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INJECTABLES / CHOOSING A TREATMENT

Daxxify vs. Botox: Cost, Results and Which Lasts Longer

Editorial illustration of two unlabeled medicine vials on a tray while a provider and a patient talk in a consultation room.
Editorial illustration. No patient result is shown.

Daxxify has evidence of longer-lasting frown-line improvement, but a higher visit price does not automatically buy better value. Here is how the direct trials, actual practice menus and your previous results can help you decide whether to switch.

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NuWays MDSources checked November 14, 2026
Editorial details
Editorial preparationPublished November 14, 2026Clinical review pendingHow this guide was prepared

THE QUICK ANSWER

Daxxify lasted longer than Botox in a head-to-head frown-line trial: a median of about 24 weeks versus 19. That is roughly five extra weeks at the median, not double the time. At the nine practices in our price check that post both, Daxxify’s frown-line treatment cost more at eight, by $40 to $300, and the same at one. It pays off when the longer result means two visits a year instead of three and the Daxxify quote is under 1.5 times your Botox quote. Staying with Botox makes sense if you like your result and your price.

Direct comparison · Price examples and their assumptions

Daxxify vs. Botox: the key differences

Both are prescription botulinum toxin type A injections that temporarily reduce muscle activity to soften expression lines. Daxxify contains daxibotulinumtoxinA-lanm; Botox Cosmetic contains onabotulinumtoxinA. They do not add volume like fillers, and reducing movement may leave a crease visible at rest.

What changes between the two products
QuestionWhat matters
Which areas are FDA-approved?Daxxify’s cosmetic approval is for adult frown lines, the “11s” between the eyebrows. Botox Cosmetic also covers forehead lines, crow’s feet and platysma bands in the neck.
Are the units the same?No. The labeled frown-line amounts are 40 Daxxify units and 20 Botox Cosmetic units. These are product-specific doses, not a conversion rule for other areas or your treatment.
What is different in the formula?Daxxify uses a peptide stabilizer and lists no human albumin. Botox contains human albumin. That ingredient difference alone does not establish a safer or more natural-looking result.
What determines value?The complete treatment price, how long the result remains useful to you, and how many visits you actually have. A lower per-unit price can still mean a higher bill.

Sources: Daxxify label and Botox Cosmetic label. Forehead treatment with Botox includes the frown-line area. For first-appointment basics, see our Botox guide.

Does Daxxify last longer than Botox?

Yes, a direct randomized trial found a longer frown-line response with 40 units of Daxxify than with 20 units of Botox. It compared the same area and the same response measure, which is more informative than comparing advertising claims from unrelated studies.

Daxxify: about 24 weeks

Median duration of at least a one-grade improvement at maximum frown, judged by an investigator. The relevant group received 40 Daxxify units.

Botox: about 19 weeks

The same response measure in the same trial. The comparison group received 20 Botox units. The difference was about five weeks.

The Revance-sponsored BELMONT study enrolled 268 adults across five groups; the groups above contained 53 and 54 people. The reported duration difference was statistically significant, but the dose-ranging study was not designed with enough statistical power specifically for active-brand comparisons. It followed one treatment of frown lines, so it cannot promise the same advantage for every person or facial area. Read the original trial; FDA review of the study.

What does the “six months” claim mean?

In two larger SAKURA trials involving 609 participants, Daxxify maintained frown lines rated as none or mild for a median of roughly 24 weeks. Those trials compared Daxxify with placebo, not Botox. A separate measure, return to pretreatment severity, took about 26 to 28 weeks. Both results can be true because they describe different points in the fading process. SAKURA 1 and 2.

Median means the midpoint, not a guaranteed minimum. Movement can return while lines still look softer. Decide what would make another visit worthwhile: a returning crease, a change in expression or loss of the improvement you wanted. Our Botox duration guide explains how to compare those changes with starting photos.

Daxxify vs. Botox cost: is the longer result worth it?

