Injections vs creams. Which is most effective?

I want to ask a question about disport, which they say removes unwanted wrinkles and dark spots underneath the eye area? It is a needle that go into the skin to remove the wrinkles, but can you get better results with dysport and botox than you can get from expensive to moderate priced face creams and eye creams? Which do you think can do a better job, and which gives someone the best results?

Doctor Answers 10

Injectables are typically more effective than creams, but they won’t address discoloration.

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Dysport® and BOTOX® are both injectables that work by temporarily inhibiting the muscles that create wrinkles, thus reducing the appearance of fine lines and wrinkles. However, these treatments won’t address under eye circles or other skin discoloration. What injectables can do is help you to look more rejuvenated and alert. There are plenty of topical creams on the market that may help to improve your skin’s overall appearance, but you won’t likely get the same kinds of results as would be possible with injectables like Dysport® or BOTOX®.

New York General Surgeon
4.9 out of 5 stars 12 reviews

Treatments to Eye Area

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Thank you for your question. Dysport and Botox are medications injected with a needle. They help relax muscle movement and smooth out wrinkles. Dark spots on your skin can often be treated with laser treatments and in office chemical peels. Medical grade skin care products can also be added to compliment in office treatments received by your licensed provider. A combination of treatments is ideal to achieve the best results.

David W. Kim, MD
Bay Area Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Treatment for darkness and wrinkles under the eyes

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Thank you for sharing your question. There are several treatment for dark circles under the eyes, but a comprehensive evaluation should be performed by an expert in this delicate area of the face. Usually, expensive creams offer little to no benefit. Often, laser skin resurfacing, fillers or injectables like Dysport can improve the problem. See an experienced doctor for in person analysis. Good luck,

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Dysport question

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Dysport is a medication that is injected via a needle.  It works by reducing the ability of the muscle to contract, so wrinkles that are a result of muscle activity will be reduced with this product.  The results are temporary, lasting between 3 and 6 months and wear off gradually.  Dysport does not treat dark spots on the skin. Eye creams work very differently from Dysport and mostly target superficial fine lines on the skin.
A great place to learn more is with a consultation with an injector in your area.  She can review the benefits and risks associated with Dysport and Botox and help you decide a treatment plan that is right for you.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

Dysport vs facial creams for removing unwanted facial wrinkles?

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Thank you for your often asked question. Expensive facial creams are good for moisturizing the skin, however, the majority of the wrinkles around the eyes and forehead are dynamic wrinkles and therefore best dealt with by paralyzing the muscles which gives a temporary smooth forehead from either Botox or Dysport. Static wrinkles such as sleep wrinkles on ones cheeks can often be improved by facial creams and are not effective at all by Dysport or Botox.
At this point, I recommend you contact a board certified plastic surgeon for evaluation and possible treatment of the wrinkles you are referring to.


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Dysport is a highly effective treatment for wrinkles in between the eyebrows, wrinkles on the forehead, and the crows feat.  It is much more effective for these wrinkles than any cream on the market.  It does not, however, treat any skin discolorations. 

Dysport Injections Results

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Dypsort works on movement lines, it doesn't change the darkness under the eyes which improves with lasers, fillers, peels and microneedling/PRP.  Please see an expert.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Under Eye Area Options

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Hi Shirley. Dysport works well around the eyes but is not suggested underneath the eyes.  If you have darkening and/or volume loss under the eyes, Restylane would work well but Dysport does not.  

To see some examples of before and after photos for our Los Angeles patients that have had Restylane under the eyes, click on the link below.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

The Strevectin is it better than Botox question has been settled.

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Botox, Dysport, and Xeomin are all FDA approved cosmetic botulinum toxin products that are all powerful neuromodulators and have the power to relax wrinkles.  They are much, much more powerful than creams for helping troublesome lines.  Fillers composed of the sugar gel hyaluronic acid are also far more powerful than creams.  Treatments that combine fillers and cosmetic botulinum toxin are powerful facial rejuvenators that rival what can be accomplished with surgery.  Is there a place for a mositurize?  Yes, a face and eye cream soften the keratin layer of the skin and are temporarily helpful.  They only work while they are on the skin and the benefit does make the skin look mildly better.  Neither these creams or any of the cosmetic botulinum toxin products remove dark spots.  Other methods are needed for these.  The marketing is suggestive.  The key is finding a highly qualified cosmetic surgeon who can help personally help you with your issues.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Neuromodulators vs creams

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Neuromodulators like Dysport and Botox are injectable, muscle-relaxing medications; they do a great job on expression lines (frown lines, smile lines) that appear with expression.  They do not improve dark under-eye circles or pigment in the skin.  Generally, resurfacing, good hydration, and allergy control work better for dark under-eye circles, hyperpigmentation, and crepey/ wrinkly skin.  You would do best to discuss your concerns with a dermatologist or plastic surgeon; such a consultation can be very helpful in terms of figuring out which tools are best for your concerns!  Good luck!

Inessa Fishman, MD
Atlanta Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.