Botox® Cosmetic / Dysport / Xeomin

Botox® Cosmetic treatment is a revolutionary approach to reversing the affects facial wrinkles.

Crow’s feet, worry lines and laugh lines can all be a thing of the past. These are referred to as dynamic wrinkle lines and all are treatable with this procedure. Cosmetic denervation is the process of injecting Botox® into the tiny facial muscles that create the wrinkles.

Before Botox® Treatment

Botox® Treatments or Dysport by Cosmetic Surgeon in Rancho Santa Margarita CATo better understand your overall health, we will evaluate your medical history prior to surgery. In addition, a complete examination of your eyes is made in order to decide the most effective injection sites. All issues and concerns will be discussed.

The areas that will be treated are marked and digital photographs are taken in order to determine the amount of improvement after surgery.

The Botox® Procedure

Botox® injections are performed without anesthesia because it is virtually painless. Only a very small sting is felt when the injections are made. The effects are not permanent and may need to be repeated two to three times per year to retain the effects. Research has suggested, however, that long term use of the injections leads to a longer duration of each treatment’s effect. Patients over the age of 65 may not experience as dramatic of results. Botox® is only useful in treating expression lines and cannot be used to repair sagging skin caused by aging.

Post-Botox® Information

After the operation patients may experience slight bruising around the area that quickly fades. Normal activities can be performed immediately. Possible side effects are temporary weakness of nearby muscles or in rare cases an eyelid may droop. Botox® is completely reversible so any side effect is only a temporary condition. Dr. Bolourian will explain all risks associated at the time of your consultation. Seeing results. Within days, you may notice an improvement in the moderate to severe frown lines between your brows that can last up to 4 months. Results may vary.


before-after-fillsDysport (Reloxin) is a new wrinkle relaxer that was recently approved by the FDA for the treatment of wrinkles. Similar to Botox®, Dysport (Reloxin) is purified botulinum toxin type A. It works like Botox® by preventing the contraction of muscles that create wrinkles in the overlying skin. Like Botox®, Dysport (Reloxin) can be used to treat frown lines, forehead lines, and crows feet.

However, Dysport (Reloxin) is not exactly the same as Botox®. The subtle differences between Botox® and Dysport (Reloxin), such as differences in how long the treatments last and differences in the types of side effects, remain to be discovered. The cost of Dysport (Reloxin) is the same as Botox®.

There are scattered reports that Dysport has a faster onset of action and possibly longer duration of effect.

Dysport (Reloxin) has been used for many years in other countries for cosmetic and non-cosmetic purposes. Physicians and patients alike are excited by Dysport’s approval.

At Orange County Oral Surgery & Periodontics we offer both Botox® Cosmetic and Dysport to our clients.


Xeomin is actually very similar to Botox® in many respects. It is a botulinum toxin type A and is used in the same dosage amounts as the better known brand Botox®. What makes it slightly different is that it is more pure than Botox® and Dysport in that it doesn’t contain any additional additives. What this means is that it is less likely to cause any adverse effects such as allergic reactions. Another major benefit is that the human body is less likely to become resistant to this pure-form injectable because there are fewer ingredients in the solution. Some patients have developed antibodies to Botox® and Dysport which leads to their bodies rejecting the treatments.

Both Botox® and Xeomin take about 7 days before the full effects are realized and the results will last on average for three to six months before another treatment is required. Some physicians have claimed that Xeomin seems to last a little longer. A few doctors have stated that they have seen treatments last for up to 9 months but this has yet to be proven. Dysport, on the other hand, shows a slightly quicker onset time with the same three to six months of wrinkle reduction.