In nine paired menus from our 100-location price check, the calculated price for treating frown lines was higher with Daxxify at eight and the same at one. We rechecked the menus on November 14, 2026. This is a small sample of posted prices, not a national average or nine individual treatment quotes. Daxxify is also posted far less often: 9 of the 100 locations listed a regular Daxxify unit price, compared with 32 for Botox, so finding and comparing it can take more searching. See the price-check method and full sample.

The calculation uses 20 Botox units and 40 Daxxify units, each brand’s labeled amount for frown lines. It compares one indication; it does not convert your existing prescription or price a full-face treatment. At Selfie House NYC, for example, $15 per Botox unit and $10 per Daxxify unit produce charges of $300 and $400. The cheaper unit price produces the more expensive visit.

Same practice, both brands

Frown-line price at the nine practices that post both

Each brand’s labeled frown-line dose (20 Botox units, 40 Daxxify units) at the posted price per unit. Rechecked November 14, 2026.
Botox, 20 unitsAdded cost with Daxxify, 40 units
Beverly Wilshire Aesthetics
$300 → $600+$300
Scottsdale Med Spa
$260 → $520+$260
Butterfly Medical Spa
$220 → $440+$220
The Beauty Bay Med Spa
$200 → $400+$200
Cosmetica Med Spa
$200 → $400+$200, from prices
Selfie House NYC
$300 → $400+$100
Cienega Medical
$260 → $360+$100
Skin by Lovely
$330 → $370+$40, midpoints
La Belle Vie MedSpa
$280 bothsame total
Botox total first, Daxxify total second, calculated from posted menus rather than individual quotes and rounded to the dollar. Skin by Lovely’s prices vary by location, so its bar uses midpoints. Per-unit prices, tiers and offers are in the table below. Units differ between products and cannot be converted.
See all nine paired menus and price conditions
Observed November 14, 2026: calculated charges, not individual quotes
PracticeCalculated frown-line price and conditions
Cosmetica Med SpaBotox (20 units): From $199.80 · Daxxify (40 units): From $399.60
Both from $9.99/unit. Starting prices; consultation payment is applied to treatment.
Selfie House NYCBotox (20 units): $300 · Daxxify (40 units): $400
$15/Botox unit; $10/Daxxify unit.
Beverly Wilshire AestheticsBotox (20 units): $300 · Daxxify (40 units): $600
$15/unit standard menu for each. New-client and loyalty prices differ.
Cienega MedicalBotox (20 units): $260 · Daxxify (40 units): $360
$13/Botox unit; $9/Daxxify unit on its shared chain menu.
Skin by LovelyBotox (20 units): $320–$340 · Daxxify (40 units): $360–$380
Nonmember ranges vary by location: Botox $16–$17/unit; Daxxify $9–$9.50/unit. Endpoints are not exact same-location pairs.
The Beauty Bay Med SpaBotox (20 units): $200 · Daxxify (40 units): $400
Homepage lists Botox and Daxxify at $10/unit. Confirm availability and minimums.
Butterfly Medical SpaBotox (20 units): $220 · Daxxify (40 units): $440
Displayed 20+ tier: $11/unit for both. The specials page calls Botox’s $11 rate a holiday offer; confirm terms.
Scottsdale Med SpaBotox (20 units): $260 · Daxxify (40 units): $520
$13/unit for each; first-visit and member discounts excluded.
La Belle Vie MedSpaBotox (20 units): $280 · Daxxify (40 units): $280
Botox $14 per unit; Daxxify $14 per two units, equivalent to $7 per Daxxify unit.

These calculations use each product’s labeled frown-line dose. They exclude extra areas and any separately charged fees. The November research used its stated regular-price coding; this comparison uses Butterfly’s currently displayed 20+ tier. Posted menus can change. One more location, Luxura Med Spa in Chicago, listed Daxxify at $8 a unit on its South Loop booking page, but its $15 Botox rate comes from a chain-wide article rather than that location, so it is not counted as a pair. At those rates Daxxify would also cost more: $320 versus $300.

What could you spend over a year?

Using that same $300 Botox and $400 Daxxify example, the result changes with the number of visits. The scenarios below are arithmetic illustrations, not predicted treatment schedules. They assume the same frown-line treatment and unchanged prices over 12 months.

