Understanding Botox: A Doctor’s Perspective on the Options Available Today

Living Well in Orlando Also Means Taking Care of Your Skin

With year-round sun, endless outdoor activities and a lifestyle shaped around movement, Orlando is an incredible place to live if health and wellness matter to you.

From outdoor fitness to afternoons by the pool and weekends spent outdoors, many of us prioritize staying active and feeling good in our bodies. We think about what we eat. We think about how often we move. We think about balance.

What we do not always think about, at least not with the same intention, is our skin.

And yet, in a climate like Central Florida’s, skincare is just as much a part of wellness as diet and physical movement. Sun exposure, heat and humidity all take their toll over time, no matter how diligent we are with sunscreen, moisturizers, and serums.

For many people, that reality eventually leads to exploring options like Botox, not as a shortcut, but as a way to address what lotions and lifestyle habits simply cannot prevent on their own.

Botox is common, but understanding it is not

What often gets lost in the conversation is that “Botox” is not one single thing.

Many people are surprised to learn that there are multiple FDA-approved botulinum toxin options available, each with different formulations, behaviors, and outcomes. And just as important as choosing the right skincare practitioner is understanding whether the toxin being used is actually the right one for your face, your goals and your body.

This past year, we spent time with Dr. Gregory Boger and Anna Politi at Revive Skincare Clinic in Winter Park to learn more about what is actually out there, and why those differences matter more than most people realize.

Their clinic had already come highly recommended by people in our own circles, and when we looked a little closer, the numbers backed it up. At the time of writing, Revive Skincare Clinic has 219 Google reviews, all of them five stars. That kind of consistency does not happen by accident.

Why choosing the right Botox matters

“People tend to think Botox is Botox,” Dr. Boger told us. “But there are meaningful differences between the products, and those differences influence how quickly results appear, how long they last, how much they spread and how natural the outcome looks.”

All botulinum toxins work by relaxing targeted muscles. By limiting muscle contraction, they soften dynamic wrinkles, the lines created by repeated movement. They are also used medically for conditions like migraines, TMJ disorder, excessive sweating and muscle tension in the neck and shoulders.

Where they differ is in their formulation and behavior once injected.

Some toxins contain accessory proteins. Others do not. One newer option uses a peptide instead of a protein. Some begin working faster.

Some last longer. Some spread more broadly from the injection site, while others stay more localized.

And then there is the human factor.

“No two people metabolize toxins the same way,” Dr. Boger explained. “We are living organisms, not machines. What works beautifully for one person may behave differently for another.”

That variability is why experience, anatomy knowledge, and intention matter far more than brand recognition alone.

The Botox options people often hear about

Without getting overly technical, Dr. Boger walked us through the most common options patients ask about and what distinguishes them.

Botox Cosmetic was the original product approved for cosmetic use and remains the most widely known. It has a predictable onset and typically lasts around three months. Its more limited spread allows for precise targeting, which can be helpful in certain areas.

Dysport tends to work a bit faster and spreads more from the injection site, making it useful for larger areas, though it is not ideal for everyone.

Xeomin is a purified option without accessory proteins, often chosen for patients who have developed resistance or sensitivity to other formulations.

Daxxify is a newer option designed to last 4-6 months. It requires higher dosing and comes at a higher cost, making it a personal decision rather than a universal solution.

Letybo, recently approved in the United States after extensive use overseas, is still gaining clinical history here but has shown promising results.

Jeuveau is a newer formulation that balances purity, onset speed and duration, and is often associated with a softer, more natural appearance when injected with intention.

“The goal is never to chase a product,” Dr. Boger said. “The goal is to choose the right tool for the right person.”

Why Revive Skincare Clinic often chooses Jeuveau

At Revive Skincare Clinic, Jeuveau is frequently used, but never by default.

“We like it because it gives us flexibility,” Dr. Boger explained. “It tends to work a little sooner for many patients, lasts a bit longer and allows us to preserve natural expression rather than flattening the face.”

That emphasis on natural movement comes up repeatedly in patient experiences at Revive. The aim is not to erase expression, but to soften what feels distracting or undesired, while still allowing the face to move and feel like itself.

And when Jeuveau is not the best fit, they pivot.

“That is part of practicing medicine,” Dr. Boger said. “Not every option is right for every person, and that is okay.”

Skin health first, always

One thing that stood out during our visit was how injectables are never treated as an isolated service.

Before Botox is ever administered, patients typically spend time with Anna Politi, Revive’s lead aesthetician and laser technician, focusing on overall skin health. Barrier support, hydration, texture, and long term care are all part of the conversation.

Healthy skin supports better results, both immediately and over time. It also reinforces the idea that injectables are not a replacement for skincare, but a complement to it.

That collaborative approach between aesthetician and physician shows up again and again in the clinic’s reviews, where patients consistently describe feeling educated and comfortable.

A thoughtful way to start the year

With 2026 here, many people find themselves reflecting on how they want to feel in their bodies and in their lives.

If “New Year, New You” is part of that mindset, it does not have to mean drastic change. Sometimes it simply means being more intentional, asking better questions and choosing care that aligns with your values.

This article was created in partnership with Revive Skincare Clinic