Can Dysport suddenly stop working?

Question

I've been having Dysport injections every four months to remove my "11" lines. It has smoothed the area beautifully. I had injections recently, without the same effect. The doctor now says that I need filler. Does Dysport become ineffective or may it have been too diluted?

Michael I. Echavez, MD · Answer

Dysport (and Botox and Xeomin) can be used to relax muscles that cause wrinkles or folds.  It is common to treat the frown lines between the eyebrows (the 11's).  In many cases, using Dysport alone can improve the lines enough.  In some people, if there is also a depression present, a filler can be used for further improvement.  If you only have a line without a depression, you may not need a filler.  An examination of your frown could determine if the Dysport is working or not.  If the Dysport is working, you should not be able to move the frown muscles.  If there is a depression, it is possible that this could still be present even with the muscle relaxed from the Dysport.  In this case, a filler could help.

Jack G. Bertolino, MD · Answer

Dysport should not stop working as you cannot develop a tolerance to the drug. Maybe the mix was too dilute and that is why the units did not take. Ask your provider. Hope this helps. JB

Jason Emer, MD · Answer

This is difficult to answer without pictures. Deeper wrinkles need a combination of Dysport combined with fillers along with lasers and microneedling/prp to get improvement. This combination may be needed to get your desired results. Best, Dr. Emer

Camille Cash, MD · Answer

If your Dysport has always worked in the past and there has only been an issue with this last treatment then it was likely due to the Dysport itself or the injection technique.  It is unlikely that it suddenly would no longer work for you.  If the Dysport was old, reconstituted incorrectly or injected with improper technique then your results can be impacted.

Dmitriy Schwarzburg, MD · Answer

There are many reasons why botox may seem to not have an effect. One of them is having less than recommended units. There are also cases where the muscles that were not injected with botox are becoming more active thus creating new lines. Moreover, there are cases when lines simply become too deep for botox to be sufficient. It may also be that the botox was too diluted. Discuss it with your doctor to know more.

Omar Fouda Neel, MD, FRCSC, FACS · Answer

I dont believe it "stopped working". May be too diluted. Discuss this with your injector. You can always try other products such as Botox or Xeomin and evaluate the difference. Fillers aren't necessary if you had/have good results with Dysport. Thank you

Carmen A. Traywick, MD, FAAD · Answer

Everyone has unique expressions. We move our facial muscles in a repetitive way and over time those repetitive movements cause wrinkles and fine lines. When you start to experience the signs of aging, Botox, Dysport, and Xeomin are available to diminish unwanted wrinkles and creases in your face.
Botox, Dysport, and Xeomin lock the release of a chemical called acetylcholine, which triggers the muscle contractions that create wrinkles.  Botox, Dysport, and Xeomin essentially paralyze the muscles and stops them from contracting.  Results from these treatments are visible within two to four days with results that can last anywhere from four to six months. It is best that you follow up with your injector to discuss your concerns and options for treatment.

Monika Soni, MD · Answer

Thank you for your question. It is extremely rare for Dysport to stop working. It is most likely that your Dysport injections was too diluted. I recommend following up with your injector to address your concerns. Best of Luck!

Skin Presence MedSpa - Greenbrae · Answer

Do you feel like you still have a lot of movement? I have patients wait 2 weeks after a Dysport injection to allow enough time. Then if they still have movement I can add more.

Richard E. Moore, MD · Answer

Thank you for your question. I will try to answer your question as best I can without seeing you.  If you had a single episode where your 11's did not respond in the same fashion as in the past, it was likely due to the product or placement of injections. I would recommend an additional treatment with Dysport before resorting to a dermal filler.I hope this was helpful - Dr. Moore.

Can Dysport suddenly stop working?

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