R. Sonia Batra, MD
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Botox and Dysport

When you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired.  To decrease the appearance of these furrows, injections are administered directly into the facial muscles that cause frown lines and other wrinkles.  These injections are generally painless and do not require anesthesia, although a numbing agent may be used to help minimize any discomfort for patients who are anxious about the procedure.  After injection, the facial muscles will gradually relax and patients will notice the appearance of fine lines and wrinkles softening over one to seven days.   The goal of these treatments is never to make one appear "frozen," but to retain natural motion while diminishing lines.

Botox®

Botox® Cosmetic is commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. Made from a purified protein, Botox® relaxes wrinkles and gives the face a rejuvenated look. Botox® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.

After treatment, the appearance of your wrinkles begins to improve within 24 hours, with full results developing gradually over the next five days.  Most patients achieve their desired results after just one injection, although additional treatment sessions may be required in the future.  The results of Botox injections typically last up to four months, with some patients reporting results lasting up to a full year.

Dysport®

Dysport is an FDA-approved injection treatment used to reduce the appearance of fine lines and wrinkles by relaxing facial muscles in the forehead.  Similar to Botox® Cosmetic, Dysport is injected directly into the site of wrinkles to prevent the underlying muscles from contracting.  Dysport injections are made from the bacterium Clostridum botulinum, the same protein used in Botox injections.

Dysport was developed in Europe during the early 1990s, and has been used there successfully for several years.  In April 2009, Dysport was approved by the FDA for use in the US, and is expected to rival Botox, the most popular cosmetic procedure, with its convenience and long-lasting results.