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Dysport, Botox, and Juvederm injections, are all on the rise with miilions of minimally invasive procedures currently being performed annually in the United States.  Neuoxtoxins such as Botox and Dysport have increased in popularity each year due to its safety, simplicity of injection, and high patient satisfaction. Most patients want to avoid having plastic surgery.

This is one of the reasons that the field of dermatology, skincare, and cosmetics has become so sought after.  Dr. Michele Green is thrilled to provide Dysport to her patients in her discreet NYC office.  Dysport elegantly smooths and treats fine lines and wrinkles. Dysport is one of the most popular treatments in NYC simply because it is so effective.

What is Dysport?

Dysport is an FDA approved, fast acting, long lasting prescription injection, proven to treat moderate to severe frown lines between your eyebrows, (the glabellar lines), forehead wrinkles, and crow’s feet (lines around the eyes). Dysport is a liquid injectable which takes four days to see the results of the injections.  After several Dysport injections, your dynamic lines will be reduced and your wrinkles smooth and skin rejuvenated. Dysport, which is composed of botulinum toxin type a, treats dynamic wrinkles.  Dynamic wrinkles are formed when the muscles in the face repeatedly contract, and common facial expressions are made. Over time, the repetitive motion of the underlying muscle movement causes lines and wrinkles to form on the skin. It is necessary to stop these muscle contractions, through Dysport treatment, to effectively reduce these dynamic wrinkles in the forehead, eyes, and other areas of the face.

What is the chemistry behind Dysport which makes it work?

Dysport is composed of botulinum toxin, specifically abobotulinumtoxinA.  Dysport is an injectable which relaxes your wrinkles by blocking the neural signals that allow a particular muscle to contract. Galderma is responsible for manufacturing Dysport which is the main competitor to Botox which is produced by Allergan. Due to Dysport’s ability to stop these muscle contractions, tone and texture are improved, and superficial and deep wrinkles smoothed and virtually eliminated.

Which areas of the face and body does Dysport Treat?

  • Glabella lines (worry lines)
  • Forehead lines (frown lines)
  • Crow’s feet (lines around the eyes)
  • Bunny lines (lines from squinting on the nose)
  • Brow lift
  • Correct Brow asymmetry
  • Upper lip lines (smoker’s lines)
  • Gummy smile
  • Mandible hypertrophy; TMJ for muscle hypertrophy
  • Neck cords or bands
  • Wrinkles or dimpling of the chin area
  • Down-turned corners of the mouth (DAO muscle)
  • Excessive Underarm sweating (hyperhydrosis)

How long do the effects of Dysport Last?

The effects of Dysport can last from 3 to 6 months, depending on the location and the age of the patient injected.  Also, studies have showed that repeated injections of Dysport will continue to weaken the muscle and may prolong the longevity of injection. Both male patients and younger patients may require more units of Dysport injected in a given area to smooth the wrinkles.

What is the difference between Dysport vs Botox?

A complete literature review was recently completed, by Dr. Jeffrey Dover n 2018, which confirmed that there were no clinical differences observed between these products.  The main difference in results depends on the dose of the product injected, since diffusion and spread are entirely dose dependent. The dose of Dysport cannot be compared to that of Xeomin or Botox and are not interchangeable. Each of these neurotoxins are comparable and effective. The units of Dysport cannot be compared with the number of units of Botox.  The original Botox formulation, before 1998, had 25ng protein per 100 units. When Botox was reformulated it was reduced to 5 ng protein per 100 units. Dysport has a mean protein content of 4.25 ng per 500-unit vial. Xeomin has the least protein load with 0.44 ng per 100-unit vial.  It is still unclear if this difference in protein load has any clinical significant in the cosmetic indications of Botox. Both Botox and Dysport have the same recovery time, with no downtime and have the the same effects on facial wrinkles in that they both last for the same period of time.

Are there any advantages of Botox vs. Dysport?

Botox currently has FDA approval for glabella, forehead, crow’s feet, among other indications. Botox is currently approved for migraines, depression, overactive bladder, and temporomandibular joint diseases.  Dysport is currently only approved cosmetically for the glabella area ,whereas Botox is approved for multiple treatment areas. Botox uses 20 units to treat the glabella area and Dysport typically used 50 units in the same area.  Since the units are not comparable, a direct conversion cannot be inferred.  Both Botox and Dysport have the same safety profile, similar proteins, and side effects. Both Dysport and Botox are considered safe and effective for the temporary treatment of moderate to severe wrinkles.  Both Botox and Dysport seem to last the same amount of time after injection, although the onset of action of Dysport is a few days earlier than Botox. Both the effects of Dysport and Botox are temporary in treating wrinkles and re-injection is needed once the effects wear off.  For patients who find that skincare alone is not treating existing fine lines and wrinkles, both Botox and Dysport are effective ways to treat these facial wrinkles.

