Problem after Dysport; what should I do?
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Doctor Answers 8
What to do after Dysport injected with bad results
What should I do?
I always recommend you return and see your injector after 2 weeks from the time of the injection. There's no way to tell online the cause of your line/crease since you have scarring and other injections simultaneously. I'm confident your surgeon will give you an appropriate diagnosis and treatment.
Best wishes, Dr. ALDO
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Problem After Dysport
From your detailed history and photos I would surmise that the creases you see are the result of the Dysport weakening your crows feet which is the desired effect. With smiling the cheek is pulled up and pleating or loose skin can be common. The larger the cheek the more dramatic the folds can be. This will resolve as the Dypsort wears off. You should discuss your concern with your doctor so they can adjust your pattern of injection and minimize this result
Best of Luck
Problem With Dysport - What Should I Do?
Obviously, an in person physical exam would be essential to completely diagnose both the etiology of your facial wrinkles and also an appropriate treatment.
All that being said, my best guess based on your comments is that Dysport has little or nothing to do with your rhytids. In fact, I believe the steroid that was injected has caused a loss of subcutaneous tissue, including fat, leading to thinner skin which then ripples when the zygomaticus major muscle pulls the corner of the mouth up towards the cheekbone.
If you were my patient, I would inject saline into this area to dilute the steroid injections and therefore stop the loss of subcutaneous tissue. Then, at some point, I would inject some Sculptra which can add collagen to the thin skin.
Unfortunately, there is no simple answer and I highly recommend you see a very experienced Board Certified plastic surgeon or dermatologist who has experience in dealing with complex problems of this nature.
As an aside, I would warn you against injecting fillers into the rhytids as this may cause lumping along with the rippling.
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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.