Dysport®

When it comes to the appearance of aging on the skin, facial lines and wrinkles are often the first sign that we encounter. Whether it’s worry lines that begin to deepen, or crow’s feet that appear when we smile, dynamic wrinkles can make us look older than we truly feel. One of the most popular treatments for patients seeking to reduce these fine lines and wrinkles is an injectable cosmetic one, by way of the botulinum toxin. There are currently four forms of this neurotoxin now on the market – Dysport, Botox®, Xeomin, and Jeuveau®. These neuromodulators have increased in popularity each year due to their safety, simplicity of injection, and high patient satisfaction.

Since its initial FDA-approval in 2009, Dysport has become a highly effective treatment option for frown lines and crow’s feet, as it offers safe, quick, and effective non-surgical treatment with no downtime or side effects. Dysport elegantly smooths and treats fine lines and wrinkles. Dysport is one of the most popular treatments in NYC simply because it offers immediate, high-quality facial rejuvenation in as little as one treatment session. Dysport has a similar formulation to Botox and Jeuveau, and each has unique benefits in terms of developing a treatment plan for facial rejuvenation

If you’re frustrated by the appearance of facial lines and dynamic wrinkles, board-certified cosmetic dermatologist, Dr. Michele Green, is here to help. Dr. Green is a highly experienced cosmetic dermatologist with particular expertise in cosmetic injectables, including neuromodulators and dermal fillers. With over two decades of experience in neurotoxin injections, Dr. Green uses her “less is more” philosophy to create an artful, natural look, reducing the appearance of facial lines and wrinkles. Dr. Green is thrilled to provide Dysport to her patients in her discreet, private, NYC dermatology office.

What are Dysport Injections used for?

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 that relies on a neurotoxin, botulinum toxin type A, to essentially “freeze” the nerve signals to overactive muscles in the face. This reduction in muscle activity then reduces the appearance of dynamic wrinkles on the face, helping to smooth the surface of the skin.

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.

Dysport injections specifically rely on an active ingredient derived from botulinum toxin, abobotulinumtoxinA, which is the same toxin that causes botulism. This botulinum toxin type A formulation is not only safe to use, but is able to essentially “freeze” signals that activate muscle groups. Through this process, targeted muscle groups are forced to relax, reducing the appearance of fine lines and wrinkles within the treatment area. Dysport injections are a non-invasive option for wrinkles, meaning that they require no downtime, and patients can resume normal activity immediately post-treatment. After several Dysport injections, your dynamic lines will continue to be reduced and your wrinkles smooth and skin rejuvenated.

How does Dysport compare to Botox injections?

Dysport and Botox are both neurotoxins derived from botulinum toxin with very similar in their mechanism of action and efficacy in treating frown lines, crow’s feet, and dynamic wrinkles. Both neuromodulators work by inhibiting neurotransmitters responsible for signaling muscle contractions. By relaxing the muscles at the injection site, the skin becomes smoother and the wrinkles are softened. Both contain similar main ingredient, but the differences lie in the amount of trace proteins. Currently, Dysport is approved by the FDA to treat only moderate to severe glabellar lines, or frown lines. Botox is FDA approved for treating forehead lines, crow’s feet (fine lines around the eyes), and glabellar lines.

The efficacy, longevity, and treatment effect of Dysport and Botox are comparable. The results from Dysport start taking effect in just a few days, while the results from Botox can sometimes take longer with full results seen around two weeks. Both Dysport and Botox have similar longevity of three to four months, although some patients observe that one lasts longer than the other. The dosage of Dysport and Botox differs: the general guideline is that one Botox unit equals three Dysport units. The formulation of Botox and Dysport differs slightly based on the proteins in each product. Some studies have suggested that Dysport may have a slightly larger area of spread upon injection. In short, Dysport and Botox are very comparable neurotoxins.

What are the side effects of Dysport injections?

In general, side effects from Dysport injections are very mild. Common side effects of Dysport include:

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

Occasionally, Dysport injections can lead to serious side effects. These serious side effects include:

• allergic reaction
• difficulty swallowing
• 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. Symptoms of toxin spread, if this occurs, will develop weeks to months after injection, and may include drooping eyelids, blurred vision, severe muscle weakness (almost as if the patient had taken a muscle relaxant), or difficulty talking. Additionally, difficulty swallowing and breathing difficulties are extremely rare, but have been reported, mostly in children with underlying neurologic issues. Please let Dr. Green know in advance of your neurotoxin injections if there is a history of Lou Gehrig’s Disease (ALS), or multiple sclerosis. If any serious adverse side effects are noted, it is advised to contact the FDA at 1-800-FDA-1088 immediately for medical advice.

