Dysport (abobotulinum toxin A) is similar to Botox (onabotulinumtoxin A). Dysport reduces the appearance of fine lines and wrinkles by temporarily blocking the contraction of select facial muscles. Dysport is injected using several injections into the muscle with a very fine needle. Dysport begins to take effect more quickly than Botox due to its smaller molecular size. As Dysport starts to take effect over 2-3 days, and reaches maximal effect over the next 1-2 weeks, the overlying skin becomes smoother. Like Botox, Dysport specifically treats the wrinkles that occur during contraction (dynamic lines). Wrinkles that are present at rest (static lines) are often not initially eliminated, but can soften with time and regular injections as the underlying muscle stays relaxed. For most patients, the effects of Dysport are the same as Botox. For others, Dysport is more effective in reducing wrinkles or causes fewer side effects than Botox. During your consultation, we will discuss which product is a good initial treatment for you.
The effects of Dysport generally last 3-4 months, similar to Botox. The maximal effect, seen at about 2 weeks, gradually diminishes over several months as your body processes the Dysport. The good news is that with time and conscious observation, you can also learn to reduce your frown lines by noticing when you are attempting to frown and consciously relaxing the muscles in your face.
Yes and No. Yes, Dysport removes what are called “dynamic” lines-the lines caused by actual contraction of the muscle-for example, the deep furrows seen when frowning. However, Dysport does not immediately remove “static” lines-the lines that are present even when the face is at rest. Like creasing cardboard over time, the lines are present even when you straighten the cardboard-or relax the muscle. The good news is that although these lines often remain, they can soften with time and regular Dysport injections, as the underlying muscle stays relaxed.
Most patients do very well with the injections. The needles used are tiny and the pinprick sensation is brief and generally does not persist after the injections are finished. Comfort can be increased by breathing throughout, using ice beforehand, or occasionally using a topical anesthetic, although anesthetic is seldom necessary. I coach patients on breathing techniques which help increase comfort.