Before Botox/ Dysport Treatment:
· Do not use Botox/Dysport while pregnant or ill. Before your appointment, Karla NP recommends to complete a pregnancy test before each aesthetic treatment if there is the slightest possibility that you might be pregnant.
· Avoid aspirin (any product containing acetylsalicylic acid, such as Excedrin), vitamin E, St. John’s Wort, and other dietary supplements including: ginkgo, evening primrose oil, garlic, feverfew, and ginseng for 2 weeks. Aspirin can be continued if it is prescribed.
· Avoid ibuprofen (e.g., Advil, Motrin) and alcohol for 3 days.
· If possible, come to your appointment with a cleanly washed face without make-up.
· Do not schedule a massage or facial on the same day of your treatment or 3 days after.
· Book your Botox/Dysport at least 2-3 weeks before that special event.
· If you are on antibiotics for any reason, schedule your treatment 1 week after you completed them and are infection free.
Before Treatment General Recommendations:
· If you are prone to herpetic outbreaks (cold sores/Herpes simplex), please inform us, and Karla NP can recommend you appropriate prescription/supplement to decrease an outbreak risk prior to treatments.
· Avoid excessive sun exposure and wear a broad-spectrum sunscreen daily of SPF 30 or higher for one week prior to treatment.
· The use of Arnica Montana (available at health food stores) may help with bruising. It is available both topically (as a gel/cream) or orally. You can start these 4 days prior to your treatment if you desire.
· Try to avoid caffeine, green tea, and detox pills the day of your treatment.
We aim to make you as comfortable as possible during your treatment. We use a medical grade topical numbing cream during injectable treatments. We understand that you may be wary about needles; we will do our best to alleviate your concerns.
Following the recommended aftercare helps you decrease the risk of side effects and adverse reactions
Post-Care for Botox/ Dysport:
- Visible bumps may be seen at the injection sites. These are normal and may last up to a few hours.
- Botox/Dysport will start to work in 2 to 7 days and peak in about 2 weeks. Please note, if additional product is needed, it will not be injected until 14 days after your initial injection. Results last 3 to 4 months on average.
- Do not lie down for 4 hours post injection (no bending over during this time).
- Do not massage the treated areas on the day of treatment and 2 days after.
- Do not do strenuous exercise or any other activity that may elevate your core body temperature for 24 to 48 hours following your injection.
- Do not get a massage, do microdermabrasion, or any other activity that may manipulate the muscles of the face for 48 hours.
- If forehead was treated, do not wear hats or headbands for 48 hours.
- You may cleanse your face normally this evening, but please do not massage the injected area. If you routinely use a Clarisonic brush, do not use tonight. Also, do not use any abrasive exfoliants or scrubs.
- Bruising may be seen. This happens in a small percentage of treatments but will not affect your treatment results. There also may be some discomfort associated with it. Bruising should resolve within one week. The use of Arnica Montana (available at health food stores) may help with bruising. It is available both topically (as a gel/cream) or orally.
- Cosmetics, moisturizers, lotions may be used the next day, but do not apply extreme pressure or do anything that may cause discomfort.
- Exercising the muscles in the treated area may help the product get into the muscle faster, but has no effect on the overall efficacy of the treatment (You can “make faces” up to 10 times per hour for the first few hours after treatment).
- Headaches may be a possible side effect. OTC (Over-The-Counter) Ibuprofen or acetaminophen may be used as needed as directed on the package.
- Sensitive or blurry vision is possible for 2 to 3 days post-treatment. Wear sunglasses and moisturize eyes with moisturizing OTC eye drops as directed on the package.
- Flu-like symptoms are rare, but may last 2 to 3 days. Fluids, rest, and OTC Tylenol/Motrin may be used as directed on the package.
- Call/text Karla NP immediately if you experience any symptoms or problems other than those listed above.
- If you have any trouble with breathing, swallowing, or speaking after having Botox/Dysport injections, or if your symptoms feel life threatening, call 911 or your local emergency number.
BOTOX vs DYSPORT: WHAT’S THE DIFFERENCE?
Botox and Dysport are both neuromodulators or neurotoxins (a type of botulinum toxin type A) approved by the FDA to reduce fine lines and wrinkles. Low power injections are equally safe, and both work in the same way. Both are neuromodulators that temporarily paralyze facial muscles, reduce wrinkles and thicken the skin.
