Dysport vs Botox: What is the difference?
Neuromodulators are muscle relaxing proteins injected under the skin to provide cosmetic enhancements for both men and women. While Botox was the first FDA cleared brand, there are several other brands now on the market. These include Dysport, Jeuveau, and Xeomin, which work similarly to Botox. So, what is the difference between these Neuromdulators?
In this article, we will discuss the two most commonly used; Botox and Dysport and explore their similarities and differences.
Comparison of Dysport vs Botox
Both Dysport and Botox are injections that are widely used to treat facial wrinkles. These non-invasive injections work to decrease the appearance of wrinkles by relaxing the muscles under the skin. As these muscles relax, the skin above them will become smoother.
Neither treatment is a permanent fix for getting rid of wrinkles, and their longevity will depend on the amount of product injected, the area of treatment, the type of neuromodulator used and the metabolism of the patient during that time. In addition, these two treatments can also be used to help treat spasms from neurological disorders and other medical conditions.
Both are derived from botulinum and are safe to use in small amounts. While the active ingredient is the same in both of these injections, the trace protein amount may vary. Therefore, it will depend on the individual as to which treatment will provide the most effective results. Your cosmetic provider will be able to assess areas of concern and make suggestions on which treatment would provide you with the best results.
Dysport (abobotulinumtoxin A) is manufactured by Galderma, which also produces well-known dermal fillers including Restylane and Sculptra. This specific brand was approved by the FDA in 2009. As a comparison, each unit of Botox makes up 2.5 to 3 units of Dysport in efficacy.
However, this does not mean that one brand is stronger than the other, but that units are measured out differently. This brand has FDA approval to treat frown lines (glabellar lines). These types of lines are between the eyebrows and extend upward towards the forehead. They become most apparent when a person frowns.
As we age our skin loses collagen and elasticity. As a result, these types of lines become evident even when resting. As it is suggested to treat glabellar wrinkles, it is also ideal for those who wish to prevent the development of moderate to severe lines.
One of the most notable differences between Dysport and Botox is that Dysport tends to have quicker onset of results. Most results are seen in 3 days with Dysport compared to Botox which typically takes about 7 to 10 days to show results. Treatment for glabellar lines is traditionally given in approximately 50-60 units over 5 injection sites surrounding the area between the eyebrows.
Botox (onabotulinumtoxin A) is manufactured by Allergan, who also produces popular cosmetic enhancements such as Juvederm, Voluma, and Latisse. It was the first FDA approved for medical use in 1989. Since then, it has also received cosmetic clearance to treat forehead lines, crow’s feet, and glabellar lines. Dysport on the other hand is currently only FDA approved for use in the glabellar lines. However, both products are commonly used off-label in many areas of the face as well as the body.
Results are typically seen within 7 to 10 days, which is a longer waiting period then Dysport. Both injections are done right in your cosmetic provider’s office and require little to no recovery time. The number of units that will be used will highly depend on the area of treatment. The FDA recommendations for the approved procedures are outlined below:
- Glabellar Lines: 20 units in 5 injection sites
- Crow’s Feet: 24 units in 6 injection sites
- Forehead Lines: 20 units in 5 injection sites
However, the number of units and injection sites are modified based on the patient’s expectations and anatomy. For example, men typically require a higher number of units due to their stronger muscles compared to an actress who wishes to maintain some of her facial movement. Also, some patients may have sensitive muscles that will react to fewer units, while others may need more for the same amount of result. Typically though, the lower the number of units, the less the efficacy and the lower the longevity of results. Botox injections typically provide results for up to 3-4 months.
How long does each procedure take?
Both Dysport and Botox injections only take a few minutes to administer. It takes more time to apply anesthetic and allow it to dry than the actual injection. Your cosmetic provider will monitor you briefly for any side effects before you leave.
Comparing Dysport vs Botox Results
With these injections, you will be able to see results within days of your procedure. Let’s look at each one separately.
