Botox® / Dysport® Injections

Botox and Dysport – General Information




  • Is a purified protein toxin produced by bacterium
  • To date there have been no serious side effects related to the injections for face wrinkles
  • Only small amounts of BOTOX® or DYSPORT® are used and therefore it does not spread throughout the body
  • Works by blocking nerve impulses, thereby weakening the muscle that is causing the wrinkle
  • Does not affect the nerve itself, so there is no numbness in the area of injection
  • Most common areas of usage are: frown lines, horizontal forehead lines and the lines at the corner of the eye
  • Alternative areas are: neck bands, nasolabial (cheek folds), chin creases
  • The effects usually last 3-5 months and sometimes longer with repeat injections
  • In rare instances, some individuals see little effect
  • Some wrinkles are caused by skin laxity and cannot be corrected by injecting BOTOX® or DYSPORT®
  • Seems to help relieve migraine type headaches in some people

Risks of BOTOX® or DYSPORT® Injections

  • Although the long-term results of BOTOX® or DYSPORT® are not known, it has been used to treat eyelid muscle twitching and for wrinkle therapy for about many years. 
  • Temporary drooping of muscles, other than those intended for wrinkle therapy resulting in a droopy eyebrow, eyelid, lip or looseness of the neck area. This unwanted effect is not common and lasts for a few weeks
  • Hypersensitivity

What to Expect

  • Redness and swelling for a few days at the injection site
  • Bruising may result from the injection and may last a few weeks
  • The effects of BOTOX® or DYSPORT® will begin to become noticeable in 3 to 5 days

Alternatives to BOTOX® or DYSPORT® Injections

  • Forehead and frown lines can be permanently eliminated by removing the nonessential muscle fibers during a Brow lift
  • Frown lines can be removed through two small incisions hidden in the scalp using an endoscope
  • Fillers such as: Restylane, Juvederm, Hylaform, Radiance, Sculptra, Perlane, Zyderm, Zyplast, Collagen, Muscle or Grafting material like Alloderm can soften the look
  • Direct excision of the wrinkle line is sometimes done
  • A Face lift may be necessary to correct wrinkles that are not affected by BOTOX® or DYSPORT®

Call board certified plastic surgeon Dr. Costanzo for BOTOX® or DYSPORT® Treatments: (805) 373-9919

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