Botox - Qual o melhor? Qual dura mais?

Summary

In this informative video, Dr. Fernanda Guerreiro, a dermatologist, delves into the differences between three popular botulinum toxin brands: Botox, Dysport, and Xeomin. She explains the history of Botox, its widespread use, and how newer alternatives aim to provide similar benefits. Dr. Guerreiro discusses key factors like protein content, diffusion patterns, and the potential for developing antibodies over time. She emphasizes the importance of consulting a physician to determine the best option based on individual needs, highlighting that all three brands are safe and effective for aesthetic treatments.

Takeaways

• 😀 Botox was the first botulinum toxin on the market and was originally used for medical purposes before being approved for cosmetic use in 2002.
• 😀 There are multiple botulinum toxin brands available in the market, but Botox, Dysport, and Xeomin are among the most established and commonly used in Brazil.
• 😀 The main difference between these botulinum toxins is the protein content, which affects the likelihood of developing antibodies after repeated use.
• 😀 Xeomin has the lowest protein content, which theoretically reduces the chance of forming antibodies compared to Botox and Dysport.
• 😀 Repeated Botox treatments can lead to reduced effectiveness in some patients due to the formation of antibodies, making them less responsive to the toxin over time.
• 😀 Dysport has a greater diffusion rate compared to Botox and Xeomin, which can make it less precise for small, targeted treatments like crow's feet or under-eye wrinkles.
• 😀 For patients seeking a more 'frozen' effect, Dysport might be preferred due to its wider diffusion, whereas Botox and Xeomin are better for precise, localized treatments.
• 😀 In clinical practice, Botox and Xeomin are often preferred when precise control is needed, as they have a lower diffusion rate, making them more suitable for small areas.
• 😀 Some patients report that Dysport's effects appear more rapidly, though the long-term effects of all three toxins are similar after two weeks.
• 😀 All three botulinum toxins (Botox, Dysport, and Xeomin) are approved by ANVISA and are considered safe and effective for cosmetic use, with slight differences based on patient needs and muscle characteristics.

Q & A

What is the main topic discussed in the video?

The video discusses the different types of botulinum toxins (commonly referred to as Botox), including their uses, differences, and considerations when choosing the best product for patients.

What are the three main botulinum toxin brands mentioned in the video?

The three main botulinum toxin brands mentioned are Botox, Dysport, and Xeomin.

What makes Botox unique compared to other botulinum toxins?

Botox was the first botulinum toxin to be launched commercially and is widely recognized. It was initially used for medical purposes and later approved for cosmetic use in 2002.

How does the protein content in botulinum toxins affect their use?

The protein content in botulinum toxins plays a role in how the body reacts to the toxin. Botox and Dysport have higher protein contents, while Xeomin has a lower protein content, which may reduce the likelihood of the body developing antibodies against the toxin over repeated use.

Why is the potential for developing antibodies against botulinum toxin a concern?

Repeated use of botulinum toxin can lead to the formation of antibodies, which may reduce the effectiveness of the toxin over time. This phenomenon is more likely with higher protein content products like Botox and Dysport.

What is the difference in diffusion between the botulinum toxin brands?

Botox and Xeomin tend to have a smaller diffusion area when injected, making them ideal for more precise applications. In contrast, Dysport has a larger diffusion area, which may lead to the toxin spreading to surrounding muscles.

For patients seeking a more natural look, which botulinum toxin would be preferable?

For a more natural, less 'frozen' look, Botox or Xeomin are preferred because they provide a more localized and precise effect, avoiding broader muscle spread.

Which botulinum toxin is recommended for patients who prefer a more 'frozen' or 'paralyzed' effect?

Dysport is often recommended for patients who want a stronger, more 'frozen' effect because it tends to diffuse more, leading to a greater overall muscle relaxation.

How does the duration of action compare between Botox, Dysport, and Xeomin?

The duration of action is typically similar between the three toxins after about two weeks. However, some patients report that Dysport seems to take effect more quickly, while Botox and Xeomin have more consistent onset times.

Why is Xeomin considered to have a lower chance of forming antibodies?

Xeomin contains less protein than Botox and Dysport, which theoretically reduces the risk of the body developing antibodies that might render the treatment less effective over time.

Are there any safety concerns when using Botox, Dysport, or Xeomin?

All three botulinum toxins are FDA-approved and considered safe. However, the risk of side effects, such as ptosis (drooping eyelids), may be higher with Dysport due to its larger diffusion area. Careful application by an experienced practitioner is essential to minimize such risks.