BOTOX® Cosmetic

How does BOTOX® work?

BOTOX®, also known as botulinum toxin, blocks impulses from the nerve to the facial muscles that are related to expression lines. It relaxes the muscles so they don't hyper-contract. After treatment, the skin smoothes out and becomes less wrinkled while allowing normal facial expression. The treatment involves injecting a tiny amount of liquid, using a tiny needle, into the affected area. There is little or no discomfort from BOTOX® injection. The sensation has been described as similar to a bug bite. Results are noticeable within a few days; wrinkles will smooth out and your face will have a more relaxed and youthful appearance. The effects last 3-4 months and require repeated treatment to maintain the results.

Before BOTOX		After BOTOX

BOTOX® is effective in treating the following conditions:

• Frown lines between the eyebrows
• Horizontal lines on the forehead
• Crow's feet at the corners of the eyes
• Hyperhidrosis (excessive sweating) of the hands, feet and axilla (underarms)

What are the possible side effects?

Side effects and complications have been minimal. These sometimes include slight swelling, and/or bruising which may last for several days after injection. Also, an adjacent muscle may be weakened for several weeks after the injections. This may lead to a slight eyelid droop. Any and all side effects are temporary.

» Learn more at www.botoxcosmetic.com

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Dysport®

What is Dysport?

Dysport is a simple, effective, non-surgical treatment that works by relaxing facial muscles, thereby reducing and smoothing away frown-lines and wrinkles. Dysport, like Botox Cosmetic® is a protein extracted from the bacterium Clostridium Botulinum. The FDA approved Dysport in April 2009.

Is Dysport New?

NO! Dysport has been available in Europe, Asia, and South America for over 10 years. Dysport is distributed in the United States by Medicis, the manufacturers of the revolutionary Restylane dermal filler. Dysport was developed in the United Kingdom in the early 1990s to successfully treat a number of neurological and ophthalmic conditions. It was further developed to treat a wide variety of neuromuscular disorders, for which it is licensed in over 60 countries. Since that time, with an increased understanding of the uses of Dysport, thousands of treatments have been safely and effectively performed for a variety of conditions ranging from facial wrinkles to axillary hyperhidrosis (excessive sweating under the armpits).

Is Dysport Better Than Botox?

This topic is widely debated and heavily biased due to most comparative cosmetic studies being partially or fully funded by manufacturers of Botox (Allergan) and Dysport (Ipsen/Medicis). Many cosmetic physicians outside the U.S. who have used Dysport report greater longevity when compared to Botox. In most unbiased neurological studies for the treatment of movement disorders Dysport has provided equal or greater efficacy when used in a 2.5 to 4:1 ratio to Botox.

Why is Injector Selection More Important Than Ever?

Studies indicate that Dysport possibly disperses more widely than Botox Cosmetic when injected. While this is advantageous when treating broader areas of small wrinkles such as crows feet, when used to treat glabellar lines of the forehead it could lead to increased occurrence of ptosis (drooping eyelid) if injected by someone inexperienced with Dysport. The providers at Goldsboro Skin Center have injected hundreds of patients since Dysport was first approved.

Is Dysport Safe?

Dysport injections have been used safely and effectively for over fifteen years to treat many ophthalmologic and neurological disorders. Numerous safety studies performed in around the world have shown it to have an equal or more favorable safety profile than Botox. However, while rare some side effects can and occur. The most common side effects are temporary soreness or mild bruising around the injection site. Some people may experience a slight headache that lasts for several hours after treatment; it is safe to take a mild pain killer to relieve this. In a very small percentage of cases there can be a complication called "ptosis" (a drooping eyelid) which may last a few days or up to 4 weeks. Ptosis is not considered to be a normal side effect and is normally due to injector error or lack of injector experience.

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