Daxxify in Fulton and Marriottsville, MD
How Daxxify Stands Apart from Other Neurotoxins
A peptide-stabilized formula built for longer wear
Fine lines between the brows, across the forehead, and around the eyes are caused by repeated muscle contractions. Over time these creases settle in even when your face is at rest, adding a tired or tense expression that does not reflect how you feel. Traditional neurotoxins soften these lines beautifully, but results typically fade by month three or four, requiring touch-ups three or four times a year.
For patients with active lifestyles or strong expression muscles, that maintenance cadence can feel relentless. Many ask whether there is an option that gives the same refined, natural smoothing with fewer office visits and more predictable wear between treatments.
Daxxify answers that question. Developed by Revance and FDA-approved in September 2022, Daxxify uses a proprietary peptide to stabilize the toxin, rather than the human or animal-derived proteins used in older neurotoxins. This peptide design allows the active ingredient to bind more efficiently and persist longer, so most patients enjoy smoother results for up to six months.
At Pura Vida, we pair Daxxify with thoughtful facial mapping and conservative dosing, so your expressions stay yours. You still smile, laugh, and emote: the only difference is the etched lines soften and the overall face looks calmer and more rested.
What Is Daxxify?
Daxxify (daxibotulinumtoxinA-lanm) is a prescription neuromodulator from Revance Therapeutics and the first peptide-formulated botulinum toxin type A approved by the U.S. FDA, cleared in September 2022 for moderate to severe glabellar (frown) lines in adults.
Its stabilizing peptide, RTP004, replaces the albumin used in most other neurotoxins, while the active molecule works like other type A toxins, temporarily blocking the nerve signal so overactive expression muscles relax and the overlying skin smooths. Clinical data submitted to the FDA showed most patients held results at six months, longer than the three to four month average of legacy neurotoxins.
Treatment Timeline:
Treatment Time:
10 to 20 minutes per session
First Signs:
2 to 3 days post-treatment
Full Effect:
2 to 4 weeks
Duration:
Up to 6 months for many patients
Benefits of Daxxify at Pura Vida
Refined smoothing, designed to last
Up to 6 Months
Results that outlast other neurotoxins
Peptide-Stabilized
Free of human and animal-derived albumin
Natural Movement
Carefully dosed so you keep your expressions
Quick Sessions
10 to 20 minutes with no downtime
Fewer Visits
Two treatments per year for many patients
Daxxify vs Other Neurotoxin Options
How Daxxify compares to other leading neurotoxins
| Feature | Daxxify | Dysport | Letybo | Onset | Duration | Best For |
|---|---|---|---|---|---|---|
| Active Ingredient | DaxibotulinumtoxinA | AbobotulinumtoxinA | LetibotulinumtoxinA | 2 to 3 days | Up to 6 months | Patients wanting fewer touch-ups |
| Stabilizer | Peptide (RTP004) | Human albumin | Human albumin | 2 to 3 days | 3 to 4 months | Established Dysport users wanting faster onset |
| FDA Approval | September 2022 | April 2009 | February 2024 | 4 to 6 days | 3 to 4 months | Value-focused patients new to neurotoxins |
Who Is an Ideal Candidate for Daxxify?
Daxxify suits healthy adults who want refined, longer-lasting smoothing of lines and more time between visits.
Ideal Candidates for Daxxify
- Adults 18 and older with moderate to severe glabellar, forehead, or crow's feet lines
- Patients who want longer-lasting results between neurotoxin treatments
- Established neurotoxin patients ready to extend the time between touch-ups
- Individuals seeking natural-looking smoothing without losing expression
Who Should Wait or Avoid Daxxify
- Patients who are pregnant or breastfeeding
- Individuals with neuromuscular disorders such as myasthenia gravis or Lambert-Eaton syndrome (see NINDS)
- Known hypersensitivity to daxibotulinumtoxinA or any formulation ingredient
- Active skin infection in the planned injection area
Talk to Us First If…
- You want longer-lasting results and are weighing Daxxify against other neurotoxins
- You've felt prior neurotoxin results faded faster than expected
- You take medications that affect muscle or nerve function
- You're pregnant, breastfeeding, or planning pregnancy soon
What Happens During a Daxxify Treatment
A refined, step-by-step experience designed around your comfort
Consultation
Preparation
Injection
Review
Two-Week Check
Daxxify Side Effects and Safety
Daxxify has an established safety profile when administered by trained injectors.
Common, Expected Side Effects
The most common side effects reported in pivotal trials were mild and temporary, including headache, eyelid drooping, and injection site reactions such as redness, swelling, or small bruises. Most resolve on their own within a few days.
Rare Risks and Important Safety Screening
Rare but serious risks include the spread of toxin effects beyond the treatment area, which may cause swallowing or breathing difficulties. Patients with certain neuromuscular conditions should not receive Daxxify. Always disclose your full medical history and current medications, including muscle relaxants, blood thinners, and supplements such as fish oil or vitamin E. For more on neurotoxin safety, see the U.S. FDA and the American Society of Plastic Surgeons (ASPS) resources. Contact Pura Vida Med Spa immediately if you experience difficulty swallowing, breathing, speaking, or significant vision changes after treatment.
Daxxify Before and After
Most Daxxify patients begin to see softening within 2 to 3 days of treatment, with full results visible at the 2 to 4 week mark. Lines across the forehead, between the brows, and around the eyes appear noticeably smoother while expressions remain natural. For many patients, those refined results hold steady for up to six months before a touch-up is needed.
Daxxify before and afters
Neurotoxin - Daxxify, VirtueRF, Filler, Deluxe HydraFacial There is a month and half between the before and after pictures. This patient had Daxxify injected into the forehead, glabella, and crow’s feet. Filler injected into the cheeks. Then a virtue and a HydraFacial.
