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Dysport Vs. Botox - What's the Difference?

How is Dysport different from Botox? Is it cheaper? Is it better?

Doctor Answers (49)

Dysport - new competition for Botox?

+7

The word Botox has become a part of our everyday lexicon. With over 3 million Botox procedures performed in the US alone last year, ever increasing applications of the "wonder drug" and increasing consumer demand and awareness of its inherent safety profile, there is no question that Botox has secured its place in every aesthetic Physician's medication fridge.

The last few months however have produced an increasing number of reports that Botox may finally be presented with competion in the battle against wrinkles. As has become the norm, a new product has been clinically tested and utilized in Europe and South America with promising results. The "new" injection is being marketed as Dysport and is currently under review by the FDA for distribution and utilization within the US.

After reviewing the available literature on Dysport this much can be said so far:

1. Dysport and Botox have similar mechanisms of action (neuromuscular blocking toxin)

2. Dysport has less of a protein load than Botox. Clinically this means that Dysport will result in the formation of fewer antibodies against it. Antibodies are what our bodies use to detect and destroy foreign proteins aka antigens (the injected medications). Hence the assumption is that with fewer antibodies being formed the clinical effects of Dysport should last longer than those of Botox. That being said, some clinical trials indicate that Botox has longer lasting results.

3.In clinical studies, author's noted that Dysport "spreads more" during injection. This is both a good and a bad thing. It is good in that large areas that need injection (forehead, armpits) would require fewer injections due to the spreading. This would mean less likelihood of potential discomfort, swelling or bruising for the patient. It is bad in that unless the Physician is an experienced injector with a good understanding of more complex musculature (around the eyes, between the eyebrows), the Dysport could spread into unwanted areas causing untoward side effects (blurry vision, droopy eyebrows).

4. Dysport is diluted more than Botox which may cause some confusion for Clinicians not adept at determining how many units to inject in each anatomical area with the new product. However in the United Kingdom, this dilution has resulted in more cost effectiveness where 100 units of Botox goes for $525.00 and 500 units of Dysport is $300.00.

5. At this stage no significant "red flags" have been raised about the safety of Dysport. Of specific concern, allergies and infections have not been seen to a clinically significant degree.

As always competition is a good and healthy thing. The emergence of an alternative drug to Botox should spur on pricing competition that will benefit both Patients and Physicians alike. Also new research and development is already under way to provide the next "bigger and better" product (anyone heard of Purtox? If not you will soon).

Time as always will tell. While Dysport awaits final FDA approval (which may take a few more months but is an inevitable certainty), continued growth in Botox is expected.

The wait should be worth it....and any wrinkles that appear in the mirror during that time will have at least two options to help address it.

New York Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Dysport and Botox Same but Different

+5

Both are the same product botulinum toxin A, a derived proteitn that works by relaxing targeted muscles. The Dysport protein is slighlty smaller so it works quicker. The differences I have seen and that are reported in the literatue include a faster onset and a cheaper price... We are getting the product cheaper so we can pass it on to the patient. Botox prices have gone up every year and now we have an equivalent or perhaps better product (initial studies showed it lasting at least 4 months) that comes in at a better price point. Dysport has been used in Europe for many years and now has arrived via Medicis the makers of Restylane and Perlane.. Be sure you see someone who is trained in injecting and knows the differences in using these products as they are diluted and dosed differently. The end result is the similar from the patient standpoint except for the pocketbook. In short, it is great to have another option and we are always looking for something better for our patients. I now use Dysport almost exclusively in my practice because patients love their rapid results and the price point.

Boulder Dermatologist
5.0 out of 5 stars 1 review

Botox Battles Latest Contender: Dysport

+4

Dysport may be new in the U.S. (on the market since only April, 2009), but it has been battling Botox head to head in Europe and elsewhere for several years already. Here's what we know so far about the battle of these big boys in the nonsurgical esthetic arena: Both Botox and Dysport are botulinum toxin type A proteins and work in a similar fashion. Dysport may be minimally less expensive, but not enough so to make any significant difference cost-wise to the consumer.

Dosing is different than Botox, but this is a technical consideration for the doctor to know and is not really relevant to the patient. Dysport may begin to work a bit faster than Botox, by as much as one to two days earlier, which may be an advantage if you have a big party a couple days later and need a really quick fix; otherwise, this isn't of much practical importance. Botox and Dysport may last about the same time, although there are some who claim that Dysport lasts a bit longer, but not significantly much longer.

The beneficial effects of both Botox and Dysport can be prolonged, sometimes for quite some time longer than the ordinary four to six month duration, by suggesting that the patient undergo a series of three or four initial treatments, spaced at four month intervals. It seems that the continual presence of the Botox or Dysport in the muscle tissue during that period "teaches" so to speak the muscles of facial expression not to contract as actively as they did before treatment. It is this learned "lesson" that is believed responsible for the more prolonged response seen in many people, even after all the toxin has been metabolized away by the body.

At least theoretically, some people who have become "resistent" to Botox, usually after repeated treatments, may respond to Dysport. I have already had one such patient in my Manhattan practice. Dysport may diffuse (spread) over a wider from the injection sites than Botox. The advantage here may be that you can treat broader areas, such as the forehead and underarms (for hyperhidrosis, i.e. excessive sweating), with fewer needle sticks.

The flip side is that tighter narrower areas, for example, under the eyes or under the eyebrows, must be carefully treated to insure limiting spread beyond the desired treatment areas. In conclusion, the jury is still not in on any significant differences between the two products other than they are produced by different manufacturers. For now, the choice of which agent you will be treated with may depend upon the doctor's comfort level and experience with each product and the particular needs of the patient.

