The Neurotoxin Question I Get Asked Every Single Day
Every new patient asks some version of this. "Should I do Botox or Dysport? What about Daxxify? Which one is actually the best?"
Honestly, it's a great question. Because the answer tells you a lot about how your provider thinks.
Here's what I tell them.
All five FDA-approved neurotoxins work. They're all botulinum toxin type A. They all relax the muscle. In the right hands, they all get results. The real differences between them (onset, spread, duration) are real but nuanced. Most patients wouldn't be able to tell which one they received if you swapped them.
At ParlourRx, we carry Botox and Dysport. Not because the others don't work, but because we know these two inside and out. I can tell you exactly how Dysport moves in a forehead, exactly how Botox behaves around the eyes, and exactly what to expect at two weeks. That predictability isn't an accident. It comes from doing thousands of treatments with the same products until there's no guessing left.
The brands we don't carry aren't inferior. They're just not what we've built our precision around.
Daxxify is the one that comes up most. It was marketed heavily as lasting six months, which is what clinical trials showed under specific conditions on glabellar lines. Real-world results are more variable. Many patients find the duration lands closer to standard Botox than the ads suggest. When the main selling point is longevity and the data doesn't consistently hold up in practice, it's a hard thing to recommend with confidence. So we don't.
What actually matters when choosing a neurotoxin isn't the brand. It's whether your provider knows it cold.
Ask them how many units they typically use, where they place them, and how they adjust for individual anatomy. That answer will tell you more than any product name ever will.
If you're curious whether Botox or Dysport is the better fit for you specifically, that's exactly what your consultation is for.
Book a consultation at ParlourRx — San Francisco and Sausalito.
