Wrinkle relaxers, such as BOTOX, Dysport and Xeomin, have transformed the facial rejuvenation market for those seeking wrinkle treatment without undergoing surgery. These products (known as neurotoxins) decrease the visual appearance of fine lines and wrinkles in areas on the face that show expression, such as the forehead and around the eyes. Once injected, the medication causes the underlying muscles to relax, which creates a smooth appearance on the surface. While each brand essentially does the same thing and produced a similar result, they work differently for different people. During the consultation with San Antonio Surgeon Dr. Michael Decherd, each product can be discussed so that the right one is chosen to meet your aesthetic goal.
What They Treat
- Forehead lines and wrinkles
- Vertical frown lines between the brows (glabella)
- Crow's feet
- Medical issues such as excessive sweating (known as hypodryphosis)
"First Class! I highly recommend Dr. Decherd and his staff! I was referred to Dr. Decherd by a friend who had a breast augmentation. She was very pleased with the results, I am three weeks out from a tummy tuck, breast lift, and liposuction, and I feel great. Everything went very smoothly. He was very upfront and informative about the procedure and I knew exactly what to expect. He and His staff are very 'down to earth' and I felt very comfortable. All of the ladies at the front desk are very nice and welcoming. His nurse is also top notch. She has been very helpful! I am so excited about my results! It looks great! He did an awesome job!"- T.S. / Google / Oct 16, 2015
"I would highly recommend Dr. Decherd!! He is a true professional. He has a warm, open and very welcoming practice. His entire staff is amazing. I had a great experience and am very pleased with my results!"- S.B. / Google / May 09, 2018
"Great experience with Dr Decherd. I consulted for 3 years around the city until finally deciding on him. I am so glad I did! From the very first moment you walk in, the staff is incredibly welcoming. They make you feel very comfortable. Questions are welcomed and they don't make you feel silly for asking anything (like other drs might). I am 2 months post op and I am SO HAPPY with my results. He is amazing. I couldn't be happier with my results. Thank you, Dr. Decherd and staff!!"- M.C. / Google / May 08, 2018
"I have nothing but lovely things to say about this practice! I came to Dr. Decherd in 2016 for a breast augmentation and lift and have been very happy with my results. I had a great experience from the start - he has a great staff to greet you at the front and the overall ambiance of the office is very welcoming. I really appreciated how Dr. Decherd explained the procedure to me by physically drawing out and diagramming the technicalities of the surgery. He put me at ease and really listened to what I was hoping to achieve from the procedure. He makes a great effort to make sure you are pleased with your results. His nurse, Heather, is awesome! She was great to have by my side and is very knowledgeable. Heather is Dr. Decherd's icing on the cake of this wonderful practice. I highly recommend this practice!"- C.L. / Google / Apr 25, 2018
"I'm so blessed i found Dr. Decherd. I had a full mommy makeover, upper arm lipo, and back lift. I've been working with him for almost 2 years now and it's been ups and downs with scar revisions, etc. However Dr. Decherd and his staff have always been there for me and helped me get through it all. He stood by his word and fixed some of the scars and common revisions needed after major plastic surgery. I'm so thankful for everything he's done. I highly recommend doing a consult with him before choosing your plastic surgeon. I saw over eight local plastic surgeons in san antonio and i found Dr. Decherd prices and professionalism won above all the Drs i saw. I did a lot of research before choosing and I have no regrets at all choosing Dr. Decherd. Two of my friends i recommended him to also had excellent outcomes. They both went to Dr Decherd on my recommendation and came out with excellent outcomes. One had a facelift and she experienced some medical complications but Dr Decherd and his staff stepped in and took immediate care of her. My friend had no issues using the cosmetic insurance Dr Decherd offers all his patients to cover the $costs for the medical complications that came up. I personally didn't have to use that cosmetic insurance but i recommend everyone get it. I think its called CosmetAssure. My other friend had a breast augmentation and her work looks amazing. No complications and happy overall. Big thank you to him and his staff."- C.A. / Google / Apr 09, 2018
- FDA approved in 2002
- Medication: Onobotulinum toxin A
- Expected results: On average, within 5-7 days
- FDA approved in 2009
- Medication: Abobotulinum toxin A
- Expected results: Results with this relaxer usually show the soonest, within 2-3 days
- FDA approved in 2010
- Medication: Incobotulinum toxin A
- Expected results: On average, within 7-10 days
Administering Wrinkle Relaxers
Wrinkle relaxers are medical-grade toxins derived through an FDA-approved and safe process that is administered through a syringe during an in-office appointment. During the appointment, which takes place in-office, typically within 30 minutes, the practitioner will mark the areas where the drug will be injected. The depth, length, quantity and location of wrinkles vary for each patient. Therefore, the injection treatment, including the dosage and injection location, is tailored during the procedure. The result is a localized reduction of the muscle activity in the injected area.
