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POSTED UNDER Dysport REVIEWS

Droopy Eyelids W/puffiness

ORIGINAL POST

I decided to try dysport rather than botox because...

mary l945December 20, 2009
$245

I decided to try dysport rather than botox because of life of it..but droopy and puffy eyelids were not expected .do they soon disappear and not return or do I have to live with this?

I have droopy eyelids with puffiness on the inner sides..how long does dysport side effects last..do the effects disappear when dysport supposedly needs redone?

mary l945's provider

Replies (16)

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dr.shureih
December 26, 2009
Droopy eyelid after Dysport is due to weakness of the Lavator Palpebre muscle Your doctor can prescribe eyedrops that reverse it for few hours. The effect of dysport with droopy lid may last about 3-6 weeks
arnold William Kleinmd
January 4, 2010
There are several issues I see with Dysport. While if one reviews the earlier papers by Lowe and Ascher one sees that it does not last as long as Botox. Furthermore all the different type-A toxins perform differently.When I introduced Botox to South America the physicians noted greater spread with Dysport than Botox. In fact with Dypsort the injection pattern they used in the clinical trials was the one I developed for Botox. In reality a 3 point injection pattern with Dysport frequently performs as well as the 5 point pattern they used. Many of the problems patients are describing here may be due to the greater spread of Dysport .than Botox..Arnold William Klein Professor of Dermatology and Medicine, David Geffen School of Medicine at UCLA
eyeschicago
April 14, 2010
Dr. Klein, I can't believe I found your post on this site. I was so excited to see that you had joined the discussion. I am a huge fan (you know what I mean). Kate
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Laserdoc OC
January 8, 2010
The problems you are facing may be due to the greater spread of Dysport than Botox. The droopy eyelid should resume it's normal position in about 3-6 weeks.
April2011
September 17, 2011

I used Dysport Wednesday, my left eye is drooping horribly. I am so embarrassed and don't want to leave my house. I am praying that this will get better in 3-6 weeks. Please tell me that there is not a chance that this will last until the Dysport wears off completely?

FreakedOut2013
April 12, 2013
can you tell me how long it took for this to resolve. i have two droopy eye lids/forehead. ugh....never again!! if i'm like this for 3-4 months, i'm in deep doodoo.
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Dr. Arnold Klein
April 12, 2013
The purpose of this study was to evaluate the real-world dose utilization of Dysport and BOTOX for cervical dystonia and blepharospasm. Six investigational sites (five countries) were identified. Investigators abstracted utilization data for patients who received Dysport before switching to BOTOX or BOTOX before switching to Dysport. Patients were identified during scheduled clinic visits and selected if they met study criteria, which included treatment for at least 2 consecutive years (at least 1 year with Dysport or BOTOX, then switched and maintained on BOTOX or Dysport for at least another year). A total of 114 patients were included in the assessment. Ratios of mean dose for Dysport to BOTOX ranged from a low of 2:1 to a high of 11:1. Thirty-one percent of patients fell into the Dysport-to-BOTOX ratio grouping of 5:1 to less than 6:1; 30% of patients had a mean ratio of Dysport to BOTOX of 4:1 to less than 5:1; and only 21% of all patients evaluated fell into the Dysport-to- BOTOX ratio grouping of 3:1 to less than 4:1. Results are consistent with United Kingdom labeling for botulinum toxins stating that units of different serotype A toxins are not interchangeable and simple dose-conversion factors are not applicable. So don't even begin to think the same injection points apply or there is a simple conversion ratio like 3:1! But the good news for you is in the USA most use 3 to 1 ratio and your problem should be mostly gone in a month or so. Remember the original Botox trial was a month longer than the Dysport one...AWK
FreakedOut2013
April 12, 2013
Thank you for the reply. I don't really understand all the various ratios and technical trial info but I did take comfort at your last sentence saying the problems should resolve within a few weeks.....I'm at day 9, and its really a bummer. I'm glad I didn't do crows feet. anywhere else but the forehead and frown between eyes lines.
Mary1970
December 18, 2011
What is the prescription drops? I had Dysport injections 8 days ago for forehead and crow's feet. I have had the forehead done twice before by same person w/ no problems. This time my forehead is too frozen. This was the 1st time for mild crow's feet and today my eyes are numb. I am now worried that they will droop. Can that happen or would it have happened by now? My cheeks lump slightly when I smile now because the muscle won't raise my cheek. My eyes can't squint. Would the drops help?
Jackie Szcz
December 31, 2011
I had it done on Nov 17 2011. My forehead can hardly move! Also around my eyes for crow's feet my left eye has drooped horibley. I did the prescrition eye drops which didn't help. I pray my drooping eye will get better and it won't take as long as the poison is in my system.
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Dr. Arnold Klein
January 2, 2012
Since Pharmaceutical companies like Medicis( who represents Dysport) wanted presentations at meetings and these people planned the meetings and controlled the cosmetic journals they really are not concerned about the accuracy of the medical literature only sales. One only needs to look at the recent literature on Dysport and compare it with the literature from Europe 10 years ago. Suddenly they want us to believe Dysport diffuses like Botox and that it virtually acts in an identical manner. One must ask themselves, why did earlier studies show that it acts quicker? It is a scientific fact that smaller molecules diffuse (Note: spread from the point of injection) further. Diffusion depends on molecular size and Dysport diffuses more than Botox. This is why injecting the frown with Dysport usually will affect most of the forehead area above the frown. I shared over 35 articles with Medicis about this, but they just don’t want or care to understand the truth. Your face will return to normal, go to someone who knows what they are doing( no bargain injectors), and no Dysport!
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