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BOTOX® Cosmetic, Dysport® and Xeomin®

BOTOX® Cosmetic, Dysport®, and Xeomin® belong to the category of products, known as neurotoxins or neuromodulators that are used to prevent, reduce or eliminate wrinkles, primarily in the upper face, restoring a more youthful and rested appearance. Because Dr. O’Connell believes that the skill and experience of the injector affects the ultimate aesthetic result, he personally injects all neuromodulators and injectable fillers at The Aesthetic Center, without delegating this to a nurse or other provider. As an expert injector, Dr. O’Connell is among the most highly experienced and sought after injectors. His goal is for a natural, rested look without an artificial or wooden appearance. He prefers to maintain some brow motion as well as a natural eyebrow shape and position without an overly paralyzed, “shiny” forehead.

Accuvein Patient
The Accuvein device allows Dr. O’Connell to avoid hitting blood vessels during Botox and filler injections.

Why your BOTOX® experience at The Aesthetic Center will be different

  • You’ll never have to wonder who will be performing your injections – it’s always Dr. O’Connell, a nationally recognized, Ivy-league educated and trained, board-certified plastic surgeon with over 35 years of clinical experience.
  • We use only legitimate US FDA approved product, sourced directly from the manufacturer – not illegally re-imported, so called “parallel imported”, or even counterfeit products – and we’ll even show you the bottle and its packaging.
    • Because we use only legitimate products, we can provide you with all discounts and rebates offered by the manufacturers.
    • We’re all about patient satisfaction – “touch-ups” or dosage adjustments are complimentary at the The Aesthetic Center.
  • We know that bruising can interrupt your busy lifestyle. That’s why we’re the first and only practice in Fairfield County to use the new Accuvein®–the revolutionary tool that lets Dr. O’Connell see the veins below the skin to minimize bruising.
  • BOTOX® is injected using specially obtained 32 gauges needles to minimize discomfort and risk of bruising.
  • We’re pleased to offer Zytaze® to prolong the effectiveness of botulinum toxin injections in cosmetic procedures.
  • We have the three major neuromodulators (BOTOX® Cosmetic, Dysport® and Xeomin®) on hand at all times, to better serve the needs of our patients.

What is BOTOX®?


Allergan - Platinum member since 2008BOTOX® Cosmetic is a brand of purified botulinum toxin type A that is derived from bacteria. Other botulinum products include Myobloc®, Dysport® and Xeomin®. Botulinum toxin interrupts nerve signal transmission, weakening the muscle and temporarily preventing muscular contraction. As a secondary effect, botulinum toxins can diminish or eliminate certain facial wrinkles that are caused by contraction of the underlying muscles.

For aesthetic use, botulinum toxins can improve the appearance of:

  • Glabellar frown lines – also known as “number 11s”
  • Wrinkling that runs across the forehead
  • Crow’s feet
  • Bands in the neck
  • Pebbly or “golf ball” chin
  • Eyebrow position and shape
  • A “gummy smile”

At The Aesthetic Center of Connecticut, BOTOX® Cosmetic is also used for:

  • Hyperhydrosis – reduction of sweating in the arm pits, hands and feet
  • Bruxism – excessive teeth grinding or jaw clenching that can result in thickening of the masseter muscles
  • Treatment of headaches – Dr. O’Connell has taken a special course on management of migraine headaches with BOTOX®

What is Dysport®?

At The Aesthetic Center of Connecticut, several neuromodulators including Dysport® (Galderma) are utilized. At the time of your consultation Dr. O’Connell will review the available products for neuromuscular relaxation along with their potential benefits and risks. We will help you choose which product(s) will most likely meet your individual needs and goals.

What is Xeomin®?

Xeomin® is a neuromodulator that is a type of Botulinum toxin type A (incobotulinumtoxinA) from Merz Aesthetics. One advantage of the product is that it does not need to be kept refrigerated.

During your consultation Dr. O’Connell will review the advantages and potential risks and disadvantages of the various neuromodulators.

BOTOX® Cosmetic, Dysport®, and Xeomin®  Candidates

Dynamic rhytids are facial wrinkles that are created by an underlying facial movement such as frowning, raising the eyebrows or squinting.   By relaxing the muscles that create the wrinkle, botulinum toxins can reduce or eliminate the appearance of the wrinkle.

