BOTOX and Dysport
With more than a million BOTOX® Cosmetic
and Dysport treatments safely given each year, the popularity of this treatment is unmistakable. BOTOX® Cosmetic and Dysport treatments are for people who want to smooth lines and wrinkles in the face and forehead and especially frown lines, brow lines and crows feet. This is a simple and effective procedure with little downtime and recovery. Most patients return directly to work.
Dr. Fiala is a member of Allergan’s National Education Faculty.
What is Botox?
Botox was the first in a group of drugs called “neuromodulators”. Botox, Dysport and the others in this group interrupt the electrical signal as it passes from nerve fiber to muscle. This prevents the targeted muscle from contracting, until the drug wears off. Once the drug wears off, the nerve returns to normal activity.
Is Botox safe?
Yes. Botox has been around for a long time, and millions of patients have been safely treated. It is FDA approved for treating wrinkles in the glabellar area – the frown area, and also in the crow’s feet area. Since each dose of Botox is so miniscule, there's no chance of developing Botulism after treatment. (It would take 5-10 full vials of Botox used in a single person for this to be a concern!)
Where can I use Botox?
Botox treats wrinkles that are caused by the dynamic action of muscles wrinkling up the skin. These include:
- frown lines between the eyebrows
- crow's feet (wrinkles around the eyes)
- strong horizontal wrinkles in the forehead
- wrinkles around the mouth
- muscular bands in the front of the neck
Botox can also be used as a treatment for excess sweating.
How long does Botox last?
On average, about 3-6 months, but it depends on the dose used, the area, and the person’s metabolism.
How long does the treatment take?
The procedure is quick – the actual injection portion only takes about 10-15 minutes, once your face wrinkle pattern has been sorted out.
How quick does it start to work?
Botox starts to work within a few days, but typically takes about 3 weeks to reach its peak of activity. Dysport starts to work a little more quickly.
Does having Botox hurt?
The injection does sting a little. With the use of a tiny needle and careful technique, most people find it acceptable. If you are highly needle-phobic, let us know, and special arrangements can be made.
Will Botox make me numb?
No. Botox has no effect on the sensory nerves. You’ll still have normal sensation of the skin.
Will I still be able to make facial expressions?
Dr. Fiala’s preference is to use Botox to calm down muscles, not to erase your individual expression. However, some people who are actors or judges may not wish to have Botox, as they need to emote as part of their job success!
Does Botox do the same thing as Restylane or Juvederm?
No. Those are "fillers". They work by adding volume to the skin - filling in the valley of the wrinkle. Botox works by stopping the nearby muscle from making the skin wrinkle. Often, we use them together in the same patient for the best cosmetic effect.
I’m an easy bruiser. What should I do?
You can help us by avoiding all medications that increase the risk of bruising. Avoid aspirin, motrin, alleve, other NSAID medications, as well as alcohol, vitamin E, and fish oils prior to your treatment. Even so, you may bruise with the injections. Allow yourself 10-14 days before a big social event to allow any bruises to fade.
Are there any people that can't have Botox treatments?
Yes. Botox isn't recommended if you are pregnant or nursing. Also, Botox isn't recommended for patients with certain neurological disorders, like Myasthenia Gravis, ALS, and Lambert-Eaton syndrome.
Are there any creams that work as well as Botox?
Not yet. People are researching this area, but there’s no FDA-approved product as yet. Most over-the-counter creams that are marketed are nowhere near as effective as Botox or Dysport.
To receive a personalized information pack with specific details on the procedure you're interested in, send us a request by clicking here.