BOTOX® Cosmetic and Dysport®

Dr. John Vartanian, board-certified facial plastic surgeon, offers BOTOX® Cosmetic, Dysport®, and Xeomin® to safely and effectively improve the signs of fine lines and wrinkles for a more youthful and refreshed appearance. BOTOX® Cosmetic, Dysport®, and Xeomin® work by weakening muscles that cause or worsen certain wrinkles or “dynamic lines”. BOTOX® Cosmetic, Dysport®, and Xeomin® are identical in their uses and effects, but are marketed by different companies and have slight differences in their protein structure. Despite common preventative measures against facial aging (like skin creams, healthy lifestyle, sun avoidance), the eventual effects of certain facial muscle movements can bring about permanent lines and wrinkles. Fine lines and wrinkles can develop over the years from repetitive smiling, squinting, sun exposure, and the natural aging process. BOTOX® Cosmetic, Dysport®, and Xeomin® are non-surgical treatments that can both reverse existing signs of aging and serve as an important preventative treatment against future wrinkles. BOTOX® Cosmetic, Dysport®, and Xeomin® treatments today can delay and even eliminate more involved anti-aging treatments tomorrow. They are excellent examples of “an ounce prevention being worth a pound of cure”.

For more information, or to schedule a consultation with Dr. John Vartanian, please contact us today.

Benefits of BOTOX® Cosmetic

BOTOX® injections relax muscles in targeted areas on the face, resulting in the decrease or disappearance of minor creases, crow’s feet, and fine lines. BOTOX® Cosmetic injections are generally fast-acting and require little to no downtime. Dr. Vartanian’s injection technique combined with icing techniques and strong skin numbing creams can further enhance a relaxed treatment process with almost no pain for most patients. Many patients who have previously received BOTOX® Cosmetic elsewhere are pleasantly surprised at Dr. Vartanian’s “light hand” and often painless injection technique that is used in our office. Dr. Vartanian is an expert in BOTOX® Cosmetic and has authored medical publications on the treatment, including two important scientific review articles on the great safety profile of BOTOX® Cosmetic and its proper injection techniques.

Dr. Vartanian uses a number of advanced methods for injecting BOTOX® Cosmetic. With his approach, the entire face is analyzed and treatments are customized to the patient’s needs and requests. Natural beauty can be maximized, while the “fake” and “over-treated look” is avoided. Dr. Vartanian’s three-dimensional injection method is designed to produce the safest procedure and most natural-looking results. Besides getting rid of lines, Dr. Vartanian can use BOTOX® Cosmetic, Dysport®, and Xeomin® to elevate your brows and improve other facial features. BOTOX® Cosmetic can also be used to reduce certain neck lines, decrease wrinkling in the chin pad area, reduce fine lines around the lips, soften jaw angle fullness, and other creative applications. With his knowledge, experience, and personalized technique, Dr. Vartanian can use BOTOX® injections to help you rejuvenate your facial appearance and achieve your aesthetic improvement goals – and still look natural!

Patient Results


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3-D BOTOX® Cosmetic and Mini-BOTOX® Cosmetic

Dr. Vartanian’s “3-dimensional BOTOX® injection” is an advanced way to improve on traditional BOTOX® injections. As a facial plastic surgeon, Dr. Vartanian uses his in-depth, three-dimensional knowledge of the face to inject at different levels for maximal BOTOX® Cosmetic effectiveness. This method of injecting BOTOX® Cosmetic can result in superior, customized effects. Dr. Vartanian explains, “Injecting BOTOX® Cosmetic is not like throwing darts at a predetermined location as described in some manual. Rather, it is a careful process and an art of precision injection of specific muscles to allow for selective treatment of the muscles causing wrinkles.” Dr. Vartanian’s BOTOX® injection techniques minimize the risk for bruising, over-treatment, and other possible complications – like an unnatural look.

For some patients who wish retain most of their normal facial animation (like actors, expressive individuals), Dr. Vartanian can perform his Mini-BOTOX® injections, in which reduced doses of the solution are used for milder results that are anti-aging, yet leave most of the facial expression intact. Mini-BOTOX® injections can also be a nice first step for individuals just being introduced to this treatment and others like it.

BOTOX® for Non-cosmetic Uses

Dr. Vartanian is also experienced in the non-cosmetic application of BOTOX®, such as for migraine headaches, hyperhidrosis (excessive sweating), and TMJ Disorder issues, to name a few.

