Botox / Dysport​

 

Botox has been used by ophthalmologists and neurologists since 1989 to treat lazy eye, eye spasms and other neurologic disorders.  Since 2002, Botox Cosmetic has become a popular, non-invasive cosmetic procedure to diminish and/or eliminate wrinkles that are caused by repetitive muscle movement.  Injecting Botox into the muscle causes temporary weakness or paralysis of the muscle and can diminish or eliminate fine lines and wrinkles that occur with expression.  

 

The FDA has approved Botox Cosmetic to minimize the vertical lines between the eyebrows. and "crow's feet" (wrinkles around the eyes).  Although not FDA approved, Botox Cosmetic has been used for many years for treating other areas/wrinkles of the face such as the horizontal forehead lines, dimpled chin, "bunny nose" and neck bands.  Many individuals are concerned that Botox will result in a "frozen" look, but a natural look can be achieved when injecting the correct amount by a qualified medical professional.  Results are noticeable in 3 to 4 days, but the full effect may not be seen for 2-4 weeks.  The effects last 3 to 4 months.  However, the duration of response is dependent upon the injection site and dose.  Some individuals, particularly those who have repeated injections in the same area, may experience benefits for six months or longer.  Men typically require higher doses of Botox than women.  The amount of Botox needed to minimize or eliminate wrinkles can vary signifiantly among individuals, but here is a general guideline for Botox dosing by area:

 

-   Forehead (horizontal lines) 6-20 units

-   Frown lines (vertical lines between the eyebrows) 12-24 units

-  "Crow's feet" 4-12 units/side

-  "Bunny nose" 4-6 units

-   Dimpled Chin  4-6 units

-   Neck bands 8-12 units/band

Dysport is made from the same protein as Botox Cosmetic and is also effective at diminishing or eliminating fine lines and wrinkles caused by repetitive facial expressions.  Dysport has been used in Europe for many years, but it did not receive approval from the U.S. FDA until 2009.  Like Botox, the FDA has approved Dysport to minimize the vertical lines between the eyebrows.  Although it is not FDA approved, Dysport is also commonly used to improve horizontal forehead lines, crow's feet, bunny nose, dimpled chin and neck bands.  The amount of Dysport varies among indviduals and men typically require higher doses of Dysport than women.  Results are noticeable in 1 to 3 days and peak in 1 - 4 weeks.  The effects last 3 to 4 months.  However, the duration of response is dependent upon the injection site and dose.  Some individuals, particularly those who have repeated injections in the same area, may experience benefits for six months or longer.  Here is a general guideline for Dysport dosing by area:

 

-  Forehead:  20-80 units

-  Frown lines (vertical lines between the eyebrows): 40-80 units

-  "Crow's feet":  15-30 units/side

-  "Bunny nose":  10-20 units

-   Dimpled Chin:  5-10 units

-   Neck bands:  20-30 units/band