new fillerBotox and Dysport 

Botox took the market by storm when it was introduced in 2002 to women and men seeking “the fountain of youth” delivered by injections to their faces, Today, the number of Botox injections is up to 6 million worldwide on an annual basis.  Dysport, made from the same neurotoxin as Botox, came onto the market in 2009 and it too delivers millions of injections annually around the world.

 As both Botox and Dysport are derived from a naturally occurring toxin, clostridium botulinum Type A, from cow bovine milk, let’s discuss their similarities and differences together.

 Importantly, Botox and Dysport are both FDA approved to relax muscle contractions between the eyebrows that create wrinkles and frown lines caused by constant squinting, frowning or eyebrow lifting.  “Crow’s feet” around the eyes caused by constant smiling and “commas” around the nose and mouth are also areas that can be targeted by each product. 

The identical toxin in powder form is diluted in saline and then directly injected into the neuromuscular tissue in the forehead, over the bridge of the nose, and/or the side of the nose and mouth.  The effect of each injection by each product is to “freeze,” stop, paralyze, or disrupt the muscles underneath the skin from forming facial movements responsible for creating lines on the face.

 Possible side effects from each product are similar.  Those side effects may include mild pain and/or local edema at the site of the injection, temporary numbness at the injection site, headache, flu-like symptoms, fatigue, rash, etc.  Your physician, either a plastic surgeon, cosmetic surgeon, or dermatologist, will discuss with you any and all side effects that may occur. 

The results for each product are also similar.  Most practitioners say that it takes approximately 48-72 hours for the injections to take effect but such estimates vary widely from doctor to doctor.  Just as you discuss possible side effects with your doctor, discuss result effectiveness and time estimates as well.  Most practitioners agree that the injections derived from both products last on average of 3-4 months.

 Dysport injections diffuse farther from the injection site (can cause “flopping” eyelids) and require more injections per treatment than Botox.  Additionally, scientists and patients in a 2010 study done at the Medical Center at the University of California in San Francisco for relaxing “crow’s feet” preferred Dysport.   

The cost of each product averages between $300. -$400. But, and this is a big “but,” cost is generally determined by how many injections per treatment are needed.  Again, discuss any and all costs with your physician.