Botox / Dysport

What is it?
The popularity of Botox and Dysport far outweighs any other form of cosmetic procedure. Botox and Dysport are injectable medications that cause the muscles in the area of treatment to weaken. Botox has been FDA approved for over 30 years, and has been proven to be extremely safe. Dysport was introduced to the US in 2009, but has been used in other parts of the world since 1991 with a great safety profile as well. Both these products work by blocking neurotransmitter release from the nerve, which tells the muscle to move. This causes the muscle to weaken, thereby softening or eliminating wrinkles caused by the muscle action. Botox is used, often in much larger doses than what is used in cosmetic purposes, in conditions such as cerebral palsy, cervical dystonia, Parkinson’s disease, vocal cord dysfunction, and bladder issues.

Botox ResultsBefore / 1 Day After / 2 Days After
Botox Results5 Days After / 6 Days After / 1 Week After

Visit our Botox photo gallery
How long does it last?
Botox and Dysport generally last from 3-4 months, at which time the muscles will regain their strength and lines will gradually start forming again. Our patients get anywhere from 1-4 treatment sessions per year, depending on the strength of their muscles and their age.

Am I a candidate?
Botox and Dysport are used in a variety of ways to decrease wrinkles. If you have unwanted lines in the following areas, you may be a good candidate for this type of treatment.

  • Frown lines between eyebrows
  • Crow’s feet around eyes
  • Upper nose wrinkles
  • Forehead wrinkles
  • “Smoker’s lines” around mouth
  • Wrinkling to chin
  • Hyperhidrosis, or excessive sweating to the palms and underarms
Botox treatment to glabellar linesBotox treatment to glabellar lines, or 11’s in between eyebrows and forehead lines.
After Botox treatment to glabella and foreheadAfter Botox treatment to glabella and forehead. As you can see in the forehead lines, if you wait too long to treat fine lines, the wrinkles become deep and Botox alone will not always be enough to completely smooth out the lines.

Who cannot use Botox or Dysport?
Botox and Dysport injections are contraindicated in those who are pregnant or breastfeeding and those with a preexisting motor neuron disease (e.g., myasthenia gravis, Eaton-Lambert syndrome, and neuropathies)

What is the procedure like?
After thoroughly cleansing the area, we use a very small needle to inject the Botox or Dysport into the skin. The entire procedure usually takes about 5 minutes, and most patients can barely feel the injections. Overall, our patients do very well with this procedure. We have numerous patients who are terrified of needles that tolerate these injections without problems. We do our best to make this treatment as comfortable and relaxing for you as possible.

Do I need to do anything after the procedure?
It is recommended that you do not lie down for about 4 hours after the injections. Using the muscles we are targeting (raising the brows, squinting the eyes, etc…) for an hour or so after the injections may be of benefit. You may continue your regular skin care regime and apply makeup as usual.

Is there downtime?
There is no real downtime with Botox or Dysport injections. You may be slightly red for 10 minutes, but most people return to work immediately after their appointment.

What should I expect after the treatment?
You will likely not see any results for the first 3 days. Between 3-5 days after the treatment, you will notice the muscle action gradually becoming less and the wrinkles smoothing out. Usually within a week, the Botox or Dysport will be fully active, but it could take as long as 2 weeks.

What are the possible complications?
Very rarely patients can have a mild and temporary drop of the brows or eyelid. This is not common if the injections are done by a trained and experienced provider. Seldomly, patients may get a bruise from the treatment, as is a possibility anytime we introduce a needle into the skin. The risk of a bruise becomes greater if you are taking aspirin or other blood thinners, vitamin E or anti-inflammatory medications. Taking Arnica tablets 5 days prior to the procedure may help to reduce this risk.

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