Wrinkle Relaxers: What’s the difference between Type B, Type D and Type X?

Two commonly asked questions about Anti-wrinkle injections: What is the difference between types of Wrinkle Relaxers? And which one is right for me?

It is understandable you would want to know about the different types of Wrinkle Relaxers when trying to determine which product is best for you. All three are effective treatments that originate from the same source bacterium, clostridium botulinum. They are synthesized as botulinum toxin type A, the paralyzing agent or neurotoxin that is administered.


All three have been consistently proven in clinical trials and then worldwide application. The result is almost always the same: each injectable temporarily paralyzes the targeted muscle areas on the face to relax and ease out the appearance of wrinkles. Due to their proven abilities, each is often paired with dermal fillers which can result in dramatic facial rejuvenation.


Type B, Type D, and Type X are all TGA approved and aesthetically designed to smooth and diminish wrinkles. The most common areas treated are crow’s feet, forehead, frown lines around the eye area and brow lifts. However, other areas are becoming more popular with clients including smoker’s lines around the lips, masseter reduction and underarm sweating.


When Allergan’s Type B was originally approved for anti-ageing benefits over ten years ago, it was the only brand of its kind on the market. Type B is a leading cosmetic treatment that drastically reduces the appearance of crow’s feet, lines on the forehead and frown lines. With the approval and the launch of this revolutionary anti-ageing product, millions continue to turn to Type B as part of their aesthetic regimen.


However, two other companies have entered the market since then, and are having tremendous success: Type D and Type X. Type D allowed us to give clients a choice in neurotoxins when it became available. Noted benefits of Type D include that it spreads more than Type B and clients who have stopped responding to Type B commonly use it. It is also injected at different strength and affects a slightly larger area than Type B and Type X.


Both Type B & Type D contain an accessory protein to carry the botulinum toxin. As the body has the ability to build up antibodies over time, they can cause the results to diminish after continuous usage. Merz’ Type X contains no accessory protein, making it a “pure” version of the botulinum toxin and reducing the risk of natural resistance. This solitary agent migrates further and faster to effectively work upon all facial areas upon injection.


In comparison, Type B and Type D are considered ‘heavier’ because they contain added proteins. These proteins are for protection and are clustered around the botulinum to enable them to last a little longer. However, the clinical argument is that these protective proteins may also shield the active part of the neurotoxin thereby minimizing product effectiveness. Type X is the most similar to Type B when measuring units to units, whereas Type D requires more units at a lower cost per unit. Both Type B and Type X require up to two weeks for full treatment and in most cases, Type D has a much quicker onset for those clients wanting faster results.


All three neurotoxins can last from three to six months, per treatment, varying from client to client. It has been reported that Type D typically takes two to three days until the effects of the treatment are seen. Type B takes seven to ten days, while Type X takes five to six days. Type D may be the best option in areas where several injections are needed because of its easy spreading to cover a greater area on the face. In the areas where the spread needs to be minimized, Type B may be the best option to concentrate on deeper wrinkling.


Over time with different Type B, Type D and Type X injections, clients begin to favour which treatment works best for them. When initially deciding on which neurotoxin to use, consult with our highly skilled and experienced injectors to find out which product is best for you. Type B, Type D and Type X differ in administration technique and injection skills are necessary to determine the proper dosage in order to achieve the best result. SKYN offers all three options to our clients with different needs.


Due to Medical Advertising regulations, we cannot name the brand of products on our website. Please contact our Aesthetic Concierge for more information on Type B, Type D and Type X Wrinkle Relaxers. 

Ready to get started?

For a consultation, or to book in for a treatment, call SKYN 08 9389 9022 or book online.