How Does Dysport Spread in Forehead Without Side Effects?

Question

If Dysport spreads more than Botox and "rocks the forehead," is there a greater potential for side effects in other areas, like the brow area? I get great results from Botox in three areas of the face and I'm considering using Dysport.

Steven H. Williams, MD · Answer

Dysport can be used interchangeably with Botox with great results. Although it can spread slightly more than Botox, in experienced hands, you shouldn't have much of a problem when trying Dysport for the first time. You may try a conservative treatment and add more with a touch up in 2 weeks if you are concerned with the potential of the product spreading and causing side effects. The products work in the same manner and have all of the same risks and side effects.

Raffy Karamanoukian, MD, FACS · Answer

I do not suggest switching back and forth between neurotoxins. If Botox works, stick with it until you begin to develop resistance to the product. Best, Dr. Karamanoukian

Sam Naficy, MD, FACS · Answer

In the forehead, dysport is very comparable to Botox.  As long as you are seeing someone who is knowledgeable about the anatomy of the muscles, your results should be good.

Jon M. Grazer, MD, MPH, FACS · Answer

Dysport diffuses further than Botox. Studies show no greater incidence of brow of eyelid ptosis (drooping), between Botox and Dysport. A recent study shows that Dysport gives better results on crows feet than Botox.

	Since Dysport diffuses further, it tends to give a softer look.

Elizabeth Slass Lee, MD · Answer

Dysport probably does not spread in the forehead more than Botox when similar volumes of each are injected. The study that suggested otherwise used larger volumes of of Dysport than Botox. It is to be expected that larger volumes might migrate further. Once adjustments are made for the different potency or strength of Dysport, it is just as effective as Botox. Best yet, it is less expensive. I have been using Dysport since it was available and am as comfortable with it as Botox. My patients are loving it too.

Milan Shah, MD · Answer

Dysport, like Botox, is a type of botulinum toxin that temporarily paralyzes muscles to reduce wrinkles. When injected into the forehead, it spreads locally to affect targeted muscles, limiting movement. Side effects are generally mild and temporary, but it’s crucial to consult with an experienced medical professional for proper administration and to discuss potential risks based on individual health factors.

Robert S. Bader, MD, FAAD · Answer

The two products have nearly identical safely profiles. Your concern regarding spread is mostly hypothetical, as this can be controlled with the dilution used. For example, a dilute Botox will spread more than a concentrated Dysport.

	The bottom line, especially for the forehead, is that you must use a provider who is experienced and uses Authentic product.

Jeffrey Adelglass, MD · Answer

There are places on every corner that offer Botox and Dysport. Nurses, PA's and other medical providers do injections of these medications. I strongly encourage you to give it the due diligence before getting dysport. Technique is everything; that is how you avoid problematic things that can occur by a less than qualified person.

Melanie D. Palm, MD · Answer

Although there is a lot of talk about greater dispersion of Dysport in the treatment area compared to Botox, this has not been my experience. Using small amounts, in small dilution volumes, I have not found observed an increase in adverse effects with Dysport as compared to Botox.

Steven Wallach, MD · Answer

I think that by maintaining a concentrated product when hydrating it, and only using small aliquots during injection, you minimize the dispersion of the product into unwanted areas.

How Does Dysport Spread in Forehead Without Side Effects?

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