Botox, Dysport, Daxxify, and Xeomin in Dallas: Anti-Wrinkle Injections at One Clinic

Key Takeaways:

• Highland Park Aesthetics offers all four FDA-approved neuromodulators used in aesthetic medicine, Botox, Dysport, Daxxify, and Xeomin, each with its own approved uses and treatment profile.
• Botox holds the broadest FDA approval of any neuromodulator, covering forehead lines, frown lines, crow's feet, and, as of October 2024, platysma bands in the neck, the first neuromodulator approved for a non-facial area.
• Dysport is known for a faster onset and broader diffusion pattern, making it well suited to larger treatment areas such as the forehead.
• Daxxify is FDA-approved specifically for glabellar (frown) lines and offers the longest average duration of the four, typically five to six months.
• Xeomin contains no accessory proteins, requires no refrigeration, and is often considered by long-term patients seeking a purer formulation.
• A consultation determines which neuromodulator, or combination, best fits a patient's treatment area, goals, and lifestyle.

Medical Disclaimer: The information on this page is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Individual results vary, and anti-wrinkle injections should only be performed by a licensed, qualified healthcare provider after an in-person evaluation. Always consult a qualified medical professional before starting any aesthetic treatment.

Most patients searching for Botox in Dallas do not actually need Botox specifically. They need the right neuromodulator for their treatment area, their goals, and how often they want to come in for maintenance. Highland Park Aesthetics is one of the few Dallas practices offering all four FDA-approved neuromodulators, Botox, Dysport, Daxxify, and Xeomin, under one roof, which means the conversation starts with your face and your goals rather than with a single product a clinic happens to carry. This page covers how each of the four works, what makes them different, and how to think through which one fits you best.

What Are Neuromodulators and How Do They Work?

Neuromodulators are injectable treatments that temporarily relax the muscles responsible for dynamic facial wrinkles, the lines that form from repeated expressions like frowning or squinting.

All four products offered at Highland Park Aesthetics, Botox, Dysport, Daxxify, and Xeomin, contain botulinum toxin type A as their active ingredient. Each works by temporarily blocking the nerve signals that trigger muscle contraction, softening the lines those contractions create without affecting the surrounding muscles or the face's overall expressiveness.

Where the four products differ is in their specific formulation, dosing units, onset speed, duration of effect, and FDA-approved uses. Those differences are what make a consultation, rather than a generic protocol, the right starting point.

Which Neuromodulators Does Highland Park Aesthetics Offer?

Highland Park Aesthetics offers all four FDA-approved neuromodulators, Botox, Dysport, Daxxify, and Xeomin, each suited to different treatment goals.

Botox (onabotulinumtoxinA)

Botox received its first FDA approval for cosmetic use in 2002 and has since become the most broadly studied neuromodulator on the market. It holds FDA approval for four aesthetic indications: forehead lines, glabellar (frown) lines, crow's feet, and, as of October 2024, moderate to severe platysma bands in the neck, making it the first neuromodulator approved for an area beyond the face. Results typically appear within three to five days, with full effect around ten to fourteen days, and last approximately three to four months.

Dysport (abobotulinumtoxinA)

Dysport received FDA approval for glabellar lines in 2009. Its formulation contains fewer accessory proteins and a smaller molecular structure than Botox, which contributes to a broader diffusion pattern well suited to larger areas such as the forehead. Many patients notice results within two to four days, often faster than other neuromodulators, with duration comparable to Botox at three to four months. Dysport is dosed in different units than Botox and Xeomin, which your injector accounts for automatically.

Daxxify (daxibotulinumtoxinA-lanm)

Daxxify was FDA-approved in September 2022 specifically for moderate to severe glabellar lines, the only indication it currently holds. Its Peptide Exchange Technology stabilizes the formula with a synthetic peptide rather than human or animal-derived proteins. In the SAKURA phase 3 trials, which included more than 2,700 patients, 74% achieved significant improvement in glabellar lines at week four. Duration averages five to six months, with some patients maintaining results closer to nine months, the longest average duration of the four products.

Xeomin (incobotulinumtoxinA)

Xeomin received FDA approval for glabellar lines in 2010. Unlike Botox and Dysport, it is formulated without accessory proteins, which is why it is sometimes described as a purer or more refined toxin. This is also why Xeomin does not require refrigeration prior to reconstitution. Some long-term neuromodulator patients consider Xeomin because the absence of accessory proteins may reduce the likelihood of antibody formation over years of repeated treatment, though this is a relatively rare consideration overall. Onset occurs within three to seven days, with duration of three to four months, similar to Botox and Dysport. Xeomin is also used at Highland Park Aesthetics as part of combination treatment for the neck, alongside filler and biostimulator options.

Product selection is made individually at consultation. For a deeper side-by-side look at how these four compare, see our full neuromodulator comparison guide.

How Do You Choose Between Botox, Dysport, Daxxify, and Xeomin?

The right neuromodulator depends on the treatment area, how quickly you want to see results, how often you want to schedule appointments, and your treatment history.