How Much Does Daxxify Cost in Fulton, MD?
Transparent pricing with personalized treatment plans
Daxxify is priced per unit, similar to other neurotoxins, with the total investment determined by the number of areas treated and your muscle strength. Because Daxxify lasts longer per session - up to 6 months on average - many patients find the cost per month of smooth results is comparable to or better than traditional neurotoxins. Your personalized estimate is confirmed at consultation.
What Affects the Investment
- Number of treatment areas and units required
- Muscle strength and severity of dynamic wrinkles
- Whether Daxxify is combined with dermal fillers or other treatments
- Maintenance frequency, typically every 6 months
Financing Options
Pura Vida Med Spa accepts CareCredit and Cherry Financing, both of which offer monthly payment plans tailored to aesthetic and wellness care so Daxxify fits comfortably into your routine.
To confirm your personalized Daxxify investment, call (301) 604-8432 or book a consultation online.
Why Choose Pura Vida Med Spa for Daxxify in Fulton, MD
Founded by Dr. Leslie Apgar, MD, Pura Vida maps each patient's muscle activity and brow shape before recommending a Daxxify dosing plan, for natural results in Fulton and Marriottsville.
Physician Founded
Practice founded and directed by Dr. Leslie Apgar, MD.
Trained Injectors
Aesthetic team with advanced neurotoxin and facial anatomy training.
Customized Dosing
Plans tailored to your muscle activity, expressions, and goals.
Refined Experience
Two welcoming Maryland locations with a polished, calming environment.
Longer-Lasting Results
Daxxify's peptide-powered formula means fewer appointments per year and less downtime.
Full Neurotoxin Menu
We offer Daxxify alongside Dysport, Letybo, and other neurotoxins to match your anatomy.
Related Services at Pura Vida Med Spa in Fulton and Marriottsville
Explore other refined treatments that complement Daxxify.
Letybo
The Newest FDA-Approved Neurotoxin for Smooth, Long-Lasting Results
- Adults bothered by moderate to severe frown lines between the brows
- Patients seeking natural-looking smoothing with preserved expression
- Those in generally good health with realistic expectations
Dysport
Fast-Acting Wrinkle Treatment for Forehead, Crow's Feet and More
- Adults with moderate to severe glabellar lines, forehead lines, or crow's feet
- Patients seeking faster onset than traditional botulinum toxin options
- Those in good general health with realistic expectations
RHA Filler
Dynamic Hyaluronic Acid That Moves Naturally with Your Face
- Adults with moderate to severe dynamic facial wrinkles or folds
- Patients seeking lip enhancement with natural movement
- People in good general health and not pregnant or breastfeeding
Frequently Asked Questions About Daxxify
Answers to the questions Pura Vida patients ask most often
01 How long does Daxxify last?
In clinical trials, the majority of patients maintained meaningful smoothing of frown lines at the six-month mark. Individual duration varies based on metabolism, muscle strength, and dose, but many Pura Vida patients enjoy results for four to six months.
02 When will I see results from Daxxify?
Most patients notice initial softening within 2 to 3 days, with full results visible at 2 to 4 weeks. We schedule a complimentary follow-up around the two-week mark to refine results if needed.
03 How is Daxxify different from Botox, Dysport, or Letybo?
All four are FDA-approved botulinum toxin type A injectables that smooth expression lines. Daxxify is unique because it uses a stabilizing peptide instead of human or animal-derived albumin, which contributes to its extended duration of up to six months for many patients.
04 Does Daxxify hurt?
Daxxify is injected with very fine needles, and most patients describe the sensation as a quick pinch. A topical cooling option is available, and most appointments are completed in 10 to 20 minutes.
05 Is there downtime after Daxxify?
There is no required downtime. Patients return to most normal activities immediately, with light precautions for the first few hours including avoiding vigorous exercise, lying flat, and rubbing the treated area.
06 Can I combine Daxxify with filler or skin treatments?
Yes. Daxxify pairs beautifully with dermal fillers such as RHA Filler or Restylane and skin treatments like HydraFacial or Microneedling. Your injector will sequence treatments for optimal comfort and results.
07 Who should not get Daxxify?
Daxxify is not recommended for patients who are pregnant or breastfeeding, those with certain neuromuscular disorders, anyone allergic to its ingredients, or patients with an active infection in the treatment area. Your injector will review your full medical history to confirm safety.
Schedule Your Daxxify Consultation
Clinical References
- Carruthers JD, et al. Efficacy and safety of daxibotulinumtoxinA for injection for moderate to severe glabellar lines: results from two randomized phase 3 trials (SAKURA 1 and SAKURA 2). Dermatol Surg (2020). PubMed (PMID: 31592937).
- Bertucci V, et al. DaxibotulinumtoxinA for injection for glabellar lines: long-term safety and efficacy from the open-label SAKURA 3 study. J Am Acad Dermatol (2020). PubMed (PMID: 32035106).
- Solish N, et al. DaxibotulinumtoxinA for injection in the treatment of glabellar lines: efficacy results from SAKURA 1 and SAKURA 2 phase 3 trials. Plast Reconstr Surg (2021). PubMed (PMID: 34076614).
- Fabi SG, et al. Daxibotulinumtoxin-A for the treatment of glabellar lines: a review of efficacy, safety, and patient satisfaction. Clin Cosmet Investig Dermatol (2023). PubMed (PMID: 37025398).
- Jankovic J, et al. Safety and immunogenicity of botulinum toxin formulations: clinical relevance of stabilizers and excipients. Toxins (Basel) (2019). PubMed (PMID: 31337070).
- Carruthers A, Carruthers J. Botulinum toxin type A: history and current cosmetic use in the upper face. Semin Cutan Med Surg (2001). PubMed (PMID: 11474757).