Botox & Dermal Fillers- Cousins But Not Sisters

March 1, 2011

In our last post we talked about Botox and Dysport.  The bottom line is that they are very similar medications that are used to treat the same group of problems.  Botox and Dysport are part of a group of medications called neuro-modulators.  Neuro-modulators are the number one cosmetic treatment performed in America.  The number two most common treatment is hyaluronic acid dermal fillers. 

Hyaluronic acid dermal fillers are also injected in the office as a lunchtime type, minimally invasive treatment.  That means that they also have very little downtime (though they have a little more downtime than Botox and Dysport).  Dermal fillers add volume to the skin or fat pads.  They make you look younger because, as we age, we lose volume in our faces.  By adding that volume back, we look younger.  In future posts I’ll explain in much more detail why adding volume to you face can really make you look younger.  For now I am going to tell you about some of the products on the market.

There are many types of dermal fillers.  However, by far the most popular are those made of hyaluronic acid.  Hyaluronic acid is a natural skin substance, so these fillers are safe and healthy to use.  They are a soft gel that looks very natural in the skin.  They also have the advantage of being reversible.  If for some reason you are unhappy with your treatment, some, or all of the filler can be safely dissolved in a matter of minutes.  That makes this treatment very unique.  You can try it knowing that if you are not happy, it can be completely reversed.  Even if you love your treatment (the most likely scenario) it does not last forever.  These fillers generally last about six months to a year, depending on the part of your face that is treated, and your metabolism.

There are many different brands of hyaluronic acid fillers.  In our opinion there are two brands that outshine the rest.  These are Restylane and Juvederm.  In future posts I’ll talk about the differences, but like Botox and Dysport, they are more similar than different.  Restylane comes in two different forms.  The most commonly used is Restylane.  The same chemical comes in a thicker form called Perlane.  So Restylane and Perlane are like two strengths of the same thing.  Juvederm also comes in two forms.  The most common is called Juvederm Ultra and the thicker form is called Juvederm Ultra Plus.  Again two different strengths of the same medication.  Both of the Restylane and Juvederm products come with out with out a numbing medication call lidocaine.  That makes the injections more comfortable.  I won’t confuse you with the names of the products with and without lidocaine.  You don’t need to know that.  You can just ask you doctor if you are getting the Juvederm, or Restylane with the numbing medication included.  He/She will know what you’re talking about.

Dermal fillers changed everything in the field of facial cosmetic surgery.  In future posts we’ll talk about how they work, what it is like to get a treatment, and a whole lot of other fun stuff about these remarkable treatments.  If you would like to read more about Juvederm and Restylane click here.


Dysport & Botox- Sisters But Not Twins

February 25, 2011

So which do you prefer, Skippy of Jif?  What’s better, a Mercedes or a BMW?  You know the answer, the one you like is better.  But we can all agree that the world is a better place with choices.  For about twenty years, Botox was the only choice for patients in the USA.  But in May, 2009 the FDA approved a second choice- Dysport.  Botox and Dysport are very similar medications.  They both work by temporarily weakening muscles, which allows cosmetic surgeons to use them to reduce wrinkles and give you a more relaxed, pleasant expression. (as promised in my last post…in the future I’ll talk about other neat things that these amazing medications can do).

First some background.  Dysport is certainly the new kid on the block, but it is no beginner.  It has been used around the world for about the same length of time as Botox.  Even though patients have been treated with Botox and Dysport for about 20 years,  there are no really good research studies comparing the two.  As doctors we like to rely on science.  We just don’t have the answers yet when it comes to comparing the two medications side by side. 

However, I am pretty comfortable telling you the following “facts” about these two great treatments.

  1. Both Botox and Dysport seem to be safe medications.  I believe that the majority of doctors who have experience with both feel they are equally safe.   I can tell you that my wife and I use both and we would recommend either to a family member.
  2. Clearly,  both medications are effective at weakening muscles, and if administered correctly, both give very good results.
  3. Botox takes effect in anywhere from one to fourteen days.  Dysport seems to work a little faster for most people.
  4. Most doctors that I know feel that Dysport and Botox last about the same length of time in most patients.  Usually 3-4 months, but sometimes a little longer.
  5. About half of my patients who have tried both, feel that they can not tell the difference between Botox and Dysport.
  6. About 25% prefer Dysport and 25% prefer Botox.

So how do you decide?  There is no great answer.  Some people switch from one to the other because they have not been totally satisfied with their results (this is pretty rare).  Others choose one or the other because one of the companies is offering a rebate.  Some people are just adventurous and like to try something new.  Bottom line, as long as you see an experienced cosmetic surgeon, you are pretty likely to like either…. but you may prefer one over the other. 

Choosy mothers choose Jif.  Personally I like Skippy.

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If you would like to read more about Botox and Dysport, please visit our website here.
If you would like to read the FDA approved medication guides for these treatments…..  Botox or Dysport


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