Are Cosmetic Injectables a Long Term Treatment for Facial Rejuvenation?

Cosmetic injectables like Dysport an innovative method to revitalize the appearance of the skin without the need for downtime or invasive surgical procedures. Though the majority of cosmetic injectable treatments are temporary, the results of dermal fillers and other injectables have become increasingly long-lasting over the last decade. Neuromodulators in particular are an excellent long-term solution to facial rejuvenation because, though each treatment session has lasting effects for 3-6 months, continued use of injectables like Dysport and Botox can help to further reduce the appearance of fine lines and wrinkles, helping to turn back the clock on the signs of aging. Additionally, neuromodulators can actually prevent the formation of new facial lines and dynamic wrinkles, helping to preserve youthful looking skin for years to come.

Who makes Dysport Injectable Treatment?

Galderma is the pharmaceutical giant behind Dysport injectable treatment. In 2019, Galderma Laboratories celebrated 10 full years of FDA-approved Dysport treatments in the United States, during which time the neuromodulator has continued to gain wide popularity for the reduction of facial lines. Dysport injections are safely approved for use in 72 different countries, and has over 25 years of successful clinical trials that have proven it to be safe for both therapeutic and aesthetic use. Galderma is a popular innovator in cosmetic dermatology, with products that include Restylane® , Sculptra® , Cetaphil® brand skincare, and Differin acne gel, among others. Galderma also has a commitment to sustainable consumption and ethical practices to help preserve resources for future generations.

What is the chemistry behind Dysport that makes it work?

Dysport is composed of botulinum toxin type A, specifically abobotulinumtoxinA. Dysport is an injectable that 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.

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

Which areas of the face and body does Dysport treat?

Dysport is able to treat a wide array of facial muscles and wrinkles, including:

• 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
• Jawline contouring for facial slimming; Mandible hypertrophy
• Hyperhidrosis
• TMJ
• Neck cords or bands
• Wrinkles or dimpling of the chin area
• Down-turned corners of the mouth (DAO muscle)

What other treatments is Dysport approved for?

Dysport is approved by the FDA to treat spasticity in both children and adults. Spasticity refers to abnormal muscle tightness from prolonged muscle contraction due to damaged nerve cells. Spasticity is a symptom associated with damage to the brain, spinal cord, or motor nerves. It is often seen in neurological conditions such as cerebral palsy, multiple sclerosis, stroke, or traumatic brain or spinal cord injury. Nerve cells are responsible for sending signals to the appropriate muscles to contract or relax. When the nerve cells are damaged, the muscle receives the wrong signals that can lead to involuntary muscle contraction, most commonly in the upper or lower limbs. Spasticity can be extremely painful and inhibit the ability to perform simple daily tasks. Dysport can be injected into the affected muscles to temporarily block the signals from the brain that is telling the muscle to contract, relieving the discomfort and tightness of the muscle.

Dysport is also FDA-approved to treat adults with cervical dystonia, also referred to as spasmodic torticollis. This is a rare medical condition that causes the neck muscles to involuntarily contract into abnormal positions. This leads to twisting movements of the head and neck, which can be painful and disabling. There is no known cause or cure for cervical dystonia, but symptoms can be managed with Dysport injections into the affected muscle to temporarily block the signals from the brain that tells the muscle to contract. Dysport treatment for these medical conditions should be recommended and performed by a specialist.

What is the process of having 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 while 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. Prior to your first Dysport procedure, you may apply a topical numbing cream to minimize any discomfort at the injection site.

Next, she’ll carefully inject small amounts of Dysport® into the treatment area to prevent them from wrinkling, smooth existing frown lines and wrinkles, and prevent new lines from forming. There is minimal discomfort during treatment. 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 continue their normal daily activities immediately following their treatment, a huge advantage of non-invasive injectable treatments over surgical procedures.

