Botox · general

    Botox vs Dysport vs Xeomin: Honest 2026 Comparison

    All three are botulinum toxin type A. All three work. The differences are real but usually small — onset speed, spread, and per-unit cost. Here's the honest comparison.

    Onset

    Dysport kicks in fastest — most people notice change at day 2–3. Botox and Xeomin show effects starting day 3–5. Full results for all three at day 10–14.

    Duration

    All three last 3–4 months on average. Some patients report Xeomin lasting slightly less; some report Dysport lasting slightly longer. Individual variation matters more than brand.

    Spread

    Dysport diffuses more than Botox, which is helpful for large flat areas like the forehead but can be a drawback in precise areas like lip flip or crow's feet near the brow.

    Unit conversion

    Dysport units aren't equivalent to Botox units. 1 unit of Botox ≈ 2.5–3 units of Dysport. Compare total cost per area, not per unit.

    Cost

    Botox: $12–$18/unit. Dysport: $4–$7/unit (but ~3× the units). Xeomin: $10–$15/unit. Total per-area cost is roughly comparable across the three.

    FAQ

    Which is best for forehead lines?+

    Dysport's spread can give a smoother forehead in a single pass. Botox is more predictable in patients prone to brow drop.

    Which is best for a lip flip?+

    Botox or Xeomin — precise placement matters more than spread. Dysport is usually not preferred here.

    Can I switch between brands?+

    Yes. There's no medical reason to stick with one. Many patients alternate based on availability or pricing.

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