Good candidates for botulinum toxin injections should be in good general health and not have a history of certain neuromuscular disorders such as amyotrophic lateral sclerosis (ALS), myasthenia gravis or Lambert-Eaton syndrome. In order to reduce the risk and extent of bruising patients should refrain from taking aspirin and NSAIDS type medications for 10 days prior to treatment. Patients should not be pregnant or planning to become pregnant. For more complete information please refer to the manufacturer’s full product information.

BOTOX® Cosmetic, Dysport®, and Xeomin®  Cost

The cost of botulinum toxin injections can vary. Some facilities charge by the unit and others charge by the treatment area. According to the American Society of Plastic Surgeons, the average cost of botulinum toxin injections in 2013 was $380.00.

Keep in mind that costs may be based upon the expertise and qualifications of the person performing the injection as well as the geographic area. When choosing a plastic surgeon in your area for BOTOX® Cosmetic remember that the surgeon’s skill and training are more important as the cost of the procedure. In order to optimize the aesthetic results for his patients, Dr. O’Connell personally performs all BOTOX® and filler injections at The Aesthetic Center of Connecticut.

The Aesthetic Center of Connecticut utilizes only legitimate US product purchased directly from the manufacturer.

Your BOTOX® Cosmetic, Dysport®, and Xeomin®  Consultation

Dr. O’Connell personally injects all BOTOX® himself and, without exception, he carefully evaluates each and every patient prior to treatment. In most instances patients can be injected at their first visit to our practice.

Some of the items that will be reviewed during your BOTOX® consultation include:

  • Your aesthetic and functional goals
  • Any medical conditions that you may have including any history of neuromuscular conditions
  • Medications that you currently take including vitamins and herbal supplements

At the time of your consultation Dr. O’Connell will:

  • Determine if you are a good candidate for BOTOX® treatment
  • Review your facial anatomy and help you understand where BOTOX® will likely provide you with the greatest aesthetic benefits
  • Discuss the likely outcome of BOTOX® treatment and review any risks and potential complications
  • Answer all of your questions

BOTOX® Cosmetic, Dysport®, and Xeomin®  Procedure

Because there are 43 muscles in your face it’s extremely important that the person who performs botulinum toxin injections understands the precise muscle interactions that must be balanced to achieve your aesthetic goals. By carefully weakening specific muscles, wrinkles can be reduced or eliminated without creating an unnatural facial appearance. Dr. O’Connell personally injects all botulinum products in his practice in order to optimize the results of the procedure.

During the procedure, botulinum toxin is injected through the skin with an extremely fine needle. The number of injections can vary depending upon a person’s facial features, their pattern of wrinkles and their aesthetic goals. Glabellar frown lines usually require five injections, while crow’s feet usually can be treated with three injections per side.

AccuVein Model
The Accuvein device allows Dr. O’Connell to avoid hitting blood vessels during Botox and filler injections.

BOTOX® Cosmetic, Dysport®, and Xeomin®  Recovery

Following BOTOX® injection there is no down time or recovery time. We do ask that you refrain from wearing makeup for 8 hours and to not massage the treated areas. When glabellar frown lines are treated we ask our patients to refrain from bending or lying down for 4 hours.

The small bumps that BOTOX® injections sometimes produce subside in less than one hour.

BOTOX® Cosmetic, Dysport®, and Xeomin®  Risks

Most patients have no discomfort or down time following injection of BOTOX® Cosmetic. At The Aesthetic Center of Connecticut we make every effort to minimize any bruising that can accompany the procedure.

While most patients have only temporary visibility of product at the injection sites, some side effects can include:

  • Bruising
  • Headache
  • Flu-like symptoms
  • Nausea
  • Weakness of one or more adjacent muscles including drooping of the eyelid

Injectable words to know

  • BOTOX® Cosmetic: Allergan’s BOTOX product that is intended for aesthetic use
  • Allergan: The manufacturer of BOTOX® Cosmetic
  • Dysport®: AbobotulinumtoxinA – a Botulinum toxin type A product manufactured by Galderma
  • Xeomin®: IncobotulinumtoxinA – a Botulinum toxin type A product from Merz
  • Myobloc®: RimabotulinumtoxinB – a Botulinum toxin type B from Solstice Neurosciences
  • Neurotoxin or neuromodulator: Names for the class of drugs that BOTOX® Cosmetic, Dysport®, Xeomin® and Myobloc® belong to
  • Units: The unit of measurement for dosing of Botulinum toxins. It is important to note that the units are not interchangable between products
  • Glabellar frown lines: The lines located in the area between your eyebrows at the base of your nose.  These are also known as “number 11s.”
  • Bunny lines: Lines located along the sides of the upper one-third of your nose that give a bunny-like appearance
  • Procerus muscle: A muscle located at the base of your nose that produces a horizontal wrinkle in that area
  • Mentalis muscle: A pair of muscles located in the chin area that produce a twitchy, pebbly or “golf-ball” chin.
  • Depressor anguli oris muscle: A pair of muscles that pull the lower lip downward. Some physicians believe that injecting these muscles will raise the corner of the mouth
  • Platysma bands: Vertically oriented muscular cords in the neck. In some cases these can be improved with injection of a neuromodulator
  • Levator labii superioritis alaeque nasi muscle: a muscle that is injected to treat a gummy smile.