While both products are used for the same purposes and are chemically similar, there are a few important differences between the two. This difference is so great that it is important for patients to understand that these products do not change.
Botox works in the same way as Dysport. A naturally occurring toxin blocks your muscle symptoms, resulting in a relaxed and smooth-looking face. Botox only works in the US market, and Dysport was used in Europe long before it received FDA approval.
Botox injections occur at your doctor’s office and require little rest. Your doctor may prescribe an anesthetic to reduce the pain at the injection site. Botox is often used to treat small areas or fine lines. The number of units required depends on the medical environment and the size of the wrinkles.
Botox effects may take longer to appear, but Botox also lasts longer, up to six months.
Dysport is a neuromodulator, similar to Botox, found in botulinum toxin. It works with temporarily disabling muscles. When your muscles are relaxed, wrinkles formed by recurrent muscle contraction are reduced.
Rare lines are rarely used. The 11 lines between the eyebrows are usually deep wrinkles on the face, which is why Dysport is widely used to treat this area.
Dysport, like Botox, is a solution for temporary wrinkles. The effects last for 3-4 months, during which time you will need a follow-up injection to keep your appearance smooth.
BOTOX vs DYSPORT: Big difference
The differences between Botox and Dysport fall into the following categories:
Dosage: There is one important difference between Botox and Dysport: they are measured separately. It takes three units of Dysport to equal the muscle relaxation capacity of one Botox unit. This difference is significant, 50 Botox units are not the same as 50 Dysport units. Please refer to the licensed injection for the correct dose.
Ventilator: Dysport is purified in contrast to Botox. Therefore if a patient is accustomed to a certain number of Botox units to receive treatment they will need to increase the number of units when switching to Dysport (or vice versa). However, a significant reduction does not mean that Dysport is less effective than Botox.
It simply means that a higher amount of Dysport is needed to get the same results. At unit-priced clinics, you will find that the price per unit of Dysport is usually much lower than the price per unit of Botox, but to get the same treatment effect the final cost may not vary.
The smaller molecules allow Dysport to work faster than Botox with a larger distribution area. In some places this helps and in others it doesn’t. This is why it is so important to go to a provider who has a lot of knowledge and expertise in proper installation and installation of your neurotoxin.
Distribution: Dysport usually spreads over Botox, causing it to spread over a wide area after injection. This means that a large treatment area can be treated with a few injections, which can be helpful when it comes to large treatment areas. However, this spread means that Dysport is less effective in treating small areas where specific areas or muscles are needed.
Getting Started: Compared to Botox, Dysport has a faster “start” action; it usually takes 24 hours for all results to be achieved. Botox can take up to 72 hours to get full results.
IS THE BOTOX BETTER BUT THE BIBLE IS SOME FACTS?
When Botox is injected, it is usually injected into the injection site. This makes Botox the first treatment in the small, highly targeted areas around the lips and eyes. Dysport, This makes Dysport suitable for treating larger areas, such as the forehead, as it requires a few injections to address a large area of treatment.
Here are the best neurotoxins to deal with normal facial areas:
Wrinkles around the Eyes:
The typical wrinkles around the eyes consist of 11 lines, two parallel lines forming between the eyebrows and the crow’s feet. The 11 lines are well managed by Dysport, which is often fitted with deep wrinkles. Crow’s feet are usually treated with Botox, which prevents any ‘flooding’ of pain directed at the eyes.
Forehead lines are horizontal lines extending to the forehead. These are well managed by Dysport, which is recommended for large areas.
In the Botox and Dysport debate, there have been patient reviews that support the height of both products. However, these are only personal reports that do not have scientific evidence to support the claim.
To date the only study focusing on the cosmetic differences between Botox and Dysport was conducted in 2011 (note that this study was sponsored by Dysport’s parent company Medicis Aesthetics). The study articles were injected with Botox on one side of their face and Dysport on the other. Studies have shown significant differences in wrinkles after 30 days, with the Dysport side having fewer wrinkles when subjects smile. One problem with this study is that not a single clinically accepted conversion rate is used to compare the smaller, more refined Dysport to the more concentrated, more concentrated Botox. This uncertainty led Allergan (Botox’s parent company) to conclude that researchers are simply using Dysport more than Botox, which is very likely.
Finally, the choice between Botox and Dysport may depend on the simple preference of both the injection and the patient. In some cases, skilled injectors may use both of these products at the same time during one treatment session to produce the desired results.