Web reference: http://www.cosmedispa.co.il

New York Dermatologic Surgeon
5.0 out of 5 stars 10 reviews

Options at last!

+4

Dysport was FDA-approved for use in the US on April 30, 2009. At last, we have options for injectable wrinkle treatment! Dysport was originally to be marketed in the US under the name "Reloxin", but the FDA decided that the original name should be used and did not allow the new name.

Dysport and Botox are made by different companies, but they have the same basic structure and they work in the same way. There are some slight differences between the two:

1. Dysport "kicks in" a little more quickly than Botox. Botox usually takes effect after 5-7 days, while Dysport's effects are noticable as early as 1-2 days after treatment.

2. Dysport and Botox "units" are not the same, so you can't expect to use the same number of Dysport units that you are used to using in Botox units. The ratio of Dysport to Botox units is generally 2.5-3: 1 (2.5-3 times more Dysport units per Botox unit).

3. Dysport lasts at least as long as Botox does (3-4 months), but there have been some studies in Europre which show Dysport lasts longer than Botox. We'll just have to see how it plays out here in the US.

I have personally used Dysport and have found it to be quite comparable to Botox regarding results. The cost of Dysport is favorable, and I think we'll see Allergan (the makers of Botox) offering more rebates and incentives to keep people loyal to their brand.

Atlanta Plastic Surgeon
4.5 out of 5 stars 16 reviews

Dysport is better in my eyes.

+3

Dysport is FDA approved and works great. I essentially use it exclusively. Here's why

1. Dysport takes effect in 24-48h. Compare to Botox - 4-7 days

2. Dysport last 4 months, compare to 3 months for Botox

3. Dysport is cheaper!!!!

Houston Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

What is the difference between Botox and Dysport

+3

Botox and Dysport are both Botulinum Toxin A but are made by different companies. Botox has been available for longer, but Dysport is now FDA approved and has been found to be as effective and safe as Botox. It is a bit different to use from a physician standpoint, but for the patients it is pretty much the same as Botox. Best yet, Dysport is less expensive for the same effect. This is the great thing about competition.

Web reference: http://artfulsurgery.com/

Bay Area Plastic Surgeon
5.0 out of 5 stars 30 reviews

Dysport vs Botox

+2

Both Dysport and Botox work at the communication point between the nerve and the muscle so that, when the nerve tells the muscle to contract, the muscle can not respond. Since wrinkles are caused by muscle contraction, injection of either Botox or Dysport will lead to relaxing of the muscles, and less wrinkles.

In truth, they are about the same cost for the doctor to purchase from the makers. Price to the patient may vary if a clinic is running a special, or if they have decided to inject dysport at a lower cost.

I have been injecting Dysport since it first came out, and have been injecting Botox for over 10 years. The number of "units" used for an area is NOT the same for Botox and Dysport. It seems like it is about 1 to 2.7 (Botox to Dysport). This isn't really important to the patient, but it is for the injections to come out right.

The differences in how they feel afterward, and how long each lasts are subtle. In my hands, it seems that Dysport is "heavier" than Botox. Meaning it seems to give a stronger "freeze" to the area treated. This is subjective, and comes from what patients and staff say, not from scientific evidence. It seems that Dysport might cause a more immediate result, but that it then takes longer to really "set in". We like to say it kind of "kluncks" into place. Whereas Botox seems more subtle. We use more Dysport for excessive sweating, and for males. I tend to use Botox way more overall, and I absolutely use it for patients that want a lighter treatment.

They seem to last about the same length of time.

Seattle Dermatologic Surgeon
4.5 out of 5 stars 26 reviews

Dysport compared to Botox.

+2

Dysport and Botox have the same basic neurotoxin, which is serotype A.  The difference is the protein that wraps around the neurotoxin.  The FDA trials all show similar efficacy and side effect profiles.

Dallas Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Dysport vs Botox

+2

Botox and Dysport should be thought of as being essentially the same. In most double blinded control studies both the patient and the injecting doctor could not tell them apart.

Some physician injectors (myself included) believe that Dysport's effects spread out a little further than Botox and, in the right locations, can be used as an advantage.

The cost to physicians for Dysport is slightly less than Botox but most doctor's offices (mine included) charge the same price for each based on the equivalent dosages.

How do patients choose which product to use? I recommend that my patients choose which product to use based on which company is giving the best rebate that day!

South Burlington Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Dysport and Botox, Seem to Be About the Same

+2

I have been using Botox for 10 years and Dysport for about 6 months.

Clinically, they both make the muscle stop moving when used in appropriate doses. I do see Dysport taking affect quicker, about one day. I have not perceived any difference in longevity, about 3 to 5 months.

Dysport is slightly less expensive and has been running a rebate for $75 which makes it even less expensive.

You need to realize that a Botox "unit" and a Dysport "unit" are two different things. Think of metric versus English measurements. Each system has their own way of determining what a unit is. The same effect can be achieved with somewhere around 2.5 to 3 units of Dysport compared to 1 unit of Botox. Dysport units are about 1/3 the price of Botox units so the price isn't that much different.

Both products are made of a protein called botulinum toxin type A. There are some differences but that discussion is a bit complicated for this format. They both function in the same way be disabling the nerve that signals muscles to move. Your body recovers from both by building new nerve tips.

Austin Facial Plastic Surgeon
4.5 out of 5 stars 14 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.

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