Botox, Dysport and Xeomin in Montgomery AL


Botox, Dysport, and XeominWhat are my options?

At Alabama Surgical Arts, we offer three different types of botulinum toxin (neuromodulators) to relax those wrinkles: Botox, Dysport and Xeomin. The differences between the three neuromodulators are minimal and the results are indistinct from one another. They are both great options and proven to work!

What Botox, Dysport or Xeomin Treats

Neuromodulators (Botox, Dysport and Xeomin) can be used to treat very specific and targeted areas of aging on the face. It is a localized treatment that works to minimize lines and wrinkles in the area where it is injected. Some of the most common areas of the face that we treat with Botox, Dysport and Xeomin are:

-Vertical lines/frown lines between the eyebrows
-Forehead or worry lines
-Crow’s feet around the eyes
-Around the eyebrows to provide a gentle lift
-Bunny lines on the nose
-Smoker’s lines (vertical lines around the lips)
-Gummy Smile
-Dimpling of the chin (“peach pit” chin or peu D’Orange chin)
-Sad ‘frowning’ corners of lips (“bitterness folds”)
-Vertical neck bands (platsymal bands)
-Masseters for facial slimming

How Neuromodulators (Botox, Dysport and Xeomin) Work

Botox, Dysport and Xeomin are purified proteins that come from the Clostridium Botulinum bacterium. When injected into a muscle, they stop the nerve impulse from reaching the muscle, thus preventing it from contracting as strongly. This causes the muscle to weaken and relax, allowing the overlying skin to soften and causing wrinkles in the area to disappear.  Botox has been in use for many years and is approved by the FDA for the treatment of areas such as the glabellar wrinkles and crow’s feet. Dysport and Xeomin are newer and is approved by the FDA for treatment for the glabellar wrinkles. 

Botox bottles

There are two types of wrinkles on on the face. Static (wrinkles that are present at rest) and dynamic (wrinkles that present with movement).  Over the years dynamic wrinkles can change to static wrinkles as creases are permanently “etched” into the skin. Dynamic wrinkles (wrinkles with movement) dissapear first. With consistent treatment and good skin care static wrinkles will begin to soften. This is also the concept behind preventative use of neuromodulators. By preventing dynamic wrinkles we can stop the progression to static wrinkles.

Another less talked about effect of neuromodulators is a decrease in sweat and oil production. Through the same mechanism of effect on muscle, neuromodultors are able to shut off the signal to sweat and sebaceous glands.

What to Expect During a Botox, Dysport or Xeomin Treatment Session

Before injecting neuromodulators, Dr. Nizam will give you the option of having a topical anesthetic and/or nitrous oxide to make the injections more comfortable. Many people, however, do not find this initial step necessary, as they are able to tolerate the injection discomfort quite well. Dr. Nizam will then use a fine needle to inject small amounts of neuromodulator into your skin and/or muscles. The number of injections administered will depend upon the size of the area being treated and the exact complaint being addressed. It usually takes about 10 minutes to administer Botox, Dysport or Xeomin. These are quick and you can be in and out of your appointment in no time.

After the procedure, you can resume normal activities immediately. You should avoid rubbing the treated area as this may cause the product to move into another part of the face. Very few patients experience minor redness or bruising at the injection site, which can be covered with makeup with minimal problems.


Final results of Botox and Xeomin are typically seen within 6-7 days. The results of Dysport are typically seen within 5-6 days. You can expect the results to be maintained for about 3 to 4 months before you need a touch up. Some patients who have been receiving Botox, Dysport or Xeomin for several years report that the results last longer and find they are able to extend the interval between injections up to 5 months at times.


Botox, Dysport and Xeomin injections are one of the safest cosmetic treatments available today. Contrary to popular belief, the protein itself is not a poison as it has been modified extensively into a pure form with a very dilute concentration. When injected properly into the muscle, it does not enter other areas of the body. Dr. Nizam, who has been extensively trained in these injections will discuss the risks and benefits with you before proceeding.

Botox , Dysport or Xeomin Consultation

If you’re ready to learn more about how neuromodulators can rejuvenate your appearance, we encourage you to contact us today to set up an initial consultation. During this consultation, Dr. Nizam and Physician Assistant Lily will answer any questions you may have. They will assess your face and help you determine whether Botox, Dysport or Xeomin can provide the results you desire.

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For more information about Cosmetic Procedures or to schedule a consultation with Dr. Nizam, call our office in Montgomery, AL at Alabama Surgical Arts Phone Number 334-271-2002.

Come Relax at the Medspa!

Alabama Surgical Arts' Medspa offers a number of non-surgical facial procedures including microblading, chemical peels, and eyelash extensions. Contact us today to learn more!

Call us: 334-271-2002