Botox®, Dysport® & Xeomin®

Botox®, Dysport® and Xeomin® are all different injectables called neurotoxins that are placed under the skin. They work as wrinkle removers by selectively weakening squeezing muscles, allowing the skin to relax and regain its former, wrinkle-free state.

“More people know about Botox® than know about Viagra®. It went from being something no one in their right mind would think about—a poison—to the most popular cosmetic procedure in the United States in a decade. Actors, presidential candidates and vice presidential candidates use it, though, not all of them admit it.”

– Allan Wulc, MD

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What is Botox?

Botox®, originally known as Oculinum, was initially used in FDA studies of patients that had facial eye muscle squeezing disorders. Dr. Allan Wulc took part in conducting the original clinical trials in the 1980’s. It was at that time he noticed the effect of Oculinum on wrinkles and spoke about it at an international meeting in the early 90s. Now Botox is a household word. The other neurotoxins that were more recently approved and are also used in our office. Dr. Wulc is a consultant to Allergan, Medicis and Merz and has trained physicians on his groundbreaking techniques.

Dr. Wulc, lead surgeon at W Cosmetic Surgery® of Philadelphia, has a unique injection technique, perfected during his 25 years using neuromodulators (such as Botox). This technique is employed by fewer than 1% of aesthetic physicians. Because of his expertise, Dr. Wulc has taught these methods to other physicians and has published his research and findings. Called the “nanodroplet” technique, small doses (much smaller doses than those used by other providers) are placed in multiple locations to selectively elevate certain facial muscles, lessen wrinkles and lift areas that are sagging.


We often see patients who are unhappy with their previous Botox® injections, whether it be at a medical spa, during a “Botox party”, or from another provider. Dr. Wulc can usually make a significant difference through attention to detail and our unique treatment approach.

How Botox Works

Botox®, Dysport®, and Xeomin® are all administered in the office. Before treatment, your facial expressions are observed along with areas of wrinkling.

Dr. Wulc uses a technique that he has developed and refined over the past 25 years. Most of our patients don’t require topical anesthesia (numbing cream) on the injection sites prior to the procedure because Dr. Wulc has several ways of making the injections minimally bothersome.

Patients undergo injections at several sites using a very fine needle.  Bruising from Botox® injections is rare and any bruising is usually easily concealed.

The onset of effect varies from person to person, but usually results of Botox®, Dysport®, or Xeomin® are seen within 5-7 days. If you’re ready to reduce wrinkles, contact us today!

Before After

Botox Results

View some of our before and after photos of patients who received Botox®, Dysport®, Xeomin® and other injectables.

Botox Before and After Photos