When it comes to smoothing fine lines and wrinkles, both Dysport and Botox Cosmetic offer effective, non-surgical solutions. While these injectables work in similar ways, subtle differences in their formulation, onset, and spread can make one a better choice depending on your aesthetic goals and the areas you want to treat. Here, we’ll explore Dysport vs. Botox Cosmetic, covering everything from results and costs to side effects and which treatment might deliver the most natural look for you.
Read more: Juvederm vs Botox: Areas, Results, Costs, Which Is Better and Lasts Longer?
While “Botox” is often used as a catch-all term for wrinkle-reducing injections, it’s actually just one specific brand of wrinkle-relaxing medication. Botox Cosmetic, made by Allergan, is one of several neuromodulators designed to temporarily relax muscles that cause expression lines. Other brands, such as Dysport, made by Galderma, offer similar effects but with slight differences in formulation, onset, and application. Many people aren’t always aware of which product they’re receiving, but knowing the distinctions can help you choose the option that best fits your goals.
Botox Cosmetic, made from botulinum toxin type A, is a neuromodulator, meaning it temporarily blocks nerve signals to muscles. It is widely known for its ability to reduce the appearance of fine lines and wrinkles. When injected into targeted areas, Botox Cosmetic temporarily blocks nerve signals to the muscles, preventing them from contracting. This softens expression lines, such as crow’s feet, forehead wrinkles, and frown lines, resulting in smoother, younger-looking skin.
Since its introduction to cosmetic treatments, Botox Cosmetic has become one of the most trusted and well-known options for minimizing facial wrinkles. It’s not only a popular choice in aesthetics but also FDA-approved for a variety of medical uses, such as treating migraines and excessive sweating.
The effects of Botox Cosmetic typically last around three to four months, though individual results can vary. Over time, as muscle activity gradually returns, lines and wrinkles may start to reappear, at which point follow-up treatments are recommended. Many patients find that regular Botox Cosmetic treatments help maintain a consistently refreshed appearance, especially with a customized treatment plan from an experienced injector.
Dysport is another popular neuromodulator that, similar to Botox Cosmetic, is made from botulinum toxin type A. It is used to reduce the appearance of fine lines and wrinkles by temporarily relaxing targeted muscles. Developed by Galderma, Dysport is often favored for treating larger areas, such as the forehead or frown lines, due to its ability to diffuse slightly more than Botox Cosmetic. This characteristic can help create a softer, more natural look in certain areas of the face, particularly for patients with moderate to severe wrinkles.
Dysport is FDA-approved for cosmetic use and has been widely studied for safety. When administered by a qualified and experienced professional, Dysport is considered very safe with minimal risks. Common side effects may include mild bruising, redness, or swelling at the injection site, all of which are temporary. It’s essential to have Dysport administered by a licensed provider to ensure correct placement and minimize any risk of complications.
The results from Dysport typically last around three to four months, similar to Botox Cosmetic. However, some patients may notice that Dysport takes effect a bit faster, with results often visible within two to three days. Follow-up treatments every few months are generally recommended to maintain a consistent, smooth appearance, with some patients finding that Dysport’s effects last slightly longer in certain areas.
Though both Botox Cosmetic and Dysport work similarly to smooth wrinkles by relaxing muscles, they have some key differences that can impact results.
The active molecules in Dysport are slightly smaller than those in Botox Cosmetic, which affects how they interact with muscle tissue. This smaller size allows Dysport to diffuse, or spread, a bit more in the treated area, making it particularly effective for larger treatment zones like the forehead. In contrast, Botox Cosmetic’s larger molecular structure results in more precise, localized effects, which can be beneficial in smaller, more targeted areas like crow’s feet or frown lines.
Due to its formulation, Dysport has a higher tendency to spread slightly beyond the injection site, allowing for smoother coverage over larger areas with fewer injection points. This diffusion factor is one reason Dysport may be chosen for treating broader areas of wrinkles. Botox Cosmetic, with its more localized effect, allows for precise placement, making it a preferred choice for finer areas where control over muscle movement is essential.
While both treatments offer quick results, Dysport generally has a slightly faster onset, with initial effects visible within two to three days. Botox Cosmetic results tend to appear around three to five days post-treatment, though full effects may take one to two weeks to develop for some individuals.
The longevity of results is comparable between Botox Cosmetic and Dysport, typically lasting about three to four months. However, some patients report that Dysport’s effects can last a bit longer in certain areas, especially where muscle activity is moderate. Both require regular maintenance to sustain optimal results.
Botox Cosmetic and Dysport are both FDA-approved for various cosmetic purposes, but Botox has a broader range of medical approvals, such as for chronic migraines and excessive sweating. Dysport, primarily used for aesthetic treatments, is widely recognized for addressing moderate to severe frown lines between the brows.
