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Unusual Dysport Problem with Vertical Lines Above Eyes? (photo)

My doctor uses Dysport between my brows, crows feet and also my forehead. For the last eight months I have noticed unusual vertical lines above and toward the outer corner of my eyes above the eyelid but below my eyebrows. These lines appear when I close my eyes and are becoming permanent. My eyelids are barely visible. At first one eye was affected but after my next visit both were affected. I made my dr aware of this recently and he changed where he was injecting the Dysport. No change as yet.

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6 Doctor Answers | Asked by meganpepi

Doctor Answers (6)
Community Comments (7)

Dysport and crow's feet

Dear meganpepi, This may just be part of the aging process If the lines are present after the Dysport has worn off, a mild chemical peel or laser may help get rid of those lines A retin-A type medication may also help smooth out those lines As long as your doctor is aware, it should be OK Best regards, Nima Shemirani

Vertical eyelid lines with Dysport

It is difficult to tell from your pictures exactly what is going on, but from your description, it sounds like your face could be trying to recruit the muscles on the lower outside portions of your forehead to frown since it can't use the normal ones which have been treated by Dysport. As a result, the tissue from the lower outside forehead bunches up when it moves centrally and runs up against the areas treated with Dysport that don't move. I have seen this and treat it by... more

Dysport and the upper eyelid

It is difficult to tell based on your photographs, but if you are not having any problems with opening your eyes I doubt it is a Dysport effect in this area. What I mostly see is upper eyelid redundancy and this may be related to aging. If the redundancy continues to the point of obstructing your vision you may need a blepharoplasty to correct this. Hope this helps!

Dysport and eyelid lines

Without a before picture, it is very difficult give any comments as to whether Dysport is causing your concerns. What you are describing could be due to the Dysport: the amount used or placement, or it could simply be the normal aging process. I would let all the effects of the Dysport wear off and then evaluate again. If the area improves, it is most likely the placement of Dysport. If it does not, the natural aging process is your culprit. In... more

Dysport

It is difficult to assess what is really going on from just the photos. It may be that you are experiencing a part of the aging process around the eyes. You may be a good candidate for surgery in the future.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Problems with vertical lines after Dysport

Thank you for the question. Dysport and Botox, the two common nurotoxins eventually fail to do what the patient and the provider want from them. Neurotoxins do not tighten the skin, they do not build collagen, they do not provide UV protection, and they have no antioxidant properties. They merely are symptomatic treatment medications, and are good ones for what they are intended. They work best on overactive muscles in specific locations of the face. When they... more

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Comments (7)

anne88 24 Nov 2012

oh megan I forgot to mention. in 14 months I have only found two doctors who admit to knowing what causes these lines and will discuss it openly. some doctors here talk about it, but they stil dont seem to know anything real about it or how to prevent it or truly fix it, except with more botox, which doesnt seem like much of a fix and as you are finding out isnt working anyway. either way one dr was a very prominent facial plastic surgeon in beverly hills, a place where people's looks are very important and he has celebrity clients. this dr says that these lines are "obviously muscle recruitment" and what he directly calls "the telltale mark of awful plastic surgery". when the toxin is placed carelessly or too much is given the traumatized muscles try to compensate and 'recruit' undamaged muscle to create your normal expressions. this is what causes our muscles to move so abnormally now. even he could not tell me if anything would fix it. he just wanted me to come see him for like $800 or something so i could not. some drs here do claim to have heard of muscle recruitment, but as i said, none really seem to have any idea how to actually fix i or whether it is permanent, and the vast majority just deny it as these doctors are, trying to say it is 'natural aging' as if we are stupid. anyway this dr told me that it was what he called directly the "top undesirable side effect" of lousy botox treatment, which i believe is true talking to people like you and lot of others. i asked him directly why more doctors dont seem to have any idea what causes these lines, he told me directly: "those doctors are not sophisticated enough to understand what they are seeing". and i -completely- believe that. so the next time a dr tells you it is natural aging you can be sure that dr is simply not sophisticated enough to understand what they are seeing with us. additionally if they do know, they also know that there is likely no easy fix, this is why they pretend they dont know what is causing it. take care.

