BOTOX® and Dysport are derived from Botulinum Toxin A and are used in an extremely diluted form that acts locally on the injected muscles. They treat facial lines of animation; in other words, they deactivate some muscle function that can cause facial wrinkles. BOTOX®/Dysport do not require skin testing, and injection of these neuromodulators is one of the most common aesthetic procedures
They treat “laugh lines”, or “crow’s feet” around the eyes. They also work well on the forehead to soften transverse lines, and vertical lines or “furrows” between the eyebrows. These vertical lines are sometimes referred to as “11” lines. By treating the tail of the lateral eyebrow, they can raise the lateral brow. Some physicians have even injected BOTOX® or Dysport into lines around the mouth to eliminate “smoker’s lines.” They have been used to raise the nasal tip, eliminate chin dimpling, and improve neck bands. They can also be used to soften the so-called “bunny lines” around the nose. They can also be used for the treatment of excessive sweating and for many cases of migraine headaches.
BOTOX®/Dysport injections are nonsurgical, requiring no anesthesia or downtime which means you can get right back to your normal routine. Some describe the treatment as feeling like a pinch. Ice or numbing cream may be applied to improve comfort. An experienced surgeon will use BOTOX®/Dysport injections to target specific muscles. Out of 43 muscles, they will select the correct spots to optimize treatment. Small amounts of BOTOX® or Dysport are injected into these selected muscles using a very thin needle. Wrinkle producing muscles are weakened so that they are less active. Your natural facial expressions are preserved through this careful muscle selection. The amount of injections needed varies depending on the area being treated and facial features of the individual. This treatment process usually takes less than 15 minutes.
The effect usually lasts about four months, and sometimes longer. There may be some minor bruising and swelling of the treated regions that will often resolve anywhere from a few hours to a few days. Results may be noticeable in just a few days, but it can take a week to see the final improvements. After this time, you will have less noticeable lines in the face and a more youthful, rejuvenated appearance to your skin.
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Botox/Dysport Frequently Asked Questions
Can Botox/Dysport cause Botulism?
The therapeutic dose of Botox used to improve the animation lines of the forehead and regions around the eyes is markedly lower than the potential toxic doses that could cause Botulism. In general, it is a very safe product with very few side effects.
If I use it repeatedly, will I require less Botox each time, and can I go longer without requiring re-treatment?
Interestingly, it appears that after repeated use, the muscles of animation that are treated with Botox are weakened, and if used regularly, will result in a longer time interval between treatments with lower dosing required to produce the desired result.
Are Dysport and Xeomin as good as Botox?
I think that in general the three common neuromodulators are equivalent. Some may take effect a bit quicker than others, but they can all create the same result. I think that the result is injector dependent as well.
Can Botox/Dysport/Xeomin raise my eyebrows a bit?
All the neuromodulators like Botox, Dysport, and Xeomin can raise the eyebrow and produce a chemical brow lift. A small aliquot of product injected just below the tail of the lateral eyebrow can inactivate the orbicularis oculi that normally would pull down the eyebrow in that area. This allows the frontalis in the forehead to lift the eyebrow unrestricted.
What can I do for my lip lines?
Lip lines often appear with age and more commonly after sun damage and in patients with a smoking history. Lip lines can be treated with chemical or laser peels. Fine lines can be filled with hyaluronic acid fillers like Restylane Lyft, Juvederm Ultra Plus, Juverderm Ultra, or Restylane. Some surgeons will use fat as well. If this does not improve the lines well enough, then sometimes neuromodulators can be used in very small aliquots to weaken the orbicularis muscle. This may help to efface the lines.
How do I get rid of my crow’s feet?
Crow’s feet develop along the corners of the lateral canthus. They often are more prominent while smiling as the muscle around the eye contracts. The neuromodulators like Botox, Dysport, or Xeomin can help soften these lines. The results should last about four months.
How do I treat my “11” lines?
“11” lines are those lines that appear between the eyebrows just above the nose. They appear as the result of repeated contraction of the corrugator muscles, which are found along the medial aspect of the eyebrows. These lines can often be treated with neuromodulators like Botox, Dysport, and Xeomin. Sometimes these lines are etched a bit due to the thinning of the subcutaneous fat layer between the thin skin and the underlying muscle. In those cases when the neuromodulator has not reduced them enough, filler product such as those in the hyaluronic acid family like Restylane Lyft, Juvederm Ultra, Juvederm Ultra Plus, or Restylane can be injected to fill the depressions. A brow lift either by endoscopic or open technique can treat these lines as well.
How do I get rid of forehead wrinkles?
Transverse forehead wrinkles develop as a result of hyperactive frontalis muscle function. This may be due to the efforts of the muscle trying to pull up the eyebrow. In this case, injection of neuromodulators like Botox, Dypsort, or Xeomin can be helpful. The key is not to treat the lower muscle so that the eyebrow can elevate. This will help minimize the risk of eyebrow ptosis (or descent). A forehead lift using an open or endoscopic approach can also be performed to improve the eyebrow position and soften the forehead wrinkling.
Do I need surgery to treat my neck bands?
Neck bands are due to an over stimulated platysma muscle that is unmasked as the neck skin thins out with age. Sometimes small doses of neuromodulator such as Botox, Dysport, or Xeomin can be used to deactivate the muscle and improve the bands. In some individuals, this is treated during a neck or face lift procedure. Many times the muscles are sutured together or even divided to release the tension.
My chin dimples when I smile. Can this be treated?
Some individuals get peculiar dimpling of the chin fat pad when they animate. This can happen with smiling, laughing, or just with everyday talking. This is due to the overactive mentalis muscle. Small injections of neuromodulators into the area can improve this dimpling.