Botox | Dysport | Xeomin

Botox, Dysport and Xeomin in Greenwich, CT & NYC

Wrinkles and aging go hand in hand, but that doesn’t make it any frustrating when early signs of aging begin to appear. Fine lines, wrinkles, and crow’s feet can instantly age your appearance, causing you to appear older, tired, or upset. 

Neuromodulators are an injectable treatment that can alleviate a specific type of wrinkle called a dynamic wrinkle. Dynamic wrinkles form because of facial expressions. When facial muscles contract to smile, frown, or squint, they squeeze the skin, and eventually, wrinkles form. Neuromodulators relax the facial muscles that cause wrinkles so the overlying skin can smooth. 

Botox, Dysport, and Xeomin are ideal for patients who want to look younger and more relaxed without the downtime or expense of a surgical treatment. These treatments can also enhance and extend the results of surgical procedures like a facelift or brow lift.

Understanding the Differences Between Botox, Dysport, and Xeomin

Botox, Dysport, and Xeomin are all neuromodulators and alleviate wrinkles by relaxing specific facial muscles. Each of these products derives from a very diluted, purified form of botulinum toxin. While Botox, Dysport, and Xeomin are all similar, there are a few notable differences between these products. The differences can make one option or another an ideal choice for various solutions. Dr. Margoles is familiar with each option’s unique properties and uses all three to ensure that each patient achieves the best possible results from their cosmetic injectable treatment.

All three medications are FDA-approved for cosmetic use. Botox, Dysport, and Xeomin all have a robust safety record and are known for their effective results. Dr. Margoles will help you select the best neuromodulator option for your situation.

  • Botox: Botox is the world’s best-known neuromodulator. Patients ask for this product by name at our practice almost every day. Botox has been FDA-approved for cosmetic use since 2002 and has revolutionized aesthetic medicine in the years since.
  • Dysport: Dysport is very similar to Botox, but the formulation may have a larger spread area. This increased spread makes Dysport ideal for larger treatment areas, like the forehead. Dysport is the fastest-acting neuromodulator and typically starts working in only two to three days, a few days sooner than Botox.  
  • Xeomin: Botox and Dysport formulations both have accessory proteins. Some patients have experienced allergic reactions to these proteins, although they are very rare. Patients that are allergic to Botox or Dysport may be able to use Xeomin for wrinkle reduction. Xeomin may also provide results in patients who have developed a resistance to Botox treatment.

Expert Care. Natural Results.

Our team at Kállos Medical Aesthetics, led by the highly experienced Dr. Sandra Margoles, offers effective aesthetic medspa treatments in both Greenwich, CT and New York, NY. Dr. Margoles, a board-certified plastic surgeon, oversees her skilled team of nurses to ensure the highest quality of care. Our mission is to provide personalized aesthetic services in a professional yet welcoming environment. We invite you to learn more about our advanced treatments and how our expert team can use them to bring your vision to life!

The Benefits of Botox, Dysport, and Xeomin

There are many benefits and potential uses for this class of medication. Commonly treated areas include:

  • Crow’s feet (lines around the outer eye)
  • Forehead wrinkles and creases
  • Asymmetry in the brow area
  • Vertical lip lines

   Ask Dr. Margoles how these medications can benefit you.

  • Banding on the neck
  • Squint lines that make you appear tired or stressed
  • Eyelid spasms
  • Migraine headaches

What Happens During a Typical Botox Treatment?

We administer Botox in our beautiful location in Greenwich, CT. The procedure takes about 30 minutes. We’ll talk about your goals for treatment before we begin to ensure this treatment is right for you. 

Before Dr. Margoles administers the injections, she’ll cleanse your skin. If you wish, we can apply a topical anesthetic, though most patients tolerate their injections well without this additional step. Dr. Margoles uses a small, thin needle to carefully inject the selected medication into the treatment area. 

The specific number of injections you’ll receive depends on the areas receiving treatment. For example, crow’s feet usually require two to three Botox injections, while lines on the brow could need five or more. You can have multiple areas addressed during a single treatment session.

Aftercare and Recovery: What to Expect

Botox requires no downtime, and patients can immediately resume most daily activities. Dr. Margoles asks patients to refrain from strenuous activities, like exercise, on the day of treatment and may advise patients to avoid lying down for a few hours to ensure the medication does not shift or spread before it takes effect. 

Redness, tenderness, and swelling are common treatment side effects. These effects are temporary and usually fade within a few days of receiving your injections.

Schedule Your Greenwich Botox Treatment in NYC or Greenwich, CT

Contact Dr. Margoles to schedule your Botox, Dysport, or Xeomin treatment in Greenwich, CT.



The cost of your treatment will depend on the specific details of your situation including the medication selected and the amount of product used. Dr. Margoles can provide a personalized treatment estimate after an examination. 

Botox, Dysport, and Xeomin are versatile and ideal for many patients. Dr. Margoles will ask about your health and treatment goals to ensure this treatment is ideal for you.

Each neuromodulator has unique benefits. Some patients can achieve good results using any of the three products while other patients are a better fit for one specific medication. Dr. Margoles offers all three options to ensure each patient can achieve their best results. She will help you select the most effective option for your situation.

Overall, these neuromodulator injections are highly tolerable. Dr. Margoles uses an incredibly tiny needle, and most patients find the procedure fairly painless with only mild discomfort. If you have a low pain threshold, ask Dr. Margoles about applying a topical anesthetic to the injection site.

For forehead lines, wrinkles, and a permanently furrowed brow, the answer is yes. A brow lift surgically corrects loose skin and tissue to resolve these signs of aging with longer-lasting results than Botox, Xeomin, or Dysport. However, no surgical intervention effectively addresses crow’s feet.

Dr. Margoles is an excellent choice for Botox, Dysport, or Xeomin injections in Greenwich, CT. While injectables like Botox are often available at day spas and other non-medical locations, choosing a skilled plastic surgeon as your provider is critical for safety and the best results. Dr. Margoles is a trained plastic surgeon and focuses on aesthetic enhancement. She can recommend surgical and non-surgical treatment options to help you address cosmetic concerns and aging safely and effectively. A trained injector with experience using the specific product administers all our cosmetic injectables.

People often choose to pair fillers and Botox treatments. Using a combination of injectable treatments can create dramatic facial rejuvenation without surgery in a non-surgical facelift.

Absolutely! About 10% of Botox patients worldwide are men. Botox is popular with patients of all gender identities who want to soften facial lines and wrinkles without revealing they’ve had any work done.

Patients typically see improvements after one treatment. As the product wears off, additional injections will be necessary to continue the benefits. Many of our patients schedule touch-up appointments every three to four months to maintain their refreshed look.