Botox Alternatives

Other Injection Treatments
Dysport® (abobotulinumtoxinA), a medication quite similar to Botox, can be used as an alternative to Botox. Both Botox and Dysport contain botulinum toxin type A.
Filling agents are sometimes used as a Botox alternative. These are substances (often collagen or fat) that are injected to physically plump up the area under the line or wrinkle.
Although direct comparisons are not possible, it appears that some of these filler injections may last slightly longer than Botox. Some people may prefer filler injections to Botox, since filler injections do not affect muscles or nerves as Botox does, but filler injections also have side effects (such as occasional scarring or inflammatory reactions).
The different types of commercial fillers available include:
  • Juvederm®
  • Sculptra®
  • Radiesse®
  • Restylane®
  • Zyderm®
  • Zyplast®
  • CosmoDerm®
  • CosmoPlast®.
Creams, Lotions, and Serums
Undoubtedly, most people considering Botox have already tried numerous wrinkle creams, serums, or other types of products. These products usually offer temporary improvement by hydrating the skin. However, significant long-term positive results are less likely.
There is one prescription cream that may significantly help improve the appearance of wrinkles -- tretinoin (Retin-A®, Renova®). However, tretinoin can cause redness and irritation of the skin, and may not be safe for use during pregnancy due to the possible risks of birth defects.

Final Thoughts on Botox Alternatives

While numerous treatments and products may be considered alternatives to Botox, there are no other products that work similarly to Botox. The drug is FDA-approved (unlike many other treatments) and has been used safely and successfully for many years. However, there are many situations in which alternatives may be preferred.

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Last reviewed by: Kristi Monson, PharmD
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