Same prices, different visit counts
Visits over 12 monthsCalculated total and difference
3 Botox / 2 DaxxifyBotox $900 · Daxxify $800
Daxxify costs $100 less.
3 Botox / 3 DaxxifyBotox $900 · Daxxify $1,200
Daxxify costs $300 more.
4 Botox / 3 DaxxifyBotox $1,200 · Daxxify $1,200
The totals are equal.

A higher premium can outweigh longer duration. Beverly Wilshire’s standard menu produces $300 Botox and $600 Daxxify calculated frown-line prices: three Botox visits total $900, while two Daxxify visits total $1,200. Its discounts and loyalty terms can change those figures.

Compare the complete quote, including areas, minimum charges, review visits and any paid adjustments. Count only rewards or offers you qualify for, and ask what the repeat price will be. Fewer appointments may still be worth paying for if travel or time off matters to you. Our Botox cost guide covers broader area prices and quote questions.

Does Daxxify work faster than Botox?

Both begin working over days; the evidence reviewed here does not establish a dependable faster-onset winner. In SAKURA, people first noticed a one-grade frown-line improvement at a median of three days. Botox’s label describes an effect starting in one to two days and increasing through the first week. These are different ways of measuring onset, not a matched race. SAKURA findings; Botox label.

Do not compare Daxxify’s first visible change with the later point when a Botox result is assessed. Arrange the practice’s recommended review and leave time before a major event to see how your expression settles, especially when trying a new product. A result that starts sooner also does not necessarily last longer.

Should you switch from Botox to Daxxify?

A switch is most worth discussing when you like the effect of treatment but want it to remain useful longer. If the main problem is the shape of the result, brow heaviness or a crease that never improved, first clarify that problem. A longer-duration product does not automatically solve it.

Daxxify may fit your priorities

Your goal is frown-line improvement, repeat appointments are inconvenient, and the proposed price still makes sense if you need more than two visits a year. You understand that the trial’s duration is a group result and have discussed the plan if you dislike the effect.

Staying with Botox may make sense

You already like the expression, know roughly how it wears off, and have an acceptable repeat price. Its broader cosmetic approvals may also matter for your treatment areas. A familiar satisfactory result is a valid reason to stay.

Bring a treatment record, not just “it wore off fast”

Record your previous product, treatment date, treated areas, units, starting photos, best-result photos and what changed first. Ask whether the issue was returning movement, return of the original crease or never reaching the desired result. Our Botox troubleshooting guide explains why these lead to different conversations.

Tell the provider about every recent toxin treatment, including treatment elsewhere. Daxxify’s label says it should be given no more frequently than every three months; Botox’s label says more frequent dosing has not been clinically evaluated. These are safety boundaries, not instructions to book a fixed repeat schedule or change brands early. Daxxify instructions; Botox instructions.

Ask these three questions before agreeing

  • What result and movement are we aiming for, and is this use FDA-approved or off-label?
  • What is the full price for the proposed product and areas, including review or adjustment terms?
  • When will we assess the result, and who should I contact if it is uncomfortable or not what I wanted?

The same questions help compare alternatives such as Xeomin vs. Botox. Our provider-selection guide covers credentials and consultation checks.

Daxxify vs. Botox side effects and safety

Both can cause injection-site reactions, headache, unwanted muscle weakness or drooping, and both carry a warning about toxin effects spreading beyond the injection area. The studies do not justify calling Daxxify universally safer, or assuming every unwanted effect lasts twice as long. Discuss your anatomy, previous reactions and the proposed treatment areas with the provider. Daxxify safety information; Botox Cosmetic safety information.

Do not receive treatment if you have an infection at the injection site or a known allergy to the toxin or ingredients. Both Medication Guides also say not to receive the product after an allergic reaction to any other botulinum toxin, and each names the other brand. Daxxify is not a workaround for a Botox allergy. Tell the provider about muscle or nerve disorders, swallowing or breathing problems, medicines and recent injections. Pregnancy and breastfeeding require a specific discussion because adequate safety information is lacking.

