Botox and Dysport

BOTOX Cosmetic

BOTOX® Cosmetic is a prescription medication that, when injected, temporarily weakens muscles. It contains a purified and safe form of botulinum toxin A. Manufactured by Allergan, Inc., it is used to treat wrinkles in the skin that are formed by the frequent or continual contraction of facial muscles. In addition to its cosmetic applications, it is used to treat a number of medical problems, including excessive sweating, neck spasms, chronic jaw pain, muscle hypertrophy and migraines.

Applications for BOTOX Cosmetic

Properly placed injections of BOTOX Cosmetic block nerve impulses sent to muscles, weakening and temporarily eliminating moderately severe furrows and lines. BOTOX Cosmetic is used to treat the following:

  • Forehead furrows
  • Frown lines
  • Crow‘s feet
  • Nasal bunny lines
  • Mild eyebrow drooping
  • Skin bands on the neck
  • Jaw muscle enlargement
  • Facial asymmetry

According to Allergan, BOTOX Cosmetic has been “extensively researched, with approximately 2500 studies.”

BOTOX Cosmetic Procedure and Results

Using a very fine needle, BOTOX Cosmetic is injected directly into facial muscles that are causing furrows and lines. Receiving the injections requires no anesthetic, but can cause slight discomfort. Results can usually be seen within a week of treatment, and typically last up to four months, although areas that are treated on a regular basis may retain results longer.

Side Effects of BOTOX Cosmetic

Injection-site side effects of BOTOX Cosmetic are usually mild and temporary, and include the following:

  • Pain
  • Infection
  • Inflammation
  • Tenderness
  • Swelling
  • Redness
  • Bleeding
  • Bruising
  • Asymmetry
  • Eyelid drooping

Normal activities may be resumed immediately after receiving injections.

Dysport

Prescription Dysport® injectable is a U.S. Food and Drug Administration-approved treatment for temporarily lessening or eliminating facial wrinkles and frown lines between the eyebrows. Like BOTOX® Cosmetic, Dysport injectable is placed directly into the muscle underneath a furrow, weakening the muscle contractions.

Dysport, also known as Reloxin, is made from a neurotoxin produced by the bacterium Clostridium botulinum; it is the same neurotoxin used in BOTOX Cosmetic.

Applications for Dysport Injectable

Medically, Dysport injectable is used to treat excessive underarm sweating; symptoms of cervical dystonia, which include neck pain and abnormal head position; and muscle spasms. Cosmetically, Dysport injections are used to treat the following:

  • Forehead furrows
  • Frown lines
  • Crow's feet
  • Skin bands on the neck

Dysport Injectable Procedure and Results

Using a very fine needle, Dysport injectable is placed directly into facial muscles that are causing furrows and lines. No anesthetic is required, but injection can cause minimal discomfort. Results can usually be seen within a week of treatment, and typically last up to 4 months, although areas that are treated on a regular basis may retain results longer.

Candidates for Dysport Injectable

According to the manufacturer's website, candidates for Dysport injectable are "adults less than 65 years of age" who want "temporary improvement in the look of moderate-to-severe frown lines between the eyebrows (glabellar lines)." It may not be suitable for those with the following:

  • Allergies to Dysport injectable or its ingredients
  • An allergy to cow's milk protein
  • Surgical facial changes
  • Very weak muscles in the treatment area
  • Inflammation or infection in the area to be injected
  • Droopy eyelids or sagging eyelid folds

Anyone who is pregnant or breastfeeding, or has a neuromuscular disease, should not receive Dysport injectable.

Differences Between Dysport Injectable and BOTOX Cosmetic

Although made from the same bacterium, there is anecdotal evidence that Dysport injectable may last longer, spread farther and take effect more quickly than BOTOX Cosmetic.

Side Effects of Dysport Injectable

Side effects of Dysport injectable are usually mild and temporary, and normal activities may be resumed immediately after receiving injections. Injection-site side effects include the following:

  • Pain
  • Infection
  • Inflammation
  • Tenderness
  • Swelling
  • Redness
  • Bleeding
  • Bruising
  • Asymmetry
  • Eyelid drooping

Eyelids can droop when Dysport injections are made in the glabellar region; they usually return to normal within 3 weeks. Side effects of Dysport injectable are the same as those of BOTOX Cosmetic.

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