Expression wrinkles - how to remove them?
The fastest way to get rid of small, medium and even deep expression wrinkles is botulinum toxin injections, such as Dysport, Botox or Xeomin.
- To get results you only need 1 procedure
- The effect lasts up to 6 months
In which areas can wrinkles be removed?
Expression wrinkles in the upper third of the face respond well to correction:
- forehead
- between the eyebrows
- bridge of the nose or bridge of the nose
- outer corners of the eyes (“crow’s feet”)
With the help of botulinum toxin injections, you can change the shape of the eyebrows and correct the asymmetry of the corners of the mouth.
In addition, injections of Dysport, Botox or Xeomin provide good prevention of the formation of new wrinkles.
Result from botulinum toxin injections (Dysport, Botox)
The first result will become visible within 2-3 days, and the maximum effect will appear within a month.
Depending on the age and condition of the skin, the resulting effect lasts up to 6 months.
Procedure for correcting facial wrinkles
When does the effect occur after the administration of Dysport?
You should not expect a lightning-fast effect, since it takes time for the neuromuscular blockade. The clinical effect is achieved from the 7th to the 14th day. The result lasts up to six months. It is strictly forbidden to touch or massage injection sites. After the procedure, active facial expressions for an hour are desirable (frowning and being surprised).
Recommendations after the procedure: avoid alcohol, salty foods and thermal treatments (solarium, bath, wraps, massages) for two weeks.
The calculation of the dose of Dysport is influenced by factors such as:
- floor
- age
- anatomical features of facial muscles
- correction zone
To correct wrinkles in the upper third of the face (forehead, bridge of the nose, crow's feet of the eyes), an average of 140-160 units of Dysport is required.
Attention! Approximately 3% of people are resistant (immune) to botulinum toxin type A. In this case, the procedure will have no effect.
INDICATIONS FOR THE AREA OF NASOLABIAL FOLDS
An injection session with botulinum toxin is recommended for the following reasons:
- The presence of pronounced asymmetry (uneven contours, drooping corners).
- Presence of facial expression problems.
- A smile that reveals teeth and gums.
- The habit of constantly pursing your lips.
This procedure is the best way to correct and eliminate visible imperfections without surgery. At the same time, the skin is smoothed, the lips acquire symmetry and visual volume. During the course of the remedy, the patient stops constantly straining the muscles and everything is restored naturally.
What problems does dysport solve?
The skin on the face is directly connected to the underlying muscles. Therefore, during facial expressions, wrinkles form in the forehead, bridge of the nose and eyes. When facial muscles are blocked, the skin is able to completely smooth out, while folds and wrinkles disappear. Dysport eliminates facial wrinkles, but does not have a lifting effect; it is not able to eliminate excess skin. Only surgical lifting can do this. This issue is especially relevant for patients who believe that the later they start taking injections, the better. Indications for Dysport: wrinkles on the forehead, in the bridge of the nose, around the eyes and lips, correction of the shape of the eyebrows and treatment of hyperhidrosis.
Procedure for correcting facial wrinkles
Correction of facial wrinkles is a short procedure that lasts only 5-10 minutes.
The procedure consists of several injections at certain points on the face - in those areas where you need to limit your facial activity.
The effect of the drug is local, so your face will retain its natural lively facial expressions and mobility without the “mask effect”.
Before the procedure, the cosmetologist will find out if you have any contraindications to the drug, and if there are none, he will give you injections.
Botox or Dysport, which is better?
What side effects can occur after the administration of Dysport?
Side effects with the correct technique of performing the procedure are practically eliminated. Therefore, it is very important for the patient to understand that injections should only be performed by a doctor with knowledge of the anatomy of facial muscles. Possible complications are not associated with Dysport itself, but with the wrong method and site of administration, inadequate dose, or failure to maintain sterility. It should be remembered that all complications are reversible. Possible drooping of the upper eyelid and eyebrows, double vision, and swelling of the eyelids.
Local side effects can be expressed in the form of pain, the formation of microhematomas at the injection site, headaches, which go away on their own within a week.
Dysport - what is it?
Dysport, or botulinum toxin, is a substance that can cause temporary paralysis of the muscle into which it is injected. Dysport was originally used in neurology to eliminate the effects of excessive muscle tension. During use, not only a therapeutic, but also a cosmetic effect was noted, so today Dysport is better known as a drug used for beauty rather than for health.
