Cosmetics

Botox, Dysport, Jeuveau, Xeomin, Fillers, and Sculptra - What's the Difference?

Patients still ask us about Botox in Spokane, Dysport, Jeuveau, Xeomin, dermal fillers, Sculptra, and even “liquid facelift” options.

They’re common, effective tools. But they’re just that, tools. At Clinic 5C, our double board–certified cosmetic surgeons use these treatments selectively, in service of facial harmony, longevity, and natural results.

This guide breaks down what each option does, where they shine, where they fall short, and when we might steer you toward more definitive procedures.

Treatment	What it is	Best for	Onset	Typical duration	Limits
Botox® (onabotulinumtoxinA)	Neuromodulator that relaxes wrinkle-forming muscles	Forehead lines, frown lines, crow’s feet	3–7 days	3–4 months	Doesn’t lift tissue or add volume
Dysport® (abobotulinumtoxinA)	Neuromodulator, similar to Botox	Dynamic lines; alternative when Botox response fades	2–3 days	3–4 months	Doesn’t address skin quality or volume loss
Jeuveau® (prabotulinumtoxinA-xvfs)	Neuromodulator for cosmetic use	Glabellar lines and other expression lines	3–5 days	3–4 months	Cosmetic-only indications; no lifting effect
Xeomin® (incobotulinumtoxinA)	“Clean” neuromodulator without accessory proteins	Expression lines; option for patients sensitive to additives	3–5 days	3–4 months	No impact on sagging or deflation
Hyaluronic Acid Fillers	Gel that restores volume and refines contour	Lips, folds, jawline, cheeks*	Immediate	6–12+ months	Can’t fix significant laxity; must be placed artfully
Biostimulatory Fillers (Sculptra®, Radiesse®)	Stimulate collagen for gradual, structural improvement	Global facial support, temples, cheeks, jawline**	6–12 weeks	Up to 2+ years	Not for rapid spot-correction; requires a plan

*Cheek/tear trough work benefits from surgical judgment. **We use Sculptra thoughtfully to support, not overfill.

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Botox, Dysport, Jeuveau, and Xeomin: “Wrinkle relaxers” 101

These are neuromodulators. They soften dynamic wrinkles caused by repeated expressions, think frown lines, crow’s feet, and horizontal forehead lines.

Results appear in a few days and last about three to four months.

Where they shine

Smoothing expressive lines without surgery
Softening a “tired” or “tense” look
Strategic balancing of eyebrow movement when used by expert injectors

Where they fall short

They do not lift tissues, correct jowls, or replace lost volume
Overuse can look flat or unnatural

The Clinic 5C approach
We dose conservatively and precisely for natural movement, then pair with better-matched solutions when the real issue is laxity, descent, or deflation.

Dermal Fillers in Spokane: Hyaluronic acid vs. biostimulators

Hyaluronic acid (HA) fillers give immediate volume and contour.

They’re great for lips, folds, and contour refinement when used artfully and sparingly.

‍Sculptra (poly-L-lactic acid) and other biostimulators work gradually by stimulating your own collagen, improving framework and support with very natural, long-lasting changes.

Where they shine

HA: Instant refinement for lips and folds, reversible when needed
Sculptra: Subtle, global support that ages gracefully and avoids the “overfilled” look

Where they fall short

Fillers don’t replace surgical lifting when tissues are truly descended
Poor placement or overuse can distort natural proportions

The Clinic 5C approach
We favor anatomy-first planning. If fillers help reach a harmonious result, we’ll use them sparingly, but often alongside laser resurfacing, fat transfer, or surgical lifts for the most elegant outcome.

When necessary, we also perform ultrasound-guided filler dissolution to correct past overfilling.

“Liquid Facelift”: When is it the right choice?

A liquid facelift combines neuromodulators and fillers to simulate lift and refresh the face without surgery.

It can be a good option for early changes or event-driven timelines.

Good fit

Early jowling or midface deflation
Patients wanting a quick refresh with minimal downtime

Not ideal

Moderate to significant laxity, neck bands, or heavy jowls
Deep textural changes that need laser resurfacing or surgical repositioning

Better long-term alternatives

Deep Plane Facelift & Neck Lift for real repositioning
Midface Lift for lid–cheek harmony
Stem Cell Rich Fat Transfer for durable, soft volume
Laser Resurfacing (Optimized Laser Cocktail) for fine lines and skin quality

How Do Lip Fillers Compare to Other Injectables?

Just as Botox, Dysport, Jeuveau, and Xeomin each have subtle differences in formulation and effect, dermal fillers also come in many variations, and nowhere is that more evident than in lip augmentation.

At Clinic 5C in Spokane, we offer micro-structural lip fillers that rely on hyaluronic acid, a compound your body naturally produces to retain moisture and volume. These fillers can:

Add fullness to thin lips
Smooth vertical lip lines (sometimes called “smoker’s lines”)
Improve symmetry and correct creases or sagging
Provide subtle enhancement without surgery

A key distinction is that lip fillers are highly technique-sensitive.

Poorly placed filler often leads to dissatisfaction or unnatural results, which is why correctional lip augmentation makes up a significant part of our practice.

By contrast, neuromodulators (like Botox or Dysport) work by relaxing the muscles that create wrinkles, while collagen stimulators such as Sculptra gradually encourage your skin to rebuild its own structure.

While these non-surgical options can be effective, they are temporary by design.

For patients who want longer-lasting rejuvenation, Dr. Chesnut often recommends laser resurfacing, lip lifts, or surgical refinements that provide more natural, durable outcomes, all guided by our philosophy of elevated artistry.

How we decide what’s right for you

We’re not anti-injectable. We’re pro-outcome. Here’s our typical decision tree:

Is the line from motion or from descent/volume loss?
- Motion → consider neuromodulators
- Descent/deflation → consider lifting, fat transfer, or Sculptra
Is skin the issue?
- Texture, crepe, or etched-in lines → consider laser resurfacing and regenerative modalities
Is there prior overfilling?
- Start with ultrasound-guided filler dissolution, then rebuild thoughtfully
Are you seeking longevity and artistry?
- Surgical options often deliver the most natural, durable change with fewer maintenance visits

Why patients choose Clinic 5C in Spokane

Surgeon-led planning and artistry. Treatments in service of facial harmony, not trends
Advanced options when injectables are not enough: EnigmaLift facelifts and eyelids, LoveLift lip lift, neck contouring, midface lift, fat transfer, laser resurfacing
Regenerative recovery. Hyperbaric oxygen, LED therapy, targeted nutrition for faster healing and better results
Safety + reversibility. Precise dosing, ultrasound guidance, and hyaluronidase expertise when needed