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Botox or Dysport?

Updated on December 17, 2013

The Botox Miracle

Want to smooth out those crows feet around your eyes or perhaps get rid of those wrinkles along your forehead? Botox® and Dysport® are both injectable cosmetic wrinkle smoothing agents and yes,they both really work. Basically they temporarily relax or paralyze the muscles in the face that create expressions, such as frown lines between the brows, that over time result in visible facial lines and deeper creases. Undesirable lines become smoothed out giving you a more relaxed and youthful appearance.

Botox® has been used effectively for cosmetic purposes in the United States for a number of years now whereas Dysport® has just been approved for use(although is has been used safely for many years throughout Europe, Brazil and more than 26 other countries worldwide) and is now (as of July 2009) available at your doctors office alongside Botox®.

Although they are similar in function, they are not the same drug, they have different dosages and different possible side effects. It's up to you to be informed when selecting between the two and hopefully after reading this page you will be.

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History And Possible Side Effects Of Botox

Botox is defined as a purified botulinum toxin type A, produced from fermentation of Hall strainClostridium botulinum type A grown in a medium containing casein hydrolysate, glucose and yeast extract. It is purified from the culture solution by dialysis and a series of acid precipitations to a complex consisting of the neurotoxin, and several accessory proteins. The complex is dissolved in sterile sodium chloride solution containing Albumin Human and is sterile filtered (0.2 microns) prior to filling and vacuum-drying.

Botox has an interesting history that all began with sausage in the 1820's. A German physician, Dr. Justinus Kerner began some experiments to determine what caused the deaths of some Germans who had consumed sausage. Turns out it was food-borne botulism. Then in 1895 Dr. Emile Van Ermengem from Belgium was the first to isolate the bacterium, and in 1944 Dr. Edward Schantz cultured Clostridium botulinum and isolated the toxin. And finally in 1949, it was discovered that botulinum toxin blocks neuromuscular transmission. In the 1950s and 60's purified botulinum toxin type A into crystalline form was synthesized and it was discovered that small doses of botulinum relax muscles temporarily. In the 1950s the toxin started to be used experimentally as a medical cosmetic treatment on politicians, one of which was said to be the actor and former United States President, Ronald Regan. The 70's and 80's brought many experiments, mostly on animals with the toxin.

Finally, in 1989-a year after the company Allergen bought the distribution rights to the toxin-the FDA approved botulinum toxin type A for treating crossed eyes and spasms in the eye muscle. Soon after than Botox was born. As more research was conducted in the 1990s, it was uncovered that Botox temporarily cured excessive sweating and cerebral palsy. Then ophthalmologist Dr. Jean Carruthers noticed her patients treated with Botox were looking fabulously wrinkle-free. She and he husband, (a dermatologist) published a study on Botox's ability to decrease frown lines and after that Botox took off as a cosmetic treatment. So much so that in the late 90's they even ran out of it temporarily.


As with any drug, side effects are possible. Most people however, do not experience any and tolerate the drug quite well. If side effects do occur they are usually very mild.

Botox has been studied thoroughly in clinical trials. In these studies, common side effects included: droopy eyelids, nausea ,muscle weakness, facial pain, indigestion, tooth problems,high blood pressuire, flu-like symptoms, such as a fever and chills, dizziness, weakness, infection or bleeding at the injection site.

Some side effects with Botox, while occurring infrequently, are potentially serious and should be reported to your healthcare provider right away. These include but are not limited to: chest pain, difficulty swallowing, speech problems, dry eyes or eye pain, double vision, signs of an allergic reaction such as rash, hives, itching, wheezing, swelling.

Recently there has been news of Botox possibly being able to spread beyond the site of injection, potentially causing botulism poisoning. Accusations against Botox earlier this year led the FDA to mandate black box warnings for the popular drug, however it is inconclusive as to whether or not this can actually happen as of yet.

