Botox/Dysport

Botox and Dysport are great treatments for wrinkles caused by muscle movement.  In fact, there is nothing better for these areas!  You can be assured that Dr. Brown has had 20 years of experience with these treatments.  Her ultimate goal is to provide a natural, relaxed result that enhances your natural appearance but does not drastically change it.  If you are searching for a simple, quick, and virtually painless procedure to soften the wrinkles on your face, Botox or Dysport may be just for you. 

The most commonly treated areas

  • Forehead wrinkles
  • Frown lines between the eyebrows (The 11's)
  • Crow's feet wrinkles on the side of the eyes

Other potential areas for treatment

  • Eyebrow lift (subtle)
  • Downturned lip corners
  • Bunny lines (on the side of the upper nose)
  • Jelly Roll (muscle bulge right under the eye with smiling)
  • Gummy smile (which shows the upper gum above the teeth)
  • Pucker lines around the lips
  • Crinkly chin
  • Large masseter muscles/square jawline
  • Neck bands
  • Sweating under arms

How long does the procedure take?
It is a simple 10-minute visit with a few tiny injections.  You will likely have small marks resembling mosquito bites that last for 5-10 minutes.  You can apply makeup after the treatment, if desired.  Most patients go directly to work or to run errands immediately afterwards.

Is the procedure painful?
The injections are close to painless, more like tiny mosquito bites.  The discomfort is minimal and temporary.  Dr. Brown uses the smallest needles possible, and most patients are surprised at how easy this procedure is.  In fact, for those individuals that are exceptionally scared of needles or cosmetic procedures, this is often the best introductory treatment.  Dr. Brown and her staff can gradually walk you through the process.  We also have a few special clinical tricks to minimize painful sensations.  Don't worry - you will be in great hands with our experienced team.  Dr. Brown performs all the Botox/Dysport injections and has decades of experience.  If you are extremely concerned about pain, you are welcome to apply numbing cream about 30 minutes prior to your appointment.  Lidocaine 5% cream is available without a prescription at several local stores (like HEB) and online.  We can give you specific suggestions, if needed. 

When will I see results?
Depending on the product used, results begin to appear within 2-5 days.  The muscle gradually relaxes over time, and full results will take 1 to 2 weeks. 

How long do the results last?
3-4 months for most patients.  When the product wears off, your wrinkles will gradually reappear.  Most patients need about 3 sessions per year, but some individuals last longer.  The duration depends on many factors, such as the body's metabolism and the extent of muscle activity.  We notice that patients who exercise frequently, experience excess stress, or have more facial animation often have a shorter duration of results.  In general, the more you try to use the treated muscle, the sooner the Botox/Dysport wears off. 

Is it safe?
Botox has been FDA-approved and used in very high doses for other treatments in the U.S. for several decades.  Botox and Dysport are natural purified proteins that are injected into specific muscles at very low doses for cosmetic indications.  The effects are confined to the treated area. 

Are there any side effects?
Most patients have no issues whatsoever.  Occasionally, some may have slight bruising at the injection sites.  This is temporary and can be covered with makeup.  Some patients may have a slight headache for a day or so.  If the forehead is treated, there is a slight risk of temporary eyebrow heaviness.  This is typically not noticeable to others and last a few weeks or so.  

Can I get pregnant while doing Botox/Dysport?
You should not have any treatments if you are currently pregnant.  However, Botox/Dysport binds to the muscles quickly, and it is safe to become pregnant the very next day.

I have heard online that the wrinkles can look worse after the injections wear off.  Is this true?
This is NOT TRUE at all.  Your wrinkles will slowly return to their normal condition after 3-4 months.  If you continue with regular Botox/Dysport treatments, the treated muscles become weaker since they are not being used as much.  This is a good thing for your face, since it is the strong, overactive muscles that lead to wrinkles.  If you continue with your regular treatments, the resting wrinkles typically become less noticeable with time, and you will continue to look better and better. 

Who performs the Botox/Dysport injections?
Dr. Brown only.  She is extremely qualified with decades of experience.  Dr. Brown was originally trained on Botox treatments long ago before it was ever FDA-approved for cosmetic use.  This was before "Botox" was commonly known as a household name.  Dr. Brown has had extensive training in cosmetic procedures during her dermatology residency and continuing medical education conferences, and she is constantly refining her craft through the years.  She has been trusted by thousands of patients through the years, and rightfully so.  She has a well-respected reputation among her patients as well as her colleagues in the field of dermatology.

What is the difference between Botox and Dysport?
While Botox was the very first neuromodulator to be FDA-approved for the treatment of wrinkles in the U.S., there are now 4 currently available drugs in this field:

  • Botox (approved 2002)
  • Dysport ( approved 2009)
  • Xeomin (approved 2011)
  • Jeuveau (approved 2019)

Several other competitors are currently in the approval process and will be available on the market in the next year or two.  These all have the same active compound but vary slightly with the trace proteins (or lack thereof) found in the product.  Slight differences distinguish the activity of each product, and we can discuss these subtle characteristics at your next appointment.  The most significant difference is the quicker onset of action with Dysport versus Botox.  We have, however, noticed that some patients much prefer Dysport and feel that this product lasts longer for them, while others prefer Botox and feel it lasts longer.  Every patient is unique, and you may never know which is best for you unless you try them both out for yourself. 

Ultimately, the specific product that you use isn't nearly as important as the injector you choose. 
Technique and experience are crucial.  Leonardo da Vinci and a preschooler could use the exact same paint materials but would have completely opposite results.  These products are only tools used by the craftsman.  The skill, talent, and expertise of the artist is what makes the masterpiece.  Not the tools themselves.

How should I prepare for my treatment?
Botox/Dysport instructions