Stress and worry lines are an inevitable part of life, with some of our patients developing these concerns in their late teens and twenties. Powerful wrinkle relaxers, such as Botox®, Dysport®, Daxxify™, and Jeuveau®, help Dr. Fishman bring better balance to the face and relax excess muscle activity which lead to bothersome lines — whether the vertical stress lines between the brows, horizontal forehead worry lines, or excessive smile or so-called “crows feet.” While Botox®, Dysport®, Daxxify™, and Jeuveau® are all FDA-approved for cosmetic indications in the United States and act to relax excessive muscle activity, these wrinkle fighters have individual and significant nuances, making some medications better suited for certain patients than others. During your one-on-one consultation with our expert facial plastic surgeon, Dr. Fishman evaluates your health, anatomy, and aesthetic goals to determine which wrinkle fighting medication may be right for you.
Besides its cosmetic indications, Botox® and similar medications like Dysport and Jeuveau are used for lots of functional reasons, including migraines, vocal cord and swallowing problems, and bladder and muscle spasms. Botox® has been thoroughly tested for many indications over several decades, and has a good safety record. Because Botox® and similar medications have not been tested on pregnant or breastfeeding women, Dr. Fishman does not treat these patients with cosmetic wrinkle relaxing medications.
Dr. Fishman uses a tiny needle to inject Botox®, Dysport®, and Jeuveau®, resulting in minimal discomfort. Both she and her patients describe Botox®, Dysport®, and Jeuveau® treatments as varying from “nothing” to a “tiny bee sting,” and to decrease discomfort further, Dr. Fishman sometimes employs cold compresses, topical numbing medication, a vibration distraction device, and ProNox (laughing gas) during treatments.
The most common side effects of Botox®, Dysport®, and Jeuveau® include temporary redness, swelling, and mild tenderness at the injection sites, though most patients are able to return to their daily routine within 20 minutes of injection without much evidence of treatment. Some patients report a headache the day after treatment. Rare risks include a drooping eyelid or heavy forehead; these are temporary, and usually resolve before the remainder of the Botox®, Dysport®, and Jeuveau® treatment wears off.
Dysport® is an injectable muscle-relaxing medication FDA-approved for the cosmetic treatment of frown lines (so-called glabellar lines). Dr. Fishman uses Dysport® Cosmetic for this indication, as well as a variety of other “off-label” uses, including horizontal forehead lines, crows feet lines around the eyes, bunny lines or the wrinkles at the bridge of the nose, around-the-mouth lip lines, overly dimpled chins, dynamic neck bands, and excessive sweating in the scalp, face, underarms, and decolletage.
Dysport® is similar to Botox® both in its chemical structure and effect. Because every patient has unique variations in anatomy and function, one of these medications may be more appropriate than others for each individual patient.
Cosmetic Dysport® treatment is a minimally uncomfortable procedure that is a powerful tool to rebalance facial features, smooth lines, decrease excessive sweating, treat bruxism or tooth grinding, and slim the face and jawline
Regular use of Dysport® may prevent lines and smooth out lines already present on the face
Some patients report decreased migraines and tension headaches after cosmetic Dysport® treatment
During Dysport® treatment, Dr. Fishman injects the targeted muscles — the frowning muscles between the eyebrows, for example — with a small amount of Dysport delivered via a tiny needle. Patients usually return to work or social activities immediately after their appointment. The Dysport® medication does not work right away, and usually requires 2-4 days to start showing its effects of muscle relaxation and subsequent wrinkle softening.
Besides its cosmetic indications, Dysport® is used for a variety of functional reasons, including muscle spasticity disorders. This medication has been thoroughly tested for a variety of indications over several decades, and has a good safety record. Because Dysport® has not been tested on pregnant or breastfeeding women, Dr. Fishman does not treat these patients.
Dr. Fishman uses a tiny needle to inject Dysport®, resulting in minimal discomfort. Both she and her patients describe Dysport® treatments as varying from “nothing” to a “tiny bee sting,” and to decrease discomfort further, Dr. Fishman sometimes employs cold compresses, a topical numbing medication, a vibration distraction device, and ProNox (laughing gas) during Dysport® treatments.
The most common side effects of Dysport® include temporary redness, swelling, and mild tenderness at the injection sites, though most patients are able to return to their daily routine within 20 minutes of injection without much evidence of treatment. Some patients report a headache the day after treatment; this happens in about 10-15% of patients and resolves within 1-2 days. Rare risks include a drooping eyelid or heavy forehead; these are temporary, and usually resolve before the remainder of the Dysport® treatment wears off.
Daxxify™ is the newest neuromodulator or wrinkle relaxer on the market. Having received FDA approval in September 2022, Daxxify™ is an effective and long-lasting wrinkle relaxing medication which also improves skin quality through proprietary peptide technology.
Daxxify™ works much like Botox and Dysport, though its duration is longer for some patients. As a facial plastic surgeon with over 10 years of aesthetic experience, Dr. Fishman says, “Options and choices are a good thing, and in the US, our choices for injectable medications are much more limited than those of our international colleagues. The science behind Daxxify is exciting, and this promises to be a good addition to our practice.”
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