BOTOX® Cosmetic and the Alternatives

A number of creams and lotions have appeared on the market recently claiming to take the place of injectable treatments such as BOTOX Cosmetic. The advertisements say these creams – some of which are even touted as being “natural” – can erase lines and wrinkles without injections.

Several patients have asked me what I think of these claims and why I think BOTOX is better than the over-the-counter creams. Despite the appeal of these so-called “BOTOX alternatives,” I will continue to recommend BOTOX for my San Jose area and Palo Alto patients, and here’s why:

  • Value. Some people may think that they’re saving money by using a topical cream rather than BOTOX. Granted, the price of one jar of cream may be less than one BOTOX treatment. However, with one BOTOX treatment you are getting several months of maintenance-free, proven results. With a daily cream, the price goes up and up with every jar you buy, and any results you see will be superficial at best.
  • Precision. BOTOX goes under the skin to address the problem at its source. BOTOX can pinpoint the exact location of the muscle contraction that is causing a particular wrinkle or crease. By contrast, with a topical cream the results are limited to the surface of the skin.
  • Quick Results. BOTOX users see results in 5 to 7 days, and those results can last 3 to 4 months before any additional treatment is needed. Creams must be applied daily, and whatever improvement is achieved may take weeks – or even months – to become visible.

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