Daniel Demesh FPS

Botulinum Toxin Treatment

Photo of botulinum toxin treatment

Botulinum Toxin treatment utilizes either Botox ®, Xeomin®, Jeuveau®, or Dysport® products to weaken or paralyze various muscles of the face temporarily. This is done to minimize or reverse wrinkle formation. Facial wrinkles occur either due to the action of facial muscles on the skin or from a combination of other factors (sun exposure, genetics, smoking, etc.). With treatment, as various muscles of the face are weakened or paralyzed, the overlying skin is able to relax. This subsequently decreases the depth of existing wrinkles or prevents future wrinkles from forming. Botulinum toxin treatment is well-tolerated in the office with few to no side effects experienced by most patients.

How Botulinum Toxin Works

Botox, Xeomin, Jeuveau, and Dysport act to relax the muscles that produce dynamic wrinkles. Dynamic wrinkles are those wrinkles caused by the activity of the facial muscles (e.g., frowning, squinting, smiling, and raising the eyebrows).

Botox, Xeomin, Jeuveau, and Dysport are administered with very small needles, which allow for a relatively fast and painless injection.

Botox, Xeomin, Jeuveau, and Dysport are used primarily to treat frown lines, crow’s feet lines, and/or forehead lines. They may also be used to treat vertical lip lines, horizontal neckbands (for some patients), fullness of the masseter muscles to slim the jawline, and droopy outer corners of the mouth.

Botulinum Toxin Treatment Consultation

During your consultation, Dr. Demesh will ask you several questions about

  • Your Medical History
  • Any medications you may be taking, including any over-the-counter medications.
  • Any medical conditions, including muscle or nerve conditions. 
  • Your plans for future surgeries. 
  • Your aesthetic goals.

For women, you should let Dr. Demesh know if you are currently pregnant, planning to get pregnant, or are breastfeeding.

You should also let Dr. Demesh know if you have had any other Botulinum Toxin treatments in the last 4 months

After a thorough review of your medical history, Dr. Demesh will determine if Botulinum Toxin treatment is right for you. If it is, he will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you.

Botulinum Toxin Treatment - FAQs

The number of treatments you will need depends on your goals and needs. During your consultation, you can discuss this and any questions you may have with Dr. Demesh, so you have a clear understanding of your proposed treatment plan.

Botulinum Toxin treatment is safe for qualified candidates. Please alert Dr. Demesh if you have any medical conditions, especially any affecting the nervous systems or muscles.

Temporary side effects can include slight pain, numbness, and headaches.  More moderate side effects include droopy eyelids, sore throat, and muscle spasms. On rare occasions, botulinum toxicity may be seen. Signs of this serious side effect include breathing, speaking, and swallowing difficulties. 

It is recommended that you wait at least 90 days before you have another Botulinum Toxin treatment.

Botulinum Toxin treatments usually last up to 3 to 4 months.

You will start to notice the effects of Botulinum Toxin treatment within 1 to 3 days after treatment. The full effect may take 2 weeks to be seen.

Generally, there is minimal swelling after treatment, and it usually resides within 2 hours of treatment. You may apply an ice pack to the area treated to reduce any local swelling.

Most patients tolerate Botulinum Toxin treatment very well and return to their normal activities or work immediately after treatment. You should, though, refrain from any strenuous activity or exercise for the rest of the day.

Most patients say the injection feels like a pinch to the skin. If you are concerned about discomfort, a topical numbing cream can be applied before administering your treatment.

Treatment usually takes 10 minutes to be administered.

Yes, Botox, Xeomin, Jeuveau, and Dysport can be combined with other cosmetic procedures, such as facelift or eyelid surgery, for an improved appearance.

Botox, Xeomin, Jeuveau, and Dysport are all Botulinum Toxin products, and they are the only muscle relaxants approved by the FDA for cosmetic use. Botox is the registered trademark of the toxin produced by Allergan, Xeomin is the registered trademark name of the toxin produced by Merz, and Dysport is the registered trademark name of the toxin produced by Medicis.


The main difference between Botox, Xeomin, Jeuveau, and Dysport is the potency of trace proteins, which may make one treatment more effective than the other for some people.

Contact Us

If you are interested in receiving Botulinum Toxin treatments, please call (203) 712-7579 to schedule an appointment with Dr. Demesh.