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Updated: Jun 15, 2025

Ultrasound-guided Botulinum Toxin-A Injections: A Method of Treating Sialorrhea
Published on: November 9, 2016
Clinical Benefits of DaxibotulinumtoxinA for Injection: Beyond Glabellar Line Effacement?
Kavita Mariwalla1, Ava Shamban2, Jeremy B Green3
1Mariwalla Dermatology, West Islip, New York.
Background:
Botulinum toxin type A (BoNTA) is standard of care for glabellar lines ameliorization. DaxibotulinumtoxinA for Injection (DAXI) is a new BoNTA with a unique formulation representing the latest advancement in BoNTA technology. There is an unmet need for patients to understand the full potential of BoNTA treatment and new technologies.
Objective:
To update clinical data supporting the use of DAXI for glabellar lines within the context of clinical experience.
Materials And Methods:
A narrative review of the literature and summary of clinical experience with DAXI.
Results:
The DAXI clinical trial program reflects clinical experience post-FDA approval, with DAXI demonstrating rapid onset, high patient response rates, and extended treatment duration versus conventional BoNTAs. Clinical observations suggest that DAXI has limited diffusion from the injection site, enabling more localized control of muscle activity and greater improvements in wrinkle severity. DAXI enables practitioners to exert greater finesse in their injections and in predicting changes to eyebrow shape and position and achieve improvement in skin quality.
Conclusion:
Advances in BoNTA technology can provide patients with greater options for treatment outcomes. The potential for enhanced localized effects with DAXI may contribute to more precise and targeted effects on muscle activity and additional aesthetic benefits to patients.
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