BOTOX® Cosmetic, Dysport® and Xeomin®  FAQS

  • What are BOTOX® Cosmetic, Dysport®, and Xeomin®?

    These products are examples of products known as neurotoxins or neuromodulators. The active ingredient for BOTOX® Cosmetic, Dysport® and Xeomin® is purified Botulinum Toxin Type A, produced by the bacteria Clostridium botulinum.

  • How does BOTOX® Cosmetic, Dysport®, and Xeomin® work?

    BOTOX® Cosmetic, Dysport®, and Xeomin® bind with motor nerve terminals to inhibit the release of a chemical called Acetylcholine. When injected directly into a muscle the products produce a reversible decrease in the activity of that muscle and a reduction or elimination of the associated wrinkles.

  • What are Botox® Cosmetic, Dysport® and Xeomin® used for?

    BOTOX® Cosmetic is FDA approved for treatment of glabellar lines (the wrinkles between the eyebrows – also known as “number 11’s” and glabellar frown lines). Other common uses that are considered off-label by the FDA include treatment or prevention of forehead “worry” lines, crows foot wrinkles and perioral lines (“smoker’s lines”). These products can also be used to treat bruxism, excessive sweating (hyperhidrosis), migraine headaches and other conditions.

  • How long do BOTOX® Cosmetic, Dysport® and Xeomin® last?

    When used for wrinkle reduction the effects of BOTOX® Cosmetic, Dysport® and Xeomin® are temporary with muscle function (and the associated wrinkling) usually returning within three to six months. To maintain their results, most patients schedule their repeat injections every three to six months. Dr. O’Connell refines the exact dosage and treatment points over time to optimize the aesthetic result for each patient.

  • Can BOTOX® Cosmetic be used to treat migraine headaches?

    BOTOX® Cosmetic can be an effective way to decrease the intensity and/or frequency of migraine headaches. Dr. O’Connell has appeared on Channel 8 television discussing this topic.

  • Can BOTOX® Cosmetic be used to treat excessive sweating?

    BOTOX® Cosmetic is used to treat hyperhidrosis (excessive sweating) and Dr. O’Connell has treated hyperhidrosis of the axillae (armpits), palms and soles of the feet with this product.

  • Who injects BOTOX® Cosmetic, Dysport® and Xeomin®?

    Dr. O’Connell believes that the ultimate aesthetic result obtained with neuromodulators and injectable fillers is dependent upon the training and skill of the injector. At The Aesthetic Center, Dr. O’Connell personally injects all neuromodulators and fillers.

  • Can BOTOX® be used to treat bunny lines?

    Bunny lines are diagonal wrinkles across the bridge of the nose that sometimes are more prominent following treatment of other areas. Dr. O’Connell commonly treats bunny lines with neurotoxins.

  • Can a dimpled or pebbly chin be treated with BOTOX®?

    Neurotoxins such as BOTOX® can be used to improve the appearance of a pebbled chin also known as cobblestone or golf ball chin.

  • Can BOTOX® be used to treat a gummy smile?

    In some people excessive exposure of the gum can occur with elevation of the upper lip creating the so called “gummy smile.” This can be treated with a neurotoxin such as BOTOX® and is best left to an experienced injector.

  • Can a droopy tip of the nose be treated with BOTOX®?

    A droopy nasal tip can be caused or exacerbated by muscle action and can be more noticeable with smiling. This can be treated with a neuromodulator such as BOTOX®, preferably, by a highly experienced injector.

  • Are there risks associated with BOTOX® Cosmetic, Dysport® and Xeomin®?

    Like all medical and cosmetic procedures, neuromodulators carry risks of complications and adverse effects. A thorough discussion of risks, alternatives and potential benefits is an important part of your consultation with Dr. O’Connell at The Aesthetic Center.