Current cost of Dysport and is there a new product that is better?

Question

Female, 68, lost 68 lbs in last 6 years and have kept it off. Currently, I have no fillers, nothing in my face nor have since last year. Thank you for your time!

Anna Chacon, MD, FAAD · Answer

First, congratulations on losing 68 pounds and maintaining that weight loss for six years—that's an incredible accomplishment. Significant weight loss often changes the face by reducing volume, so it's very common to revisit cosmetic treatments afterward.

Dysport is still an excellent option for softening dynamic wrinkles, such as frown lines, forehead lines, and crow's feet. It works similarly to Botox by relaxing the muscles that cause expression lines. Some patients notice that Dysport begins working a little sooner, although both products provide excellent results when used appropriately.

Regarding cost, it varies by practice and geographic location. Most providers charge per unit, and because Dysport uses a different dosing scale than Botox, the number of units is higher even though the overall treatment cost is often similar. It's best to ask your local provider for current pricing, as fees differ widely.

As for newer products, there are now several FDA-approved neuromodulators, including:

Botox® – the original and most extensively studied.
Dysport® – often preferred for larger treatment areas because of its spread.
Xeomin® – a purified formulation without accessory proteins.
Jeuveau® – another effective option designed specifically for cosmetic use.
Daxxify® – the newest option, which may last longer than the others in some patients, with results lasting up to six months for certain individuals.

There isn't one product that is objectively "better" for everyone. The ideal choice depends on your facial anatomy, treatment goals, previous experience with neuromodulators, and how long you want the results to last.

Since you've had significant weight loss and haven't had fillers for over a year, it may also be worth considering whether some of what you're noticing is related to loss of facial volume rather than wrinkles alone. Weight loss can lead to hollowing in the cheeks, temples, and around the mouth, and restoring volume, when appropriate, can sometimes provide a more refreshed appearance than wrinkle relaxers alone.

Overall, Dysport remains a highly effective and reliable treatment. The newer products expand the available options, particularly if you're interested in a potentially longer-lasting effect, but the best treatment is the one that matches your individual facial features and aesthetic goals.

Paul Flashner, MD · Answer

Thank you for your question. Dysport is a wonderful product that helps fine lines from worsening and prevent new lines from forming. The average cost is around $13 per unit and in my professional opinion Dysport is still the best neurotoxin out there. Since you have lost a significant amount of weight you could consider filler if you feel the skin has laxity or you could try Morpheus8 to help with collogen and elasticity. Good luck and congratulations on your weight loss.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  Dysport is one of several neuromodulators on the market.  The most common are Botox and Dysport.  Each product is formulated slightly differently, but one isn't necessarily "better" than the other.  Of note, one unit of Botox is equivalent to approximately 3 units of Dysport so keep that in mind when considering pricing.  It is important to find an experienced injector for treatment.  Be sure to discuss the goals you have for treatment and review before/after photos if you wish.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Current cost of Dysport and is there a new product that is better?

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