Botox Wears off in One Month, Should I Try Dysport?

Thank you for your question and concern. I train a lot of injectors in the proper technique for Botox injections. Here are some of the common reasons that Botox wears off too quickly:1) Inadequate dose - higher doses usually corrects the problem2) Cookie cutter approach to injecting Botox. The same technique is used for every patient and it works for most, but not all patients. The cookie cutter approach fails to appreciate the differences in anatomy of the facial muscles that can vary by the individual.3) Rarely, there are patients who truly have shorter durations with Botox and may want to consider the different neuromodulators available to see if there is a difference. I would recommend that you go an experienced board certified plastic surgeon or dermatologist who does a high volume of injectables to discuss your experience in more detail.

If your Botox is working when initially injected and then ceases to work after one month, you should probably look for another injector.  Either you are not getting real Botox or you are getting too much solution (saline solution that Botox is mixed with) and not enough actual Botox itself.  In either case, you may want to search for another injector.  Good luck.

your problem of short acting botox may be a result of not enough units of botox from a conservative physician. It might be worth a visit to a different board certified dermatologist or plastic surgeon

All of us that have a lot of botox patients will run into cases like yours.  I also agree with what others have posted.  One, make sure you have a trial with enough med, that is recently reconstituted and placed correctly.  If that failed, then consider dysport.  It is possible to respond to dysport where your prior history with botox cosmetic was suboptimal.  In general, given equivalent dosing schedules, we have had more failures with dysport than botox, but each case is different.

Most of my patients that don't get a normal duration from botox are fast metabolizers. Runners, personal trainers, or just personalities that are constantly on the move.  Something to consider for a reason in your case.

Later this year additional competition will also hit the market, including puretox and other companies version of botulinum toxin.  Keep your ears open for this if dysport is too short too.

Sometimes you may not be getting enough botox into the areas if it wears off in only 1 month.  If you are not spending at least $300 for the forehead then you are getting too little Botox.  Try Dysport or have your doc use more units of botox.  Dysport is replacing Botox in many offices.