Botulinum Toxin Products Are Not All The Same


BOTOX® Cosmetic is a one-of-a-kind formulation created by a unique and proprietary manufacturing process. Even minor differences in botulinum toxin manufacturing processes can lead to variability in the final product – meaning potency and efficacy may not be completely ensured. Allergan owns the BOTOX® Cosmetic manufacturing and distribution process from start to finish. Control that eliminates possibility of variation if the final product. Hayes Valley Medical Esthetics is proud to use this productm which is approaching 80 million vials distributed globally, all consistently adhering to rigorous quality and safety requirements for over thirty years.

The expert injectors at HVME have many years’ experience administering Botox and have gone through rigorous training for the most safe and effective use of this proprietary formulation of botulinum toxin.

The Process Is The Product

• Starting materials are different—BOTOX® Cosmetic has a proprietary cell bank.
• Oversight and expertise are critical for the production of BOTOX® Cosmetic (onabotulinumtoxinA)
• All involved employees must be approved by US authorities to work with neurotoxin
• Testing for microbial and particulate contamination every 4 hours, 24 hours a day.
• Prior to filling, insides of vials are washed with water sanitized to “Water for Injection” standards to ensure vial sterility
• Secure, alarmed freezer storage with continuous temperature monitoring throughout shipping to ensure product is not compromised from plant to practice.
• Anti-counterfeit hologram on every vial assures it’s authentic BOTOX® Cosmetic.
• Every vial is 100% visually inspected.

Note that Botulinum toxins’ potency units cannot be compared nor converted according to their labeling. Therefore BOTOX® Cosmetic (onabotulinumtoxinA) units are not equal to Dysport® (abobotulinumtoxinA) units which are not equal to units of Xeomin® (incobotulinumtoxinA).

What about “Newtox”?

Jeuveau®, also marketed as Newtox, is the new competitor on the market. It is the first neurotoxin approved for aesthetic usage in nearly a decade. Both Botox and Juveaux have onabotulinumtoxinA as their key ingredient. Botox is the “gold standard” and Allergan’s proprietary cell bank ensures the purity and potency of the final product. Contrary to some anecdotal information on the web, there is no evidence that Juveaux is longer-lasting, nor does Juveaux’s official website claim this. We use Botox because of it’s proven track record and efficacy.


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Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Suzanne P.
Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical and Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical & Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Kathleen F.
Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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