Botox & Dysport (Neuromodulators)

No, Botox will not age you. Botox works by decreasing muscle contractions. As we age, it has been shown that the muscles in the glabella tend to get larger and thicker. Botox can help address this age-related change by decreasing the muscle strength in this area, decreasing the signs of aging.

No, Botox has not been shown to cause weight gain.

Yes! Placed correctly, Botox can elevate the eyebrows 2-3 mm.

Yes, you can return to light exercise immediately after Botox. Often, we will recommend that you do not engage in strenuous activity or lay down for 4 hours following your treatment, to decrease the chances or additional bruising or unwanted migration of the Botox.

Yes,, immediately after Botox you can drink coffee. Feel free to consume coffee prior to your treatment, if desired.

No, Botox will not make your skin shiny. The skin overlying the area treated may become smoother, but the skin texture will remain the same.

The duration of Botox is variable, but most people notice 3 months of efficacy.

No, 50 is definitely not too old for Botox. We have many happy Botox patients in their 80s and older.

Botox is a neurotoxin. Botox decreases the ability of specific nerves to stimulate their target. This is where the desired effects (decreasing the contraction of muscles) the side effects (dry eyes, dry mouth, difficulty swallowing). occur.

No Botox is not a steroid. Botox works to decrease the ability of the nerve to activate the associated muscle.

Not typically. Botox is good for the crows feet (lines that radiate out from the corner of the eye towards the ear). Botox has a limited ability to treat under eye wrinkles.

Overly moving your face after Botox is unnecessary. There has been a study showing that Botox may take affect a few hours earlier if you contract the associated muscles (smile, raise your eyebrows, scowl), but we are also trying to decrease the lines caused by these muscle contractions. So, our recommendation it to go about your normal routine.

Most people start Botox when they begin to notice unwanted expression lines develop. There are many factors that are known to speed up this normal aging process, such as weight loss, sun exposure, smoking, and genetics, but many people begin to notice these lines in their 30s and 40s. There is a trend with younger clients for Preventative Botox aimed at delaying the development of these unwanted lines.

Bad Botox can be from improper placement or migration of the Botox, or from side effects of the Botox itself. Improper placement or migration of Botox can cause issues with asymmetry, eyebrow or eyelid drooping, and double vision. Side effects of Botox itself can include headaches, dry eyes, dry mouth, and difficulty swallowing,

Botox is a medical procedure that requires the use of needles to inject the product. This can bring with it unwanted bruises. It also takes 1-2 weeks to notice the results of Botox. So, plan on having Botox at least 2 weeks prior to any event where you want to look your best.

Botox is used to reduce unwanted expression lines, such as crows feet, forehead wrinkles, and glabellar lines. Botox can also be used to elevate the eyebrows, soften the lines around the mouth, smooth the visible muscle bands in the neck, help correct the downturn to the corner of the mouth, and can even be used to subtilty thin the face when the strong muscles used to bite become too strong. Other medical uses of Botox include decreasing bruxism/grinding teeth, decreasing underarm and palm sweating, decreasing limb spasticity, and is even used to prevent and to treat migraine headaches.

You should wait 12 hours to apply makeup after Botox. If the pigment of the makeup were to get into the skin at the needle injection site, it could tattoo the skin.

You should not get Botox if you are pregnant or breastfeeding, allergic to the ingredients in Botox, have an active skin infection, or are under 18 years of age. Let your provider know if you have had a prior complication or side effect from a neuromodulator treatment (Botox, Dysport, Juveau, Daxxify, Xeomin).

Some injectors feel that there is an increased risk of the Botox migrating to unwanted areas, although this is probably not the case.

Yes, Dysport works well for crows feet.

Yes, Dysport can be used to reduce the horizontal lines of the forehead, and the scowl lines in the area between the eyebrows.

Occasionally, we will inject Dysport into the ridge that develops directly under the eyelashes of the lower eyelid when smiling. Dysport has a very limited ability to smooth the skin of the lower eyelid, however.

Yes, Dysport can be used to raise the eyebrows approximately 2-3 mm.

We ask you to wait 2 weeks to get a facial before or after Dysport treatments. Excessive manipulation of the facial tissues could cause the Dysport to move outside of the treatment area, causing an unwanted effect.

Yes, there are no restrictions to showering after Dysport.

We recommend you wait 4 hours prior to laying down on your side after Dysport.

We ask that you do not apply makeup for 12 hours after Dysport. IF the pigment from the makeup were to get into the skin at the needle injection site, it could tattoo the skin.

