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Dysport in the Same Quantity As Botox for the Same Result?

Should I have the same number of Dysport units as Botox for the same results?

Doctor Answers (17)

Difference between Dysport and Botox


Abdolutely not. You should require about 2.5 times the dose. For example 10 units of Botox is roughly equivalent to 25 units of Dysport. 20 Units of Botox compares with 50 units of Dysport. There may be some differences in length of time to onset, longevity of results, and diffusion patterns once injected.

Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Dysport Units and Botox Units Are Not the Same



Dysport and Botox units do not equally correspond to each other. In fact, there is no specific magic ratio of comparing the two. They are both excellent botulinium toxin neuromuscular regulators, but their units have been established in separate labs using different experiemental animals, etc.

The ratios that are often quoted are 1 unit of Botox Cosmetic is "equivalent" to 2.5 to 3 units of Dysport. These are estimates for physicians to be able to approximate how much Dysport to use in certain areas. It has been shown that the ratio can be variable between patients as well as in different areas on the same patient's face.

Choose your injecting physician carefully.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Dysport Units vs Botox Units

The number of units required for Dysport is different than the number of units required for Botox. The conversion is usually 2.5-3 Dysport units to 1 Botox unit. The usual amount recommended for Botox at the glabella is 20 units and with Dysport it is 50 units. The cost is very similar despite the unit conversion.

Steven H. Williams, MD
San Francisco Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Dsyport units and Botox units


Dysport units and Botox units do not equal each other.  In fact, one unit of Botox is equivalent to 2.5 to 3 units of Dysport.  

Sam Naficy, MD
Seattle Facial Plastic Surgeon
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Dysport and Botox Effective for Wrinkles in Equivalent Concentrations


Botox and Dysport offer similar results for wrinkle reduction. Botox is dispensed in a 100 unit vial; Dysport is dispensed in a 300 unit vial. Their equivalency (strength comparison) is 1 unit Botox: 3 units Dysport, approximately.

Leyda Elizabeth Bowes, MD
Miami Dermatologic Surgeon
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Botox and Dysport Use Different Unit Dosing


While there is no direct conversion between Botox and Dysport dosing, the recommended starting dose of Botox for glabellar furrows is 20 Units while the starting dose for Dysport is 50 Units.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

How many units of Dysport for a unit of Botox?


We treat dysport as a different neuromodulator than Botox, but if you want to compare units the ratio is somewhere between 2.5:1 to 3:1.  In other words, if you're used to getting 20 units of Botox for your frown lines and 20 for your crows feet, you'll need about 100-120 units of Dysport to achieve the same results.  Don't get too caught up in units and price/unit.  The point is to achieve the results you want with the least amount of injections.

On the horizon are other alternatives to Botox and Dysport- these are Xeomyn, Puretox, and Canitox.  Xeomyn has already been FDA approved in the US.  

Ramtin Kassir, MD NY, NJ facial plastic surgeon

Ramtin Kassir, MD
Wayne Facial Plastic Surgeon
4.5 out of 5 stars 31 reviews

A unit is not a unit when it comes to Botox and Dysport


Dysport is new in the US, Botox is not. Because it is new it is probably a wise idea to have someone who is very experienced with Botox to give you the best result. You don't want to be a guinea pig to someone who has little Botox experince and next to no Dysport experience. As a Botox provider I am in the top 1% in the country so our office had no difficulty making that transition to using Dysport. Be careful and Good Luck!

Robert F. Gray, MD
Bay Area Facial Plastic Surgeon
3.0 out of 5 stars 12 reviews

Dysport and Botox dosing are not equivalent



Although Botox and Dysport are both highly effective products, they are not equivalent. The correct ratio of Dysport units to Botox units is somewhere between 2.5:1 and 3:1; it varies depending on the thickness of the facial muscles. Dysport's onset of action is faster; in some patients, it last longer than Botox, whereas in other patients, it doesn't last as long.
Hope this helps. Best of luck.

Sam Jejurikar, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 33 reviews

Units of Dysport and Botox are not the same


No. Dysport has a different treatment regimen. Most patients should expect MORE than a two-fold increase in Dysport units to match the Botox effectiveness. Even a three fold difference might be used. Your physician will determine what is best for your skin. This may occur over several treatment sessions as your results will help the doctor titrate the best dose for you.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 32 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.