Dysport vs Botox: Areas, Costs, Results, Side Effects, Which One Is More Natural?

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.

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Understanding “Botox” as a Term

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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.

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What Is Botox?

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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.

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How Long Does Botox Cosmetic Last?

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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.

What Is Dysport?

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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.

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Is Dysport Safe?

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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.

How Long Does Dysport Last?

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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.

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5 Main Differences Between Botox and Dysport

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Though both Botox Cosmetic and Dysport work similarly to smooth wrinkles by relaxing muscles, they have some key differences that can impact results.

1. Molecule Size

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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.

2. Diffusion

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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.

3. Onset of Results

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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.

4. Longevity

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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.

5. FDA Approval and Uses

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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.

Pros and Cons of Dysport vs Botox Cosmetic

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Both treatments have their advantages, but understanding the pros and cons of each can help you make the best choice for your needs.

Pros of Dysport

• Effective for larger areas like the forehead due to its diffusion properties.
• Faster onset of results, often within two to three days.
• Some patients find that Dysport lasts longer in areas with moderate muscle movement.

Cons of Dysport

• Diffusion may not be ideal for areas needing high precision or in those with smaller, more delicate facial muscles.
• Slightly fewer FDA-approved uses beyond aesthetics compared to Botox Cosmetic.

Pros of Botox Cosmetic

• Ideal for precise application in targeted areas like crow’s feet or frown lines.
• Well-studied for both aesthetic and medical applications, with additional FDA-approved uses.
• Larger molecular structure provides controlled, localized results.

Cons of Botox Cosmetic

• Slightly longer time to see full results compared to Dysport.
• Limited diffusion may require more injection points for larger treatment areas.

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Here's a table we made to help you understand Dysport and Botox better:

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100 Units of Dysport Equals How Much Botox?

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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 100 units of Dysport will roughly be 33 units of Botox Cosmetic.

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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.

Which Areas Can Botox Cosmetic and Dysport Treat?

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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:

1. Wrinkles Around Your Eyes

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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.

2. Forehead Lines

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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.

How Many Units of Dysport for Forehead?

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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.

3. Lip Lines

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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.

4. Dysport for Crow’s Feet

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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.

5. Glabellar Lines (Frown Lines)

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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.

Which Looks More Natural, Botox or Dysport?

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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.

Botox or Dysport: Is Dysport Better Than Botox?

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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.

Who’s a Good Candidate for Dysport and Botox?

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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.

What Are the Side Effects of Dysport and Botox?

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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. However, some individuals may experience rare or uncommon reactions. Below, we break down the common and rare side effects of both Dysport and Botox.

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Common Dysport Side Effects

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• Mild Pain or Tenderness
  It’s common to feel mild pain or tenderness at the injection site immediately after Dysport treatment. This usually subsides within a few hours to a day. Applying a cold compress can help reduce discomfort, and over-the-counter pain relievers like acetaminophen may be used if needed. Avoid massaging the area, as this could interfere with the product placement.

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• Redness and Swelling
  Redness and swelling around the injection site are a normal reaction. These symptoms typically resolve within a few hours. Avoiding intense heat exposure, such as saunas or hot showers, for 24 hours post-treatment can help minimize swelling.

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• Bruising
  Some patients experience bruising at the injection site, especially in areas with thinner skin. To reduce the risk, avoid blood-thinning medications (aspirin, ibuprofen, fish oil) in the week leading up to your appointment unless prescribed by your doctor. Bruising typically fades within a few days and can be covered with makeup if needed.

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• Headache
  Some individuals may experience a mild headache after Dysport injections. This can be due to injection technique, sensitivity to botulinum toxin, or muscle adjustments. Headaches are usually short-lived, lasting 24 to 48 hours. Staying hydrated, resting, and using over-the-counter pain relievers can help.

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Common Botox Side Effects

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• Mild Pain or Tenderness
  Some patients experience mild discomfort, tenderness, or sensitivity at the injection site immediately after treatment. This is a normal reaction to the needle insertion and Botox solution.

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• Redness, Swelling, and Bruising
  Temporary redness or swelling at the injection site is common and typically fades within a few hours. Bruising can occur, particularly in individuals who take blood-thinning medications. To minimize the risk, avoid aspirin, ibuprofen, or fish oil before treatment unless prescribed by your doctor.

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• Headache
  In clinical studies, up to 9% of patients who received Botox for forehead lines reported mild headaches. Using a cold compress and staying hydrated can help relieve discomfort.