We advise patients to refrain from blood thinners before cosmetic injections to avoid any bruising or downtime. Avoid aspirin, aspirin containing products, and blood thinners like Coumadin, Ibuprofen, Aleve, Motrin one to two weeks prior to your Dysport appointment. Supplements to avoid one to two weeks before Dysport treatment include multivitamins, vitamin E, and fish oil. Arnica, a common natural herb known as Arnica montana, has shown to reduce bruising and even help alleviate pain and inflammation. Arnica can be found over-the-counter in gel, lotion, or oral form. We recommend starting Arnica three to four days before your Dysport treatment to minimize bruising and downtime. You can continue taking Arnica capsules or using Arnica gel or lotion on the injection site after the appointment until you are fully healed.

Dysport for TMJ (temporomandibular joint) and masseter muscle for facial slimming

Dysport can also be used to treat TMJ for masseter muscle hypertrophy. TMJ stands for temporomandibular joint, which is a hinge that connects the jaw bone (mandible) to the temporal bones of the skull to allow the jaw to move up and down and side to side. TMJ disorder (TMD) is associated with pain along the jawline often caused by a hypertrophic (overactive) masseter muscle due to years of teeth grinding and jaw clenching. TMD can also be prompted by traumatic injury to jaw muscles, head, and neck. Other symptoms of TMD include jaw clicking or popping, pain behind the eyes, neck, or shoulders, and headaches. TMD is very common, affecting more than 10 million Americans. It is more common in women than men, and often presents in patients between the ages of 20 and 40. The overactive masseter muscle can cause chronic pain and reduce movement along the jaw.

Clinical studies have shown that neuromodulators like Dysport are highly effective in the treatment of TMJ disorder. Dysport is injected into the masseter muscles, which blocks the neurotransmitters that signals the masseter muscles to contract. The muscle then relaxes, thereby relieving the tension along the jawline. Because Dysport prevents muscle contractions, it eliminates involuntary jaw clenching from stress or teeth grinding while sleeping. By preventing the movement of the jaw muscles, a secondary effect of Dysport injection in the masseter muscle is facial slimming. Overactive masseter muscles can cause the face to develop a boxy appearance or a square jawline, and Dysport is often used for non-surgical jaw reduction. When Dysport is injected into the masseter muscles, the muscle stops contracting, reducing the strength and size of the muscle. The result is a slimmer face and a more V-shaped jawline.

Dysport for Hyperhidrosis – underarm sweating

Additionally, Dysport can be used to treat excessive underarm sweating (hyperhidrosis). Dysport can be applied to sweat glands, such as in the underarms, to wondrous effect. Dysport injections can actually target the nervous system, blocking the nerves that activate sweat glands. When these nerves are paralyzed, it can prevent the nerves from activating an overactive sweat gland response, helping to reduce excessive sweating.

How long does it take for Dysport to work? When does Dysport kick in?

Some patients wonder how long it takes for Dysport to kick in, and the answer for most patients is “right away!” Typically, patients will see their positive results from Dysport within four days, a couple of days after any initial swelling near the injection site subsides. For some patients, it may take up to two weeks for the full results to become apparent. However, in general, it will only take a few days for optimal results to appear. For some patients, multiple sessions of Dysport injections will be needed in order to ensure optimal results. This is particularly common for treatment areas where stronger muscles are the focus, as well as for male patients who tend to have slightly larger muscle mass. In order to relax these larger muscle groups, multiple treatment sessions spaced at least a month apart can be highly effective.

When does Dysport peak?

Dysport typically “peaks” within one month of the injections. The positive results of the Dysport can be seen within four days, as early as 24 hours after the procedure. There many be minor swelling present at the injection site for a few days. The change from Dysport is complete around seven days after the treatment.

Male Dysport patient, before and after photo

Does Dysport last longer than Botox?

Dysport typically lasts around three months after the treatment, similar to Botox. The longevity of both Dysport and Botox depends on the body’s rate of metabolism of the product. Some patients report Dysport lasting longer than Botox, while others state Botox lasts longer. It all depends on your body and how fast it metabolizes the neuromodulator. Continuing maintenance of Dysport treatments will boost the effectiveness of the product and significantly reduce the appearance of fine lines and deep wrinkles.

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. Typically, patients will opt for either quarterly or semi-annual treatment sessions in order to continue their successful results from Dysport injections. Also, studies have shown 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 facial lines and wrinkles, depending on the size of the muscles being treated.

How can I make Dysport last longer?

Most patients are thrilled with their results after an initial Dysport treatment, as the benefits of Dysport can last up to a full six months for many patients. However, one of the best ways to extend the success of Dysport is to continue with regular “touch-up” appointments. By continuing to engage in Dysport treatment sessions, patients can maximize the effectiveness of the neuromodulator and, in some cases, can permanently reduce the severity of facial lines and dynamic wrinkles.