• Treatment area and diffusion needs: broader areas like the forehead often benefit from Dysport's diffusion pattern, while precise, targeted areas may call for a different product.
• How quickly you want results: Daxxify and Dysport tend to show early change within one to four days, while Botox and Xeomin typically take three to seven days for onset.
• How often you want to schedule appointments: Daxxify's five to six month average duration appeals to patients who want fewer visits per year.
• Treatment history: long-term neuromodulator patients sometimes explore Xeomin's protein-free formulation as part of that ongoing conversation.

These factors are discussed in detail at consultation, since the right choice is rarely obvious from a product list alone. Many patients also find that their preferred neuromodulator differs by treatment area, using one product for the forehead and another for the neck, for example.

Who Is a Good Candidate for Anti-Wrinkle Injections?

Good candidates have dynamic wrinkles caused by muscle movement, such as forehead lines, frown lines, crow's feet, or neck banding, and realistic expectations about a temporary, maintainable treatment.

What Should You Expect at an Anti-Wrinkle Injection Appointment?

A neuromodulator appointment takes about 15 to 30 minutes, involves minimal discomfort, and requires no downtime for most patients.

• Consultation and assessment: the injector evaluates your facial muscle movement, treatment area, and goals to recommend a specific product and dose.
• Injection: product is placed using a fine needle at multiple points across the treatment area. Most patients describe the sensation as a brief pinch.
• Immediate aftercare: mild redness or small bumps at injection sites typically resolve within an hour. Patients are advised to avoid lying down or vigorous exercise for a few hours after treatment.
• Follow-up: results build over the days following treatment, with a full effect visible within one to two weeks. Complete pre- and post-care instructions are provided at every appointment.

How Do Neuromodulators Fit Into a Broader Treatment Plan?

Neuromodulators address dynamic muscle movement, which is a different mechanism from the volume and skin quality concerns addressed by fillers and biostimulators.

• Neuromodulators plus dermal filler: many patients pair anti-wrinkle injections with filler in the cheek, jawline, or chin for a complete facial treatment plan.
• Neuromodulators plus biostimulators: Sculptra or hyperdilute Radiesse improve overall skin volume and quality while neuromodulators address expression lines.
• Neuromodulators plus skin rejuvenation: pairing anti-wrinkle injections with a combined skin rejuvenation approach addresses both dynamic lines and surface skin quality in the same treatment plan.
• Preventative use: many younger patients start neuromodulator treatment before deep lines form. Our guide to preventative Botox covers this approach in more depth, and our brow lift guide covers a specific, popular application.

Frequently Asked Questions

Which neuromodulator lasts the longest?

Among the four products offered at Highland Park Aesthetics, Daxxify has the longest average duration, typically five to six months, with some patients maintaining results closer to nine months. Botox, Dysport, and Xeomin are generally comparable to one another at three to four months.

Can Botox really treat the neck now?

Yes. Botox Cosmetic received FDA approval in October 2024 specifically for moderate to severe platysma bands, the vertical bands that form on the neck from muscle activity. This made it the first neuromodulator approved for use outside the face.

Do I have to pick just one neuromodulator?

No. Many patients use different products for different areas or purposes, and some providers combine neuromodulators with filler or biostimulator treatment in the same visit, particularly for combination approaches like neck rejuvenation.

How do I know which product is right for me?

This is determined at consultation based on your treatment area, how quickly you want results, how often you want to schedule appointments, and your treatment history. Our full comparison guide walks through these factors in more detail.

Is there downtime after treatment?

Downtime is minimal. Most patients return to normal activities immediately, with only mild redness or small bumps at the injection sites that typically resolve within an hour.

How soon should I start neuromodulator treatment?

There is no single right age. Some patients start in their late twenties or early thirties as a preventative measure before deep lines form, while others begin later to address existing lines. Our guide to preventative Botox covers this decision in more depth.

Are these treatments safe?

Botox, Dysport, Daxxify, and Xeomin are all FDA-approved for their respective indications and have long track records of clinical use. As with any injectable, candidacy is assessed individually, and the treatment should only be performed by a licensed, trained provider.

Ready to Find the Right Neuromodulator in Dallas or Plano?

Choosing between Botox, Dysport, Daxxify, and Xeomin is less about picking a winner and more about matching the right product to your treatment area and goals. The clinical team, led by Megan Cheatham, FNP, alongside Shelby Whitfield, RN, Halie Turner, RN, Nicki Hatcher, RN, and Kaitlyn Layman, NP, offers all four products so that recommendation starts with your face rather than with a limited menu.

Read our full neuromodulator comparison guide for a deeper dive, or explore preventative Botox and our Botox brow lift guide for specific applications.

Book your appointment, or start with a complimentary consultation to find the right neuromodulator for your goals.

Highland Park Aesthetics serves patients from Highland Park, University Park, Preston Hollow, Lakewood, Plano, and across the Dallas and Fort Worth area, with locations at 5213 W Lovers Lane, Dallas and 1921 Preston Rd, Suite 130, Plano.