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 got a breast augmentation and wow he did an awesome job! Perfect size and they look natural as well."- A. / Healthgrades / Feb 12, 2020
"Dr. Descherd and his team were amazing. I went in for a tummy tuck, complicated by a very large hernia and abdominal separation. I couldn’t be more pleased with my results! For 15 years I lived with no core strength; I couldn’t even balance on one foot to get dressed in the morning. Now, I am taking control of my body and my life, and I wouldn’t have been able to without Dr. Descherd! I feel phenomenal. He and his staff were friendly, knowledgeable, and accommodating. 10/10 would do again!"- B.K. / Google / Feb 09, 2020
"I am very happy with Dr. Decherd, his staff, and my final results. I had rhinoplasty surgery 13 months ago. I spent 2 years researching and deciding if I wanted to go through with the procedure. I flew to Houston and San Antonio to meet with Doctors, and spoke with others in Dallas. Needless to say...I was going to be a high maintenance client. I went to see Dr. Decherd for the first time about something completely unrelated. After leaving his office and processing my experience with him and his staff (Heather in particular), I made another appointment to discuss rhinoplasty. After I made the decision to move forward, I met with Dr. Decherd three additional times. Each time I had a full page of questions for him. He answered all of my questions and I did not feel rushed. I was nervous and kind of embarrassed to ask some of my questions but I asked anyway because I didn't want to leave any questions un answered. He never made me feel dumb for asking the questions and he took every question I had seriously. This is something that was VERY important to me. I felt more comfortable every time I left his office. Every time I met with Dr. Decherd he always had another female present in the room. I thought this was very professional. The day of surgery went very smoothly. I was really happy with the private surgical facility. Very clean, private, and comfortable. Fast forwarding to the present...it takes 12-18 months to see the final results from a rhinoplasty procedure. That is why I'm writing this review 13 months later. Before my surgery I was uncomfortable taking pictures, I felt bad/sad when I looked in the mirror, and I had pain from the injury which cased my problem in the first place. Today, I look in the mirror and have the opposite thoughts. I LOVE my nose. I am very happy and appreciative of the attention, patience, and kindness Dr. Decherd and his staff has shown me. Thank you!!"- A.T. / Google / Jan 31, 2020
"Dr. Decherd is very knowledgeable, nice and caters to all your needs. Very happy and loving my results! My procedure was great I had no complications and he answered all my questions. Staff is also very quick to answer any after hour question."- M.G. / Google / Jan 28, 2020
- 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.