Azzalure vs. Botox: which is better?

Hi there! To be quite honest there is little between it other than different manufacturers. Results are more dependant on the practitioner and their personal training / experience. Azzalure spreads out a little more in the muscle where as botox stays more localised which may lead to a little variation. Hope this helps!Best wishes,Dr Rupert

Thank you for your question. Azzalure is known as Dyport in the US. Both Botox and Dysport are very effective and work in the same fashion. More imporant than which product is who is injecting. I train other injectors on the safe and effective use of Botox (and other injectables) and I do find that for the core aesthetic physicians (e.g. plastic surgeons and dermatologists) have the best foundation to learn how to inject. For non-core physicians or nurses, I spend a lot more time focusing my teachings on assessment and the underlying anatomy. It is not something they get a lot of training in during their medical training. Most of Botox complications that reported is usually due to technique and inadequate assessment. For the best results and least complications, would strongly recommend that you stick with a board certified plastic surgeon or dermatologist who does a high volume of injectables as part of their practice.

Dear Kit

Don't get too excited. Azzalure is Dysport, a botulinum toxin A product just like BOTOX is a botulinum toxin A product. Galderma has licensed with product from Ipsen for distribution of this product for aesthetic indications into the UK, the European Union, and certain parts of Eastern Europe and the Middle East. Medicis, the company that markets Restylane and Perlane, owns the rights to distribute dysport in the United States under the trade name Reloxin. FDA approve for Reloxin is anticipated at any time now.

Azzalure is not better or worse than BOTOX but it is different. One unit of Azzalure is not the same as one unit of BOTOX. It is more likely that 2 to 4 units of Azzalure will produce a similar muscle relaxing effect as 1 unit of BOTOX. However, Azzalure may diffuse differently than BOTOX. So there will be a big learning curve for doctors as they begin to use this new product. Competition is a good thing but not hold your breath that this new botulinum toxin A will spark a price war.

I have no experience with Azzalure and have been very happy with Botox injected in my patients

This is a great question, and it gets into the naming of different drugs in different countries. In the U.S., we have Botox, Dysport and Xeomin. The same drugs in most parts of Europe are known as Botox (or Vistabel), Dysport or Azzulare, and Xeomin or BoCotture. So what you need to know is the same product may have different names in different countries. But the drugs are the same – so Dysport = Azzulare, no matter what the label says. Depending upon who is injecting the product and their experience, someone might like Botox more; someone else might prefer Dysport or Azzulare. The biggest difference is when you use these, you need to understand that when mixing them, we have to use different dilutions of saline to mix them – which should be of no concern to you – but should be to the clinician. More Dysport units are needed than Botox units for each indication – but this does not mean there is no difference. Twenty units of Botox equal about 60 units of Dysport; the units are not interchangeable, so this is the way it is. Depending upon the injector, you can get great results with both. Find a board-certified dermatologist or plastic surgeon, and learn more about this from them.