What to choose between botox and dysport

Indications for using Botox

Non-cosmetic indications for botulinum toxin include the following: strabismus, hemifacial spasm and blepharospasm, spasmodic torticollis, focal dystonias such as writer’s cramp, post facial nerve palsy synkinesis,migraine, hyperhidrosis, bruxism and esophageal achalasia.

How to choose between Botox, Dysport and NeuroBloc for rejuvenation The choice between BTX-A (Botox and Dysport) and BTX-B (NeuroBloc) will be based on the duration of action required, unless the patient already has antibodies to BTX-A.

NeuroBloc (at a concentration of 200 units per 0.1ml) is the toxin of choice for shorter periods of action. Some patients (and practitioners) are nervous of the outcome of their first treatment and may be happy to have an effect lasting six rather than 12–14 weeks.

Others need to use their facial muscles professionally and are happy to induce muscle atrophy for a limited period e.g.while ‘resting’ between film productions.

This encourages their wrinkles to flatten,while retaining the ability to retrieve full facial expression when desired. It is also possible that even shorter actions will be available with further modifications of the dose. It is worth noting that inadequate storage of Botox or Dysport (e.g. at an incorrect temperature), or excessive dilution, also shortens the duration of their effect.

Botox or Dysport?

Botox Cosmetic is the only botulinum toxin Type A currently licensed for cosmetic use in the USA for the treatment of the vertical glabellar frown. The rights to Dysport in the USA have been acquired by INAMED Corporation (Zyplast, Zyderm) and licensing is expected in the near future. Both are widely used in Europe. Dysport is licensed for cosmetic use in Brazil and Mexico.

In Europe, the choice lies between Botox and Dysport. Research shows both to be equally effective in comparable doses for cervical dystonia and facial rejuvenation. Experience with both types of BTX-A for rejuvenation and blepharospasm indicates that Dysport may be more effective in patients with blepharospasm who have had an incomplete result with Botox.

Both Dysport and Botox have similar durations of action, their effects wearing off after 12 to 14 weeks. Dysport tends to diffuse to more muscle fibers per site of injection than Botox.

These qualities are useful for the beginner who may find it easier to start with Botox around the eyes and Dysport to the frontalis.An experienced practitioner with a busy BTX-A practice may choose between the two on economic grounds only – both are currently available at the same price in Ireland.

From a practical point of view, an inexperienced practitioner,with few patients and an irregular demand for BTX-A,may initially prefer the storage qualities of Dysport though the larger vial of Botox makes preparation and dilution easier.

1. How to find a qualified provider to perform your breast cosmetic surgery
How do I find a qualified provider? The two most common means of finding a qualified provider to perform your breast cosmetic surgery include referral and you...

2. The consultation prior to the cosmetic surgery of the breast
What should I expect in a consultation? Depending on the breast cosmetic surgery you are considering or that has been prescribed, your initial visit or consulta...

3. Before undergoing cosmetic surgery choose your goals carefully
What are realistic goals? Realistic goals mean that you fully understand what breast cosmetic surgery can and cannot achieve for you. Before you make the deci...

4. Breast implants and the surgical procedure to get them
Breast implants are medical devices that are surgically implanted into a woman’s body to: • Enhance and enlarge breast size and shape in breast augmentat...

5. Breast implants are chosen by women who want a change in their lives
Whether for augmentation or reconstruction purposes, breast implants are only used when a woman chooses them. Even when they are prescribed to improve the proportion of a w...

6. Which are the most common types of breast implants
What types of breast implants are commonly used? All breast implants currently in use in the United States, and reviewed by the U.S. Food and Drug Administrat...

7. How to make a distinction between the types of breast implants
What is the difference between silicone- and saline-filled implants? The most common distinction and greatest debate among breast implants today is whether they...