Dysport at the Naderi Center for Rhinoplasty & Cosmetic Surgery
Dysport is one of the newcomers to the relaxation of muscle tissue used in preventing and minimizing facial wrinkles, gaining FDA approval in 2009. Often, patients reach out to the Naderi Clinic initially requesting Botox. The surgeons at The Naderi Center for Rhinoplasty & Cosmetic Surgery have extensive experience with both products, Botox and Dysport, allowing them to advise their patients on the benefits of both products and make the best recommendation for their patients based upon their unique goals and conditions. One of the most common questions that the team receives from patients is whether Dysport or Botox works best.
Dr. Jessica Kulak is a fellowship-trained facial plastic surgeon at The Naderi Center for Rhinoplasty & Cosmetic Surgery, with locations in Chevy Chase, Maryland and Northern Virginia. Dr. Kulak focuses on the aging face through a variety of surgical and minimally invasive techniques.
Double-board certified Dr. Shervin Naderi is a master injector and is recognized throughout the country as one of the top surgeons for Botox and filler injections.
Dr. Erica Anderson is a talented board-certified plastic surgeon, who specializes in breast, body, and buttock plastic surgery and minimally invasive injections.
The Naderi Center for Rhinoplasty & Cosmetic Surgery has offices located in Chevy Chase, Maryland, (301) 222-2020; and Herndon, Virginia, (703) 481-0002.
The first question most patients ask is whether Dysport or Botox is best.
Both Dysport and Botox work in a similar fashion. Dysport may work one to days more quickly than Botox because the Dysport protein is slightly smaller. Dysport and Botox generally last about the same length time.
Some patients who may have become Botox resistant after repeated treatments may respond well to Dysport. Dysport may diffuse over a wider area from the injection sites than Botox. Broader areas, such as the forehead, may be treated with fewer needle sticks with Dysport.
The surgeons at the Naderi Center will examine your skin, discuss your aesthetic goals and make a suggestion based upon your desires. Like Botox, Dysport relaxes voluntary muscle movement in certain areas of the face, reducing or eliminating “dynamic wrinkles”, or wrinkles that are worsened by expression and facial muscle movement. The wrinkles already present, known as “static wrinkles”, cannot be removed with Dysport alone. Additional procedures may be suggested for further enhancement, such as CO2 laser procedures or fillers.
While the beneficial effects of both Dysport and Botox can be prolonged, the continual presence of Dysport or Botox in the muscle tissue “teaches” the muscles that create your facial expression not to contract. It is this learned “muscle lesson” that is believed to be responsible for the more prolonged response.
What Does Dysport Do?
Similar to Botox, Dysport is used by dermatologists, plastic surgeons and facial plastic surgeons to reduce the appearance of wrinkles or to prevent wrinkle formation. Dysport may be used to prevent or reduce the appearance of a “gummy smile” which occurs when your lips expose your upper gums while smiling. Dysport also helps elevate the outer eyebrow, creating more of an arch.
Dysport can reduce lip wrinkles in some women. It can help reduce the size of the masseter muscle on the jaw and help reduce the size of a wide jaw often seen in some Asian patients.
Dysport injections are performed in the office and typically take between five and fifteen minutes to complete. You may return to your normal activities immediately. We ask that you avoid rubbing your face.
Like Botox, Dysport blocks the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity so that muscle contraction that causes frown lines is temporarily prevented. The untreated facial muscles continue to show facial expressions, such as smiling in untreated areas.
Recovery from Dysport injections is minimal. Most patients are able to immediately return to their normal activities, though some minor redness or swelling may occur at the injection site. The results will begin to be visible in two to three days.
How long does Dysport last?
Similar to Botox, Dysport injections must be repeated three to four times per year for best results. The goal is to weaken the targeted muscles without allowing them to regain bulk or strength. Most patients find that results last an average of three to four months.
How is Dysport injected?
