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

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

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. 

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