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History And Possible Side Effects Of Dysport

Like Botox, Dysport is a lyophilized form of the botulinum toxin type. The difference is that a vial of Dysport contains 500 Units of toxin and 125 micrograms of albumin, and is typically diluted to 200 U/mL. The Botox vial contains 100 Units of toxin and 500 micrograms of albumin, and is typically diluted to 25-50 U/mL. Dysport works in the same way Botox does by preventing muscle contraction and weakening the muscles.

The early 90's when Dyspoirt first came into use as a treatment for muscle spasms in the UK. Like Botox, it was then discovered that Dysport could effectively remove wrinkles and facial creases as well, the treatment was distributed in Europe and several other countries around the world.

In 2006, Dysport's manufacturer, Ipsen, joined forces with the U.S. pharmaceutical group, Medicis, to distribute the product in the U.S. and Canada. The U.S. branding of Dysport was originally going to be Reloxin, but the FDA mandated that the drug be branded under its original name of Dysport. most news and online sources, originally discussed it under the name Reloxin.

Currently Dysport is the only other injectable type in Botox's class giving Botox some stiff and much needed competition. I say this because Botox is very expensive. Currently, the cost of Botox injections can range from $300 to $500 per treatment. The cost of Dysport, on the other hand, starts out more firmly near the $300 mark.(you can expect to save around 10% with disport basically) It would therefore make sense that over time if Botox feels threatened by Dysports success, the makers of Botox, Allergan, could wind up reducing the cost of Botox to remain competitive.


As with any drug, side effects are possible. Most people, just like with Botox, do not experience any and tolerate the drug quite well. If side effects do occur they are usually very mild and the most common include: nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea. These are all the same side effects associated with Botox.

I really could not find any additional side effects or different side effects related to Dysport when I researched for this article.

Like Botox, the labeling for Dysport also contains a boxed warning about the potential distant spread of all botulinum toxin products to other areas of the body.

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Where to Go To Get Botox Or Dysport

and what questions you should ask your doctor

Botox and Dysport have been administered to over 21 million people in the past decade with very few complications. However, to be sure your results are of the quality you want and are also complication free, you need to be choosy in where you go to get the injections done. There are many out there, including physicians, who are not trained in medical aesthetics, and who lack lack the training and credentials necessary to ensure safety and excellent results.

First, evaluate the location where you will receive treatment, make sure an actual physician or a certified nurse practitioner who is trained in injectable cosmetics has actually seen you before you proceed. Ask yourself - is the setting a proper medically-equipped office, with safety and sterilization procedures? The proceed by asking some or all of the following questions to your doctor:

How were you trained to do injectable treatments?

Do you regularly provide injectable treatments?

How many people have you treated with a condition similar to mine?

Will you personally inject me? If not, what are the qualifications of the person who will?

Exactly what brand of injectable do you recommend for me?

Is it FDA-approved specifically for cosmetic purposes?

May I see the packaging to verify the brand name?

Are there any precautions I should take before my injectable treatment?

Will anesthetic be necessary? Is it available?

What can I expect to experience after my treatment?

What are the potential risks of treatment?

How long will my results last?

For more information from an unbiased source check out:

Be wary of places the sell Botox or Dyspot by the area such as: forehead = $600, crows feet = $400 and so on. These places are usually ripping you off! You never know just how much of the product you are actually having injected and whether or not it is an effective and proper dose. Botox and Dysport come in UNITS. The unit refers to a measure of activity. Units are how doctors think about and use Botox.

A vial of Botox or Dysport comes with no fluid in it, just dried powder. The doctor's office fills the vial with a certain volume of saline to reconstitute the Botox or Dysport and draws up the amount to be injected into a syringe. Offices use between one and four milliliters of saline for this purpose. So, a one-milliliter syringe might contain between 25 to 100 units of Botox or Dysport. However, some offices dilute their Botox or Dysport much more. I even heard of one doctor who boasts of diluting a vial of Botox with 20 milliliters of saline, so each one-milliliter syringe contains only 5 units of Botox. This saves them money but costs you more so be wary.

There is a huge treatment difference in the results you will notice between 100 units of Botox or Dysport and 5 units of Botox or Dysport. So pin the office down. make them tell you how many units they use and if they are an ethical office, they will have no hesitation telling you.

