Botox or Dysport for crows feet?

Question

Hello, what is a better option for crows feet, Botox or dyport? I've had both done but want to know which one is stronger and will work better and last longer specifically for that area. Thank you.

Nick Slenkovich, MD · Answer

Hi, I’m Lauren, the aesthetic injector at Colorado Plastic Surgery Center.
Both Botox and Dysport are FDA-approved neurotoxins that effectively treat crow’s feet. They work in very similar ways by relaxing the muscles that cause fine lines.

The main difference is that Dysport tends to kick in a bit faster than Botox.

Results are comparable, so it comes down to personal preference and how your body responds.

Michael I. Echavez, MD · Answer

I use Botox and Dysport and don't really find that much difference in them.  I couldn't tell you that one would last longer than the other.  You could consider Daxxify, which is a newer brand that is supposed to last longer.

Nelson Lee Novick, MD · Answer

I have been injecting Botox for aesthetic reasons since 1991 and Dysport for well over twenty years, so I have quite extensive real-world experience using these neuromodulators (as well as others) for the treatment of glabella frown lines, forehead worry lines and crow's feet. In general, when the appropriate amounts and concentrations of each are used for these purposes, the results are pretty much the same and the duration of the results likewise pretty much the same. However, for best results, you would be wise to make sure that you consult with an experienced, board certified cosmetic dermatologist, since outcomes are very much dependent upon the injector. Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Both Botox and Dysport are FDA-approved for the treatment of crow's feet (the lines that appear around the eyes when smiling or squinting) and both have been shown to be effective. They work by temporarily paralyzing the muscle activity that leads to these lines.
Botox and Dysport have a similar mechanism of action, but there are some differences between the two:
1. Onset: Dysport may start working a bit faster than Botox. Dysport usually starts showing effects within 2-3 days, while Botox might take 3-5 days.
2. Diffusion: Dysport tends to spread or diffuse more, covering a broader area after injection. This can be beneficial when treating larger areas, but it might also increase the risk of unwanted effects if it spreads to nearby muscles.
3. Unit strength: They are not interchangeable on a unit by unit basis. In other words, the number of units needed for a treatment might differ between Botox and Dysport.
4. Longevity: Both treatments typically last between 3-4 months, but some studies suggest that Botox might last slightly longer.
It's important to note that individual results can vary, and the best choice depends on the specific needs and circumstances of the patient. The decision should be made in consultation with a knowledgeable healthcare provider.

Benjamin Barankin, MD, FRCPC · Answer

I have over 17 years of injecting experience as a dermatologist. I believe the two products are very similar, although I have a slight preference for Dysport due to faster onset, possibly longer duration, & a softer look.

Camille Cash, MD · Answer

Either product can be used for the crow's feet with good results.  Sometimes patients will have a preference for which product they feel produces the best result for them, but either should treat this area effectively.

- · Answer

Both Botox and Dysport are Neurotoxins. They are injected into the muscle to relax and reduce the appearance of fine lines and wrinkles. Both will have the same effect when injected into the crows feet. Results will last anywhere from 3-4 months and dose equals duration.

Liliya Slutsker, MD · Answer

Botox and Dysport are both neurotoxin injections that are commonly used for cosmetic purposes to reduce the appearance of wrinkles and fine lines. They work by temporarily relaxing the muscles that cause these wrinkles as well as other brands of neurotoxins such as Jeuveau, Xeomin, and Daxxify.Here are some differences to consider when choosing between Botox and Dysport:-Onset and Duration: Botox and Dysport have slightly different onset times and durations. Botox typically has a slightly slower onset (around 3-7 days) and may last for 3-4 months, while Dysport may have a faster onset (around 1-3 days) and a similar duration.-Spread and Diffusion: there is a consensus among injectors that Dysport may have a wider spread or diffusion compared to Botox, making it potentially more suitable for treating larger areas or for patients with more diffuse fine lines.-Unit Conversion: The units of measurement for Botox and Dysport are not equivalent, so the dosages used for each may vary. Your healthcare provider will determine the appropriate dosage for the patient's needs.-Individual Response: Individual patients may respond differently to Botox and Dysport. Some patients may find one more effective or longer-lasting than the other based on their unique physiology.-Cost: The cost of treatment may also be a consideration, as the pricing of Botox and Dysport can vary.By the same token, check the prices of Jeuveau, Xeomin, and Daxxify (longest lasting and having unique peptide to improve skin quality).-Specifically, for crow's feet, I would recommend doing superficial injections and may have the slighter advantage of wider spreading Dysport. It's important to note that the choice between Botox and Dysport often depends on the patient's needs and preferences, so it's best to consult a qualified healthcare provider for personalized advice. The patient needs to have a thorough consultation with a qualified healthcare provider who specializes in aesthetic procedures to discuss their goals, and concerns, and to determine which option is most suitable for them.

Leonard Grossman, MD · Answer

Botox and disport are technically the same product just under a different name. Their strength is also equivalent as is the longevity of the product. Different products act a little longer in some individuals and shorter in others. You have to determine that from your own experience. But you have to make sure that the doctor administering it is using exactly the same amount and the process of dilution is exactly the same. I hope this helps and good luck from New York City Plastic Surgery.

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