There really isn’t a solid answer to this because it depends on each person and how it reacts with their own biochemistry and metabolism. Each neuromodulator on the market has a similar effect with the same active molecules but slightly different personality. Not better but different. The size of the molecule is varied between each of them. For example, Xeomin® is known to be most natural of all the toxins. While Botox® was first and has been branded much longer than the rest, giving it more notoriety. Then we have Dysport® which is known to spread easily, making it a great choice for the forehead. In our practice we use all of them regularly on every patient that wants to smooth and relax wrinkles. When we find a product that works best with a patient, we stick with it.
There is a newbie on the market, It’s called Jeuveau™ by Evolus. It certainly won’t replace the others but adds to the variety of options being offered to patients. If there’s one thing about Jeuveau™ is that it’s being offered at a competitive price point to the others. While cost is important, we do not want to sacrifice quality, Different manufacturing processes can affect the quality of a product, its effectiveness, and its safety. One thing that history tells us, is that even though ingredient lists are identical, two products may perform very different on different individuals.