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Botox vs Dysport (you now have a choice)

The word Botox is now a part of our common vocabulary, but just like Kleenex and Xerox, it is a brand name. And now in the USA, there is finally some competition in the “Neurotoxin” category. The product is called Dysport. Here are some basic differences:

Botox and Dysport have similar mechanisms of action (blocking nerve impulses).

Dysport is no stronger nor more effective than Botox and vice-versa.

The duration of effect (how long it lasts) is similar. The Dysport literature will state it lasts up to four months, Botox says three to four months.

One unit of Botox does not equal one unit of Dysport, so be careful when looking at unit pricing. In our office we price by the area, so we can get proper correction on all patients for a set fee.

In clinical studies, author’s noted that Dysport “spreads more” during injection. This can be a good and bad thing. In large areas, such as the forehead or armpits, fewer injections would be needed due to the spreading. Meaning less discomfort, swelling and bruising. It could be bad in that unless the injector is experienced with a good understanding of more complex musculature (around the eyes, between the eyebrows), the Dysport could spread into unwanted areas causing untoward side effects (droopy eyebrows).

We use both products in our office. What we have seen so far:

Many patients feel Dysport starts working sooner. Approximately 2-3 days after injection vs. about 5-7 days with Botox.

We have not seen any “spreading” problems with Dysport, but we are very careful and choosy about placement.

As with all new products and treatments, we are constantly searching out the best. Ultimately I think we will continue to use both products. As a matter of fact, we sometimes use both products on the same patient because of the slight nuances.

For more information, contact Advanced Dermatology & Cosmetic Care at 661-254-3686 or visit