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Learn More About Botox and Dysport

The Complete Guide to BOTOX Injections
The Complete Guide to BOTOX Injections

So if you are really motivated and want to inject youself or others, this guide tells you how to go about doing so.

The Botox Miracle
The Botox Miracle

This book gives all the details anyone could ever want on Botox - from which muscles are the best to have injected to the best way to find and experienced doctor to do the injections to much much more.


Other Uses Of Botox And Dysport

There are quite a few applications that Botox is used for in addition to its use as an injectable cosmetic to reduce wrinkles. These include:

Excessive sweating: Underarm sweating can be eliminated with Botox. The palms, feet, and face can also possibly be treated.

Migraine headaches: Migraine sufferers can get relief by getting Botox injections into the back or sides of the head, forehead or brow area.

Cerebral Palsy and Multiple Sclerosis:Recently, Botox has been used to treat people with Multiple Sclerosis as it lessens muscle contractions that cause spasms and stiffness. Botox has also been used for years to treat children with Cerebral Palsy - it relaxes the muscles that are in spasm..

Muscle spasms and eye twitching: Involuntary eyelid closure, eye twitching, face, jaw and neck spasms, vocal chord spasms, and even stuttering can be lessened with Botox injections.

Lift saggy breasts: Doctors in Europe and Canada are now injecting the pectoral muscles with Botox, to temporarily lift the breast tissue. Unfortunately, this only works on women with smaller breasts.

Sculpt the face: Skilled injectors, can use Botox to sculpt the face, turning up the nose, lifting the eyebrows, and puffing the lip out It can also be used at the corners of the mouth to slightly turn them up, and to relax the muscles in the chin, reducing the appearance of "golf ball chin".

Relax bands in neck: As Some people develop vertical bands in the neck, which can be softened with Botox. The effect can also simulate a neck lift.

Prostate: Men who have had their prostate injected with Botox have seen a decrease in its size, and relief from some of the side effects associated with an enlarged prostate.

TMJ / TMD: Botox can be injected into TMJ muscles to decrease the tension.

Overactive bladder: Doctors can inject Botox into the base of the bladder to relieve the problems associated with an overactive bladder.

Currently Botox is not FDA-approved for some of these treatments and some of the uses for Botox have only been done on a handful of patients.

Like Botox, Dysport has many other medical applications. Some of them approved by the FDA and some of them not. These include include:

Treatment of cervical dystonia(a chronic and painful condition characterized by neck muscles contracting involuntarily, causing abnormal movements and awkward posture of the head and neck.)

Arm spasticity and spasmodic torticollis in adults.

Hemifacial spasm or blepharospasm condition in adults. (a condition which results in uncontrollable blinking and eyelids closure of the affected person due to eyelid muscle gets affected adversely.)

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Still Afraid To Try Either Botox or Dysport? - Try these antiwrinkle remidies instead

The Perricone Prescription: A Physician's 28-Day Program for Total Body and Face Rejuvenation
The Perricone Prescription: A Physician's 28-Day Program for Total Body and Face Rejuvenation

Dr. Perricone has written numerous books on total skin care and health. As a dermatologist with years of experiecne, he concludes that inflammation is a root cause of wrinkles. This excellent book gives a detailed discussion of how to reduce inflammation at all levels, from the diet you eat to the products you use on your skin. I personally have done the 28 day antiinflammation diet and not only did my skin look great, but I lost 15 lbs too!


What Do You Think About Cosmetic Injectables?

Will You Try Botox or Dysport?

Thanks For Visiting, I'd love to Hear From You - I really appreciate your comments!

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    • profile image

      CathyLee 3 years ago

      Frankly, I'm a believer of natural remedies and non-invasive methods for healthier looking skin. However, I never close my options from cosmetic procedures. I even read that botox specifically gives better results than facelift surgeries however it should be necessary to know first the methods before resorting. For many years, I use non-invasive products to get rid of wrinkles like Facial Toner.

