The North America botulinum toxin market was valued at US$ 4,801.29 million in 2023 and is expected to reach US$ 12,072.60 million by 2031; it is estimated to register a CAGR of 12.2% from 2023 to 2031.

Expanding Therapeutic Applications Drive Growth in North America botulinum toxin market

Botulinum toxins type A and B work by blocking the release of acetylcholine at neuromuscular and neurosecretory junctions, offering significant therapeutic benefits for neurorehabilitation. Clinical studies have demonstrated their effectiveness in treating conditions such as chronic migraines, excessive sweating (hyperhidrosis), and overactive salivary glands (sialorrhea). Additionally, botulinum toxin therapy serves as a non-surgical alternative for certain medical interventions, including the treatment of chronic anal fissures, where it may replace traditional sphincterotomy.

The toxin has also shown promise in managing autonomic disorders, such as gustatory sweating (Frey’s syndrome) and glandular hypersecretion, particularly in post-parotidectomy patients. Beyond its well-established role in cosmetic and plastic surgery, emerging research highlights its potential in reproductive medicine. For instance, botulinum toxin may improve endometrial receptivity in women experiencing repeated implantation failure during assisted reproductive procedures. By promoting cellular regeneration, angiogenesis, and collagen remodeling, it enhances the chances of successful embryo implantation. These expanding therapeutic applications are expected to shape future North America botulinum toxin market trends.

North America Botulinum Toxin Market Overview

The North American market—comprising the U.S., Canada, and Mexico—is driven by a financially stable population and rising demand for minimally invasive cosmetic procedures. Botulinum toxin injections for wrinkle reduction remain the most popular non-surgical aesthetic treatment in the U.S., often serving as an entry point for clinicians entering the aesthetics field. According to the International Society of Aesthetic Plastic Surgery (ISAPS), over 2.5 million botulinum toxin procedures were performed in the U.S. in 2021.

FDA-approved for cosmetic use in treating frown lines, crow’s feet, and forehead wrinkles, botulinum toxin injections are favored for their predictable results, minimal side effects, and high patient satisfaction. Leading products in the North America botulinum toxin market include:

• BOTOX Cosmetic/Vistabel (Allergan)
• Dysport/Azzalure (Galderma/Ipsen)
• Xeomin/Bocouture (Merz)
• Jeuveau (Evolus, manufactured by Daewoong)

BOTOX Cosmetic is FDA-approved for individuals aged 18–65, and the American Society for Aesthetic Plastic Surgery identifies it as the fastest-growing cosmetic procedure.

Recent regulatory approvals have further expanded the North America botulinum toxin market. In August 2023, the FDA approved Daxxify (daxibotulinumtoxinA-lanm) for treating cervical dystonia, a neurological disorder causing involuntary neck muscle contractions that affect nearly 60,000 Americans. While the treatment provides relief by relaxing affected muscles, its effects are temporary, requiring periodic re-administration.

Earlier, in July 2021, Allergan (an AbbVie company) secured FDA approval for BOTOX to address eight additional upper limb spasticity conditions in adults. These advancements underscore the growing therapeutic potential of botulinum toxins, reinforcing their dominance in both medical and aesthetic applications across North America.

North America Botulinum Toxin Market Segmentation

The North America botulinum toxin market is segmented by product, application, end user, and country.

North America botulinum toxin market By Product

• Botulinum Toxin A (Dominates the market share as of 2023)
• Botulinum Toxin B

North America botulinum toxin market By Application

1. Medical (Holds the largest market share)

• Chronic Migraine
• Muscle Spasm
• Overactive Bladder
• Hyperhidrosis
• Others

• Frown Lines / Glabellar
• Forehead Lines
• Crow’s Feet
• Square Jaw / Masseter
• Others

North America botulinum toxin market By End User

• Specialty & Dermatology Clinics (Largest market share in 2023)
• Hospitals & Clinics
• Others

North America botulinum toxin market By Country

• United States (Dominates the regional market share)
• Canada
• Mexico

North America botulinum toxin market Key Market Players

Leading companies in the North America botulinum toxin market include:

• Merz Pharma GmbH & Co. KGaA
• AbbVie Inc.
• Ipsen SA
• Evolus Inc.
• Aquavit
• Revance Therapeutics Inc.
• Medytox Inc.
• Galderma SA
• Hugel Inc.
• Lanzhou Institute of Biological Products Co. Ltd.

This segmentation highlights the market structure, key applications, and major players driving growth in the North America botulinum toxin industry.

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Business Market Insights is a market research platform that provides subscription service for industry and company reports. Our research team has extensive professional expertise in domains such as Electronics & Semiconductor; Aerospace & Defense; Automotive & Transportation; Energy & Power; Healthcare; Manufacturing & Construction; Food & Beverages; Chemicals & Materials; and Technology, Media, & Telecommunications.

Author’s Bio:

Suryakant Gadekar

Senior Market Research Expert at Business Market Insights