaches to facial aging with neuromodulator injections. 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.

Botox and Dysport treatments 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. The newer Daxxify is approved by the FDA to help smooth moderate to severe lines between the brows.

If you live in the Boston area and are considering a Botox, Dysport or Daxxify treatment, our team of medical professionals can help you look your best. Our skilled physicians have performed over 15,000 neuromodulator procedures. Request a consultation online or contact us at (617) 731-1600 to schedule your appointment.

Botox is also helpful in many patients with a variety of headache subtypes, and can provide months of relief with one simple treatment session.


Before & After Photos of Botox® Treatment

Forehead wrinkle lines After treatment with botulinum toxin
Forehead wrinkle lines After treatment with
botulinum toxin

Botox, Dysport and Daxxify for Wrinkles

Botox, Dysport and Daxxify are trade names for purified proteins (botulinum toxins) 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 Daxxify 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.

Additional uses of Botox, Dysport and Daxxify 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.

You can learn more about Botox, Dysport and Daxxify treatments for wrinkles from the answers to these frequently asked questions.

How do Botox, Dysport and Daxxify Work to Improve Lines and Creases?

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 Daxxify 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 and Daxxify 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 with Botox, Dysport or Daxxify in a single session.

Are the Effects Lasting?

Treatments with Botox, Dysport and Daxxify 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 and Daxxify is a bit faster than with Botox. While the effects of Botox or Dysport will gradually wear off over a period of three to six months, research data suggests Daxxify results can last 6 months, and up to 9 months for some patients. After these periods, the muscles will again be functional. Repeat injections are performed as muscle function returns.

Is There Any Danger of Botulism from Botox, Dysport or Daxxify?

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 both Botox, Dysport and Daxxify.

How Have Botox, Dysport and Daxxify 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. DAXXIFY was studied in the largest-ever clinical study for a frown line treatment and included more than 2,800 people across different ages and skin types. Daxxify received FDA approval in 2022. Side effects from Botox, Dysport and Daxxify 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 Daxxify. In very rare cases, there is a temporary, slight lowering of the eyebrow or eyelid, which often goes unnoticed by the patient.

What Should I Expect 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 Daxxify.

Will I 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 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 neuromodulators, and teach their injection techniques to other dermatologists and plastic surgeons around the world.

Can I Combine Botox and Dysport Treatments With Other Cosmetic Procedures?

Yes, Botox and Dysport treatments can be used successfully and synergistically along with other injectables such as Restylane®, Juvéderm® and Teoxane®, and other implants and laser procedures.



At SkinCare Physicians, our doctors and staff are highly experienced with performing Botox, Dysport and Daxxify injections to improve your complexion, and help you look years younger. To get started, request a consultation online.

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      SkinCare Physicians®

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

      Learn more about your rights and protections related to the No Surprises Act (HR133).

      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, Brookline, Cambridge, Newton and Wellesley.

      Keep in mind that each patient is unique and your results may vary.



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

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

      Learn more about your rights and protections related to the No Surprises Act (HR133).

      Keep in mind that each patient is unique and your results may vary.

      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, Brookline, Cambridge, Newton and Wellesley.