Can the glabellar get worse after Dysport injection? I'm 1 month post op.

Question

I had dysport injection 4 weeks ago. After two weeks of the first injections, went back and the doctor did a touch up in the glabellar area, but those line are getting more noticeable every day. Should I go back to see the doctor ?

Carlos L. Wolf, MD · Answer

From your picture, it appears that you have very deep lines in your glabella area. These lines maybe more than Botox or dysport can handle. When I see someone with such deep lines, I tell him that we will try a neurotoxin first. If after 3 to 4 weeks you still have a deep line you may require a filler. Fillers include Restylane or Juvederm. I would suggest you go back to your doctor and see what he or she says.

Aldo Guerra, MD · Answer

Dysport works by relaxing the muscles and temporarily improve the look of fine lines and wrinkles. If there is still muscle movement after treatment, a higher dose of Dysport maybe needed.  Communicate with your provider about your concerns.  Best wishes, Dr. Aldo :-)

Philip K. Robb Jr., MD, FACS · Answer

Thanks for your question, it looks like you may benefit from a touch more medication to weaken the muscles. I require more usually in this area as well. 
Keep in mind that these medications can take 3-5 and sometimes up to 14 days to work fully so don't make any changes until at least 2 weeks after treatment. 
Hope this helps and God Bless!
Dr. Robb

Olga Bachilo, MD, FACS · Answer

Hello. It appears to me from your images that you are still able to move your muscles that are creating the 11 lines. It's possible that you have not received sufficient amount of units of Dysport to help deactivate these muscles. If Dysport does not work for you, you can also consider trying Botox. You should visit with your doctor again and see if he or she has other suggestions or can add more units to address these lines. Good luck to you.
Sincerely,
Olga Bachilo, MD

Camille Cash, MD · Answer

Dysport injected into the glabella area should reduce the ability of those muscles to contract and result in improvement of the frown lines. If you are still able to animate freely then a higher dose may be needed.  Return to your injector for an evaluation.

Lisa Jenks, MD · Answer

It does not appear that you have gotten much improvement with your Dysport.  Without knowing the dose that you have received, it is hard to know if you were undertreated or if you are a non-responder to Dysport.  An average dose in this area is 50 - 80 units.  If you have received the upper end of that dose and still have this much movement, I would recommend giving Botox a try and seeing if you respond better to that.  If you are being undertreated, you may simply need more Dysport.Best of luck to you.

Benjamin J. Cousins, MD · Answer

Thank you for your question. It is best to go back for a check-up with your injector and discuss your concerns with him/her as additional or alternative treatments may be needed.Sincerely,Dr. Benjamin J. Cousins MD Board Certified Plastic Surgeon

Summit Kundaria, MD · Answer

Thank you for the question and pictures.  Based on your pictures, I think that after a good amount of paralysis of the glabellar muscles, maybe some filler to treat the lines in a static way would be a good option for you.  This is dependent on the amount of Dysport you have gotten and how much movement you still have, as I would want to get this area as immobile with the Dysport as I can get it prior to using a filler there.  Good luck!

Richard E. Moore, MD · Answer

Thank you for your question and posting your photos. You should definitely go back to see your doctor. You appear to still have significant movement of the muscles in the glabella. It is almost always a dose related question. My typical starting dose for the glabella is 60 units with some patients requiring as much as 80 to 90 units. This would correspond to a Botox dose of 20-30 units. I hope this was helpful - Dr. Moore.

Bruce E. Katz, MD · Answer

Thank you for your question. I recommend contacting your provider for a in person evaluation. Please remember to seek treatment from a board-certified dermatologist.

Can the glabellar get worse after Dysport injection? I'm 1 month post op.

Answers (16)

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