How Many Units of Dysport Should I Be Given?

Each patient is unique, but in most cases, I will start patients out with approximately 30 Dysport units to the horizontal forehead lines, 60 units to the glabella, and 60 units total to the crow's feet (30 units each side) for a total of 150 Dysport units.
The amount of volume injected will vary from one injector to another as each injector will mix or dilute the product differently. I think it is important to follow up on a regular basis with the same injector rather than bounce around. That way subtle alterations and improvement can be made to your treatment regimen in order to get the best result.
Always see an expert physician injector for a personalized treatment regimen.
All the best,

Like
the more well known Botox® brand,Dysport® is an injectable used to temporarily
improve the look of frown lines without changing the look of your whole face.
The untreated facial muscles still work normally, allowing you to freely show
facial expressions, such as smiling, in untreated areas. Over time, the
use of muscles above and between the eyebrows
cause wrinkles. Injecting Dysport® into these areas, blocks the
signal from the nerve to the muscles, reducing muscle activity. The
result is temporary softening or elimination of visible wrinkles/lines.A skilled provider that is experienced with injections will be able to tell you how many units you will need for the correction you are seeking. This can also vary from time to time as and may change as you receive the treatments over time#Dysporttreatments    #Treatwrinkles   #DysportoverBotox

The amount of Dysport initially used sounds like it is within a normal range, but that can only be determined by assessing someone in person. The amount used with the second treatments seem more likely to coincide with Botox units as opposed to Dysport units. If the amount used the second time was indeed Dysport units, then it seems like a conservative treatment. Each product is diluted differently and the units are specific to each product. There is not a direct conversion of units from one product to the other, so it is a good idea to find an injector that is familiar with both products and knows the right amount to use. Each product can begin to work at different times. Some people say that Dysport starts to work faster than Botox. Regardless, maximum results are usually reached at 2 weeks for both products. You should contact your injector to see which product was used and have them evaluate you.

It is difficult to know exactly what happened here.  I would encourage you to go back to your provider to address your concerns. 

The first injection you describe sounds more typical of Dysport dosing.  The second injection you had sounds more like Botox dosing.  However, without evaluating your medical records, it is impossible to know what you had injected.  If your second injection was actually Dysport, then you were given a very minimal amount of product and I would expect a very minimal result.  If it was Botox, then you should see a nice result.

 

Good Luck.

Regarding the units of Dysport that you received, it appears as if you had the "standard" dose or units the first time. This second time, the dose or units was very low.  Sometimes, the doses injected are decreased because there is still some "effect" from the previous treatment - ie. all of it has not worn off yet.  It is impossible to say if this was teh case without having seen you, but I suspect not.  The Dysport dose you were given this time seems consistent with the usual dose of Botox - and we know that Dysport has a different dosing and is usually 2-3 times higher.  I would ask your doctor for clarification of the dose he/she used. In terms of dilution, many people use different dilutions and this changes the concentration of the medicine, but the amount injected is dependent on the units, not the concentration. 

Teeside, Firstly, how the doctor mixes the Dysport does not matter. What matters is the number of units used and the skill of the physician. Two days is not long enough to know what your final effect will be. Do not run back for more yet. Some people are starting to wonder about whether more frequent injections of smaller quantities might encourage antibody formation so I am trying to encourage my patients to have all that they need at one time or wait  until they want a full treatment to do again instead of doing less and expecting a "touch up". 

For Dysport, 140 units for all three areas as you have described is not unusual. (It is obviously much easier to judge if you can see someone in person and observe the way they animate, so please know that these are just "educated guesses" or assumptions based on what is considered typical.)  On your second visit, judging solely on the amount of units you received, I'm guessing you probably had Botox.  21 units, regardless of dilution is 21 units.  21 units of Dysport is not much for a Glabella (frown area) but 21 units of Botox is well in the range of normal.  You should call the office where you were treated and verify what you had and how much and possibly schedule a follow up if you still have movement that you don't want.   Good luck.

 

 

It is very difficult to compare one single treatment with one physician to a single treatment with another. I agree with some of the docs here who wonder if your second treatment was not with Botox rather than Dysport. I think it would be a good idea to get a copy of your records from BOTH doctors, and find out for sure which treatment was used, so you don't torture yourself worrying you had too little when you actually had something totally different. 2.8 cc's for dilution is an unusual dilution, so I wonder about that too.

Be careful and do your research before you ask for more .... your treatment hasn't taken full effect yet and you may end up with TOO much if you aren't cautious.

There’s an art to injecting Dysport cosmetically in these areas that you’re having done. The same is true with BOTOX. Different doctors will dilute it differently and use slightly different units. Each treatment is not going to be the same as the last because your face changes over time, and the areas you injected before may be different the next time. I wouldn’t worry about comparing the records. The real concern is ultimately in the results. And you don’t want to judge the results within the first 2 weeks because of swelling and bruising that is temporary.