meganpepi 26 Nov 2012

Hi Anne I can imagine you probably did not wish to tell me what you had found out (really depressing) regarding our problem but I'm so glad you shared it with me. What you have been told about muscle recruitment certainly makes sense. I'm hoping to find someone knowledgeable enough to help me further but know it will not be easy. If I find anything worthwhile I will be in touch. Maybe someone reading our comments will be able to help us further. I only decided to treat myself to Dysport due to a chronic pain condition I have where I always have pain in the head. I thought by removing some of the telltale signs on my face (a reminder of my condition) I'd be somewhat happier. I really hope you find some help.

anne88 26 Nov 2012

oh my gosh megan thats exactly why i had it.... i had heard it could help with tension headaches...... well i mean it has made my headaches sooooooooooo infinitely worse. its given me sooooo many more headaches than i ever had before, awful ones. but thats exactly why i did it too. ok that being said, my lines were actually a lot worse than yours and i want to tell anyone who has this also that they have improved... its just taken a -lot- longer than they say it will but theres a good chance if yours all wears off (i would give it 18 months honestly) and stay healthy that your muscles will recover a lot on their own. how much i dont think anyone really knows. i think massage has been the most helpful thing. did dysport help for your pain? it did not help at all for my pain, it increased my pain like by .. by an obscene amount. take care.

meganpepi 30 Nov 2012

Goodness, we do have a lot in common! No, the Dysport hasn't helped painwise. I understand you have to have heaps of Dysport to many areas for it to hopefully help. I have a yearly treatment of Ketamine infusion (2 weeks in hospital) which has made a difference to the quality of my life. I'm no longer in bed all the time but fairly housebound. I hope you can find help with all your headaches. OxyContin (opiod) has also helped me. I will be in touch Anne if I find out anything else regarding our problem.

anne88 20 Nov 2012

Hi I have the same issue as well. It is not the natural aging process as the rest of my face looks exactly the same as it did a year ago. None of my other wrinkles changed and none of the other areas of my skin changed. Only the areas that were injected were badly damaged, so it is not normal aging or it would be happening equally to other areas of the skin. I have the same issue it has been 14 months. It is not normal aging as all the rest of my skin looks exactly the same. Also these new lines are deeper and much longer than normal lines I have had for twenty years. It was obvoiusly caused by a chemical injury to the affected muscles. take care.

meganpepi 23 Nov 2012

Hi Anne88 I've been in hospital so excuse my late reply. I'm so sorry to hear you have the same problem. It's a depressing feeling to suddenly be sporting lines in areas previously free from any lines. I'm paying AUD$800 each visit and certainly don't feel happy about acquiring extra wrinkles from the treatment. The strange thing is that the specialist comes highly recommended with all the credentials. As I have a great relationship with him apart from this problem I don't know whether mentioning my unhappiness to the owner of the practice (beautician) who organises his monthly visits will achieve anything treatment wise. I receive bruises to one eye regularly but I've read this can occur. You mentioned you have had your problem for 14 months. Are you still receiving treatment from the same specialist with Botox/Dysport? Also, have you decided what you will do? Thanks for sharing your problem and if I don't hear from you I really hope something can be done to help erase the new lines.

anne88 23 Nov 2012

hi well I only used the dysport one time, and when I developed the lines (and a lot of other problems) and complained and asked for my money back, the very reputable plastic surgeon I went to dismissed me as a patient and refused to see me anymore. he said that nothing could be done to remove the lines, and that he would not see me anymore at all about anything. He is still giving dysport to people and very likely ruining their faces too. its very sad. I dont know yet what I will do, I have considered a number of things but most of the medical community seems totally clueless as to what to do when their magic poison injures someone. I hope my muscles will eventually recover from this chemical injury. I have one word of warning for you, if you have not stopped receiving the dysport totally I would consider this. many people have small symptoms with earlier treatments and then can have very severe reactions with later treatments, I am telling you (I dont know what you are in the hospital for) but if you have not gotten really sick yet, I would honestly stop all 'treatments' now becuase if it causes a reaction or goes systemic you could be very sick for a very long time. if you are not sick yet I would definitely consider stopping the treatments becuase once you are sick it really causes years of suffering and there is (obviously) no cure available. its important people hear the truth about these dangerous toxins since they will not hear this from the medical community. take care and if you find anything to help please post it! take care.