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

Question

I had Dysport done to my forehead a couple of months ago. I actually had to go back because it didn't take in the upper portion of my forehead. I woke up this morning and noticed an indentation on my forehead above my right brow. It looks as if somone pushed on my forehead with their finger and it left a slight concave, an uneveness, a soft spot, compared to the rest of my forehead. Any clue of what might be causing this and what do I need to do?

Sonia Badreshia-Bansal, MD · Answer

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.

Stephen Prendiville, MD · Answer

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.

Harold J. Kaplan, MD · Answer

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.

Daniel Shapiro, MD · Answer

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.

Grant Stevens, MD · Answer

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

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

Answers (5)