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Lip folding and curling upwards up after gummy smile dysport? (photo)

neenosDec 10, 2013
Hi everyone, thanks in advance for your inrerest and help. I've previously had 1 unit of botox for a gummy smile which worked well. Recently however I was convinced to try dysport, the units are different and I was given the equivalent of 1 botox unit, at my 'review' visit I reported that my lip was doing this strange 'folding up' sort of thing when I smile. I want sure if it was too little, too much or the placement. They put another unit (equivalent to 1 botox in) yet still the same?

Answers (2)

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Dr. Mario Marzola, MD
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Dr. F. Victor Rueckl, MD (in memoriam)
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Answered on Dec 11, 2013
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Donald B. Yoo, MD, FACS

Dysport will not give you fuller lips.  The best fillers to use for lip augmentation are the hyaluronic acids such as: Juvederm, Restylane and Belotero.  

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Paul Flashner, MD

Alcohol before or after injections is not recommended as it can thin your blood and increase your risk of bruising. However, it will not alter the outcome of the Dysport and is ultimately up to the individual. Be sure to discuss pre and post instructions with your injector. 

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Donald B. Yoo, MD, FACS

With cosmetic dosages of Dysport it is highly unlikely to develop systemic side effects such as tachycardia.  I would seek an evaluation with your primary medical doctor to rule out other possible causes of these symptoms.  

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Larry S. Nichter, MD, MS, FACS

Dysport as well as Botox and Xeomin will work while taking antibiotics such as Augmentim. However it is not recommended while you have an active infection and should not be used if you have acute sinusitis, a common reason to be treated with this medication.

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Donald B. Yoo, MD, FACS

Antibiotics will not affect the results of your treatment. Vigorous exercise, lying down flat, and facial massages should be avoided the day of treatment. Vitamins and medications will not affect the duration of Dysport activity.

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