Is there a risk of getting botulism or can the toxin spread from having Dysport 20 units in forehead?

Question

I am now terrified worrying about this because I did not see the warning before I had injections. Thank you!

Philip K. Robb Jr., MD, FACS · Answer

The toxic dose for botulism is well over 1000 units.... We typically use no more 60units per patient per time. The effects are not cumulitive as the toxin is metabolized and leaves the body completely after 3-5months. 
There are some conditions myasthenia gravis and other medical conditions that if you have should consult with your physician about- otherwise there's no need to worry!

hope this helps and God Bless!
Dr. Robb

Aldo Guerra, MD · Answer

Thanks for your question. The genuine products do not have any live bacteria and thus getting botulism is basically impossible as long as you are doing this with a reputable medical professional. Avoiding heat, exercise, bending down and laying down should minimize the risks of the product moving.

David Gilpin, MD · Answer

Thank you for your question.  Your concern is one that I will hear from my patients at times.  While any injectable drug always carries risk, I would not say that you are at any greater risk from having 20 units of Dysport injected.  Dysport, in my experience, is very safe and does not 'spread' outside the muscle in which it is injected.  If your provider is board certified, and has experience with injecting Dysport, my thought is that you should start to see results within two weeks.  You should see a softening of your forehead lines and wrinkles.  I would discuss your concerns with your injector, as well, as he/she knows exactly what was performed at your treatment.  I hope that this helps!-David Gilpin

Stephen Prendiville, MD · Answer

Please understand that the list of risks on most medication labels is exhaustive for the sake of risk management.  I would place your risk of clinical botulism from 20 u of Dysport at a click north of zero.

Jason Emer, MD · Answer

No, you will not get botulism from your Dysport injections and it won't spread after injection. Keep in mind, you may have some swelling after your procedure, which is typical and will resolve in 1-2 weeks. Best, Dr. Emer

Julia Ann Sullivan Miller, MD · Answer

It is highly unlikely that you will develop Botulism from injections of Dyspot.  I would recommend having a consultation with a reputable, board certified plastic surgeon to discuss your options and concerns.

Adam Goodwin, MBBS, FRCS(Plast) · Answer

20 units of disport is a TINY dose. It is unlikely to give you any effect, let alone a botulism effect. Cosmetic botox is diluted many thousands of times below dangerous levels. In fact a dose that ideally should not be exceeded is around 600-800 deposit units. You are safe with 20Hope that helpsAdam Goodwin

Dinesh Maini, MBChB · Answer

Dear Lisa 
Please don't worry
There is no risk at all of this happening.
Kind Regards
Dr Maini

Shaun Patel, MD · Answer

I often tell patients that Botox and Dysport injections are some of the safest procedures I perform in my clinic. The risk of botulism after these cosmetic treatments is negligible. I would not worry about this.

Omar Fouda Neel, MD, FRCSC, FACS · Answer

Thank you for your inquiry. If performed by a board certified plastic surgeon, you have no need to worry. If this is your first time, 20 units is a great start. You will start noticing results after 2 - 3 days to a maximum of 14 days for full effect. Best of Luck !

Is there a risk of getting botulism or can the toxin spread from having Dysport 20 units in forehead?

Answers (17)

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