Dysport comes in powder form in 300 unit sterile vials. Saline is added to the vial to reconstitute and dilute the powder. The experts at the Naderi center normally use 1.5 cubic centimeters of saline to retain a concentrated Dysport solution while allowing sufficient volume to inject the entire muscle length.
Too much saline, such as 3 cubic centimeters or more, in the 300 unit vial causes a wider diffusion of the Dysport beyond the injection site, causing unwanted effects. Too little saline, such as 1 cubic centimeter, will create insufficient volume to impact the entire muscle length.
Dysport diffuses or spreads more than Botox from its injection site which can be an advantage in the forehead or crow’s feet area, but it can also be a danger in novice inexperienced injectors’ hands, causing more eyelid drooping or ptosis.
Photo 2: 1.5 cubic centimeter saline reconstitution of Dysport, showing 20 units of Dysport per 0.1 cubic centimeter of volume.
It is important to know how many units of Dysport or Dysport are being injected because the volume depends on the dilution. Unless you know your physician’s dilution ratio, knowing the amount and volume injected is not useful. The team of experts at the Naderi Center for Rhinoplasty & Cosmetic Surgery explain precisely how many units or the dosage of their injection.
Photo 3: The Frontalis, Corrugator, Procerus and Orbicularis Oculi are the most common muscles injected with Botox or Dysport.
Facial wrinkles form perpendicular to the muscle contracting. Dysport must be injected into the muscles, not the wrinkle. The goal is to weaken your facial muscles, relaxing them and refreshing your appearance.
Is Dysport right for men?
Men are excellent candidates for Dysport, though they generally have heavier muscles than women and require more Dysport. Some men, however, may choose a lower dose injection, leaving more muscle movement but receiving injections more frequently.
Does Dysport prevent wrinkles?
Receiving Dysport injections in the late 20’s and early 30’s can work as an effective prevention treatment. Older patients with “static” wrinkles have success with Dysport.
Over expression lines left by squinting or smiling, eye and eyebrow expression benefit from Dysport as a wrinkle preventative as early as age 25.
Jim Carrey does a lot with his muscles!
Photo 4: Actor Jim Carrey demonstrating how he uses his muscles of facial expression
Does Dysport work for older patients?
Dysport may be a start on your path to a more rejuvenated appearance. Although Dysport has a more limited benefit in older patients when used alone, patients aged 40 to 70 and beyond can benefit from Dysport. Combined with other procedures, patients are able to obtain optimum smooth results. Patients often require additional surgery such as lower facelift, brow lift or eyelid lift in addition to Dysport and laser treatment in order to obtain the smoothest results.
What is Dysport?
Dysport is a substance known as AbobotulinumtoxinA distributed by Medicis, the distributers of Restylane and Perlane. Dysport is a form of medical-grade botulinum toxin, which has been used by millions of people. It is used by numerous different medical specialists to treat a variety of issues.
*Photo 1: 300 Unit sterile vial of Dysport
Are there risks associated with Dysport?
In relative terms, Dysport is a safe substance when injected in the proper setting by a trained professional. The usual risks are minor bruises from the needle, although allergic reaction and infection is theoretically possible. Flu-like symptoms or minor headaches can occur despite the fact Dysport is used to treat headaches. Muscle stiffness or weakness may theoretically occur, especially in patients with myasthenia gravis. Eyebrow or eyelid droop and double or blurry vision are a risk. Most side effects are temporary.
Facial Plastic Surgeons in Virginia
The team at The Naderi Center for Rhinoplasty & Cosmetic Surgery is located in Chevy Chase, Maryland and Northern Virginia. All board-certified plastic surgeons, each doctor has their own artistic approach to Dysport and Botox. They can explain your best alternatives and combination of procedures to reach your aesthetic goals, whether those goals include prevention, correction or both. The Naderi Center for Rhinoplasty & Cosmetic Surgery Offices are located in Chevy Chase, Maryland, (301) 222-2020; and Herndon, Virginia, (703) 481-0002.