For an unwanted cosmetic result, contact the treating practice for assessment rather than arranging an immediate second treatment elsewhere. Keep longer duration in the decision before treatment, particularly if you are unsure how much movement you want to retain. See who should wait or avoid Botox and our aftercare guide for related questions; follow the instructions for the product you actually receive.

Daxxify vs. Botox FAQs

Can Daxxify be used in the forehead or crow’s feet?

Providers may use it off-label, but its current U.S. cosmetic approval is for frown lines between the eyebrows. The duration figures above concern that area. Ask what evidence and experience support the plan for another area, rather than assuming the same six-month result.

Is Daxxify stronger because the frown-line dose is 40 units?

The number alone does not establish that. Each product has its own potency units and testing method. The labels use different numerical doses for the same indication, and explicitly prohibit treating those units as interchangeable.

Why does Daxxify contain a peptide?

Its formulation uses a peptide called RTP004 as a stabilizer. The label describes its role in limiting attachment to surfaces and supporting temperature stability. The clinical studies test the complete formulation; they do not isolate the peptide as the sole reason for longer duration. It also does not prove a more natural-looking or allergy-proof result. Formulation details.

Will Daxxify work if Botox stops working?

A longer frown-line response in a trial does not prove that switching will solve treatment failure or suspected antibodies. Have the previous product, dose, placement, timing and response assessed first. Returning movement is also different from no initial improvement.

Can you combine Daxxify and Botox?

Do not arrange overlapping treatments without telling the treating provider exactly what you received and when. Botox Cosmetic’s label says the effect of different botulinum toxin products given together or within several months is unknown, and additional toxin before the prior effect resolves may worsen muscle weakness. Drug-interaction warning.

Does Daxxify look more natural than Botox?

Neither name guarantees a particular expression. Explain which movement you want to retain and ask how the treatment plan addresses it. The duration studies measured wrinkle improvement, not proof that one brand always looks more natural.

Sources and how we checked them

We checked current U.S. labels, original trial reports and all nine paired practice menus. Direct comparisons, placebo trials and price calculations are identified separately. Both major Daxxify trial programs were manufacturer-sponsored. Clinical review is pending. The cover is an editorial illustration, not a patient result or evidence of a treatment test.

View all 7 sources
  1. Daxxify prescribing information and Medication Guide. Current DailyMed record checked November 14, 2026; the package record was updated November 4, 2026, while the prescribing-information revision is November 2023. Indications, product-specific doses, formulation, intervals, interactions and safety.
  2. Botox Cosmetic prescribing information and Medication Guide. Current manufacturer label, revised October 2024. Approved cosmetic areas, doses, formulation, onset and safety.
  3. Carruthers et al., 2017: BELMONT randomized direct comparison. 268 participants across five groups. The 40-unit Daxxify and 20-unit Botox groups contained 53 and 54 participants. Duration and response definitions apply to frown lines; Revance sponsored the trial.
  4. FDA multidisciplinary review of Daxxify. Regulatory review supporting the direct trial’s design, group sizes and follow-up. This does not expand the study into a comparison for all facial areas.
  5. Carruthers et al., 2020: SAKURA 1 and 2. Two randomized, placebo-controlled trials involving 609 participants. None/mild severity, return to baseline and onset are separate measures. Revance funded the studies and manuscript; several authors worked for the sponsor.
  6. NuWays MD November 2026 price research. 100 med spa locations across 10 metros. Nine had paired Botox/Daxxify menus; these are observed prices, not a representative national sample. The comparison rechecked the menus November 14 and applied the current Butterfly quantity tier.
  7. Nine practice menus behind the paired prices: Cosmetica Med Spa, Selfie House NYC, Beverly Wilshire Aesthetics, Cienega Medical, Skin by Lovely, The Beauty Bay Med Spa, Butterfly Medical Spa, Scottsdale Med Spa and La Belle Vie MedSpa. Each was rechecked November 14, 2026. Links, quantities and conditions are in the paired-price table above. These are posted prices, not individual quotes or recommendations.

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