32 year old female, 3 weeks after 50 units in forehead and around eyes.

Who is best qualified to inject Dysport?

One of the main concerns is the qualifications of the injector to treat you with injectables such as Botox, Dysport, and Juvederm.  Both plastic surgeons and dermatologists are trained to do these procedures. It is very important not to trust “bargains” or “groupons” for your cosmetic injections. It is always best to consult a board qualified dermatologist who has years of experience with cosmetic injectables such as Dysport and Juvederm to have the best results and avoid complications. The best injector will be someone qualified with years of experience in treating facial wrinkles.

Who is the best candidate for Dysport Injections?

The best candidate for Dysport injections are those who are healthy with no previous adverse reactions to botulinum products.  If you have any neurologic medical conditions which could be a contraindication to Dysport injections, it is best to consult your treating physician before any injections. Also, any patient with a known allergy to albumin or cow’s milk protein should not have Dysport injected.  If you are allergic to Botox of Myobloc then you are not a candidate for Dysport injections.

What are the side effects of Dysport injections?

Common side effects of Dysport include:

  • bruising
  • localized swelling at the site of injection
  • droopy eyelids, swelling of the eyelids

Serious side effects include:

  • allergic reaction
  • upper respiratory tract infection
  • sinus infection and sore throat
  • loss of bladder control or muscle weakness

There is a warning of the possibility of distant spread of toxin after Dysport injection.  These symptoms have been described weeks to months after injection.  Swallowing and breathing difficulties are extremely rare but have been reported, mostly in children with underlying neurologic issues.

IMAGE11 35 44 year old woman treated with dysport MGWatermark

35-44 year old woman treated with Dysport in Glabella area

What are the other uses of Dysport besides cosmetic use?

  • Cervical dystonia
  • Upper limb spasticity
  • Lower limb spasticity in pediatric patients

Is Dysport Safe?

Do not use Dysport if you are allergic to any of its ingredients or are allergic to cow’s milk protein, or have a skin infection at the site of injection, are pregnant or breastfeeding. If you have an underlying neurologic disorders, swallowing or breathing problems, please consult with your primary physician to see if you are permitted to have Dysport injections. If you have any allergies to any botulinum toxin product, this is a contraindication to Dysport injections.

What is the Procedure of Dysport Injections?

You can schedule a consultation with Dr. Green for Dysport in her private Upper East Side NYC office.  Dr. Green will examine your facial structure and study your facial muscles, when squinting and frowning, so she can determine where to best place the injections for maximum impact. Photos will be taken in all angles to help document your treatment plan. We will apply a topical numbing cream to lessen any discomfort at the injection site.

Next, she’ll carefully inject small amounts of Dysport® into the treatment area to prevent them from wrinkling, smoothing existing frown lines and wrinkles, and preventing new lines from forming. There is minimal discomfort during treatment. We advise patients to refrain from blood thinners before cosmetic injections to avoid any bruising or downtime. There is some evidence which shows that continued muscle contractions after injection prolongs the effect of your Dysport injections, so we suggest that you continue to wrinkle the treated area for several hours after injection. Men may require more units of Dysport than women because they generally have stronger muscles. Dysport results generally take four days to be evident. Our patients are able to return to work and their normal daily activities immediately following their treatment.

What does Dysport Cost?

The cost of Dysport varies on the amount of units you need and the areas being treated.  Every patient is different and the exact amount of Dysport needed will be determined at your consultation.  Dr. Green will create a customized injection package designed for your needs.

Male Dysport patient, before and after photo

The results from Dysport® are visible within a few days and the results last for up to 4 months. Dr. Green will answer any questions you have about these injections so that you can make the best choice for your individual circumstances.

Dr. Michele Green regularly injects both Dysport® and BOTOX® in her office to deliver smoother, younger looking results that help you feel better about your appearance. If you’re troubled by deep dynamic wrinkles, we may be able to help. Contact us online today or call 212-535-3088 to learn more about whether Dysport® may be right for you.

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