If you’re interested in Botox, Dysport, or Xeomin, you’re in good company — they’re some of the most popular treatments with some of the highest Worth It ratings, judging the value and cost of the treatment from people who have had it, from RealSelf members. Even though the effects are temporary,  they’re widely considered so effective in relaxing forehead wrinkles, the lines between your eyes, crow’s feet, or even lip or chin wrinkles that many women who get toxins regularly consider them a worthwhile investment.

The procedures can be done in-office, in less than an hour, at an affordable cost compared to other treatments for wrinkles, with little to no downtime afterwards.

But there’s a lot to know about the treatments. We’re here to help.

What are toxins for?

Toxins are injectable treatments that contain a refined form of botulinum toxin type A. They relax your muscles, giving your skin a smoother look. In the past, they’ve usually been used to treat the wrinkles you already have, but there’s a growing trend of younger women getting “baby Botox” treatments for wrinkle prevention.

Some examples of toxins are Botox, Dysport and Xeomin.

Who should consider toxins?

If you’re looking for a quick treatment with no downtime that may last for months, and you’re fine with needles, toxins such as Botox and Dysport might be right for you.

If you’re pregnant, may become pregnant soon, or are breastfeeding, hold off as treatments are not advised.

What do I need to know about the procedure?

The procedure can be done by a doctor, or in some states a licensed provider. Injections are done in-office in under an hour—sometimes as quickly as 20 minutes—and you walk out with no downtime, though you might have some redness.

Cost will vary by provider and location, but expect to pay $4-500 for Botox or Dysport. The price will depend on the amount of areas being treated and the amount of units being used.

Botox or Dysport?

One of the most common questions on RealSelf is whether to choose Botox or Dysport. Dr. Jennifer Reichel, a Dermatologic Surgeon from Seattle, broke down the differences in this RealSelf Q&A:

Both Dysport and Botox work at the communication point between the nerve and the muscle so that, when the nerve tells the muscle to contract, the muscle can not respond. Since wrinkles are caused by muscle contraction, injection of either Botox or Dysport will lead to relaxing of the muscles, and less wrinkles.
In truth, they are about the same cost for the doctor to purchase from the makers. Price to the patient may vary if a clinic is running a special, or if they have decided to inject dysport at a lower cost.
— Dr. Reichel, RealSelf Q&A

The biggest difference is the amount of units used for each injection, which is good information to know, though doctors note that shouldn’t factor into a patient decision.

I have been injecting Dysport since it first came out, and have been injecting Botox for over 10 years. The number of “units” used for an area is NOT the same for Botox and Dysport. It seems like it is about 1 to 2.7 (Botox to Dysport). This isn’t really important to the patient, but it is for the injections to come out right.
— Dr. Reichel, RealSelf Q&A

Dr. Nelson Lee Novick, a dermatologic surgeon from New York, also notes that a key difference in Dysport is that it spreads further than Botox, which can make it a better treatment for some areas than others.

Dysport may diffuse (spread) over a wider from the injection sites than Botox. The advantage here may be that you can treat broader areas, such as the forehead and underarms (for hyperhidrosis, i.e. excessive sweating), with fewer needle sticks.
The flip side is that tighter narrower areas, for example, under the eyes or under the eyebrows, must be carefully treated to insure limiting spread beyond the desired treatment areas.
Dr. Novick, RealSelf Q&A

What happens after my treatment?

When it’s done by a qualified injector, Botox or similar treatments should have only minor side effects, if any at all. Any redness or tenderness at your injection sites should go away in a few hours, making this an ideal lunchtime procedure.

Doctors give this aftercare advice in a RealSelf Q&A:

  • Don’t use medicine, supplements, or many over-the-counter that could increase bruising
  • Don’t rub the area or lay down for a few hours after the procedure
  • Don’t exercise for a day or two after the treatment

While injections can be done in less than an hour, results will take a few days to show. It’s recommended to give the treatment two weeks to see the full results.

As usual, your doctor can walk you through full post-treatment care and should go into specifics during your consultation.

What am I going to look like?

Botox and Dysport are both popular, common procedures, and we have plenty of before and after photos from our community.

You can browse Botox before and after photos here. You can find Dysport before and after photos here.

Where can I find a doctor?

If you’re looking a qualified doctor , you can browse doctors and med spas near you on RealSelf, reviewed by actual people from our community.

Check out local Botox doctors and Dysport doctors near you.

Is it Worth It?

Overwhelmingly, Botox, Dysport, and Xeomin are Worth It, according to ratings from RealSelf members. With over 12,235  reviews, Botox carries a 95% Worth It Rating. Dysport has over 1,365 reviews and carries a 96% Worth It Rating.

Browse reviews for Botox and Dysport to learn more and hear about real treatment experiences.