Answer:
Botox and Dyport are nearly the same products. They differ only in the companies that manufacture them and in the inactive surface proteins that encapsulate the active molecule. Immediately upon injection the outer proteins are separated from the active molecule releasing it to bind the the nerve end-plates causing the clinical muscle relaxation. In my opinion, the onset and duration of Botox and Dysport are exactly the same. So, to answer your question, you can begin using Dysport as soon as your Botox begins to decrease in activity.

Posted by Dr. Buckingham

Answer:
That is a difficult question to answer without seeing you, but the answer is probably no. A droopy eyelid can be caused by a number of factors, but it can be summarized into three categories, brow ptosis, dermatochalasia, eyelid ptosis. Brow ptosis is when the forehead and brow drop causing the upper eyelid skin to fold and look more redundant and tired. In the case of asymmetry, sometimes the more droopy looking lid is the normal one and the person is really activating the forehead muscle and elevating the other side. This is the only situation that Botox may help. A browlift may also be needed. Upper eyelid dermatochalasia is when there is a redundancy of upper eyelid skin.  This is usually corrected with a blepharoplasty. At times a brow lift may also be indicated. Eyelid ptosis is when the actual eyelid margin is too low and covering the upper part of the iris (colored part of the eye) or pupil. This usually needs to be corrected surgically.

Posted by Dr. Buckingham

Dysport is very similar to Botox.  Dysport is another sub-type of botulinum-A toxin.  It can be used anywhere that Botox can be used.  The dosages are a little different, but that is for me to worry about.  The cost is essentially the same as Botox.  The onset of Dysport may be a little quicker and the longevity is about the same.  The procedure to inject Dysport is exactly the same as well as the recover.

Please let us know if we can be of any other assistance.

Ed Buckingham

Thanks for your question.  The frown lines between your eyes may be dealt with in a couple of ways.  The first question to ask is are they there only when you scowl or do you have a line even when the muscle is relaxed.  Lines that are their at rest are called static and lines there only with muscle activity are dynamic.  You have to deal with the dynamic component to have any lasting success with the static line.

The dynamic line may be dealt with using Botox or a procedure call Relaxed Expressions.  Botox is of course an injection.  It is very easy, inexpensive and effective, however you have to repeat it every 4 months or so.  Relaxed Expressions is a minimally invasive procedure that treats the nerve that goes to the muscle.  It has the potential to permanently reduce the action of the muscle, but still leave you with some expression.

The static line can be dealt with using fillers such as Restylane, Juvederm or Radiesse or using a resurfacing procedure such as Fraxel or a chemical peel.  Usually we use a filler, but if you have other facial skin concerns one of the other procedures may be more prudent.

We have further explainations of these procedures as well as before and after photos on the site.  Please take some time to educate yourself further and feel free to call for a consultation anytime.

Ed Buckingham