What is the difference between Dysport and Botox and Xeomin?

A complete literature review was recently completed by Dr. Jeffrey Dover in 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.

Each of these neurotoxins are comparable and effective. However, the units of Dysport cannot be compared with the number of units of Botox or Xeomin, and are not interchangeable. The original Botox formulation, before 1998, had 25 ng 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. Additionally, they both have the the same effects on facial wrinkles in that they both reduce the appearance of dynamic wrinkles on the face and have results that last for the same period of time.

Is Dysport better than Botox?

Botox currently has FDA approval for glabella, forehead, crow’s feet, among other indications. Botox is also 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, Dysport for forehead and around eyes.

What is the difference between Dysport vs. Xeomin?

Similar to both Dysport and Botox, Xeomin is a neuromodulator that uses botulinum toxin to relax the muscles that cause dynamic wrinkles. Xeomin is a cutting-edge variation on neuromodulators created by Merz Pharmaceuticals. Xeomin differs from Dysport and Botox in that is contains no additives or accessory proteins in its formulation, which can be an excellent option for patients who have developed antibody resistance to products similar to Botox. Antibody resistance is a frustrating issue that certain patients can develop with continued use of Botox over time, which is why Xeomin’s “naked” formulation is considered an exciting development in the world of neuromodulators.

What is the difference between Dysport vs. Jeuveau?

Jeuveau (also referred to as Newtox) is yet another botulinum toxin injectable neuromodulator that helps to reduce the appearance of fine lines. It is the first alternative form of Botox in nearly ten years, since Dysport and Xeomin were put on the market. Jeuveau also uses botulinum toxin to block chemical signals from nerves to muscles in the treatment area, thus reducing the appearance of wrinkles. Just like Dysport, Jeuveau tends to be most effective for 3-6 months after treatment. Jeuveau tends to show full results after about two weeks, and side effects are minimal.

The primary difference between Jeuveau and Dysport is that Jeuveau relies on an innovation known as Hi-Pure. Within the manufacturing process of Jeuveau, an additional purification process of the protein takes place, which is thought to make the formulation safer. Additionally, unlike Dysport and Botox, Jeuveau is exclusively used for cosmetic purposes, rather than treating medical issues such as hyperhidrosis, TMJ disorder, or muscle spasms.

How does DAXI by Revance compare to Dysport?

DAXI, or DaxibotulinumtoxinA, is a new type of neuromodulator created by Revance Therapeutics, Inc. based in California. DAXI is an injectable neurotoxin designed to treat fine lines and smooth deep wrinkles, and the effects are comparable to that of Dysport. The mechanism of both DAXI and Dysport are similar in function: when the botulism toxin is injected into the treatment area, they temporarily paralyze the muscle, causing it to relax. The freezing of the muscle prevents repeated movements that cause wrinkles, smoothing out fine lines and dynamic wrinkles. DAXI is unique among other neuromodulators because it contains a proprietary peptide that contributes to its longevity. While other botulinum toxin type A treatments such as Dysport last 3-4 months, clinical trials for DAXI showed a median longevity of 6 months.

While Dysport has been approved by the FDA since 2009 for the treatment of glabellar lines, DAXI has not yet been FDA-approved. The clinical trials have demonstrated the safety and efficacy of DAXI with promising results, comparable to other neuromodulators in the market. The FDA approved Revance’s Biological License Application (BLA) in February 2020 and stated the approval decision for DAXI will be made late 2020. Unfortunately, the COVID-19 pandemic delayed the FDA’s approval for DAXI and is now estimated to be fully approved for treatment of glabellar lines in late 2022.

What is the best neuromodulator to use?

When it comes to which neuromodulator to use for treatment, there is no one “best” option. Each formulation has its own exceptional benefits, and should be chosen based on the particular needs of the patient. For example, patients who are interested in using neuromodulators for the first time for cosmetic use may opt for Dysport. Patients seeking treatment for chronic migraines may opt to use Botox. Patients who have experienced antibody resistance to Dysport or Botox may be interested in using Xeomin to continue to see improvements from neuromodulator injections. When you work with Dr. Green, she will work with you to discuss which neuromodulator is best for you, carefully considering your medical history, as well as your individual needs and aesthetic goals.

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 certified 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 Treatment?

