Dysport® is made of the same neurotoxin as Botox.  It received the approval of the US Food and Drug Administration for use as a wrinkle treatment in the spring of 2009; however it had been smoothing out facial wrinkles and lines in Europe, South-America and elsewhere in the world for several years before already.

There are different brands of neuromodulators available in the market.  We use only Dysport® which delivers, to our experience, the best and longest lasting results.

Dysport® is manufactured by the Ipsen Group; a global biopharmaceutical group with headquarters in France and with total sales in excess of 1,2 billion Euro in 2013 and total worldwide staff of more than 4.600.  They have 4 research and development facilities (Paris, London, Barcelona and Boston) where they spent in 2013 over 260 million Euro on scientific research.  Ipsen products are sold in 115 countries.

 

Treatments 

Cosmetic regeneration with Dysport® is a very simple, quick and safe procedure.  Using a tiny micro-needle, very small amounts are injected very precisely into several locations on the face.  It generally takes 1 to 2 weeks to see the full results.  Any pain associated with the injections is minimal and can, in the worst case, be compared to a mosquito bite.  No sedation or local anaesthetic is required; however you may ask the doctor to numb the treatment area with a cold pack or with anaesthetic cream (like Emla).   Patients can resume their normal daily activities immediately after treatment.

Dysport® (or Botox or any other neuromodulator) can be administered only by an experienced doctor who has received the appropriate training and continues to do so.  In a number of countries injecting neuromodulators is restricted to certain categories of doctors only.

Dysport® blocks the signals from the nerve to the tiny facial muscles that are related to expression lines.  This relaxes the muscles so that they no longer contract, due to the lack of communication with the nerves.  As a result the down- or sideward pulling muscle force is being eliminated resulting in the disappearance of wrinkles and/or deformities.

The effects of Dysport® are not permanent; they will last four to six months. As muscle action gradually returns, lines and wrinkles begin to reappear and need to be treated again. However these lines and wrinkles often appear less severe with time because the specific muscles are being trained to relax.

 

The traditional Dysport® treatment of the upper face can include:

  • The horizontal lines on the forehead (frown lines)
  • The periorbital lines (crow’s feet)
  • The glabellar lines (worry lines) between the eyebrows
  • Lifting of the eye brows

Treatments on the lower face and neck may include:

  • Treatment of the vertical wrinkles around the lips often referred to as “smokers’ lines” (because they are not only caused by the muscle contractions but also exacerbated by age, sun exposure and smoking).
  • Chin softening: patients with a very active mentalis muscle may see the appearance of an “apple dumpling” deformity or “peach pit” chin.  This occurs mostly with expressions but it can also be seen at rest, especially as advancing age predisposes the loss of dermal collagen and subcutaneous fat.
  • Straightening of the jawline: the physiology of the ageing neck and jawline involves multiple factors that culminate in an aesthetically undesirable appearance.  The skin itself is subject to degenerative changes: loss of collagen, fat and elastin.  External factors such as ultraviolet exposure and smoking accelerate this process.  The downward vector effect of gravity leads to sagging of both the skin and the underlying platysmal muscle.  All together these processes result in a deformation of the jaw line and a high visibility of the buns of the platysmal muscle, mostly during movement of the mouth or head but in severe cases as well during rest.
  • Lifting of the mouth corners (marionette lines).  The downward “drool groves” at the angels of the mouth are caused by the action of the relevant muscles stretching from the mouth corners down to the jaw line.  Such appearance can be disconcerting as it creates a permanent look of anger or unfriendliness.  Partial softening of these muscles reduces their downward pulling force and results in a more pleasant appearance.
  • Lifting the tip of the nose: when people smile a muscle in the upper lip pulls down the tip of the nose. In some individuals this can be quite pronounced. By injecting a little Dysport®  the muscle will be weakened causing the nose to remain up when smiling.

All the mentioned treatments of the lower face can be done in one session and they are a perfect addition to the use of soft tissue fillers (Restylane/Emervel): while fillers will restore lost volumes and encourage the production of new collagen and elastin, Dysport® will reduce the strength of the relevant underlying muscles leading to a better and longer lasting result.  In fact, we advise to do the Dysport® treatments first and the soft tissue filling after.

Some Hollywood stars (or their doctors) have been severely overdosing the quantities of injected neuromodulators which resulted in complete frozen faces.  There is the story of an actress who couldn’t find a job for some time, because she couldn’t express any emotions with her “over botoxed” face.  It is very important that the practising doctor injects the correct doses of Dysport® on the correct places in order to keep a totally natural look.  Our doctor will rather inject what she considers to be the appropriate dose and re-check the patient after 10 – 14 days and add additional product if necessary or required. 

Other treatments: Hyperhydrosis

Many people have a medical condition named “severe primary axillary hyperhydrosis” better known as severe underarm sweating which is caused by overactive sweat glands. Sweat is our body’s temperature regulator. In severe primary axillary hyperhydrosis sweating significantly exceeds the body’s normal requirements for cooling.

While people with severe underarm sweating may choose many different antiperspirants (like SVR Spirial), in some instances those products do not work well enough for them. Clothes can be a real issue, because an unfortunate choice can reveal the severe underarm sweating condition rather than hide it.

When clinical strength antiperspirants do not work well enough, small quantities of DYSPORT can be injected into the affected areas to help control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands do not receive further chemical signals, the severe sweating will stop.

Dysport® injections are expected to temporarily stop the production of excessive sweat in the treated areas only; the rest of the body will continue to produce sweat unaffected.

The result of the Dysport® Hyperhidrosis treatment will last anywhere between 4 and 12 months, depending of the severity of the problem.   After that the symptoms will gradually return and the patient can choose to repeat the treatment.

Other treatments: Migraine

As the active ingredient of Dysport® is to medical standards still rather new, scientific research is continuing to find more and alternative uses of the product.  Recent tests have shown that Dysport® injections in well-defined points in the temple and neck area severely reduce the outbreak and/or the severity of migraine attacks.   

 

Precautions

The safety of Dysport® in pregnant or lactating women has not been demonstrated.  For this reason we do not administer Dysport® to pregnant or lactating women.

Neither will we administer Dysport® to individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis or other neuromuscular disorders.

 

Side effects

After treatment some patients may experience a slight temporary bruising on the injection sites.  This may be covered with make-up and it will disappear spontaneously.  Less commonly, Dysport® may cause some itching which will disappear after little time.

Headaches which resolve in 24-48 hours can occur but this is very rare.  There have been no allergies associated with Dysport® to date.

 

Prices

Since the dosage of Dysport® is different for each area and every patient we charge 2,00 €uro per unit.

As an indication you may consider the following dosages and prices:

Area

 Units

 Price

Full upper face

 140 to 190

 280 to 380 €uro

Jaw line 

 90 to 120

 180 to 240 €uro

Full face

 230 to 310

 460 to 620 €uro

Hyperhydrosis (both sides)

 200 to 280

 400 to 560 €uro

 
On the question “when is the best age to start BTX treatments” Dr. Robert Kotler (a board certified cosmetic facial surgeon in Beverly Hills and founder of the Cosmetic Surgery Specialists Medical Group of Beverly Hills)  said: “It really depends on what you see when you look in the mirror.  Here in California, where the sun wreaks havoc upon the non-sunscreen protected skin, there are some patients in their late 20s and early 30s who have significant wrinkling on the forehead and between the eyebrows and squint lines around the eyes.  If you look into that mirror and you are unhappy with what it shows you, there is help available.  Age itself is never the governing factor in the decision for a cosmetic procedure” (WebMD - Friday April 9, 2010).

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