BOTOX® Cosmetic, Dysport® & Daxxify®

botox before and after photo

Photo courtesy of Allergan


BOTOX® Cosmetic, Dysport® and Daxxify® all work in a similar way.  They block the nerve signals that cause muscle contraction – resulting in a relaxation of wrinkles. Known as “neuromodulators,” these injectable treatments allow overlying skin to return to a relaxed and more youthful appearance until they wear off. Once the neuromodulator drug wears off, signals resume and the nerve returns 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, Physician Assistant Phi  and Nurse Practitioner Lindsey at Fiala Aesthetics can answer your questions about the treatment.

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?

BOTOX Cosmetic® and Dysport® work by decreasing the activity of muscles that contract the skin, producing wrinkles. To be super-technical for just a minute, the botulinum protein is absorbed by nerve endings, where it blocks the release of the neurotransmitter acetylcholine. This prevents the nerve impulse from activating the muscle. The injected muscles can no longer contract as forcefully, which causes the wrinkles to relax and soften.

After several months, the nerve terminals recover, begin releasing acetylcholine again and muscle function completely recovers. Think of it like temporarily switching your cellphone to “airplane mode” – the phone no longer rings because it doesn’t receive a signal.

Treatment Areas

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

  • Forehead wrinkles and creases
  • Frown lines ( wrinkles between the eyebrows)
  • 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.


BOTOX® Cosmetic and Dysport® are injections, so there is a small sting on injection.  If you have difficulties with needles or would like to discuss topical numbing or the use of laughing gas (nitrous oxide), we can cover options during your initial consultation.

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.


Results vary, but in some cases, you may see a marked improvement 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.

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 wrinkles and creases. If you do not continue treatments, the lines will gradually look like they did before treatment

BOTOX® Cosmetic and Dysport® may take two to three weeks to reach their peak.  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 and Dysport® 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.


220 East Central Parkway
Suite 2020
Altamonte Springs, FL 32701
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