Dysport on my 11s. I can still see faint lines. What else can be done? (Photo)

Question

I’ve had 90 units of dysport placed in between my eyebrows for my 11s and there is still movement and I can see some faint lines. I’ve had 3 micro needling sessions done and thinking of going back for one more but I’m feeling so defeated. Idk what else to tdy

Giancarlo Zuliani, MD · Answer

Hi,
Looking at your photos it looks like the Dysport is working. there is significant reduction in the muscle movement.  You are taking the correct steps in reducing the appearance of these lines. I would stick with neurotoxin (Dysport) is great, make sure you are getting treatment every 3-4 months. Continue with microneedling and possibly add some laser resurfacing.  Over time these lines will fade. We need to remember we have had many years to make them, they will not go away easily.

Azita Madjidi, MD, MS, FACS · Answer

I don't know how far from the injection is your second picture but Dysport does not work right away and may take a few weeks to have full effect, just like Botox. However, it could also be because of technical error and not injecting Dysport in the right places, in the muscle. So I wouldn't blame Dysport for lack of result but on the accurate number of units, time for the full action or technical error.

Anil R. Shah, MD · Answer

Hello witty140787! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. Thank you for your question. I recommend treating the glabella with additional neurotoxin, either with Dysport or trying a different neurotoxin. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Nelson Lee Novick, MD · Answer

There are two components to most facial wrinkles; the dynamic component, i.e. the movement of the muscles below the skin that lead to scrunching and pleating of the skin above and a static component, i.e. the creases etched into the skin after years of repeated movement of the muscles of facial expression. To address this, a neuromodulator, such as Dysport, Botox or Xeomin, when injected properly, can quiet the underlying muscle--i.e. address the underlying cause of the wrinkles (in this case the eleven lines) and following that an appropriate filler can be used to elevate and smooth the creases that have been etched in after years of daily muscular movement. Microneedling is best reserved for treated very superficial, surface textural irregularities. It is unlikely to do much for heavily etched-in eleven lines. You would be wise to make sure to consult with an experienced board certified cosmetic dermatologist injector. Hope this helps and best of luck.

Larry Thiesen, MD · Answer

Thank you for your question. From the pic, it appears that you still have quite a bit of movement. I wonder if you had the corrugators injected in addition to the procerus? In terms of alternative or combo therapies, you could consider smooth threads placed in the glabellar complex. These promote collagen formation over time. Skin tightening treatments also may be beneficial, such as RF/microneedling, ultherapy. Laser resurfacing and LED light therapy would also be potential treatments. It would be important to have a consultation with an experienced provider. Good luck.

Camille Cash, MD · Answer

If you are still having movement and it has been two weeks since your treatment you may need to return for a touch up.  You can also consider adding Morpheus8 treatments which improves skin tone and texture.

Stuart Diamond, MD · Answer

How far out are you from your last injection? It takes a full 2 weeks for dysport to settle in, and then lasts or 3-4 months. If you are in the sweet spot, then maybe try using Botox or Xeomin next time! Results very from person to person. Using the skin pen is a great idea to get rid of the superficial wrinkles in the skin.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,
I would go back and get more units.  It appears that you have a very string muscle, and you may require at least 125 to 140 units. Make sure the placement is correct. Always make sure to see a Board Certified Physican for all injections.  
Best of luck!

Dysport on my 11s. I can still see faint lines. What else can be done? (Photo)

Answers (8)

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