Dr. Bentkover has used Dysport® successfully for facial rejuvenation since its first release in the United States.
IS THE EFFECT OF DYSPORT® DIFFERENT FROM BOTOX®?
Sometimes we see a little wider effect between the brows (the glabella) with Dysport®, also decreasing some horizontal forehead creases. Sometimes it also lifts the brow a bit more. However, reaction to these products is very individual. It can vary from person to person and from treatment to treatment. Also, in our experience, sometimes Dysport® and Xeomin® may work better in patients who have become immune to Botox® or have only a slight reaction to Botox®. If Botox® no longer works for you, Dysport® or Xeomin® may work just fine. In theory, the risk of developing an immunity to Dysport® and Xeomin® is lower.
*Each patient is unique and individual results may vary.
AREAS TREATED WITH DYSPORT INCLUDE:
- The crow’s feet around your eyes
- The glabella. The worry lines or scowl lines between your brows (also called the “11s”). If these lines are very deep, you may also want a facial filler in this area.
- The forehead for a “Dysport® Browlift” to elevate your brow or to eliminate wrinkles.
- The horizontal lines of your forehead.
- The chin creases caused by over-active muscles in that area.
- The corners of your mouth that may slant downwards
- The bands under your chin or in the neck.
- If you have an allergy to milk or milk products, you should not be treated with Dysport® because it is prepared using lactose.
Dysport® is comparable to Botox® and Xeomin®. These drugs are all botulinum toxin type A, a naturally occurring substance derived from bacteria that decreases muscle activity when injected into a muscle. They treat what are called “dynamic” wrinkles and creases, the wrinkles and creases in your face caused by the movement of the muscles in the area. The toxin blocks the release of the chemical that nerves use to stimulate muscles, acetylcholine. It is injected in such a way as to block the signal from specific nerves to specific muscles. In this way it can precisely block the action of a muscle or muscles that cause particular dynamic wrinkles or creases in your face.
“Not all Dysport® treatments are created equal.”
An effective treatment depends on a number of factors.
Key Factors in Your Dysport Treatment include:
- The number of units delivered in each injection site. If too few units are used, the result may be less effective and shorter acting.
- The injector’s knowledge of the function, location and interplay between the muscle groups being injected in your face.
- The injector’s overall knowledge of facial aesthetics–what looks good and what does not look good.
- A customized treatment for you. A commitment to using whatever amount of Dysport® takes to achieve your individual aesthetic goals.
As a Board Certified Facial Plastic Surgeon, Dr. Bentkover applies his knowledge of facial aesthetics and the interplay between the muscle groups being injected to try to give you as balanced and natural appearing a treatment as possible. It is important for a physician to know the location of these muscles and understand the constant interplay between various facial muscles in order for you to have a successful treatment.
The results of a Dysport® treatment should be obvious to you but subtle to others. Dr. Bentkover uses as high an effective a dose of the product as needed to customize your treatment. If you need a higher or lower dose in a particular location, he will adjust the dose to try to achieve what you want.
The effects of a typical treatment last about 3-4 months.
AND HERE’S “A LITTLE DIFFERENT WRINKLE” Micro injection technique
If a very small amount of very dilute botulinum toxin type A (Dysport®, Xeomin® or Botox®) is injected into the dermis (the deep layer of the skin) instead of into its usual location in facial muscles, the toxin can smooth the skin with little or no loss of muscle movement. We commonly use this so-called, “micro” injection technique to make the forehead smoother without significant loss of movement and to decrease those pesky lines that extend from the crow’s feet out over the upper cheekbones. This technique can also decrease pore size and prominent blood vessels related to Rosacea. Because we use very dilute Dysport®, it can also cost you less for this smooth finish.
Dr. Bentkover also often uses Dysport® in conjunction with fillers like Radiesse®, Juvederm®, Perlane®, or Restylane®, and with some of our lasers. Deep creases or wrinkles in the lower face or around the mouth may be better treated with a facial filler.
ARE THERE RISKS?
