Will Dysport or Botox Have Less Facial Bruising and Swelling?

Does one (Dysport or Botox) also have a shorter overall recovery time?

Doctor Answers 24

Recovery time with Dysport and Botox

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The amount of bruising and swelling you get after injections with Dysport or Botox will be the same with either product.  The chances of bruising and swelling are more dependent on your injector and their level of experience as well as your recent alcohol consumption and certain supplements and medications (aspirin, ibuprofen, vitamin E, Fish Oil, COQ10, just to name a few) you may be taking prior to injections. For the most minimal chance of bruising, stop taking or using any of these things 3-7 days prior and find an experienced injector....even then there is no guarantee but your chances are much better.

Good luck~

Dr. Grant Stevens

Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Botox and Dysport have same risk of bruising

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Both Botox and Dysport have the same risk of bruising. The bruising is due to the injection site and not the product used. The injecting technique is the most important factor. In the hands of a skilled injector there should be minimal bruising with either product. It is important to make sure you are not taking aspirin and aspirin containing compounds, as well as many known vitamins and herbs that also may increase the small risk of bruising. Most patients come in to the office for injections and return to work or their normal social activities within a short time of their departure. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 218 reviews

Will Dysport or Botox Have Less Facial Bruising and Swelling?

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They both have the same bruising rate. Other factors contribute such as site, gauge of needle, aspirin, alcohol, and others.

Botox versus Dysport

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Botox and Dysport have the same potential for bruising and swelling.  Avoiding products that thin your blood (see comments below) decreases your risk of bruising.

Martie Gidon, MD, FRCPC
Toronto Dermatologist


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Just after being injected with either Dysport or with Botox, it is common to have some redness and swelling at the injected site.  There should be no more redness and swelling with one compared to the other. 

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Overall recovery times should be the same for Dysport or Botox. Onset is faster with Dysport.

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Both Botox and Dysport are injected with very small needles in appropriate areas. The amount of fluid involved for either depends entirely on the dilution used by the physician to reconstitute the frozen powders in their vials. This fluid volume has some effect on how far the treatment can spread in tissue (good or bad depending on the situation) and also to some extent on any minimal swelling or lumpiness you may experience immediately after the procedure (minutes to hours).


Other than this temporary lumpiness which will resolve as the diluent saline gets resorbed into your skin, the only other common side effect may be small areas of bruising if a needle pokes a small blood vessel in the treatment area. The likelihood of this is equal for both Botox and Dysport, and is equally likely to resolve within a few days.


Dysport tends to achieve full desired effect in about 5 days whereas Botox may take up to two weeks. Either of these is fine and has its pros and cons.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Dysport and Botox are virtually identical clinically

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There is no difference in the amount of bruising or swelling from the chemical properties of Dysport and Botox. They are both administered through the same fine needle, If, however, a physician mixes the Dysport and Botox purposely to get different dilutions (taking into account the conversion factor for the two products, usually 3 times the units of Dysport for each unit of Botox), then it would not be fair to compare as there might be signficiantly more volume of the higher dilution product which will make it look more swollen immediately. IF the clinically equivalent doses of the two products are administered with the same volume of liquid, then there should be no difference. It is possible that Dysport acts 1 day more quickly in its action of onset, otherwise, there is no significant difference that I have found in the products.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Botox and Dysport are clinically equivalent

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Botox and Dysport are clinically the same.  Bruising risk, as well as all risks and benefits are equivalent.

Robert Strimling, MD
Las Vegas Dermatologist
4.3 out of 5 stars 9 reviews

Bruising with Dysport or Botox

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There is no discernable difference between these two products with regards to bruising.   Some simple measure to prevent bruising are icing before and after a treatment and minimizing things such as Aspirin, NSAIDS (ibuprofen, etc),  fish oils, and vitamin 7-10 days before injection.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Dysport vs Botox - bruising factor

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Since both are injected with a fine needle, they both carry risks of facial bruising and swelling.  The risk is the same for both products.  Some of the swelling may depend on the amount of product placed into the skin (i.e. the dilution).  This varies by physician-preference and practice.

Kristel D. Polder, MD
Dallas Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.