“Dysport” is the name of a botulinum toxin-based drug produced in America. There is also Dysport, manufactured in France, and Xeomin, created in Germany. There are virtually no differences between these drugs, since each of them is based on botulinum toxin, but “Dysport” is a less concentrated drug, and “Xeomin” is a more purified drug.
What is the difference between Botox and Dysport?
The difference between Botox and Dysport, in addition to different manufacturing companies, is storage conditions and the number of active units in the bottle. In terms of tolerability, effectiveness, duration of action and the presence of side effects, there are no differences between them. The ratio of Botox and Dysport activity units is constantly rewinding. The ratio currently accepted for calculation is 1:3.5. That is, for example, 10 units of Botox correspond in activity to 35 units of Dysport. This is the reason for the difference in the cost of 1 unit of the drug. In the case of Dysport, it will be 3.5-4 times cheaper than Botox. But the total cost of the procedures will be approximately the same.
Prices for DYSPORT injections in Moscow
Type of injection | Number of units | Cost, rub. |
injections with Dysport | 1 unit | 110 |
Botox injections | 1 unit | on request |
Dysport injections in the forehead | 50-100 units | 5 500-11 000 |
Dysport injections into the glabellar space | 30-50 units | 3 300-5 500 |
Dysport injections into the outer corners of the eyes | 20-40 units | 2 200-4 400 |
A cosmetologist will help you determine the exact number of injections required, as well as the number of units for using the drug in different areas, at your initial appointment.
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Indications
The procedure is used in such cases if you are concerned about:
- wrinkles in the outer corners of the eyes;
- frontal wrinkles;
- drooping corners of the mouth;
- “upturned” eyebrows;
- increased sweating of the feet, armpits or palms, not associated with an increase in ambient or body temperature.
Contraindications
The administration of French botulinum toxin is contraindicated in:
- intolerance to botulinum toxin itself, lactose or albumin;
- myasthenia gravis;
- elevated body temperature;
- dermatitis in the area of proposed injections;
- coagulation disorders;
- oncopathologies;
- aged less than 18 or more than 65 years.
If Dysport injections are contraindicated for you, our specialists will select another anti-wrinkle remedy.
Briefly about Dysport injections
- Duration
- 10-20 minutes
- Periodicity
- Drugs
- Anesthesia
- Recommended course:
- The effect occurs:
Comparison of Botox and Dysport
Since both drugs are botulinum toxin, it is logical that a person will be interested in the question of which one is better and more profitable to administer to him. Let's compare Botox and Dysport based on the main indicators:
Sign | Dysport | Botox |
Manufacturer country | France | USA |
Appearance of the effect | From the third day | By 5-7 days |
Maximum effect | By 10-14 days | By 10-14 days |
Features of the drug | Able to penetrate adjacent muscles, which allows you to create a more natural effect when immobilizing large areas | Acts locally, which is necessary for the correction of small, limited wrinkles |
Preferred Administration | “Crow’s feet”, forehead, bridge of the nose, work with the lower third of the face (only an experienced doctor) | Eyebrows, purse-string wrinkles, inner corners of the eyes |
Cost per unit* | 110 rub. | 350 rub. |
*manufacturers operate with their own units and they do not belong to any measure of magnitude, and the ratio of Dysport to Botox units is 3 units. to 1 unit, then we can say that the final cost of the procedure with one or another drug is approximately the same.
Thus, it cannot be said that one drug is worse and the other is better. They are different. Only a doctor can choose exactly the one that you personally need!
How to prepare for the procedure
To avoid side effects as much as possible, you need to prepare for the administration of Dysport. This involves giving up three days before the procedure:
- alcohol;
- antibiotics;
- procedures that will provide a rush of blood to the face: facial massage, cosmetic procedures, bending over (even for trying on shoes).
The evening before the injection of Dysport, do not sleep on your stomach. An increase in blood circulation in the area of botulinum toxin injection leads to its rapid destruction and to the spreading of the drug over nearby muscles. This collectively weakens the effect.
How dangerous is Dysport?
Information about the dangers of the drug is too exaggerated. Initially, botulinum toxin was used to treat spastic muscle conditions in infants, including spasmodic torticollis and severe blepharospasm. Then they began to treat migraine headaches with its help. And when it is injected into the facial muscles, they relax, which is also not a harmful effect. On the contrary, during the immobilization of the muscles, the skin will be able to recover and synthesize the necessary components within itself.
How does the procedure work?
Regardless of where the drug is injected - into the nasolabial folds or near the eyes - the procedure follows a standard scenario:
- Calculation and discussion with the patient of the required dosage.
