Why did Dysport cause wrinkles to go inward toward nose and creapiness? (photos)

Question

I had Botox on frontalis first. Then 2 weeks later Dysport on crows feet area and around eye. And bunny lines.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. The toxin did not cause wrinkles to move anywhere. What likely happened is that once animation was blunted in one area, it became more noticeable to you in an adjacent area. Alternatively, when you make certain facial expressions, areas where the toxin is not in place may work a little harder, causing more wrinkling in that area. Either way, I would just discuss your concerns with your injector and see if they are willing to offer a small touch up treatment to address your concerns. At least you will know next time what areas you have to treat to get a complete result.Hope this helps!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Jonathan Kulbersh, MD · Answer

This is a great question. It would be quite unusual for Botox and Dysport to be creating more wrinkles. The more likely culprit is that you’re noticing areas that haven’t been treated more prominently than before. While the lines around your forehead and eyes have softened, the wrinkles closer to your nose appear deeper. You might see the same effects after a laser treatment. The skin on your face looks smoother, which may highlight crepiness around the neck and chest. If you still feel like your skin seems more wrinkled 2 weeks after treatment, I’d recommend visiting a qualitified injector. A board-certified facial plastic surgeon can help find the appropriate treatment for your skin.

David W. Kim, MD · Answer

Hi, Thanks for your question! I agree that the wrinkles don't exactly "move," but they can become more prominent in untreated areas after treatment. Your provider may be able to adjust your treatment slightly to minimize this effect, so I would recommend letting him/her know. Also, over time the overall look may soften up, as the contrast between treated and untreated areas becomes less noticeable. Dysport is strongest initially, around 1-2 weeks. Hope that helps!

Dmitriy Schwarzburg, MD · Answer

Sometimes when neurotoxins are injected into one muscle, another muscle in your face will compensate for the now underactive muscle. This can cause formation of new wrinkles that you may have never had before. Speak with your injector and they may add a few more units to the compensating muscle to even it out.

Why did Dysport cause wrinkles to go inward toward nose and creapiness? (photos)

Answers (4)

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