BOTOX & Dysport Manhattan NY

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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 performed today.

BOTOX®/Dysport Treatment

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 Procedure

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.

BOTOX®/Dysport Results

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.
For more information, visit the Botox/Dysport FAQs or our blog.

“As an expert in the field of plastic surgery, one of the most rewarding aspects of my career has been listening to my patients’ stories about how having plastic surgery has changed their lives.”

If you would like more information about New York Plastic Surgeon Dr. Wallach and his success with New York City BOTOX®/Dysport, we hope that you will not hesitate to contact our Manhattan offices at (212) 257-3263 or by mail at 1049 5th Avenue, Suite 2D in New York, NY 10028; or using our contact form to request additional details.

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.

Frequently Asked Questions

Can Botox age you?

Botox should not age you. It should make you appear more rested and youthful.

Can I go for a walk after Botox?

Yes, you can go for a light walk after Botox but should avoid the gym or physical labor or about 5-6 hours.

Can Botox cause weight gain?

Botox will not cause weight gain.

Can I have wine after Botox?

Yes, you can have wine after Botox.

Can Botox help sinuses?

Botox will not help sinus issues.

Can you drink coffee after Botox?

Yes, you can drink coffee after Botox.

Can Botox lift eyebrows?

Yes, Botox can lift the eyebrows. This can be accomplished by placing a small dose just under the tail of the lateral eyebrow.

Does Botox affect the brain?

Botox does not affect the brain.

Does Botox make you look older after it wears off?

Botox will not make you look any older than before it was injected.

Is Botox a poison?

Botox is a toxin. It is used in very low doses and will not poison you.

Does Botox make you shiny?

Botox may improve the texture of the skin.

Is Botox a steroid?

Botox is not a steroid.

How long does Botox last?

Botox usually lasts between 3-4 months inn most people. It may last for a shorter time in very active individuals.

Is Botox good for under eye wrinkles?

Botox may help some under eye wrinkles in very small doses.

Is 50 too old for Botox?

50 is the perfect age for Botox. It may be something to do in addition to other procedures like facial fillers or a facelift.

Should I move my face after Botox?

You can move your fast in any way you want after Botox injections.

What age should I start Botox?

There is no specific age that you should start using Botox. If you have certain wrinkles from facial animation then Botox can help soften them. Botox can also be used prophylactically to minimize future wrinkles.

What should you not do after Botox?

I usually have patients limit their exertion for several hours. I also do not want them to rub the areas injected for several hours after the procedure.

What are the bad side effects of Botox?

There really are not too many bad side effects. Most are minor, like some mild bruising or swelling. It is rare for someone to have eyelid ptosis from Botox.

Who should not get Botox?

Patients with neurologic disorders or who are pregnant should avoid Botox injections.

What do I need to know before getting botox?

Botox will neutralize the effects of the muscles that are injected, so a patient should be aware that those areas may feel a bit weird for a few days as it takes effect.

Why cant you lay down after Botox?

Laying down right after Botox may cause the Botox to migrate a bit.

What is Botox used for?

Botox is used for treating facial lines of animation. The goal is to soften those line.

Can dysport be used for crows feet?

Yes, disport can treat crows feet.

Can I exercise before Dysport?

Yes, you can exercise before disport, but you should avoid exercise for several hours after treatment.

Can dysport be used on forehead?

Yes, disport can be used to treat forehead wrinkles.

Can I get a facial after Dysport?

I would not recommend going for a facial immediately after treatment, but you can have a facial the next day.

Can dysport be used under eyes?

Dysport can be used under the eyes in a very conservative way to treat wrinkled skin.

Can I shower after Dysport?

You should wait about 4-6 hours after treatment before taking a shower.

Can dysport lift your eyebrows?

Yes, injecting small amounts of disport underneath the lateral eyebrow can lift the eyebrows.

Can I sleep on my side after Dysport?

Yes, you can sleep on your side after disport but it is best to not lie down for at least 4-6 hours after treatment.

Can I wear makeup after Dysport?

You can lightly apply makeup after your disport treatment. You should avoid rubbing it in initially after treatment.

Does Botox last longer than Dysport?

Botox and Dysport last about the same amount of time, but Dysport may have an earlier onset.

Can you get dysport after Botox?

Yes, you can get Dysport after your Botox wears off.

Does dysport cause droopy eyelids?

If Dysport is injected too low, it may cause the eyes to droop.

Can you reverse the effects of Dysport?

No, you can not reverse the effects of Dysport, but the effects will last for 3-4 months.

How long after Dysport can I wash my face?

You should avoid rubbing your face for about 4-6 hours after treatment.

Can you use Dysport for laugh lines?

Dysport is not used for laugh lines around the mouth. Those are usually best treated with facial filler products.

How long does Dysport last in forehead?

Dysport usually lasts between 3-4 months.

How long does it take for Dysport to kick in?

Dysport is thought to have an earlier onset than Botox. It may kick in within 3-5 days after treatment.

How often should I get Dysport?

I usually recommend treatment every 3-4 months.

How many units of Dysport is equal to Botox?

The ratio is approximately 3:1.

How quickly does Dysport work?

Dysports onset is in about 3-5 days.

How much does Dysport cost?

The fee for disport will depend upon how many areas are treated.

Is Dysport safe?

Yes, disport is very safe in the doses used to treat facial lines of animation.

How much is a syringe of Dysport?

Some doctors charge by the unit. I charge by the area treated. The cost structure is not usually based upon a syringe content.

What are the side effects of Dysport?

The side effects are usually very mild if any. This can commonly include some bruising, swelling, and minor pain at the injection site.

What is Dysport for lips?

Dysport can be used on fine vertical lines above or below the lips.

Why cant I exercise after Dysport?

Exercising immediately after injection may cause the disport to migrate locally to areas that were not treated.

What is Dysport used for?

Dysport is used to treat facial lines of animation by neutralizing the action of the various muscles.

Why is dysport cheaper than Botox?

Dysport is priced the same as Botox for treatment.

What is the difference between Botox and Dysport?

Botox and dysport are very similar and are derived from botulinum toxin.

What should I avoid after Dysport?

I tell my patients to avoid rubbing the area, lying down, or performing exercise for several hours after treatment.

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.

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