Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Renova (tretinoin) and Botox Cosmetic (onabotulinumtoxinA) are both prescription medications used to improve the appearance of facial lines and wrinkles. However, they belong to different medication classes and work in distinct ways. Renova is a topical retinoic acid derivative applied to the skin to lessen fine facial wrinkles, while Botox Cosmetic is a neuromuscular blocker injected into muscles to temporarily improve frown lines, forehead lines, and crow's feet. Renova is applied once daily in the evening, whereas Botox Cosmetic is administered by a healthcare professional every three months. Renova is only available as a brand-name cream, while Botox Cosmetic is also brand-name only and comes as an injection. Common side effects of Renova include skin irritation, peeling, and redness, while Botox Cosmetic can cause droopy eyelids, headache, and muscle weakness. Additionally, Renova can make your skin more sensitive to sunlight, whereas Botox Cosmetic has risks related to the spread of toxin effects, which can lead to serious side effects like difficulty swallowing or breathing.
Renova (tretinoin)
Botox cosmetic (onabotulinumtoxinA)
Renova (tretinoin)
Botox cosmetic (onabotulinumtoxinA)
Summary of Renova vs. Botox Cosmetic
Summary for Retinoic acid derivative
Prescription only
Renova is a topical retinoid that contains tretinoin 0.02% cream. Renova (tretinoin) can ease fine facial wrinkles, in addition to the regular use of sunscreen and sun-protective clothing. But it won't help get rid of deep wrinkles or hyperpigmentation from years of sun damage. Renova (tretinoin) is applied to the face once daily in the evening. This medication commonly causes skin irritation and peeling as side effects. Renova is a prescription medication that's brand name only and not available as a generic.
Summary for Neuromuscular blocker
Prescription only
Botox Cosmetic (onabotulinumtoxinA) is a prescription injection used in adults to temporarily improve the look of facial lines. It's FDA approved to treat moderate to severe frown lines between the eyebrows, forehead lines, crow’s feet, and neck lines. The medication is injected directly into the facial muscles by a trained healthcare professional. Side effects can vary depending on the injection site and can include headache and droopy eyelids.
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Botox Cosmetic (onabotulinumtoxinA) is different from medical Botox, which is used for certain health conditions like migraines or muscle spasms.