Other than the risk of allergic reaction in those patients allergic to lactose, the risks and benefits of Botox®, Xeomin® and Dysport® are very similar. Common side affects include transient headache and, rarely, flu-like symptoms. Drooping of the upper eyelids or brows is also very rare and may be related to movement of the product after injection from rubbing. Overdoses should be unheard of in the doses used on the face in adults. If you have a neuromuscular condition with weakness of the muscles or difficulty swallowing, you may not be a candidate for these treatments. Allergic reactions are very rare. There are no long-term studies of Dysport® used in pregnant women; we do not treat pregnant women.
The treatment involves a series of injections with a very, very tiny needle. The discomfort is minimal, and most patients require no topical anesthetic or ice; but we have both if you wish. There is a small sting with each injection. The effects of the treatment are not permanent, and it should be repeated every 3-4 months to maintain the correction. Your next treatment should occur as soon after the affect wears off as is practical for you. Doing another treatment too soon can lead to what is called a tachyphylaxis, a situation where the product no longer works for you.
If you take aspirin, ibuprofen, warfarin or any other blood thinners on a daily basis, you should stop this type of medication 10 days before the injections, if it is safe for you to do so. If it is not safe for you to stop such medications, your risk of bruising, while small, will be higher with the treatment. High doses of vitamin E, garlic, gingko, St. John’s wart, and ginseng can also cause bruising.
We are committed to your satisfaction.
There is no need to pay the high Boston or New York fees for Dysport®. Our treatments are priced very competitively. We will not skimp on the amount of product injected. The secret to maintaining the look you want is to stay on a regular schedule. Follow us on Facebook , Twitter and via our email newsletter. Please contact us via our contact form to be added to our newsletter list.
We truly believe Dysport® is great maintenance!
They are three purified variations of a toxin produced by the clostridia bacteria called clostridium botulinum type A. The molecules of each are slightly different, but the effects are similar. They are not a poison. Many other medications in use in everyday medicine are made from purified toxins and used safely. An example is Digoxin, a common medication used to treat the heart. It comes from the Digitalis plant, also known as foxglove. You may have this flowering plant in your garden in the summer.
YES, VERY, VERY SAFE. They are variations of Botulinum Toxin Type A, which has been used for over 30 years to treat facial muscle spasms and other conditions. In children, it is used to treat strabismus (“lazy eye”) and to loosen muscles for physical therapy in cerebral palsy. Like any other drug, it must be used in doses appropriate for the age and size of the patient. Serious complications have occurred only when it was used in doses much beyond recommended doses. Dr. Bentkover is always very careful with his doses.
The FDA requires a Black Box warning for all types of botulinum toxin injections, Botox®, Dysport® and Xeomin®. It is a section of the package insert about the products and relates to doses and underlying neuromuscular conditions. Botulinum toxins can inhibit swallowing or breathing when given in doses much greater than the dose used for cosmetic treatments. Overdoses should be unheard of in the doses we use. If you have a neuromuscular condition with weakness of the muscles or difficulty swallowing, you may not be a candidate for these treatments. Allergic reactions are very rare. We do not treat pregnant or nursing women; there is no safety data on treating them. If you develop an immunity to Botox®, Dysport® or Xeomin® may work for you.
No. From experience and a careful and constant review of the medical literature we know approximately the dose that you will need in any given area, some patients may require more and some less. We will see you 3 weeks after your first treatment to evaluate the result. If you need more at that time, we “top off” the area at no additional charge. At subsequent treatments, we use the higher dose, and the fee will a bit higher. Your fee is based on the number of units administered. Only rarely do patients require less than the initial dose.
Most people usually get about the same result with every treatment, but the results can vary somewhat from treatment to treatment. Some can develop an immunity to Botox® over time. This can sometimes be reversed by skipping a couple of cycles (4-6 months). If this does not work, Xeomin® or Dysport® will often work in patients immune to Botox®. Conversely, some of our long-standing patients report that their treatments tend to last longer after a number of years of treatment. Whether or not this is related to what is called “disuse atrophy” is unclear.