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By admin on November 16, 2009
Both Botox and Dysport use the botulinum toxin from bacteria to reduce or eliminate certain wrinkles of the face. The toxin has been isolated, purified, and quantified so that the danger is virtually non-existent, when used properly by a physician who is qualified. The action of the toxin is to interrupt the impulse from the nerve to the muscle. This in turn paralyzes the muscle. Many of the wrinkles of the face are caused by continuous and long term contraction of the muscles, such as the frown lines or the Crow’s feet just lateral to the eyes. When these muscles are paralyzed, they cannot contract and create the wrinkles. The Botox/ Dysport must be injected in an exact location for best result and in the proper dose. An example of a complication would be a saggy upper eyelid. This is usually from the Botox being injected too close to the eyebrow or too large of a dose, and the toxin may drift into the muscle that opens the upper eyelid. Thus when this muscle is paralyzed, the eyelid droops.
Other actions of Botox/ Dysport are elevating or sagging the brow, according to where it is injected. Many people want to eliminate the forehead furrows. The problem is, the frontalis muscle in the forehead elevates the brow and at the same time causes the furrows of the forehead. If Botox is used to paralyze this muscle to eliminate the furrow, the brow cannot elevate and will thus sag until the effects of the Botox dissipate. The furrows in the upper part of the forehead, however, can be reduced or eliminated, but the Botox must not be injected within an inch or so of the brow. This may require some trial injections as people are not the same.
When the Botox/ Dysport is injected into the Crow’s feet, the outer brow is elevated, which is usually good, because it sags with age. An added benefit is when the brow elevates, the eyes are more open, a youthful appearance.
Botox and Dysport last about 3-4 months. My suggestion is to inject it every 3 months for a year which atrophies the injected muscle. Then an injection every 4-6 months is usually sufficient.