How Safe is Dysport Application on the Forehead for Deep Wrinkles?

Question

Compared to other areas of the face, are there less concerns with Dysport injections in the forehead? Why is the risk lower for complications?

Ronald Schuster, MD · Answer

The risks for Dysport are the same as for Botox namely bruising, headache, soreness, malaise and flu-like feeling. More than these though are the undesirable effects of Botulinum Toxin if it spreads to areas not intended, like the upper eyelid muscles, which causes drooping, also known as ptosis. This is fortunately very uncommon among experienced injectors. The main issue about injecting the forehead is determining the effect the treatment will have on the position and thus the appearance of the eyebrows. Patients think that if you inject the forehead it will cause a browlift. It actually is almost the opposite. Treating the forehead can cause the brows to drop since this is the main muscle that actually lifts the brow. it is important to have your injector examine you well for signs that might show that your brows will drop more than you want, or give you an odd "Spockish" appearance. Hope this helps.

Steven H. Williams, MD · Answer

Dysport injections at the forehead carry the same risks and side effects as injections to other areas of the face, most of which are mild and temporary. Pain, bleeding, bruising at the injection site, and headache are some of the common side effects. Rarely, you may experience drooping/heaviness at the eyebrows. This can last for 4-8 weeks and will improve, but unfortunately there is not much you can do except wait. Some patients experience "spock eyebrows" which can easily be corrected by adding a small amount of Dysport.

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. Dysport on the forehead works to relax muscles of facial expression. Side effects can include headache, bruising, mild discomfort, and drooping of the brows if injected too low. This is very similar to other areas injected with Dysport. Be certain to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in injectables who can evaluate if you are a good candidate and for the safest and most effective treatments. I hope this helps.

Stephen Prendiville, MD · Answer

Dysport works very well, is very safe, and produces very good results in both the central lower forehead (glabella) and horizontal forehead lines (frontalis muscle activity). Safety concerns are similar to use of Botox

Kenneth D. Steinsapir, MD · Answer

These products are very safe when used according to preferred practice methods and FDA approved treatment guidelines. Treatments that deviate from these methods create the risk of unwanted side effects. For Dysport, Xeomin, and BOTOX, treatment placed too close the eyebrow can cause diffusion into the eyelid with the potential for creating a heavy eyelid. Microdroplet methods substantially reduce this risk.

Daniel Shapiro, MD · Answer

Compared to other areas of the face, forehead injections of Dysport are equally as safe. In terms of the safety of Dysport in general, the most common side effects are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea. In some cases, Dysport may cause serious side effects, such as swallowing or breathing problems. However, these serious side effects are very rare. Best of luck.

Donna Bilu Martin, MD · Answer

Botox, Dysport, and Xeomin are all botulinum type A molecules. Botox and Dysport have different proteins associated with them. Xeomin has no proteins associated with it. The safety profile betweeen the three are comparable. When injected properly by an experienced dermatologist or plastic surgeon, the risk of complications is extremely low. The most common side effects can include headache and bruising. There is a very low risk of ptosis, or eyelid droop. There is a black box warning on all three molecules.

Grant Stevens, MD · Answer

Greetings~

	The risks/side effects for the forehead are for the most part similar to other areas of the face--bruising, swelling, redness, headache, soreness.  The forehead is actually the area that less experienced injectors may find problematic.  Too much Dysport or placing the injections too close to the brow can cause a flattened brow arch or droopy eyelid.  These reactions are not seen (or extremely rarely) when injecting the glabella (between the brows) or the crows feet.So, on the whole, I would not say that the forehead (horizontal lines) carries any less risk than any other area and again may present more of a problem for you if the person treating you is inexperienced....so choose your injector wisely.

	Good luck~

	Dr. Grant Stevens

Benjamin Barankin, MD, FRCPC · Answer

Dysport is quite similar to Botox and both are safe and effective in treating dynamic wrinkles such as those on the forehead. If injected properly by a highly trained specialist such as a dermatologist or plastic surgeon, at the right depth and location, you should have no problems.

Jo Herzog, MD · Answer

I
	 think that Dysport is safe enough to have it in my own forehead. There are some side effects that one can have but they are relatively minor. You can have little bruises(not common), headache(more common for it to relieve a headache), heaviness of brow(if too much, too low, or very sensitive). I think that if you have an experienced doctor do this you will  most likely be very pleased.

How Safe is Dysport Application on the Forehead for Deep Wrinkles?

Answers (10)

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