BOTOX for Migraines

BOTOX® has been shown to be quite effective for treating certain migraine headaches. When administered correctly, BOTOX® can actually prevent the onset of many migraine headaches and reduce the number and severity of attacks – all without the side effects of typical migraine medicines. Dr. Vartanian knows the various trigger points and injection locations for migraine sufferers. For many of our patients, BOTOX® has been a miracle drug for alleviating their migraines.

BOTOX® for Hyperhydrosis

BOTOX® can be used to decrease excessive sweating (hyperhidrosis) in the forehead, armpits, palms, soles, and other areas. In patients with hyperhidrosis, overactive sweat glands and sweating can become a social handicap and a source of embarrassment. BOTOX® can temporarily reduce or eliminate the ability of sweat glands to sweat. Dr. Vartanian knows the proper dosage and injection depth for various hyperhidrosis treatments.

BOTOX® can also be effective for reducing bruxism (teeth grinding) and other temporomandibular joint (TMJ) strain problems that can occur in some patients.

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Dysport® works in very much the same way as BOTOX® Cosmetic and offers many of the same advantages. Like BOTOX® Cosmetic, this injectable treatment temporarily prevents facial muscles from contracting, hence improving signs of wrinkles in the treatment areas. With Dysport® injections, signs of wrinkles and fine lines can be significantly reduced for a smoother, more youthful appearance. Like BOTOX® Cosmetic, Dysport® treatments take only minutes to complete, and there is usually no downtime required for a great majority of patients. Dr. Vartanian injects Dysport® following the same 3-D BOTOX® Cosmetic principles and proven techniques. Results can last for up to 3-4 months (anecdotally, somewhat longer than BOTOX® Cosmetic), and can be maintained with follow-up treatments. For all practical purposes, BOTOX® Cosmetic and Dypsort® work the same way, with some patients preferring one or the other based on their own experiences. Dr. Vartanian was one of the investigators in the FDA studies leading to the approval of Dysport® for cosmetic use in the US. As such, Dr. Vartanian has had longer, and much more in-depth experience with Dysport® and its benefits than many other practitioners.

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XEOMIN® (incobotulinumtoxinA) is another medicine used to weaken facial muscles that cause or worsen wrinkles, and it is used just like BOTOX® Cosmetic and Dysport®. XEOMIN®’s duration of action and longevity seem to be just like BOTOX® Cosmetic. It’s active protein is smaller and less complex than that of BOTOX® Cosmetic or Dysport®. XEOMIN® offers patients an excellent alternative to BOTOX® Cosmetic or Dysport® and typically lasts about three months. The injection technique and experience is identical to BOTOX® Cosmetic.

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BOTOX® Cosmetic, Dysport®, and XEOMIN® Recovery and Results

There will typically be no downtime necessary following your BOTOX® Cosmetic, Dysport®, or XEOMIN® injection procedure. Due to Dr. Vartanian’s great experience and technical precision, post-treatment complications such as the risk of bruising and over-treatment are almost eliminated. Optimal results most commonly appear within five days of your treatment, although deeper wrinkles may take longer to disappear and may need skin fillers or other additional treatments. The aesthetic benefits generally last (for most patients) an average of three to four months, and can be maintained with follow-up treatments.


start-quoteDr. Vartanian is a very peasant, sensitive, and compassionate doctor.  When I went to see him, he took his time and sat with me and listened to my concerns.  He made suggestions and explained his reasonings in a way that I’d understand clearly.  I decided to go with botox, and it has been among one of the best things I have done for myself!  It looked extremely nice, and it has lasted quite a while!  I had no negative side effects as I did with a past experience elsewhere.


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What to Expect with BOTOX® Cosmetic, Dysport®, and XEOMIN® Injections

  • How long will the procedure last? About 5-10 minutes.
  • What is recovery like? There is typically no downtime associated with BOTOX® Cosmetic, Dysport®, and XEOMIN® treatments and you can expect to immediately return to your normal daily activities.
  • How long do results last? Results are often apparent for an average of three months. Dr. Vartanian uses a more concentrated dosage of BOTOX® Cosmetic, Dysport®, or XEOMIN® in an attempt to deliver longer-lasting results for his patients. So, while the average longevity of BOTOX® Cosmetic, Dysport®, and XEOMIN® is often quoted to be around 3-months, we have many patients who enjoy results of much longer duration due to Dr. Vartanian’s injection technique and dosage. For best long-term results, a regular treatment schedule is recommended.

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Schedule Your Consultation

For more information on BOTOX® Cosmetic, Dysport®, XEOMIN® and Dr. Vartanian’s injection techniques, and for specific recommendations, please contact Dr. Vartanian’s office. Our staff will be happy to answer any of your questions, or help you schedule a one-on-one consultation with Dr. Vartanian.