Botox has never worked for me and it takes 180 units of Dysport in one area. Any other suggestions for me?

Xeomin is another alternative to Botox and Dysport. A combination of fillers, lasers and microneedling/prp can also be used to improve wrinkles. See an expert. Best, Dr. Emer

A good alternative to Botox and Dysport is Xeomin. Every patient is different and react differently to each injectable. I would suggest to try Xeomin and evaluate your results. You can also try different procedures to help with the fine lines, wrinkles, and skin appearance overall, I would say Microneedling with PRP, or Fraxel.

Hi Nikolita.  If you need 180 units of Dysport in one area then something is drastically wrong.  Either you are resistant to the drug, which we have seen several times in 15 years, or you are not getting the amount of units you have been promised.  For the glabella, forehead or outer eyes, we rarely use more than 60 Dysport units for any one area, so if you are saying you are getting all 180 units in one area and it's still not working, you need to try another injector or stop using the product altogether.

You can try Xeonim. This is similar to other neuromodulators, but with a different formulation. If you're troubled by lines and wrinkles then consider fillers and chemical peels. Surgery is always an option too. Best wishes, Dr. ALDO 

You may want to look into Daxxify. This is a newer neuromodulator on the market and is formulated just a bit differently than Botox and Dysport. It has a longer longevity as well so less frequent treatments are needed. I've included a video I hope you find helpful.

Thank you for your question. It is difficult to give you advice without examining you in person. However, if Botox is not working for you and you feel you are receiving too high of a dose of Dysport you can try Xeomin. This is another neuromodulator similar to Dysport and Botox but with a different formulation. I recommend having a follow up with your injector to discuss your concerns. Best of Luck!

It's difficult to answer your question without seeing your before and after treatment photos or the benefit of an in-person exam.  If Botox truly does not produce any results, and you feel you are receiving very high doses of Dysport, you may try Xeomin, which is a related neuromodulator medication.  You may also do well to research ThermiRase, which is a surgical, longer-lasting treatment for frown lines and certain other areas of muscle activity within the head and neck.  Best of luck!

It hard to give you useful recommendations without seeing a photo or evaluating you in person. Certain patients such as men and patients who have increased muscle mass do require higher doses. In some cases, Botox/Dysport combined with fillers can lead to a better result. I recommend you schedule an in person consultation with a local experienced aesthetic physician to discuss your options.