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Rare Dysport Side Effects

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• Signs of Allergic Reactions to Dysport
  Though rare, some individuals may experience an allergic reaction to Dysport. Symptoms include rash, itching, swelling, or, in severe cases, shortness of breath or difficulty swallowing. If you notice any of these symptoms, especially swelling of the face or throat, seek immediate medical attention.

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• Flu-Like Symptoms
  A small percentage of patients report mild flu-like symptoms after receiving Dysport, such as fatigue, muscle aches, or a slight fever. These symptoms usually resolve within a few days. Staying hydrated and getting enough rest can help relieve discomfort.

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• Dry Mouth or Trouble Swallowing
  In rare cases, Dysport can affect nearby muscles, leading to mild difficulty swallowing or dry mouth. These effects usually resolve on their own as the body metabolizes the toxin. If symptoms persist, contact your provider.

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Rare Botox Side Effects

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• Temporary Muscle Weakness or Drooping
  Botox works by relaxing targeted muscles, but in rare cases, if it spreads beyond the intended area, it can cause temporary muscle weakness. Some patients may experience mild brow heaviness (2%) or eyelid drooping (3%). These effects typically resolve on their own within a few weeks as Botox naturally wears off.

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• Drug Interactions and Spread of Toxin Warning
  Botox has specific warnings regarding interactions with certain medications. Drugs such as aminoglycosides, muscle relaxants, or anticholinergics can increase Botox’s effects, leading to excessive muscle relaxation. Additionally, in very rare cases, Botox has been reported to spread beyond the treated muscles, causing temporary difficulty swallowing, speaking, or breathing. This is extremely rare in cosmetic doses but should be discussed with your provider if you have pre-existing neuromuscular conditions.

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At ZENA Aesthetics & Wellness in Bradenton, FL, our team carefully assesses every patient before treatment to ensure the safest and most effective experience. If you have any concerns after your Botox session, we are available for follow-up and adjustments as needed.

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How Long Do Side Effects Last?

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The duration of side effects varies depending on the individual, the area treated, and the type of side effect experienced.

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Dysport Side Effects Duration

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• Common side effects (redness, swelling, mild pain) usually resolve within a few hours to 24 hours.
• Bruising, if it occurs, may last up to a week.
• Headaches typically subside within 24 to 48 hours.
• Rare side effects (drooping eyelids or muscle weakness) may take 2 to 4 weeks to fully resolve as the botulinum toxin wears off naturally.

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Botox Side Effects Duration

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• Common side effects (redness, swelling, mild pain) usually fade within a few hours to 24 hours.
• Bruising, if present, may last up to a week.
• Headaches, though uncommon, typically resolve within 24 to 48 hours.
• Rare side effects (temporary eyelid drooping or muscle weakness) typically improve within two to four weeks as Botox naturally wears off.

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If any side effects persist longer than expected or worsen, patients should contact their provider for further evaluation.

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Dysport While Breastfeeding: Is It Safe?

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At ZENA Aesthetics & Wellness, we prioritize your safety and well-being. Because there is limited research on the effects of Dysport during pregnancy and breastfeeding, we do not recommend the use of Dysport for pregnant or nursing individuals. Although the botulinum toxin is designed to remain localized and is unlikely to enter the bloodstream in significant amounts, the lack of definitive evidence means caution is advised.

If you are currently breastfeeding and considering Dysport, it’s important to discuss your options with both your provider and your pediatrician. We generally recommend waiting until after you’ve finished nursing before pursuing treatment. In the meantime, our expert team can help you explore alternative skincare options tailored to your needs and goals.

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Dysport vs Botox: Cost

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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.

How Much Is Botox?

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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 Cost – How Much is Dysport per Unit?

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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.

Deciding What’s Right for You

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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.

How to Find a Professional for Botox or Dysport Treatment

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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.

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Final Thoughts

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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.

FAQs

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1. What do 50 units of Dysport cover?

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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.

2. What are the cons of Dysport?

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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.

3. Is it bad to switch between Botox Cosmetic and Dysport?

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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.

4. How many units of Dysport equals one unit of Botox Cosmetic?

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Approximately three units of Dysport equal one unit of Botox Cosmetic. This conversion may vary slightly based on individual treatment needs and desired results.

5. How much does 100 units of Dysport cost?

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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.

6. Who is not a good candidate for Dysport and Botox Cosmetic?

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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.

7. Which kicks in faster: Botox Cosmetic or Dysport?

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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.

8. Why do I still have wrinkles after Dysport?

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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.

9. How do you convert Dysport to Botox Cosmetic units?

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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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