(By Dr. Swati Aggarwal)

This is where most patients feel confused—and honestly, I understand why. Many clinics oversimplify Botox. Patients usually come to me thinking Botox is just one single product. It isn’t. Botox injections come in different brands and formulations, and while they all work by relaxing muscles, each behaves slightly differently inside the body.

I’ve seen patients panic after Googling brand names they’ve never heard of. During consultations, my role is to cut through that confusion and explain Botox injections the way they actually work in real clinical practice—not in marketing terms.

I’m Dr. Swati Aggarwal, a medical aesthetician with over 10 years of hands-on experience in facial aesthetics. My work involves understanding facial anatomy, muscle dynamics, and how different Botox formulations interact with Indian facial structures. Choosing the right type of Botox injection is never random—it’s always personalised.

Botox injections Type 1: Botox® (Original Botox)

This is the original formulation most people refer to when they say “Botox injections”. It’s the most researched and widely used option globally and in India.

I usually recommend this for first-time patients because the results are predictable, controlled, and subtle. In my clinical experience, it works very well for forehead lines, frown lines between the eyebrows, and crow’s feet.

Duration: 3–5 months
Typical cost in India: ₹350–₹600 per unit
Best for: Beginners and patients who want conservative, natural-looking results

If Botox injections were a car, this would be the reliable sedan—steady, safe, and dependable.

Botox injections Type 2: Dysport

Dysport acts a little faster and spreads more than regular Botox injections. Because of this property, some doctors prefer it for larger treatment areas like the forehead.

I’ve found Dysport particularly useful for patients with stronger facial muscles—often male patients or those with very expressive faces. However, precision is critical. In inexperienced hands, excessive spread can affect nearby muscles.Duration: 3–4 months
Cost: Slightly cheaper per unit, but more units are usually required
Best for: Broad forehead lines and strong muscle activity

Botox injections Type 3: Xeomin (The “Clean” Botox)

Xeomin is often referred to as a “clean” Botox because it doesn’t contain complex accessory proteins. This becomes relevant for patients who have been receiving Botox injections regularly for many years.

Some patients gradually develop reduced responsiveness to certain formulations. Xeomin helps lower that risk.

I usually suggest Xeomin to long-term Botox users who feel their results are not lasting as long as before.Duration: 3–4 months
Cost: Comparable to original Botox
Best for: Regular users and resistance prevention

Botox injections Type 4: Nabota (Growing Fast in India)

Nabota is becoming increasingly popular in Indian metro cities such as Mumbai and Bangalore. It is FDA-approved and known for its faster onset of action.

Many patients report seeing visible results within 2–3 days instead of waiting a full week. This can be helpful when Botox injections are planned close to an event, though technique and correct dosing remain far more important than speed.

Duration: 3–4 months
Cost: Slightly more affordable
Best for: Patients seeking quicker visible results

Medical vs Cosmetic Botox Injections: A Key Difference

One important thing I always clarify—Botox injections are not only cosmetic.

In India, Botox is also used medically for:
Jaw clenching and teeth grinding
Chronic migraines
Excessive sweating (especially underarms)
Neck muscle spasms

The dose, depth, and injection technique are completely different. Cosmetic Botox injections focus on softening muscle movement for aesthetic balance, while medical Botox targets nerve signals for symptom relief.

These two should never be assumed to be interchangeable

Baby Botox: A Technique, Not a Product

Baby Botox is not a separate type of Botox injection. It is simply a low-dose technique.

I often recommend this approach to patients in their late 20s or early 30s who want prevention rather than correction. Smaller doses, softer muscle relaxation, and very natural movement.

I usually explain it this way: it’s speed control, not a full brake.

How I Choose the Right Botox Type for My Patients

I don’t select Botox injections based on brand popularity. My decision is based on:
Muscle strength and facial movement
Facial symmetry
Age and skin quality
Lifestyle factors like gym routines, stress, and sun exposure

I’ve seen excellent results with modest formulations and disappointing outcomes with premium brands—purely because technique and assessment matter more than the label.

The brand matters. The injector matters more.

Are All Botox Injections Priced the Same?

No—and they shouldn’t be.

Approved Botox injections in delhi are imported, temperature-sensitive, and tightly regulated. If pricing sounds unrealistically low, patients should ask questions.

In most Indian cities, realistic pricing usually falls within:
Single area: ₹8,000–₹15,000
Three areas: ₹18,000–₹30,000

Anything significantly cheaper often indicates compromised quality or improper dosing.

Botox vs Dysport vs Xeomin vs Nabota: Simple Comparison Table

(Explained the way I explain it to my patients)

Factor	Botox® (Original)	Dysport	Xeomin	Nabota
Type	Botulinum toxin type A	Botulinum toxin type A	Botulinum toxin type A (purified)	Botulinum toxin type A
Most Known For	Predictable, controlled results	Faster spread over larger areas	“Clean” formulation	Faster visible onset
Spread in Muscle	Localised, precise	Wider spread	Localised, controlled	Moderate spread
Onset of Results	3–5 days	2–4 days	3–5 days	2–3 days
Duration	3–5 months	3–4 months	3–4 months	3–4 months
Protein Content	Contains accessory proteins	Contains accessory proteins	No accessory proteins	Contains accessory proteins
Resistance Risk	Very low	Low	Lowest (ideal for long-term users)	Low
Best For	First-time users, subtle correction	Strong muscles, larger areas	Long-term Botox users	Quick results before events
Typical Cost in India	₹350–₹600 per unit	Slightly cheaper per unit	Similar to Botox	Slightly more affordable
My Clinical Preference	Beginners & conservative results	Strong expressive faces	Patients needing longevity	Time-sensitive treatments

How I Help Patients Choose (My Honest Clinical Approach)I don’t let patients choose Botox based on brand names alone. I look at how strongly your facial muscles move, how expressive your face is, and how natural you want the final result to look.For example:

A first-time patient usually does best with original BotoxSomeone with a very expressive forehead may benefit from DysportA long-term Botox user often responds better to XeominA patient with an upcoming wedding or event may choose Nabota

Same face, different needs. That’s why one Botox injection doesn’t suit everyone.

One Important Thing I Always Tell My Patients

The brand supports the result, but it does not create it.
The injector’s understanding of facial anatomy is what decides whether Botox looks natural or artificial.

A well-planned Botox treatment should never announce itself.
It should simply make you look rested, relaxed, and confident.

My Honest Advice Before Choosing a Botox Type

Don’t walk into a clinic asking for a brand name. Walk in asking for natural results.

A good doctor will assess your face, explain why a specific Botox injection suits you, and set realistic expectations. If that explanation feels rushed or unclear, it’s okay to pause and reconsider.When Botox is done correctly, it doesn’t create drama.
No shock. No frozen expressions.
Just a face that looks rested and wrinkles free —even after a long, stressful week.