Botox & Dysport

Questions About Botox?

Botox and Dysport

Botox and Dysport for Wrinkles

So you’re considering doing yourself a favor and erasing or preventing the signs of age…Good for you!  Do you see wrinkles when you raise your eyebrows or frown?  Are you bothered by ‘crow’s feet’ by your eyes?  Then Botox® or Dysport may be right for you!

These products have minimal risk when injected by trained physicians who are intimately familiar with facial anatomy.  If you live in the Boston area or South Shore, our doctors can help you achieve a more youthful, refreshed appearance.  Call 781 335 9700 for your cosmetic consultation.

How do Botox and Dysport Work?

Neuromodulators such as BOTOX® and Dysport® are the mainstay of wrinkle treatment and prevention. BOTOX and Dysport are trade names for purified proteins that are used in extremely small doses for certain cosmetic procedures and medical conditions. They are particularly useful for eliminating unwanted wrinkles that develop after years of repeated facial movements or preventing those wrinkles in the first place.  These wrinkles often exist as the frown lines between the eyebrows, horizontal forehead creases, crow’s feet around the eyes, lines on the upper lip caused by pursing the lips, and down turned corners of the mouth. These treatments also can be combined with injectable fillers for enhanced wrinkle correction. Neuromodulators are also useful for hyperhidrosis (excessive sweating) and relieving tension or migraine headaches.

Botox and Dysport work by blocking the release of a neurotransmitter, acetylcholine which signals nerves to contract muscles.  By blocking the signal from the nerve to the muscle, the muscle will relax which causes wrinkles above the contracting muscle to soften.  Results appear in 4-7 days after the injection and typically last three to four months.  However, for those who get injected at regular intervals over time, the results can last a little longer. 

Are these treatments Preventative?

Even if you don’t have many ‘wrinkles’ yet, you could benefit from Botox and/or Dysport.  Wrinkles are caused by years of movements like squinting, frowning, and raising eyebrows.  If the muscles that cause the wrinkles are relaxed, then wrinkles form much more slowly or not all. 

Who shouldn’t get Botox or Dysport?

Botox and Dysport are safe and effective for the majority of people.  That said, patients who are pregnant, trying to get pregnant, or breastfeeding should not receive these injections.  Patients with neuromuscular conditions such as Myasthenia Gravis should not receive Botox or Dysport.  Be sure your doctor knows your medical conditions, medications including supplements, and allergies.

What are the risks of Botox or Dysport?

If performed by a skilled Dermatologist, major risks are minimal.  Botox was first used for forehead wrinkles in 1989. Dysport has been studied in Europe since 1988, been used outside the U.S since 1991, has an excellent safety record, and was approved by the U.S. FDA in 2009.

Most common risks including temporary pain and/or bruising at the injection sites, or mild headache.  More rare, but more serious risks include facial asymmetry, eyebrow droop, vision changes, or allergic reaction.  However, there have been no known reports of permanent side effects with BOTOX or Dysport.

How will I Look After My Treatment?

Immediately after the treatment, there may be a mild amount of redness at the injection site, but this resolves in a few hours. Bruising is very uncommon. We encourage patients to use the muscles more for the first hour after injection to maximize the effects of Botox and Dysport. Some patients worry about looking ‘frozen’.  With our experienced physicians, this is very unlikely.  Our goal is to relax muscles to minimize wrinkles, and make you appear naturally refreshed, more awake, and youthful.

What should I do before my treatment? 

Stop taking medication that can thin the blood (unless you absolutely must as directed by a Doctor).  This can minimize potential post-Botox/Dysport bruising.  If you must take pain medications Tylenol/Acetaminophen is OK.

If able, a week before Botox stop taking

  • Aspirin, Ibuprofen (either generic or Advil, Aleve, or Motrin), Exedrin, St. John's Wart, Vitamin E, Fish oil or Omega-3s, Ginko Bilboa, Ginseng, Garlic supplements,
  • Avoid drinking alcohol a few days before you get Botox. 

Ok, I got my Botox or Dysport…Now what? 

  •  Don’t rub your face for any reason!  Doing this can move botox to unwanted areas and potentially cause eyebrow drooping or decrease the effectiveness of the treatment
  • Keep your head up for four hours…this includes no yoga, no hair drying, no napping
  • As much as possible don’t sleep on your face
  • Avoid exercise or strenuous activities for a couple days as an increase in blood pressure can increase bruising
  • Avoid the aforementioned blood thinners

Before and After Photos

Before Botox After Botox
Before Botox After Botox
Before Botox After Botox


Interested in Botox or Dysport?  Call South Coast Dermatology 781 335-9700 for a cosmetic consultation with one of our expert dermatologists.