Injectable Neurotoxins
Botox is available at SpaGo MedSpa.
Dysport is popular among patients who don't respond to Botox. It's available at SpaGo MedSpa.
Xeomin is a great Botox alternative at SpaGo MedSpa


Botox® (onabotulinumtoxin A) is a leading treatment for erasing and softening wrinkles and frown lines. Botox® can be used to effectively improve the appearance of wrinkles and expression lines in a matter of weeks.

In addition, Botox® can be used for excessive sweating of the underarms or feet with the effects of treatments lasting up to 12 months.

Botox® is a protein that relaxes underlying muscles. Botox® works by blocking impulses from the nerves to the muscles that create expression lines.

Botox® injections have been used safely and effectively for over 10 years in treating many ophthamological and neurological disorders, and more recently have been used to treat migraine headaches. Botox® is approved by the FDA as a safe and effective treatment for wrinkles and expression lines, but cannot immediately improve wrinkles due to aging and sun-damaged skin as it is not a filler.  Over time, however, some of these wrinkles may resolve.


After carefully evaluating your concerns, the procedure including possible side effects will be discussed.  Dr. Mascia will then provide a consent form and inject a small amount of Botox® precisely into specific locations in the face, neck and/or lips through a tiny needle. The pain is minimal, and only a small amount of Botox® is required. You can resume normal activities immediately, but the muscle must be used actively in the first hour to maximize the effect. Temporary bruising is the most common side effect, which can easily be covered with makeup. See other potential side effects below.


Botox® smooths out expression lines, giving your face a more youthful and calm appearance. The effects of Botox® may be visible in 5 to 7 days. Maximum benefits are reached between 10 to 14 days.  Dr. Mascia tries to adjust the dose so that you achieve maximal outcomes with the least amount of neurotoxin, saving you money while maintaining natural results. 

After treatment, the skin remains smooth and unwrinkled. The untreated facial muscles contract as usual, allowing your normal facial expression to be unaffected.

Dr. Mascia often asks for a brief follow up in 2 weeks to assess her treatment results.

The effects of Botox® usually lasts 4 to 6 months and then fade gradually. You will need to follow-up with treatments 2 to 3 times a year. Clinical studies show longer lasting effects after receiving multiple treatments over time.  

Dysport® is an FDA-approved prescription injection (since April 2009 in the U.S.) that improves the appearance of moderate to severe frown lines between the eyebrows (glabellar lines).  Dysport® has been steadily gaining in popularity around the world and is now sold for aesthetic use in 36 countries.  Dysport® temporarily relaxes the facial muscles by blocking the nerve signals that cause the muscles to contract similar to Botox®.  Studies suggest that Dysport® has a more rapid onset and lasts longer than other neurotoxins, making it a favorite among many.


XEOMIN® is another FDA approved neurotoxin made through a unique precision manufacturing process that isolates the therapeutic component of the molecule and removes the accessory proteins that don't play an active role in treatment. XEOMIN® is a highly purified neurotoxin. Studies have not been performed to determine whether the presence or absence of accessory proteins has a long-term effect on safety or efficacy. However, some people find it helpful to try XEOMIN® when they have less than desired effects with other neurotoxins.  It seems to be a little less expensive when compared to Botox® and offers Visa Reward cards that may be applied to treatment.

Side Effects Of Injectable Neurotoxin

Side effects of injectable neurotoxins are usually mild and temporary, and normal activities may be resumed immediately after receiving injections. Injection-site side effects include the following:

  • Headache

  • Pain

  • Infection

  • Inflammation

  • Tenderness

  • Swelling

  • Redness

  • Bleeding

  • Bruising​

Eyelids can droop when neurotoxin injections are made in the glabellar region; they usually return to normal within 3 weeks. Side effects of Dysport® injectable are the same as those of Botox® Cosmetic.  Unfortunately, not everyone responds the same way to neurotoxin treatment.  Therefore, results may vary.