The best candidate for Dysport injections is a patient 18 years of age or older who is healthy with no previous adverse reactions to botulinum products.  If you have any neurologic medical conditions, such as ALS or myasthenia gravis, these could be contraindications to Dysport injections, so 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.

Does Dysport cause headaches?

Although Dysport can be used to treat headaches in patients with a history of chronic migraines, headache is one of the less common side effect of Dysport injections. A new headache may occur because the other muscles are contracting to compensate for the treated relaxed muscle. The headache is temporary and should resolve within two weeks. In the meantime, the pain and discomfort can be alleviated through over-the-counter pain medications such as Tylenol. Avoid aspirin or ibuprofen as it can contribute to bruising after Dysport injections.

What are the other uses of Dysport besides cosmetic use?

Dysport has the similar formulation and function as Botox, which means that it can also be successfully used in medical treatments. These treatments include cervical dystonia, an involuntary neck muscle contraction, upper limb spasticity, and lower limb spasticity in pediatric patients. Additionally, treatment for TMJ disorder and hyperhidrosis are considered to be medical uses for neuromodulators.

Is Dysport Safe?

Dysport, when provided by a board-certified healthcare professional, is very safe and is associated with mild side affects, such as injection site pain or swelling in the treatment area. However, when Dysport is administered by an inexperienced injector, severe, life-threatening side affects are more likely to occur. For this reason, it is vital that you work with an experienced, board-certified medical doctor. Medical spas, aesthetics centers, and “botox parties” often offer Dysport injections, but in order to ensure both safe and satisfactory results, a board-certified dermatologist is the best option. Dr. Green is an artful injector of neuromodulators, dermal fillers, and other injectable cosmetic treatments, and she has over two decades of experience helping patients look and feel like the best versions of themselves.

When considering Dysport or any injectable treatment, it’s best to examine the medication guide, which contains important safety information and can help to determine any potential contraindications. 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 any 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.

How much Dysport do I need?

The answer to how much Dysport a patient needs varies widely depending on the severity of wrinkles, the size of the treatment area, as well as the specific treatment plan. Typically, when it comes to more subtle facial lines like crow’s feet, around 25 units of Dysport are used for each treatment site. For larger areas, as well as for treatment of stronger facial muscles such as the muscles around the jawline, a higher amount of units will be needed to optimize results.

It’s good to note that Dysport does not have the same concentration of botulinum toxin type A per unit as Botox. This means that, when it comes to Dysport injections, a larger amount of units are typically needed than Botox. Most doctors use the ratio of 2.5: 1 for Dysport to Botox, which means that 25 units of Dysport are near the equivalent of 10 units of Botox, but there is no exact ratio between the two. With all injectable treatments, including Botox and Dysport, Dr. Green uses a “less-is-more” approach, ensuring that patients see results without negatively affecting the muscle.

How many units of Dysport are needed for forehead wrinkles?

As the primary muscle of the forehead is relatively thin and flat when compared to other facial muscles, forehead wrinkles can be treated with a moderate amount of Dysport. Generally, around 40 units of Dysport are needed, but this varies somewhat from patient to patient. Male patients typically have stronger facial muscles than women, and may require more units of Botox into he injection site to treat the area.

How much is Dysport per unit?

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. In general, the cost typically varies based on the expertise of the injector. Dr. Green was on of the first dermatologists in NYC to utilize Botox and Dysport for cosmetic wrinkles, to treat frown lines, glabella lines, and crow’s feet, among other areas. When you work with Dr. Green, she will create a customized injection package designed for your needs.

Before and after: Restylane and Dysport – 1 month

The results from Dysport® are visible within a few days and the results last for at least 3-4 months. Dr. Green will answer any questions you have about these injections so that you can make the best choice for your individual circumstances.

How do I get started with Dysport Injections today?

Cosmetic injectables, like Dysport and Botox, are the number one, most popular cosmetic procedure in the office of Dr. Michele Green. Dr. Green is known as injecting the “best Botox” in NYC and prides herself in her aesthetic artistry in cosmetic injections. Her “less is more” approach to Botox, Dysport, Juvederm and Restylane, have made her consistently voted as one of the best dermatologists in NYC by Castle Connolly, the New York Times, Super Doctors, and New York Magazine. If you would like to smooth your fine lines and wrinkles, and rejuvenate your appearance, then it’s time to make a consultation with Dr. Green today. Please contact us online today or call 212-535-3088 to learn more about whether Dysport® may be right for you.