These products are neurotoxins used for facial rejuvenation.
BOTOX is onabotulinumtoxinA and is the most widely used product in the United States. Dysport® is abobotulinumtoxinA, a similar chemical to BOTOX and is also used for temporarily minimizing wrinkles on the face. Xeomin® is incobotulinumtoxinA and Jeuveau® is prabotulinoumtoxin-A. These are all products used for cosmetic purposes to minimize small muscles in the face from producing wrinkling. They are all neurotoxins and truthfully, are all similar.
So, which is better? Every physician that uses these products has their own preferences. Dr. Sorokin feels that Botox Cosmetic is the gold standard for other toxins to be compared. He has used it in thousands of patients and gets great, predictable results with Botox. He stocks Dysport and Jeuveau in the office as occasionally a patient will request one of the other products having used it elsewhere. He used to use Xeomin but found that it hurt more while injecting and didn’t last nearly as long. While Botox costs more to purchase from Allergan than the other products do, it is very predictable and produces a nice consistent result. Dr. Sorokin has used all three toxins on many patients and in his experience feels that Dysport diffuses somewhat more and results may not be as precise. Other docs may feel differently but this is his opinion. While profit margin is higher on Dysport, Jeuveau, and Xeomin, Dr. Sorokin does not feel that this is a good reason to use them. Thus, we use Botox unless specifically asked to use a different neurotoxin by a patient.