- Determination of active zones where Dysport will be administered. If you need to remove wrinkles, the doctor will ask you to tense the desired muscle (squint your eyes, wrinkle your forehead). If the drug is needed to treat excessive sweating, then the procedure itself is preceded by a test with iodine and starch - this is how the zone of greatest activity of the sweat glands is determined.
- The selected zones are marked with dots - injections will be performed there.
- The injection area is treated with anesthetic cream (Very rarely, because the procedure is performed with the finest needles and is painless).
- The surgical field is treated with an antiseptic.
- Dysport injections are performed.
- The injection sites are cooled.
- You can return home.
What to do after injections
To ensure that the skin recovers faster and the drug does not dissolve and spread to neighboring areas, after the injection you need to follow several rules - refuse within 2 weeks:
- sleeping on your stomach;
- drinking alcohol;
- playing sports;
- facial massage;
- thermal procedures: paraffin therapy, wraps, baths, saunas;
- food that will lead to fluid retention in the body (it will not only cause swelling, but also interfere with the work of Dysport). These are salty foods, beer, large volumes of liquid;
- tanning
What are the complications from the administration of Dysport?
The drug is effective and low-toxic, so consequences from injections are rare. This:
- headache;
- numbness of a large area of the face;
- skin redness;
- swelling under the eyes;
- xerophthalmia;
- tissue ptosis;
- facial asymmetry;
- double vision.
Swelling and bruising after injections are not a complication. This is a normal reaction of the body to the injections themselves.
If you want to eliminate wrinkles or stop excessive sweating, contact our clinic! We have been working successfully with the drug Dysport for a long time, so we know all the nuances of its administration!
Our doctors
Konorezova Victoria Vladimirovna
Doctor Dermatovenereologist
Cosmetologist
Vaganov Nikolay Vladimirovich
K.M.N.
Plastic surgeon
Romanova Liana Gadzhibalaevna
Doctor Dermatovenereologist
Cosmetologist
What they say about our clinic
How is the introduction of Dysport combined with other procedures?
Dysport injections are successfully combined with fillers, biorevitalizants, and bioreparants. The only condition is a break in time between procedures, usually 2 weeks after botulinum therapy. The same rule applies to chemical peels. If peeling has already been carried out, then Dysport injections can be performed after complete skin regeneration.
Photorejuvenation, AFT-rejuvenation, thermolifting and other hardware procedures are excellently combined with Dysport injections, but do not forget that by improving metabolic processes in the skin, the restoration of neuromuscular transmission is enhanced and the effect of botulinum toxin is neutralized, that is, the duration of action of the drug is reduced.
A positive combination was also noted with blepharoplasty and surgical lifting.
The effect and result of the procedure depends on many factors.
Let's look at frequently asked questions.
Disadvantages of hyaluronic acid
Excess injected hyaluronic acid often leads to filler migration. This process occurs gradually, that is, a person may not detect the fact that part of the lip filler has gradually descended in small lumps into the chin area.
In this case, considering the question of “Dysport” or hyaluronic acid: which is better for the lips, we can conclude that botulinum toxin wins. Despite the fact that the effect it creates is less pronounced and applies only to the upper lip, there will be no unpleasant consequences from the injection.
The second factor that people who want to change their appearance in a cosmetologist’s office should pay attention to is the effect of injections on the immune system. Despite the fact that the hyaluronic acid in the preparations is close in chemical composition to that in the body, it is still synthetic and not natural. Therefore, people with highly sensitive immune systems may experience an allergic reaction or rejection of the filler.
There is no effect from the administration of Dysport.
Causes:
- resistance to botulinum toxin type A. This group includes patients with a history of tetanus or other cross-diseases, as well as genetic insensitivity to this group of drugs. Further actions: increase the dose. If the effect is not achieved, then use other correction methods.
- antibiotic therapy during the botulinum therapy procedure. Further actions: repeat the procedure two weeks after antibiotic therapy.
- Resistance due to frequent injections or small doses You should not inject Dysport more than once every 4-6 months. When small doses are administered, a vaccination effect and “addiction” to the drug occurs. Further actions: you can do the procedure 6 months later, at least after complete restoration of facial activity.
Validity
It is logical to compare two drugs with different mechanisms of action, but similar in results, from the point of view of the duration of the effect they create, then it will be clearer which is better to inject.
