Dent Between Eyes After Dysport

I am sorry you are going through this.  I have never seen this before and I literally have done thousands of Botox and Dysport injections in this area.  The other responders have come up with some excellent comments, but the simple answer is go back and see your primary injector, and see what he or she says.  Then get a second opinion from a Board Certified Core Physician.  This does two things.  One, it gives you time to allow things to improve.  Second, it gives you a couple of hands on opinions that you can then contemplate. 

Dysport is an excellent paralyzer and your result is very unusual and is very unlikely to reoccur. 

Unfortunately the pictures you included are out of focus. However these pictures are of limited usefulness because the key to this treatment solution is dynamic evaluation. The best series of pictures would include pre-treatment relaxed and maximum frown, and post-treatment relaxed and maximum frown.

Without seeing the type and degree of muscle movement you have it is difficult to make any realistic recommendations; knowing the dose of Dysport and location it was placed would also be helpful. .

Although others say you were over-treated I’m not sure that is the case. You still have movement, and the vertical depressions between your brows may well be due to residual areas of active muscle.  This contour irregularity may be due to disproportionate relaxation of some muscle, while adjacent muscle still has resting tone and some movement. If some residual procerus or corrugator muscle remains active then improvement can be achieved with additional Dysport specifically placed to target the active areas. If the grooves remain after full muscle relaxation, then a soft tissue filler may be an option.

Yes, you should always seek an experienced injector. If you have questions or concerns about your treatment similar to these, don’t hesitate to contact your physician -- s/he may see you sooner.

Best wishes.
 

Your service has over weakened your central forehead causing it to fall.  Also the eleven lines have not disappeared.  I think you need an assessment by a very experienced injector to decide what is going on and craft a correction to your current treatment.

You need to go back to your injector to have a better assessment of what is going on as the photos are limited.  There will be two options: 1) to let the dysport wear off or 2) to touch the area up if your injector is confident (s)he can correct the area.  Please make sure you are seeing a board certified core specialist.

You may need a touch up treatment to even out your results. Check back with the doctor that did your treatment.

It does take at least 72 hours to see the results of Dysport injection with the full effect at 7-10 days. Unfortunately we do not have good quality before and after pictures to evaluate whats going on but my guess is that the corrugator muscles may have been inadequately treated. I use a 3:1 Dysport to Botox conversion ration as Dysport is weaker than Botox and your doctor may be using a high dilution. Also, I generally will not heavily inject the forehead so that I can get a brow lift and not cause a droop of the forehead that can exagerate folds in the glabella. I usually expect the effect to last 3-4 months. Worst case synario, the results will dissipate over the next couple of months. If any touch up is planned, I would recommend waiting at least 2 weeks.

Pictures are out of focus can not evaluated.

Seek an experienced DOCTOR in Botox and Dysport for full evaluation.

some times the best thing to do after bad results with Neurotoxin is to wait and re evaluate at 3 months and 4-5 months.

It's hard to say without more precise before and after photos.

The effects of Dysport last less than a year, so that should not be an issue.  And you should certainly return to or contact the physician who injected you to get specific advice on what to do now.  It is possible that a little more in some of the partially weakened muscles will help minimize this appearance but, in the absence of knowing your before and after photos, as well as exactly how much was injected and in which areas, it's difficult to give exact recommendations.

I hope that this helps, and good luck,

Dr. E

I agree that most likely you were over-treated with too much Dysport, especially since this was your first time for treatment. I recommend that you call your doctor's office to find out the number of units of Dysport that was injected and then allow it to wear off naturally. Additional injections at this time could make things worse. Then consider a more experienced physician injector next time.