I spoke with the Dysport yesterday who said that sales have perked up. So call around.
I think some physicians are a little afraid of using it due to its tendency to migrate. Personally, I am using both on the same patient. Dysport on the forehead and for patients with severe crow's feet and BOTOX for other areas.
I have not had a complication yet in those patients nor the ones who only had Dysport as the sole muscle relaxer. As other physicians gain confidence, Dysport use will increase.
One thing at least I can say for Dysport: it has tamped down the relentless BOTOX price increases (that and the economy, of course).