We are continuing our conversation about Botox with Meghan, my aesthetics nurse. Is all Botox the same? Actually, they can vary in some ways. If you don't feel ecstatic about the results a few weeks later, you can experiment with different types of neuromodulators. For example, instead of the Botox brand name you can try Dysport, Daxxify, Xeomin, and more.

If your treatment is going well and you're happy with it, you don't need to change anything. Typically, injectors don't carry all the different brands. The dosing discussion can be challenging for patients and injectors, so it's important to take into account the person's response and their risk for sensitivity.

Younger women and men are seeking Botox, and it's important to note the frequency of their treatments. Patients who are injected more often (usually with smaller doses) are more likely to build up antibodies to the treatment. Those who want to use Botox with longevity should focus on getting treatments less often at the dose required to see results.

All patients should be educated on what overtreating with Botox looks like. The goal is not for you to feel or look frozen; it's to smooth wrinkles and add lift and balance. You always want to preserve some facial expression.

If you're looking to address static wrinkles, that's where lasers and peels come in. Resurfacing layers can help smooth wrinkles that appear at rest. Botox doesn't address pigmentation, pore size, or hydration—but these are all things layers and/or peels can help with.

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