Both treatments have their advantages, but understanding the pros and cons of each can help you make the best choice for your needs.
Here's a table we made to help you understand Dysport and Botox better:
Dysport units and Botox Cosmetic units are not equivalent, as each has a different potency and concentration, meaning that more Dysport units may be needed to achieve results similar to Botox. On average, one unit of Botox Cosmetic is roughly equivalent to three units of Dysport, so dosage and pricing are calculated differently for each. Some practices adjust their pricing to account for the difference in potency, so the cost between Botox Cosmetic and Dysport is similar for similar results. Others may price each product independently, which can make Dysport look less expensive per unit, even though the total cost of treatment is often comparable to Botox Cosmetic.
Botox Cosmetic and Dysport can be used to treat many areas affected by dynamic wrinkles—those caused by repeated expressions. Here’s how each option may work for different facial zones:
Crow’s feet, or the fine lines around the outer corners of the eyes, are some of the most common areas treated with neuromodulators. Botox Cosmetic is frequently used for its precise, targeted effect, but Dysport can also be effective in softening these lines. Due to Dysport’s ability to diffuse more, it can offer a slightly softer result, ideal for patients looking for a less “frozen” look around the eyes.
Both Botox Cosmetic and Dysport are FDA-approved for treating horizontal forehead lines, providing options to create a smoother, more refreshed appearance. Each product offers effective results for this area, though Dysport’s natural diffusion may be preferable for covering broader sections with fewer injections. Botox Cosmetic’s more targeted action can also achieve a similar effect, with the choice between the two often depending on individual preference and desired outcomes.
The number of Dysport units needed for the forehead can vary based on individual needs, but a typical range is around 30 to 60 units. Since Dysport units are roughly one-third the potency of Botox units, this translates to around 10 to 20 units if using Botox Cosmetic instead. Those with more pronounced wrinkles or stronger muscle activity in the forehead may require additional units to achieve optimal smoothing. Consulting with your provider is the best way to determine the exact amount you’ll need.
For fine lines around the mouth, known as lip or “smoker’s” lines, both Botox Cosmetic and Dysport can be used in small amounts. These lines are generally subtle, so precise application is important. Many patients find that Botox's more localized effect is ideal here, but Dysport can also be an option for a softer look around the lips.
Dysport’s diffusion properties allow it to work particularly well for crow’s feet, as it spreads evenly across the treated area. Patients looking for a natural, relaxed appearance often appreciate Dysport for crow’s feet because it creates a softer transition around the eyes without making the area look overly tight. Results can typically be seen within two to three days with Dysport, giving a quicker onset of effects.
The vertical lines between the eyebrows, often called “11” lines or glabellar lines, are a popular treatment area for both Botox Cosmetic and Dysport. These lines can appear from frequent frowning or squinting, creating a permanently furrowed look. Botox’s precision helps specifically target these lines for a smooth, relaxed appearance, while Dysport’s slightly broader spread can soften the area naturally.
Both Botox Cosmetic and Dysport are known to deliver exceptionally natural-looking results, especially when administered by a skilled provider. Dysport’s unique diffusion allows it to blend seamlessly across larger areas, like the forehead, creating a soft, even look that’s ideal for patients seeking subtle results. This spreading quality can help treated areas transition naturally into surrounding skin.
Botox Cosmetic, on the other hand, offers precise control, which is especially useful for smaller areas like crow’s feet and frown lines. This precision helps target specific muscles without impacting surrounding areas, resulting in a refreshed look that doesn’t sacrifice natural expression. Ultimately, achieving a natural appearance comes down to choosing the right product and working with an experienced injector.
Whether Dysport is better than Botox Cosmetic largely depends on the treatment area and personal preferences. Dysport’s natural spread is often ideal for larger areas, delivering smooth results with fewer injection points and a quicker onset. Many patients find that it creates a subtle, softer effect across the forehead or other broad regions.
In our clinic, we work closely with patients to understand their goals and explain the differences between these treatments. Both Dysport and Botox Cosmetic provide excellent results when tailored to individual needs, and with guidance, patients can select the option that best aligns with their desired look and treatment areas.
Most healthy adults looking to reduce the appearance of dynamic wrinkles, such as crow’s feet, forehead lines, or frown lines, are good candidates for Dysport or Botox Cosmetic. Ideal candidates include individuals with mild to moderate expression lines who want a non-invasive option for a smoother, more youthful appearance. People with larger treatment areas, such as the forehead, may find Dysport particularly appealing due to its diffusion properties, while those who prefer precision in smaller areas may benefit from Botox Cosmetic.
