Dysport vs. Botox – Botulinum Toxins

June 10, 2024 - By Dr. Jules Feledy

Overview:

Botox stands as the leading minimally invasive cosmetic procedure in the US, with over 4 million treatments performed last year alone. Derived from purified botulinum toxin, Botox functions by intercepting nerve signals to targeted muscles, effectively relaxing them and smoothing out wrinkles, resulting in a more youthful appearance.

Botox vs Dysport – is there a difference:

Botox and Dysport are both popular injectable treatments used to reduce the appearance of wrinkles and fine lines by temporarily paralyzing facial muscles. While they share similarities, there are some differences between the two:

1. Active Ingredient: Botox and Dysport both contain forms of botulinum toxin type A, but they have different formulations.

2. Diffusion: Dysport tends to have a broader spread or diffusion compared to Botox. Some people believe this can be an advantage in certain areas, like the forehead, where a wider diffusion might be desired to treat larger areas.

3. Onset of Action: Dysport is often said to have a quicker onset of action compared to Botox. Some patients notice results from Dysport within 2-3 days, whereas Botox may take around 4-7 days for noticeable effects.

4. Unit Conversion: The units of measurement for Dysport and Botox are not the same. When comparing dosages, it's important to consider that the conversion ratio is typically around 2.5 to 3 units of Dysport per unit of Botox. This means that while Dysport may seem less expensive per vial, more units are often needed for comparable results.

5. Durability: There's some debate about whether one product lasts longer than the other. Some studies suggest that Dysport might last slightly longer in some individuals, but this can vary from person to person depending on the area treated.

6. Spreadability: Some practitioners find that Dysport spreads more easily than Botox, which can be advantageous in certain treatment areas. However, this also means that precise injection techniques are crucial to avoid unintended effects.

7. Allergenic Proteins: While both products undergo purification processes to remove allergenic proteins, some people argue that Dysport may have fewer of these proteins, potentially reducing the risk of developing antibodies to the toxin.

Ultimately, the choice between Botox and Dysport often comes down to individual preferences, the expertise of the injector, and the specific goals of the patient. It's essential to consult with a qualified healthcare professional to determine which product is best suited to your needs.

Areas of Application:

Initially employed to address facial and neck wrinkles, Botox's versatility has expanded to include treatments for conditions such as excessive underarm sweating, migraine headaches, and TMJ disorders. Commonly treated facial regions include the forehead, glabella (between the eyebrows), and the sides of the eyes (crow’s feet). Additionally, it can be utilized for wrinkles around the nose, upper lip, and chin.

Onset of Action:

The effects of Botox typically manifest gradually over 5-7 days post-administration.

Duration of Effects:

Botox and Dysport effects typically endure for approximately 3 months, necessitating follow-up appointments to maintain optimal results and prevent the reappearance of treated wrinkles.

Administration Process:

Administered via tiny injections directly into targeted muscles, Botox and Dysport injections are associated with minimal discomfort, well-tolerated by most patients.

Potential Risks:

While generally safe, potential risks include minor bleeding and bruising at the injection sites. There's also a risk of it spreading beyond the intended areas, potentially causing temporary paralysis of nearby muscles, such as eyebrow or eyelid drooping. However, this effect is transient and resolves over time. In certain cases, medication may be offered to mitigate these effects.

Post-Treatment Restrictions:

Following Botox and Dysport treatments, patients are advised to refrain from vigorous exercise for 24 hours. Additionally, during the initial 24-hour period, washing the face should be performed in an upward motion towards the hairline to prevent unintended spread of the product. After this period, normal activities can be resumed as tolerated.

Cost:

Botox is priced at $14 per unit, while Dysport is $4 per unit. The total cost varies depending on the number of units required, determined by the treated areas and the necessary dosage to achieve desired outcomes.