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BOTOX® Cosmetic and Dysport®


More and more patients are using BOTOX® Cosmetic and Dysport® to address facial wrinkles. Think of it this way: muscles are attached to the skin on top of them. Every time the muscles contract, the skin must bend to allow movement. If the skin keeps bending in the same place, a wrinkle will form over time. BOTOX® Cosmetic and Dysport® work by paralyzing the muscles that create the wrinkle. With precise application, our plastic surgeon—John M. Sarbak, MD—can create certain changes in muscle balance for smoother, more youthful looking skin.

In some cases, the wrinkle is so deep that it is still present even though the muscle is paralyzed. For patients with severe wrinkles, the addition of a dermal filler (usually Restylane® or JUVÉDERM®) may be required to achieve the best results. BOTOX® Cosmetic can actually increase the duration of a filler by preventing underlying muscle movement.

What Is BOTOX® Cosmetic?

Injections of BOTOX® Cosmetic can reduce the appearance of facial wrinkling, including forehead creases, vertical lines between the eyebrows, crow’s feet, and fine lines around the mouth for approximately three to four months. FDA-approved for cosmetic purposes in 2002, BOTOX® Cosmetic has become one of the most popular nonsurgical injectable treatments, and over 11 million people have chosen this neuromodulator to reverse signs of facial aging.


With his thorough knowledge of facial anatomy, Dr. Sarbak brings an artistic hand and a surgeon’s precision to the injection of dermal fillers, BOTOX® Cosmetic and Dysport®.

What Is Dysport®?

Like BOTOX® Cosmetic, Dysport® is also a neuromodulator derived from botulinum toxin. This nonsurgical injectable has been used extensively in Europe and is becoming a more popular choice in the United States. Dysport® can be used to reduce the appearance of horizontal forehead lines, crow’s feet, furrows between the eyebrows, and frown lines.

BOTOX® Cosmetic vs. Dysport®

BOTOX® Cosmetic and Dysport® are very similar products with a few key differences. Both neuromodulators utilize botulinum toxin to temporarily limit the movement of overactive facial muscles. In some cases, BOTOX® Cosmetic can more precisely target wrinkles and lines of the lower face. Depending upon the patient, Dysport® can achieve a smoother result when treating forehead wrinkles or crow’s feet. During the consultation process, Dr. Sarbak will carefully examine your face, discuss your cosmetic concerns, and design a treatment plan that can meet your expectations.

How Are BOTOX® Cosmetic and Dysport® Injections Performed?

Both BOTOX® Cosmetic and Dysport® are delivered to the treatment area using a very thin needle. The number of injections will depend upon your personal goals and the customized treatment plan designed by Dr. Sarbak. A topical numbing agent can be applied to the injection sites before the treatment to maximize your comfort. The procedure can typically be completed within 10-15 minutes. The treatment time is extended by fifteen minutes for patients who opt for a topical numbing agent. Many of our patients are able to schedule their BOTOX® Cosmetic or Dysport® treatments during their lunch break or in between errands.

How Long Do BOTOX® Cosmetic and Dysport® Last?

The results of BOTOX® Cosmetic usually last 3-4 months, while Dysport® results can last up to six months depending upon the patient. Women and men who wish to maintain their results with BOTOX® Cosmetic or Dysport® can easily schedule follow-up treatments with Dr. Sarbak.

What Are the Side Effects of BOTOX® Cosmetic and Dysport®?

There is no associated downtime associated with BOTOX® Cosmetic or Dysport® injections, and most people resume their normal activities immediately. In some cases, mild side effects are possible. At the injection sites, patients may notice slight redness. Though uncommon, localized pain or minor bruising may occur. In very rare instances, neuromodulator injections may cause an eyelid to droop or an uneven smile. Dr. Sarbak’s expert skill, knowledge, and experience with BOTOX® Cosmetic and Dysport® helps prevent asymmetrical results like these from occurring. Patient should also note that there is also a very small percentage of the population—about 1%—who may have no response to BOTOX® Cosmetic or Dysport®.

How Much Do BOTOX® Cosmetic and Dysport® Cost?

Since Dr. Sarbak customizes each BOTOX® Cosmetic and Dysport® treatment, there is no one set cost for the procedure. Variables that may impact the price of your injectable treatment include which injectable is used, the number of injection sites, and if a dermal filler is added to compliment the effects of the neuromodulator. At the conclusion of your consultation, Dr. Sarbak can provide you with a quote for the cost of your BOTOX® Cosmetic or Dysport® treatment. Our practice has also partnered with CareCredit®, which allows qualified patients to receive low-interest financing and affordable monthly payment plans.

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