What to Expect
During this procedure, patients generally do not feel anything other than a small prick. Any discomfort is controlled with a cold compress. Immediately following a series of injections, there will be some mild swelling and redness at the injection sites. This will subside a few hours after the procedure. Patients can resume their normal activities immediately, but exercise should be avoided for a few hours. It is also recommended that patients keep their heads elevated for the first 8-10 hours. Results following a wrinkle relaxer treatment will not be immediate. Depending on the product used, the results will show themselves over the course of 2-10 days days and can last up to 3-4 months. The result is skin that appears smooth with a significant decrease in wrinkles and lines.
The cost for a wrinkle relaxer treatment will vary depending on how much of the medication is used (the number of units/syringes). Most practices charge $350 for one full syringe of product. A treatment session typically takes 1-3 syringes. Therefore, the cost can range between $350-$700 per session (or more). The cost is similar among all brands.
Plan Your Procedure
- Average Cost
- $350 - $700
- Recovery Time
- 2 Hours
- Average Procedure Time
- 30 Minutes
- Post-op Follow-up
- Not Applicable
- Procedure Recovery Location
Wrinkle Relaxer FAQ’s
Is BOTOX the Best?
All of the wrinkle relaxer treatments on the market today serve a specific purpose, and each do it well depending on the patient and their precise needs. With that said, BOTOX continues to be the gold standard wrinkle relaxer treatment and leads the market with more than 6.1 million BOTOX injections given in 2012. It’s common for practitioners to use more than one product in a session. For example, some patients react better to BOTOX to treat forehead lines, and Dysport to treat Crow’s feet.
Is it Safe?
Each wrinkle relaxer treatment on the market today, including BOTOX, Dysport and Xeomin, are all FDA approved and have a record of safety and effectiveness. Individuals will react slightly different to each drug and an experienced injector professional will understand which one to recommended and why. Individuals who receive injections by someone inexperienced run the added risk of bruising, over medicating and ultimately, obtaining an undesirable result.
Relaxer or Filler?
Injectable fillers such as Perlane, Restylane and Juvederm help decrease wrinkles by adding volume under the skin. This helps to diminish fine lines and wrinkles on the surface, as well as add a plumper effect to hollow areas. A skilled practitioner will be able to determine if a filler material or a product like BOTOX would garner the best results. However, the latest rage today is the “liquid facelift”, which combines a blend of a filler and a relaxer, with other skin rejuvenation procedures, such as a chemical peel, to obtain beautiful results without having to undergo surgery.
Individuals who wish to soften and decrease facial lines and wrinkles may be candidates for a wrinkle relaxer treatment. The most common age to receive these types of injections is between 30-55 (and older). Some young adults, as early as in their late 20’s, will choose to receive treatment as a preventative measure versus a rejuvenation effort.
Wrinkle relaxers are a temporary fix. Results will last between 3-4 months. It is very common for patients to return for their treatments every year, on schedule (with great excitement), so that they can continue to maintain their gorgeous results year-round.