Typically, you will see results from your Dysport injection within 3 days. While results are not permanent, clinical trials have shown that results can last between 3 to 4 months. However, some patients are more sensitive to the injections which could help prolong effects for up to 6 months. Others may show resistance which could require an increase in units to help improve longevity. Dysport tends to disperse more which results in a larger area of effect with fewer untreated islands in between.
It will typically take a week before you see the results of your Botox injections. Botox is similar in the fact that results typically last between
3 to 4 months. Those who are sensitive to the injections may also see effects for around 6 months. Those who are more resistant may require larger doses of Botox to help increase the longevity of the injection. Botox stays more local to the area that was injected which provides more accuracy in muscles affected and less risk of product dispersing into unintended areas.
Who is a good candidate?
Botox and Dysport are designed to be used in adults who have moderate to severe facial lines and are in good health. Your cosmetic provider will review your past medical history and ask some questions before offering treatment.
Candidates should not:
- Be pregnant
- Have a botulinum toxin sensitivity
- Have muscular diseases or dystrophy
- Have a milk allergy
Your cosmetic provider will recommend that you discontinue the use of blood thinners, anti-inflammatory pain medications, and other medications that could cause an interaction or increase your chances of bruising. You must discuss all of your medications with your provider, even those that you take over the counter.
From there, your provider will be able to determine if you are a good candidate for Dysport or Botox. These injections could interact with certain medications that affect your muscles, including anticholinergics which is used for Parkinson’s disease.
Depending on your medication regimen or if you have certain muscular or neurological disorders, Botox may not be a good option for you. All of these things will be discussed at your consultation.
Which product is right for me?
There really is no right or wrong choice. However, what works for your friend may not give you the same results. While some respond better to Botox, others are more sensitive to Dysport. The best way to find out which product provides you with optimal results is to receive comparable doses of each injection in the same area and given by the same provider.
You can then note the efficacy of the strength and longevity of the product for your individual body. As far as cost goes, Cosmetic Injectables Center offers both Dysport and Botox at the same price for comparable doses. Therefore, there is no difference when it comes to choosing one or the other based on price when having your injections at Cosmetic Injectables Center.
Comparing The Side Effects
Both Dysport and Botox are minimally invasive and come with very little side effects. Going with an experienced cosmetic provider will ensure that your injections are given properly and cut down on the risk of having any unwanted results.
During your injections, you may feel a little pressure as your provider injects the fluid into the target muscles in your face. This typically subsides right after the injections are complete. Any effects that are experienced afterward tend to subside on their own without any other issues. You must discuss all possible side effects with your cosmetic provider before your injections so you know what to look for.
Both of these injections have the same side effects, which include:
- Pain at the injection site
- Redness, swelling, bruising and irritation
- Temporary headaches from needle insertion
Although it is rare, more undesired side effects may include asymmetric smile, lid droop, or heavy brows. You should call your provider if any of these side effects develop.
The only exception when it comes to side effects is that Dysport has a higher risk of dispersing into unintended muscles.
Comparison Chart of Dysport vs Botox
|FDA approved indications||Glabellar lines||Glabellar lines, forehead lines, and crow’s feet.|
|Pain||Slight numbness and pain may be felt afterwards at the injection site.||Slight numbness and pain may be felt afterwards at the injection site.|
|How long does it last||3 to 4 months depending on sensitivity to injection.||3 to 4 months depending on sensitivity to injection.|
|Expected results||Results become apparent within 2 to 3 days.||Results become apparent within 7 days.|
|Non-candidates||Milk allergyPregnantCertain medication for muscle spasms||PregnantCertain medication for muscle spasms|
|Recovery time||Little to no recovery time||Little to no recovery time|
|Dispersion of product||Disperses more, resulting in a larger area of effect without islands of untreated muscle.||Stays localized more, resulting in more accurate placement and fewer episodes of unintended muscle involvement.|
Tell Us What You Think
Have you had Botox or Dysport injections before? Do you prefer one over the other? In the comments below, tell us about your experience with these injections.