    • profile image

      Broganorama 4 years ago

      Never use cosmetics you are unsure of. Get up to speed on their plus and minus issues and only then can you make an informed decision for your self.

    • profile image

      anonymous 4 years ago

      I have used Botox for about 4 years. Getting about 2-3 treatments per year. Now it has stopped working! Suggestions?

    • profile image

      jennifermartine 5 years ago

      The effects of Botox are incredible and I am so much love in it. But afraid to read about the side effects of it too. I have searched a lot on internet about Botox and really want to undergo it. But I need a proper guidance before. There are also another approaches which I have considering are foreheadlift and blepharoplasty too. Can some one suggest what should I proceed for?

    • profile image

      anonymous 5 years ago

      I have been using Botox for just over a year now, looking at Dysport for the cost savings, $50 rebate on the site. I am thinking next month I will give the Dysport a try, not finding too many cons to it.

    • profile image

      anonymous 6 years ago

      Botox is a treatment for the frown lines between the eyebrows. Botox treatment are usually very quick and simple. Botox pasadena are most experienced in working with facial muscles.

    • profile image

      MedicalArticles 6 years ago

      The most important thing is always get professional assistance for the treatment your´re making. You must feel safe in your treatment, either Botox, or Dysport.

    • profile image

      anonymous 6 years ago

      There is certainly no shortage of people with a medical background who are offering injectable cosmetics in their offices now, specifically Botox and dermal fillers; but, finding the right practitioner to perform these long-lasting 'corrections' to your lovely face can be quite a challenge. Here I offer some tips and guidelines to help consumers who are considering these services to proceed with a little more confidence.


    • profile image

      anonymous 6 years ago

      Botox has been in this world for over twenty years within the plastic surgery industry. Botox is a bacteria that is used for wrinkles on the face and excessive sweating in the hands. However, if used in high doses it may be detrimental to our bodies. This bacteria is as known as Clostridium Botulinum, which is the same bacteria that causes food poisoning. In spite of the possible dangers, this bacteria may be used in small doses to be a muscle relaxant, which can help with excessive sweating and wrinkles on the face.

      botox lincoln

    • profile image

      anonymous 6 years ago

      Visit Plastic Surgery in Thailand, my wife took her last Botox there with the aid of her friends from Bangkok. Good luck on your medical trip :)

    • profile image

      kirk_09 6 years ago

      Try to check Botox Melbourne Australia this may help you to look younger and safe because they are experts and updated.

    • profile image

      anonymous 6 years ago

      i prefer Botox Melbourne because it can make you look younger faster than you could imagine.

    • profile image

      genakriggs 7 years ago

      You can choose from any of the two just make sure you have the rightplastic surgery Phoenix or in Arizona.

    • profile image

      TonyVerdi 7 years ago

      Botox is definitely better than Dysport as it gives much better results that are very long lasting. Price wise maybe it is a bit more expensive much I like to believe that more you pay less you pay (in certain things).

      Botox Cheshire

    • profile image

      WriterBuzz 7 years ago

      If you like coffee, check out my lens on Who Invented Coffee. I found your lens by accident, and it's really nice. I gave you a thumbs up. Look forward to more lenses from you. I also did one on Migraine Headaches that might interest you. If you surf on by, leave me a comment.

    • JamiST profile image

      JamiST 7 years ago

      lots of information about botox and dysport, great job.

      I prefer botox than dysport and already had many Botox treatment and enjoying the results, I can wait 8 months for next treatment

      Botox Cheshire

    • VarietyWriter2 profile image

      VarietyWriter2 7 years ago

      I've been thinking about getting botox...glad I came across this as I am trying to read all the info on botox that I can so that I can weight the options before getting it done. Thanks for the info.

    • Kiosks4business profile image

      Kiosks4business 7 years ago

      Lots of information on your lens about both botox and dysport which is great and I'm sure it will help lots of people to make up their own minds about the subject. Thanks

    • Heather426 profile image

      Heather Burns 8 years ago from Wexford, Ireland

      great info here!