I'm getting 50 units of Dysport in my forehead and 11 area and it is lasting only 7 weeks. Any suggestions?

Thank you for your question. The standard Botox dose is 20 units and the standard Dysport dose is 60 units PER AREA. I always mix my Dysport with 1ml of bacteriostatic saline. Some providers will dilute with 2, 3, or even 4ml of bacteriostatic saline.  Your provider could very well be diluting it, thus causing it to last a shorter than expected length of time. As a patient, you have the right to know exactly the dilution you are receiving. Please see a board-certified plastic surgeon who commonly performs this procedure.

50 units of Dysport is only equivalent to 16 to 20 units of botox which is a small dose for the glabellar region alone.   To add the forehead lines also would decrease the results even more.     The freshness (or the periord of time) after it was diluted could affect the results.   Dysport mixed 3 weeks ago will not work as good has product that was just mixed.

50 units of Dysport is roughly equivalent to 16 units of Botox.  This dose is on the low side to treat both the glabella (11 lines) and the forehead.  Some patients like a small dose because they are afraid of having a "frozen" look but the effect is usually not as complete and not long lasting.  I've noticed that Botox / Dysport / Xeomin can last different lengths in different people.  If patients say that they didn't get much of a result or that the effect didn't last long, I sometimes switch from one of the three brands.Best regards,Dr. Kwon

Hi Oak, 50 units is not enough product for these two areas.  Dysport was FDA approved for 50 units between the eyes (11 lines) but we found that when we injected this amount, we did not achieve 3-1/2 - 4 months as would be expected.  We started using 60 units in this area and it solved the problem.The forehead area is a new area and you need an additional 20- 40 units for this area.  If you are concerned with the overall budget, then we would suggest picking one of those areas to get proper dosing.  If the budget is not an issue, then consider more units for the two areas.  For Dysport before and after photos for Los Angeles patients, click on the link below.  

Dosages for injection with Dysport and neuromodulators vary significantly from person to person.  Dilution of the product effects diffusion of the product but generally not effect.  The most important factor is the expertise of the injector and their technique.  50 units of dysport is generally a lower dosage for 2 areas; increasing the dosage may effect longevity.  It is important to have a discussion with your physician regarding your expectations.  Generally, lower dosages equate to more movement and a more "natural" appearance but tend to wear more quickly; higher dosages will create less movement or a more "frozen" look.