Beauty Sans the Knife in New York: Botox vs. Dysport

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With Botox leading the list of the non-surgical cosmetic procedures for roughly a decade now, Botox alternatives are now also growing in popularity such as Dysport. For your facial rejuvenation needs, Dr. Steven Wallach, a New York board-certified cosmetic surgeon, offers both Botox and Dysport for clients who would like to keep their wrinkles at bay. If you’re quite confused as to which of these two to go for, we list down the details below.


  • Since it’s FDA approval for cosmetic use, Botox has been the ultimate weapon against crow’s feet, forehead wrinkles and softening frown lines. Botox is a very safe cosmetic procedure and does not require you to stay at the clinic for a long period of time.
  • For some people, the effects of Botox could last for 8 months while for some, it could only last for 2 months. On an average, the effects of Botox could last between 4 to 6 months so you will most likely need roughly 2 to 3 treatments in a year. Recent research has also shown that the longer you consistently use Botox, the longer the effects will last.
  • The effects of Botox is not noticeable right away. Full effects are often noticed around the seventh day but subtle differences could be observed on the third day.
  • Due to its thicker consistency, Botox is now preferred in thick-muscles areas such as between your eyes and around your mouth.


  • Dysport came later than Botox; the former was approved for cosmetic use in 2009 while the latter made its debut in the cosmetic world in 1989.
  • Both Botox and Dysport are derivatives of the Botulinum toxin.
  • If you’re in a rush to look younger for a party the next day, you might want to choose Dysport. Its wrinkle-smoothing effects are already noticeable between 1 to 3 days of injection.
  • Several people who have both tried Botox and Dysport has posted in forums that Dysport injections hurts a little more than Botox.
  • Because of its thinner consistency, Dysport is now often used than Botox in treating wide, thinly-muscled areas, particularly those fine lines located in your forehead. Dysport is now also preferred in treating crow’s feet.
  • Keep in mind that 100 cc of Dysport does not have the same amount of the active ingredient in a 100 cc of Botox. You need to have 2.5 times more of Dysport to get the same results as Botox. Results, like Botox, also last between 4 to 6 months.

Dr. Wallach welcomes your queries on Botox and other minimally-invasive procedures to reduce the appearance of wrinkles and fine lines.  Contact our Manhattan office at (212) 861-6400 or by mail at 1049 5th Avenue, Suite 2D in New York, NY 10028. You can also fill out this contact form to request additional details. We will listen to your concerns concerning wrinkle reduction, educate you about what is best for you, and make recommendations. We look forward to hearing from you!

Steven Wallach MD

Steven Wallach MD

Dr. Wallach is a board-certified plastic surgeon in New York City who specializes in performing cosmetic procedures of the face, breast and body. As one of the cutting edge experts in the field, Dr. Wallach consults on a regular basis with people in the beauty, media, and publishing worlds.

Meet Dr. Wallach

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