Does Dysport Cause Indentions in the Skin After You Have It Done?

Thank you for your question. Be certain to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in injectables for the safest and most effective treatments. Sometimes when you relax a certain muscle group, such as your frontalis (forehead muscle), the other muscle group is now working harder and is more pronounced, causing this concavity. You may need to relax these muscles. I hope this helps.

Although it is impossible to give a diagnosis without a picture and physical exam, the findings you describe are most likely not due to Dysport. I would recommend returning to your Doctor for a discussion of your concerns.

Hi MDM.  We have never seen an indentation occur at our practice or heard of it happening at others.  In fact, because of the volume injected, it's more likely that the area would be slightly raised after the injections. 

You may want to check the before and after pictures because we find that as patients scrutinize their foreheads after injections, they end up asking us about imperfections that existed before the injections or became more noticeable after their forehead becomes smoothed from the injections.  Hope this helps.  Good luck.

The symptoms you have described are not in line with the commonly reported side effects of Dysport. These are: nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea. I would suggest speaking with your regular physician about this issue in order to resolve it. Best of luck.

Greetings~

It's difficult, if not impossible, to say with any certainty what exactly is happening with your forehead.  You may have a bit more fluid retention than normal, especially upon awakening in the morning and then depending on the way you sleep creases and lines can appear that quite literally show up over night.  Another possibility is that when the Dysport begins to wear off you may notice certain areas of the forehead are able to contract before other areas.  This can be very subtle.  If the lower portion is starting to wear off but the upper portion remains immobile and smooth you can have something that looks like a crease or dent in that transitional area between functioning muscles and non-functioning.  I'm sure you will notice the indentation resolve in time.  Hope this helps.

Good luck~

Dr. Grant Stevens

Dysport is injected through such a small needle that it's virtually impossible for the actual injection to cause any indentation. Dysport will relax the muscles in the area in which it is injected and has no effect on subcutaneous fatty layer. A photo might be helpful in trying to determine the nature of the concavity or if the problem persists for more than a day go see your physician.

I have never seen and cannot imagine how this would happen. Did you sleep heavily and maybe sleep with a ring, watch or hand under your face. I have fallen asleep with my watch on and have woken up with a watch band imprinted on my head. 

It is hard to attribute the indentation you are describing to your Dysport injections.  Perhaps you noticed it after you slept in a strange position or on a portion of your pillow leaving a temporary indentation.  Hopefully it has resolved by now if that was the case.  If it still persists, please return to your injector to be evaluated.

Dysport, Xeomin and Botox are injected with tiny needles through the skin into the muses. Such needles are incapable of the significant subcutaneous fat destruction which would cause collapse of the overlying skin and a Concavity. You may wish to discuss this with your Plastic surgeon or Dermatologist. 

I have never seen skin indentions like this from Dysport or Botox. The needles used are so small I can't see how this happened. The only thing I can think of is atrophy (loss of fat) in the area, but I've never once seen that happen from Botox or Dysport, only from steroids like Kenalog. If it doesn't resolve I'd suggest you return to your injector for an evaluation because I've never seen anything like this.