BOTOX® Cosmetic, Dysport® & Daxxify®

botox before and after photo

Photo courtesy of Allergan

BOTOX® Cosmetic, Dysport & Daxxify |Orlando – Fiala Aesthetics

Botox Injections – the amazing “wrinkle-relaxer”

BOTOX® Cosmetic, Dysport®, and Daxxify® injections all work in a similar way. They relax the muscles in the face that cause unwanted wrinkling when these muscles contract during facial expressions, like frowning or squinting. This is common for many people in the forehead, crow’s feet and with frown lines, but also occurs elsewhere in the face and neck. The medications work by blocking the nerve signals that cause muscle contraction – resulting in a relaxation of wrinkles. Known as “neuromodulators,” these injectable treatments, utilizing botulinum neurotoxins, allow overlying skin to return to a relaxed and more youthful appearance, until the medication wears off. Once the neuromodulator drug wears off, signals resume and the nerve and facial muscles return to normal activity. And the wrinkles start to return.

A single treatment of BOTOX® Cosmetic or Dysport can produce results for periods of three months or longer, though maintenance is recommended for continuous results. Daxxify may last up to 50% longer. These treatments can also be used as for one-time services before special events such as a wedding or important presentations. A one-on-one consultation with our injection experts at Fiala Aesthetics can answer your questions about the treatment. Botulinum toxin treatment has revolutionized the approach to treating certain ophthalmic spastic disorders, facial dystonias, and migraine headaches as well, highlighting its diverse therapeutic uses.

Before scheduling a BOTOX treatment, it’s crucial to discuss all the medicines you’re taking, including prescription and over-the-counter drugs, vitamins, and herbal supplements, with your healthcare provider to avoid any serious side effects.

To ensure the safety and effectiveness of the treatment, it is important to receive a Botox injection from a licensed health care provider.

To schedule your BOTOX® Cosmetic consultation at our Altamonte Springs office, please call 407-339-3222 today. Fiala Aesthetic welcomes patients from Orlando and all surrounding areas of Florida.

How does BOTOX® Cosmetic/Dysport® Work for Severe Frown Lines?

Botulinum toxin injection, specifically for severe frown lines, works by decreasing the activity of muscles that contract the skin, producing wrinkles. To be super-technical for just a minute, the botulinum toxin, specifically botulinum toxin type A, is absorbed by nerve endings, where it blocks the release of the neurotransmitter acetylcholine. This prevents the nerve impulse from activating the muscle like it usually would. The injected muscles can no longer contract as forcefully, which causes the wrinkles in the overlying skin to relax and soften.

After several months, the nerve terminals recover, begin releasing acetylcholine again and the muscle function completely recovers. Think of it like switching your cellphone to “airplane mode” – the phone temporarily no longer rings because it doesn’t receive a signal.  Botox and related drugs are made from micro-doses of Botulinum toxin, produced by the bacterium Clostridium botulinum.  The doses used in Botox treatments are very low, far below the levels needed to cause a case of botulism.  Large studies have shown that these treatments are safe and effective. The safety and efficacy of botulinum toxin injections have been well-documented in clinical trials, highlighting their importance in both therapeutic and cosmetic applications.

Injection Site Treatment Areas

BOTOX® Cosmetic, Dysport® have been FDA-approved for the treatment of:

  • Forehead wrinkles and creases, including the temporary improvement of moderate to severe forehead lines in adults, addressing common concerns of lines and wrinkles
  • Frown lines (wrinkles between the eyebrows), including the use of BOTOX Cosmetic to treat frown lines and reduce the appearance of lines and wrinkles
  • Crow’s feet (wrinkles around the eyes)
  • Marionette lines (wrinkles around the mouth)
  • and there are additional “off-label” uses, as well.

During your initial consultation at our Orlando area office, we will assess your problem areas to help you decide which would benefit most from this treatment.


A Botox injection, including BOTOX® Cosmetic, Dysport®, and Daxxify, involves a small sting upon administration. If you have concerns about the injection process, including needle anxiety, we can discuss alternatives like topical numbing or laughing gas (nitrous oxide) during your initial consultation. Proper aftercare is vital to avoid spread of the drug and to ensure a good outcome.

The treatment takes 10-15 minutes and a majority of patients are able to leave our office and resume all normal activities right away. Some redness in the injection area may be present for a few days. We will provide aftercare instructions that can help speed this process.


Many BOTOX® Cosmetic/Dysport® treatments can be performed without any discomfort, but you may experience a mild sting and possibly some temporary swelling and redness at the site of the injections. Sometimes, bruising may occur and can last for a few days to a couple of weeks. Please refrain from using aspirin, ibuprofen, Aleve, and alcohol before and after your treatment – as these will make you much more likely to bruise.  After your BOTOX® Cosmetic/Dysport® treatment, you can return to your normal routine immediately but you will be advised to avoid alcohol and sun exposure for the first 24 hours. The results begin to take effect four to ten days after your visit and last from four to six months. Additionally, it’s important to watch for signs of an allergic reaction and contact your healthcare provider if you experience symptoms such as itching, rash, or dizziness.


Results vary, but in some cases, you may see a marked improvement in skin smoothness and decreased wrinkling within three to ten days. Lines continue to improve for up to a month after treatment, and results can last for up to six months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as being significantly better one month after treatment. BOTOX is also used to treat medical conditions such as overactive bladder and severe underarm sweating. It’s important to consult a healthcare provider for these conditions.

The beauty of a BOTOX Cosmetic®/Dysport® treatment is that it is a simple, 10-minute, non-surgical process, they are only minimal risks, and there is little to no recovery time. Although the results are visible, a treatment with BOTOX Cosmetic®/Dysport® will not radically change your facial appearance. The muscle activity that causes frown lines between the brows is simply reduced, so you can still frown, squint, purse, or look surprised, but without the obvious wrinkles and creases. If you do not continue treatments, the lines will gradually look like they did before treatment.

BOTOX® Cosmetic, Dysport®, and other botulinum toxins like Xeomin offer a range of results for both cosmetic and medical applications. These products may take two to three weeks to reach their peak effectiveness. Dysport starts to show its effects a little sooner, so if time is short, it might be the treatment to choose.

Results from BOTOX® Cosmetic, Dysport®, and similar botulinum toxin products typically last for three to four months. During your initial consultation, we can discuss how best to maintain results and how often you may need to return for touch-ups. Men may require a higher dose, as they have larger, stronger facial muscles to deal with.




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Altamonte Springs, FL 32701
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