On average, how many units of Dysport gets injected for preventing nasolabaial fold lines (smile lines)?

Question

I am in my early twenties and I don't have wrinkle lines yet, but i've noticed the females in my family tend to get fine lines this area sooner than other areas, & the older women in my family have there deepest wrinkles here and in the "marionette area". I am considering staring dysport or similar treatments on the nasolabial area for preventative measures. How many units is usually needed if the patient has no visible folds yet?

Jack G. Bertolino, MD · Answer

Nasolabial folds are not treated with Dysport. They need to be treated/filled with a volumizing filler such as Radiesse or Restylane. Dysport is a neuromodulator like Botox, that relaxes muscle groups in the forehead, around eyes and mouth. See your provider to give you the best results. Hope this is helpful. JB

S. Larry Schlesinger, MD, FACS · Answer

The answer to your question is, "there is no answer".Since the nasolabial folds are static and not dynamic, and the paralyzers like Botox and Dysport, only work on dynamic wrinkles (i.e. wrinkles caused by muscle such as the smile lines on the sides of eyes or the frown lines between the eyes), static folds are best treated with fillers such as Vollure or Restylane.  As far as I understand, the nasolabial folds are caused by loose cheek skin falling over tight perioral tissue (around the mouth).  This is a static situation, and I am not sure how a paralyzer such as Dysport can be used to prophylatically treat them.  New York City is teeming with incredibly knowledgeable Board Certified plastic surgeons and dermatologists.  I would consult several before you allow anyone to inject nasolabial folds with Dysport.

Jason Emer, MD · Answer

A neurotoxin like Dysport, Botox or Xeomin isn't recommended for the nasolabial folds or marionette lines. Typically the best treatments for mild to moderate lines in these areas is an HA filler like Juvederm, Restylane or Belotero. They help improve skin laxity, volume loss, tone and texture, and continue to allow movement.

Aldo Guerra, MD · Answer

Thank you for your questions. It turns out Dysport is not generally used in the laugh lines, but does have a role in the Marionette lines. Dysport and Botox are more routinely used int he upper face while dermal fillers are used in the lower face, including the laugh lines. If you do not have visible laugh lines, then there is not much to do at this point. Prevention of aging signs starts a careful examination by an experienced physician and a careful analysis of your skin and aging signs. Do not forget to perform good skin care and sunblock which helps tremendously to reduce premature aging signs as well.

Camille Cash, MD · Answer

The nasolabial area is typically treated with fillers versus neuromodulators like Dysport.  To help prevent formation of these folds I encourage you to begin by having a good skincare routine that includes medical grade products like Transform MD and wear sunscreen every day.  You can also refresh your skin with lasers, peels, and other treatments on a maintenance basis.

Gordon Andan, MD · Answer

Injectable wrinkle treatments like Dysport® and BOTOX® are generally used to treat dynamic expression lines on your forehead, between your eyebrows and at the corners of your eyes. Dermal fillers such as JUVÉDERM® and Resylane®, on the other hand, are typically best suited for “filling in” and smoothing nasolabial folds and other wrinkles and creases in the mid-face area. However, if you’re not seeing any signs of wrinkles just yet, getting fillers now won’t prevent future wrinkles from forming.

Carmela A. Pettigrew, MD · Answer

Thank you for your question. Dysport or any other neurotoxin would not be the first choice for this problem that you’re worried about. It would be something to consider if you already had deep lines around your lips but not for marionette lines or nasolabial folds usually this is best treated with a filler such as a hylauronic acid. As young as you are, the most important prevention for you to do is to stay out of the sun, stay on good skin skin care, and where sun protection factor every single day.

Stephen Mandy, MD · Answer

The nasolabial folds are but one manifestation of the aging process.  What really happens is volume loss due to skeletal and fat changes with age.  Quality and texture of the skin can be maintained with the regular use of sunscreens and topical retinoid creams, and in drier climates, moisturizers.  Fillers are for restoration of volume loss once it occurs, and neurotoxins are used for dynamic wrinkles of the upper face when they are prominent.

Shaun Patel, MD · Answer

Dermal fillers like Restylane and Juvederm are used to treat nasolabial folds and laugh lines. Wrinkle relaxers like Dysport and Botox are used to treat and prevent dynamic upper face lines (i.e. frown lines, forehead lines, crow's feet). With regards to preventing lines and wrinkles on your face, I would consider Botox/Dysport for the upper face and good skincare (sunscreen, antioxidant, retinol), combined with regular chemical peels and gentle laser treatments (Clear + Brilliant) for best results with regards to prevention.

On average, how many units of Dysport gets injected for preventing nasolabaial fold lines (smile lines)?

Answers (9)

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