BOTOX® and Dysport® are two leading injectable treatments used to smooth fine lines and reduce dynamic wrinkles caused by habitual facial expressions like frowning or squinting. These neuromodulators work by temporarily relaxing the facial muscles that create wrinkles, resulting in smoother, younger-looking skin. Whether you’re seeking subtle enhancement or preventative care, both options provide effective solutions with little to no downtime.
At Specialists in Plastic Surgery in Raleigh, NC, our experienced providers offer both Dysport® and BOTOX®. We customize your treatment based on your facial anatomy, aesthetic goals, and preferences to ensure natural-looking results.
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What Is BOTOX®?
BOTOX® is an FDA-approved injectable derived from botulinum toxin type A. It has been widely used in both medical and aesthetic fields for over two decades. BOTOX® is a trusted injectable treatment valued for its precision and proven safety. It also holds multiple FDA approvals for medical uses such as chronic migraines, hyperhidrosis, TMJ disorders, and overactive bladder, making it one of the most versatile injectables available.
When used for aesthetic purposes, BOTOX® targets muscles responsible for expression lines, like crow’s feet, forehead lines, and frown lines between the eyebrows. Initial results become noticeable in 3 to 5 days, with full effects lasting around 3 to 4 months. Its predictable effects and controlled application make it especially suitable for smaller, targeted treatment areas.
Effectiveness and Results Compared to Dysport®
Both BOTOX® (onabotulinumtoxinA) and Dysport® (abobotulinumtoxinA) are FDA-approved neuromodulators that effectively reduce the appearance of dynamic facial wrinkles. Each has unique properties that may make one more suitable depending on the treatment area and individual anatomy.
A 2018 clinical review published in the Journal of Drugs in Dermatology found that while both products are effective, they differ in diffusion and localization. Dysport® tends to diffuse more widely, which can be beneficial for treating broader areas like the forehead. BOTOX® remains more localized, which may be preferable for small, targeted zones like glabellar lines and crow’s feet.
Results from both injectables typically last between three to four months, though this may vary based on muscle activity, dosage, and metabolism. Your provider will assess your facial structure, treatment goals, and response history to recommend the best option for your needs.
What Is Dysport®?
Dysport® is also a botulinum toxin type A product and was FDA-approved in the U.S. in 2009 after being used extensively in Europe. Similar to BOTOX®, it smooths expression lines by relaxing the underlying facial muscles. With a faster onset and wider diffusion, Dysport® is often preferred for smoothing larger treatment zones like the forehead.
Some patients describe Dysport®’s effects as having a softer, more blended look, which can be beneficial for those looking for a subtle, natural finish. It’s also a popular choice for individuals with more active facial muscles or for those seeking results in a shorter timeframe, sometimes as quickly as 24 to 48 hours.
Dysport® vs. BOTOX®: Key Differences
While both injectables contain the same active ingredient, there are several key differences to consider:
| Feature | BOTOX® | Dysport® |
| Onset of Results | 3 to 5 days | 1 to 3 days |
| Duration | 3 to 4 months | 3 to 4 months |
| Diffusion/Spread | More localized | Spreads more easily |
| FDA Approval Year | 2002 (cosmetic use) | 2009 |
Although unit-to-unit comparisons aren’t interchangeable, your provider will adjust dosage to ensure both products yield safe and effective results.
Why Choose BOTOX®?
BOTOX® remains the gold standard for wrinkle-relaxing injectables. Here’s why many patients and providers prefer it:
- Highly targeted results: Ideal for precision treatments like brow lifts, crow’s feet, and vertical frown lines.
- Reliable timeline: Effects begin in a few days and last 3 to 4 months.
- Extensive clinical backing: Decades of safe, effective use with multiple FDA-approved applications.
- Trusted brand reputation: Known globally for delivering predictable, high-quality results.
BOTOX® is also a great option for first-time patients who want a conservative, controlled approach to softening lines without altering natural facial expressions.
Why Choose Dysport®?
Dysport® has distinct advantages, especially for those who need quick results or have broad areas of concern:
- Faster onset: Results may appear within 24–72 hours—ideal before events or photoshoots.
- Greater diffusion: Spreads easily, allowing for a smoother appearance in large zones like the forehead.
- Natural-looking outcome: Softens lines while preserving expression.
- Potential extended longevity: Some patients report longer-lasting effects, especially in high-motion areas.
It’s often preferred by patients seeking a soft, refreshed look with fewer injection points.
Safety and Side Effects
When administered by experienced professionals, both BOTOX® and Dysport® are considered safe and effective. Side effects are usually mild and resolve quickly:
- Redness, swelling, or tenderness at the injection site
- Minor bruising
- Temporary headache or feeling of tightness
In rare instances, side effects like drooping eyelids or asymmetry may occur but typically resolve on their own. Following post-care instructions and selecting a board-certified provider greatly reduces risk.
Tips for Reducing Side Effects:
- Avoid alcohol, aspirin, or NSAIDs before treatment
- Don’t rub or massage treated areas
- Keep your head elevated for a few hours post-injection
Frequently Asked Questions
How long do results last?
Typically, 3 to 4 months, depending on metabolism, muscle activity, and dosage.
Can I switch between BOTOX® and Dysport®?
Yes, some patients alternate between the two depending on availability, results, or provider recommendations.
Is there a difference in cost?
Overall treatment costs are usually comparable.
Is one better than the other?
Not necessarily. The best product depends on your facial anatomy, goals, and how your body responds.
What’s the difference between neuromodulators and fillers?
Neuromodulators like BOTOX® and Dysport® relax muscles to reduce wrinkles, while dermal fillers add volume to areas like the cheeks and lips.
What age should I start treatment?
Many begin in their late 20s or early 30s as a preventive measure, but it’s effective at virtually any age.
Choosing the Right Injectable for You
There’s no universal answer when it comes to choosing between BOTOX® and Dysport®. Both deliver excellent results when used appropriately. At Specialists in Plastic Surgery, our expert injectors will assess your facial anatomy, skin condition, and goals to develop a customized plan.
Whether you’re new to aesthetic treatments or looking for a refined refresh, we’re here to help you feel confident and look naturally rejuvenated.
Schedule your consultation today to discover which wrinkle-relaxing solution is right for you.