It’s important for candidates to have realistic expectations and consult with an experienced injector who can recommend the best option based on their unique facial structure, skin type, and aesthetic goals. Pregnant or breastfeeding individuals, as well as those with certain neuromuscular conditions, may need to avoid these treatments.
Both Dysport and Botox Cosmetic are generally well-tolerated, with most side effects being mild and temporary. Common side effects include slight redness, bruising, and swelling at the injection site, which usually subside within a few hours to a few days.
Dysport may cause some specific side effects, including mild headaches, temporary muscle weakness near the injection site, or slight eyelid drooping if injected near the eyes. These effects are rare and usually resolve on their own. An experienced injector can help minimize the likelihood of these side effects by ensuring accurate placement.
Botox Cosmetic has similar side effects, including temporary bruising or mild swelling. Some patients may experience a slight headache after treatment, which typically goes away within a day. In rare cases, patients may notice temporary drooping in the treated area, but this effect usually resolves as the Botox wears off over time. Proper technique and placement by a trained professional can greatly reduce these risks.
The cost of Botox Cosmetic and Dysport can vary based on factors like geographic location, provider experience, and the number of units needed for each treatment area. While both treatments are priced by unit, Dysport tends to have a lower per-unit cost than Botox, though more Dysport units may be needed to achieve similar effects.
Botox Cosmetic is typically priced between $12 to $16 per unit. The exact number of units needed depends on the treatment area and individual muscle strength. Targeted areas, such as the forehead or crow’s feet, may require as few as 20–30 units, while treating multiple areas across the face can total around 50 units. The maximum safe amount that can be administered in one session is about 100 units. Costs can therefore range from $240 to $480 for smaller areas, with full-face treatments potentially reaching $600 to $800 or more.
Dysport generally costs between $4 to $6 per unit, but it often requires more units to achieve the same result as Botox Cosmetic. For example, a treatment that uses 20 units of Botox may require around 60 units of Dysport. As a result, while Dysport may appear less expensive per unit, the total cost for similar results is often comparable to Botox Cosmetic. Always consult with your provider for a personalized treatment plan and cost estimate.
Choosing between Dysport and Botox Cosmetic should be a collaborative process between you and your provider. An experienced professional can assess your skin, discuss your goals, and recommend the best approach to help you achieve the results you’re looking for. They’ll also explain the expected costs and answer any questions to ensure you feel confident in your decision.
Finding a qualified, experienced provider is essential for achieving safe, natural-looking results with Botox Cosmetic or Dysport. Look for a licensed medical professional, such as a dermatologist or aesthetic specialist, who has extensive experience with injectables. Checking online reviews, before-and-after photos, and credentials can help you choose a skilled provider.
Choosing between Botox Cosmetic and Dysport is a personal decision based on your unique goals, treatment areas, and the expertise of your provider. At ZENA Aesthetics & Wellness, Dr. Mowett—one of the first aesthetic providers in Manatee County—brings over 20 years of experience as an injector. With extensive training and deep knowledge of facial anatomy, she is dedicated to helping patients achieve a natural, refreshed look. At ZENA, we prioritize comprehensive training for all our providers to ensure the highest standards of care. With a personalized plan and regular maintenance, our team can help you enjoy long-lasting, satisfying results with Botox Cosmetic or Dysport.
Fifty units of Dysport can typically cover smaller treatment areas, such as crow’s feet or frown lines, though exact coverage depends on individual needs and facial muscle strength.
Potential downsides of Dysport include its tendency to diffuse more widely, which may be challenging in areas needing high precision, and a possible increased risk of unintended spread without an experienced injector.
Switching between Botox Cosmetic and Dysport is generally safe, as both are forms of botulinum toxin type A. In fact, it may even be beneficial to switch occasionally to see which product works best for your specific needs or preferences. However, some patients might respond better to one product over the other, so switching should be a strategic choice with guidance from an experienced injector.
Approximately three units of Dysport equal one unit of Botox Cosmetic. This conversion may vary slightly based on individual treatment needs and desired results.
At around $4 to $6 per unit, 100 units of Dysport may cost between $400 and $600, depending on location and provider fees. A full face treatment may require upwards of 150 units, which may cost around $750.
Individuals who are pregnant, breastfeeding, or have certain neuromuscular conditions should avoid neuromodulators like Dysport and Botox Cosmetic. It’s best to discuss medical history with your provider to check for any contraindications and ensure safety.
Dysport tends to kick in a bit faster, with effects often visible within two to three days, while Botox Cosmetic results generally first appear in three to five days.
Some wrinkles may persist if they are deeper or static (present even when muscles are relaxed). Additional treatments, like fillers, may be needed for optimal smoothing.
To convert Dysport to Botox Cosmetic units, a general rule is three units of Dysport to one unit of Botox. However, your provider will determine the right dosage based on your specific treatment area and goals.
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