I had Dysport injections for crows feet. What can be done for uneven results?

Question

Had Dysport injected for crows feet 5 days ago. One side took, the other side not nearly as much. Should I go in for a touch up on the one side or continue to wait it out? What are my options?

David S. Felder, MD · Answer

It is not uncommon for Dysport or Botox to work differently in each side. We see our patients back in two weeks to check the result. At this point, you can touch-up with more Dysport to even things out in the area.

Jeff Angobaldo, MD · Answer

Thank you for your question. It is rare but not uncommon for one side to work faster than the other. Protocol is to wait two weeks for full affect then touch up if needed. If you do it to soon then you risk over treating the area and could have an undesirable result. If you still have concerns after i would suggest consulting with a Board Certified Plastic Surgeons office.

Young R. Cho, MD, PhD · Answer

I would definitely consider going in for a touchup if you feel like one side still has more activity than the other. Everybody has some asymmetry both in terms of muscle mass and facial volume from one side to another. It is very common to use different dosing on different sides based on the physical exam. I would however, wait until another week passes by to allow the Dysport to fully take effect.

Andrew P. Trussler, MD · Answer

Dysport has a shorter onset of action as compared to Botox. The onset should be between 2 to 5 days, but the final result should be appreciated at the 1 to 2 week point. Touch-ups in general may be considered after 2 weeks, if needed. The face is normally asymmetric and muscle activity and lines may not be equal. More may be needed on one side as compared to the other, especially is noticeable areas like the crow's feet. Easy correction could be accomplished with adding more to the area of concern.

Kevin G. Rose, MD · Answer

I would recommend waiting 2 full weeks before doing anything.  After 2 weeks if you still feel that they are uneven I would schedule a visit to get a touch up treatment from your surgeon.

Debra M. Kroll, MD · Answer

Sometimes one side can have stronger muscles/dynamic wrinkles than the other side.  Or it can take unevenly.  I would wait for a full two weeks to let everything settle in.   If the asymmetry still exists, you may want to schedule a touch up.

George Bitar, MD · Answer

Thank you for your question.  A touch up on the side that did not take would address your concerns.

Andrew Pichler, MD · Answer

There could be many reasons for the asymmetry. But waiting 10-14 days is best and then consider returning for a touch up on the less effected side.

Camille Cash, MD · Answer

To even your results out it will probably just involve a touch up.  I would recommend waiting two full weeks after injection so that the touch up can be evaluated properly.  It is not uncommon for one side of your facial muscles to be stronger than the other, and therefore require a bit more product for even results.

Steven F. Weiner, MD · Answer

It is possible that it kick in sooner on one side vs the other.  Wait 10 days.  If still uneven, get a touch up. It is possible that things weren't even before the injection, look at pictures.

I had Dysport injections for crows feet. What can be done for uneven results?

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