Yes, they work through the same mechanism and can be used together or sequentially. There is some though that the more frequently a person receives Botox or Dysport, or if you were to receive different types of neuromodulators, then you could theoretically have an increased risk of developing an immune response to the neuromodulator, and they could lose their effectiveness.

No, there is no way to reverse the effects of Dysport. The Dysport will have to run its course. If you were to have an unwanted effect of the Dysport, such as a drooping eyelid, there are certain eyedrops that can help temporarily treat the drooping eyelid. If you were to notice that there was some unwanted asymmetry, this may or may not be able to be addressed with additional injections. Let your provider know if you are having an issue, and this may be able to be addressed or corrected, but there is no reversal agent for Dysport (or for Botox, Daxxify, Juveau, or Xeomin).

Botox and Dysport last about the same amount of time. Everyone is different, however, and duration can vary between each individual and the type of neuromodulator used. Also, the appropriate dosing is key in lasting results. Decreasing the dose of neuromodulator in the treatment area will cause the results to not last as long.

If the Dysport spreads out of the intended treatment area, it can result in droopy eyelids. Let your provider know if this has occurred, and options to help address the eyelid drooping may be available. Luckily, the duration of drooping of the eyelid, if it were to occur, do not typically last 3-4 months.

You can wash your face with clean, soapy water immediately after your treatment.

If dosed appropriately, Dysport generally lasts 3-4 months in the forehead.

For most people, Dysport starts working in 1 week, and reaches is maximal effect at 2 weeks. Occasionally, people will notice results more quickly - within a few days.

Comparing Botox units to Dysport Units can be confusing. Generally speaking, it takes 2.5-3 times the number of units of Dysport to treat the same area you would treat with Botox. This does not mean one is superior to the other, they are just different formulations. In studies for FDA, the dose of Botox for 50% of patients to have continued treatment response at 3 months, 20 Units of Botox were injected into the glabella. With Dysport, this number was 50U.

Dysport is sold by the unit, not by the syringe. Your provider will evaluate your areas of concern, the strength of the muscle in the area, and come up with a recommendation on how many units they would recommend. So, the final cost of Dysport is variable based on your concerns and what we feel we can achieve.

How often you get Dysport varies on what you are trying to achieve. Since the effects of Dysport last 3-4 months in most people, we have many clients that get treated every 3-4 months. Others tend to get Dysport less frequently, 1-2 times per year. Some clints reserve their treatments for special occasions such as reunions or weddings.

For most people, Dysport starts working in 1 week, and reaches is maximal effect at 2 weeks. Occasionally, people will notice results more quickly - within a few days.

No, Dysport is a neuromodulator and not a filler. Dysport works by decreasing muscle contractions, and the unwanted facial expressions/wrinkles associated with those contractions. Dysport will not add volume to the area treated.

Like any procedure involving injections and medications, there are risks. Bruising, bleeding, discomfort, headaches, swelling, dry eyes, dry mouth, eyelid or eyebrow drooping, allergic reactions, are among the risks of Dysport injections.

Dysport can be used in the lips to decrease the fine lines around the mouth, especially the lines that appear when pursing the lips. Dysport can also be used to weaken the muscles that retract the lips and make the lips look smaller when smiling, creating a subtle lip fullness.

Dysport, like other available neuromodulators such as Botox, Daxxify, Juveau, and Xeomin, are used cosmetically to treat muscle contractions that lead to unwanted lines and expressions. Dysport can also be used in people suffering from limb spasticity, migraines, excessive sweating, and facial ticks.

Botox and Dysport are different medication formulations that both weaken the ability of a nerve to stimulate muscle contractions. The active part of the medication is the same in each, but the rest of the molecule is different. You could make the analogy of 2 different house keys that work the same lock. Each house key has the same piece that activates the tumblers in the lock, but the handles are different.

We ask you to avoid strenuous exercise or laying down for 4 hours after your treatment. This is to reduce the risk of additional bleeding and bruising, and to possibly decrease the risk that the Dysport moves outside of the intended treatment area, causing unwanted effects.

There is some confusion whether or not Dysport is cheaper than Botox because the units injected are not the same between the two products. To get the same effect, many injectors use 2.5-3 times as many units of Dysport as they would with Botox. This does not mean that one is superior to the other, they are just different in how they are dosed, and this can lead to confusion about the price. In our practice, you will generally pay about the same price to treat each area with either Dysport or Botox. Some people respond to one product better than the other, and vice versa.