dermdoc

To PurplePeople: Curious what type of practitioner you had. What kind of garbage is that about toxins and your fat cells returning to a "healthy round shape". For the sake of my specialty, I hope he/she is not a dermatologist!

The most likely possibility is that you have developed antibodies to the protein antigen of the Botolinum toxin. Some people feel Xeomin, by not carrying as much protein, will be less likely to cause this problem.
A second possibility is that air might have inadvertently leaked into vial of Botox. If this happens Botox loses its potency. You might check with your physician to see if the same problem occurred with other patients.
Finally, there is a possibility that the vial was not obtained from Allergan in the first place. Unfortunately, some physicians are purchasing their Botox from European and Chinese sources. Not saying yours did, he is anonymous, but that is a possible too.

Keep us informed. Sorry you had the hard sell one receives at these spas. I found it interesting that Dr. Pumphrey is the medical director. We were pals back in the medical school days. I thought he went into gynecology. Although I remember Dr, Pumphrey as being a bright student, I would have to say the depth of knowledge a gynecologist ( or in our area...the Am Laser Center run by an opthalmologist) might possess regarding skin and its care, pales next to a board certified dermatologist.

Return for some hyaluronidase.

My feeling is that Dysport should have three injections into the glabella region and not the five recommended. Omitting the more lateral injections on the brow should obviate any potential problems. In the studies for approval Dysport had the same complication rate regarding lid ptosis ( or a "quaz" named after Disney's Quasimodo) as Botox, roughly 3%. Botox in in its first study had a 5% lid ptosis rate before physicians became more skilled ( interesting, at the time it was felt to be due to certain patients lacking a membrane to protect the lid...now it is pretty much assumed to be faulty technique). The duration of the quaz depends on the individual strength of the muscles and the dosage. I agree with one of the other commentators, it is not Dysport's fault, but faulty injection technique. Although let me defend the injector ( btw why is a beautician doing these injections..this is a medical procedure and CPR equipment should be on hand). I was at an advanced BOTOX training session a few years ago and the trainer asked for us to raise our hands if we ever had a lid ptosis. All the dermatologists and plastic surgeons in the room raised their hands. The trainer then said that if we had not raised our hands he would have called us a liar. So it can happen even in the best of hands. ( Ironically, the only "quaz" I gave someone was in my third year of injecting...so this complication does not happen only to rookies). My patients ptosis lasted a month. Thankfully, the ptosis always wears off and some excellent advice has been given above.