How Much Dysport is Enough for Just Crows Feet?

I have had Botox before and had an allergic reaction. Dysport has been very gentle. No problems. But I don't feel the numbness I felt with Botox. I can still feel the muscles moving in the crows feet area.  I had 120 units and 3 point injections for my first time.

Doctor Answers 4

How much Dysport to treat crow's feet?

The amount of Dysport used to treat an area can vary by individual, but I would say I more commonly use around 60 units total to treat just the crow's feet area.  I would consider 120 units a large dose to treat only the crow's feet.    

San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Appropriate Dysport dosage for glabellar rhytids

Your pictures indicate you may be referring to the glabella instead of the Crow's feet area?  The muscles creating these vertical wrinkles can be very strong, and can require 50-80 units of Dysport to soften.  With this dosage you should not see much muscle movement, although with deep wrinkles you may still see the furrows at rest.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Dysport for the crows feet.

The standard dose for Dysport for crows feet in my practice is 25-30 units per eye for a total of 50-60 units. As other docs have noted I have not seen a true allergic reaction to Botox either and I agree you should investigate those symptoms to see if they were from something else. I am happy you have found an alternative to the Botox, but 120 units is a large amount around the eyes only.

Jennifer Janiga, MD
Reno Dermatologic Surgeon
4.4 out of 5 stars 5 reviews

Dysport for Crows feet

The first point I would make is that I have never seen or heard about a true allergic reaction to Botox.  I would encourage that you explore this further to determine whether a true allergic reaction was present:  global skin rash, airway symptoms etc.  Regarding Dysport, the average dosing I recommend in the crows feet is 50 units or 25 units per side.  A higher dose may be used in some patients.  120 units of Dysport to the crows feet alone is very high.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.