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Botox & Dysport

Botox, Dysport, and Xeomin are all in the family of prescription drugs known as Botulinum Toxin Type A.  These are cosmetic injections used to temporarily relaxes and smooths the look of facial wrinkles –  most commonly frown lines between the eyebrows and crows feet around the eyes.  These cosmetic injections work by temporarily blocking the nerve signals that cause the muscle contraction.

Although Botox, Dysport and Xeomin have many similarities and are all three are used to treat frown lines, there are several differences: – they are manufactured and sold by different companies – the dosage units are measured differently – length of time until the onset of treatment action varies per product – duration of treatment results vary – FDA approval varies 

Dr. Coundouriotis goal in treating with these injectables is to achieve the desired result with the minimum dosage required. He uses all three products and recommends what he believes best address each patient’s concern.    Below is a brief discussion on each product individually and frequently asked questions and answers that we address. 

 

botox-logoBotox Cosmetic 

Botox was first FDA approved in 1989 for the treatment of misaligned eyes, facial spasms and uncontrollable blinking, but it became a nationwide success when it was approved for the treatment of frown lines between the eyes in 2002.  Botox is owned and manufactured by Allergan Corporation.  Today Botox Cosmetic is the only FDA approved treatment for both moderate to severe frown lines between the brow and crows feet around the eyes. Botox is also approved in 79 countries outside North America.

How does Botox work?  What does Botox treat?    Botox targets the underlying cause of frown lines and crow’s feet  which is the repeated muscle contractions from frowning, squinting, and making facial expressions over the years.  Botox is injected into specific muscles to temporarily reduce muscle activity contributing to the problem area.

In addition to frown lines and crows feet, Botox is also commonly used to treat mouth frowns, lip lines, under eye wrinkling, lines on and around the nose and the forehead.  Other less  common uses of Botox include facial asymmetry, chronic migraines, reduction of excessive underarm sweating. 

Will I look overdone or frozen?    Botox is a technique sensitive treatment and should only be performed by licensed, trained medical expert in facial anatomy. A board certified facial plastic surgeon is the best option.   You should have natural  facial movement and the ability to show facial expressions after a Botox treatment.

How long does the treatment take?   Does it hurt?      The actual injection process only takes about fifteen minutes, but when considering Botox for the first time, it is important to have a consultation with Dr. Coundouriotis so that he can perform a facial analysis and fully understand your concerns and needs.

Most patients say that a Botox injection does not hurt.  It may feel like a pinch, but normally there is little to no discomfort. 

What are the restrictions after the treatment?  It is important not to rub or press on the treatment area.  We also recommend not immediately applying makeup and to avoid strenuous or vigorous exercise for several hours post treatment.  The following day there are no restrictions.

How long will the result last?  The duration of the result is typically 3 to 4 months.  Over time and with appropriate dosing and consistent treatment, the treatment results can last much longer.  The length of result also varies depending on the area treated and the amount of normal movement in this area.  For example, Botox injected in the upper lip to reduce lip lines and gently roll out the lip, is typically done every 4 to 6 weeks.  Only a small amount of Botox can be injected here, therefore the duration of action is shorter.

What are the side effects and downtime?   There is little to no downtime.  For up to twenty minutes after treatment injections, there may be small visible bumps at the injection sites, but this quickly subsides.   Depending on the sensitivity of the area there is a slight potential for bruising.  Although other side effects are rare, they can happen; and for this reason, Dr. Coundouriotis spends time during pre treatment consultations discussing what the treatment is, treatment expectations, possible side effects, and treatment the pros and cons to consider.

 

dysport_1Dysport

As described above, Dysport® is a prescription injection that is FDA approved for the temporary improvement in the look of moderate-to-severe frown lines between the eyebrows, also  known as glabellar lines.

The Dysport  brand is owned by Galderma  a global company founded in 1981 and it is sold in the US by Galderma Aesthetics division.  The product,a purified form of botulinum toxin,is injected into muscles above and between the eyebrows  to block the signal from the nerve to the muscles and thereby provide temporary improvement in moderate to severe frown lines..  Dysport was FDA approved for in April 2009.   

 

XEOMIN_logoXeomin

Xeomin (incobotulinumtoxinA), made by Merz Pharmaceuticals, is used to treat moderate to severe frown lines between the eyebrows. Xeomin was approved by the FDA for cosmetic indications and entered the US market in July 2011 as a third option for the treatment of frown lines.

Xeomin is different from Botox and Dysport. The primary difference that Xeomin contains just one ingredient: botulinum toxin A and does not contain any additives. A possible benefit of a pure-form injectable is that the human body is less likely to become resistant to it.

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