“Dysport” or hyaluronic acid remains in tissues for approximately the same period. After introducing botulinum toxin into the muscles, the result will be noticeable after approximately two weeks, when the upper layer of the epidermis is worn off, and will last for 6-8 months.
How long hyaluronic acid will remain in the tissues depends on the thickness of the gel. The composition for biorevitalization, characterized by a minimum density, will moisturize the skin for two months, and filler for contouring will preserve the result for up to a year.
It is important to understand that the stated boundaries do not apply to all fillers; they can only be applicable to preparations based on hyaluronic acid.
But a significant difference between the two products, which will partially answer the question “Dysport or hyaluronic acid: which is better?”, is the fact that over time resistance to Dysport develops. That is why it is not recommended to start injecting it too early, so that by the age of 45-50 you do not encounter the problem of the body’s lack of sensitivity to any permissible dosages of botulinum toxin.
Hyaluronic acid can be injected in any quantity and with any frequency; the result of the injection will depend only on the quality of the drug and the professionalism of the specialist, and not on the age of the patient or the number of similar procedures he has performed previously.
Severe swelling
Causes:
- Failure to comply with the doctor’s post-procedure recommendations, namely: drinking alcohol and salty foods within a week after the procedure
- The dose is too high Further actions: if the swelling does not go away within a week, then you should consult a doctor for corrective manipulations.
Once again, we draw your attention to the fact that the procedure for administering botulinum toxins can only be carried out by a cosmetologist. Take care of your health and beauty!
Author of the material: Cosmetologist G.V. Fattaeva All rights reserved.
About the nuances of the procedure
We have already written that Dysport does not act on the surface of the skin, but on its internal capabilities and facial muscles. Therefore, the effect of Dysport is aimed at tense facial muscles, blocking them with brain signals. Despite the targeted use of the toxin, injections with this substance have certain contraindications. The cosmetologist raises this topic during the first visit. You must understand that there are cases when it is undesirable to do such manipulations. Injections with botulinum toxin are not recommended:
- before the age of 12; up to 18 years of age they are possible for medical reasons if it is necessary to remove an aesthetic defect;
- Since we are talking about Dysport injections as a rejuvenating procedure, the main category of patients who come to us on this issue are women over 30 years old; Of course, exceptions are possible;
- during pregnancy (it has been proven that the components can harm the baby);
- during breastfeeding, as the substance may pass into milk;
- in the presence of pathologies and ailments that are associated with blood clotting;
- during exacerbation of chronic diseases;
- for diseases of the nervous system;
- if there are inflammatory processes in the body, especially in the intended injection area;
- oncological diseases
- during a course of taking antibiotics, antiplatelet agents, anticoagulants (the prohibition is associated with the general weakening of the body at this moment).
The cosmetologist is obliged to check you for individual intolerance to the drug. If it is, then under no circumstances should you receive injections with botulinum toxin. In addition, if you have allergic reactions, the procedure may be dangerous for you, therefore it is considered a contraindication.
CONTRAINDICATIONS
When carrying out therapeutic and corrective measures, the drug is injected into the nasolacrimal ducts. This is a rather painful and dangerous session, so you need to know what restrictions exist.
It is prohibited to inject Dysport into the nasolabial area in the following situations:
- When using potent drugs (antibiotics).
- Bleeding disorders.
- Chronic diseases (especially during periods of severe exacerbation).
- Infections (herpes, various rashes).
- Pregnant and nursing mothers.
- Endocrine disorders.
- Kidney and liver failure.
- Damage to the skin in places where the healing process is planned.
- Menstruation.
- Oncological diseases (blood diseases, myasthenia gravis).
- Allergic manifestations.
- Personal intolerance to protein (protein).
- Insensitivity to neurotoxins (very rare).
As you can see, half of the restrictions are temporary. Therefore, injecting DISport toxin will be allowed after treatment. After finishing taking antibiotic drugs, botulinum toxin can be administered after 14 days.
DRUGS
There are three main products that are used to perform anti-aging activities:
- Botox.
- Xeomin.
- Dysport.
The principal effect of these botulinum toxin agents is to block nerve impulse stimuli in the facial irregularities of the upper and lower areas around the lips, so they are paralyzed and relaxed. But specialists, in order to enhance effectiveness, use fillers that contain hyaluronic acid.
TECHNIQUE OF THE PROCEDURE
The execution scheme is quite simple, but only specially trained doctors in a clinical setting have the right to inject Dysport injections.
Before the start of the medical and cosmetic procedure, patients:
- Warn about existing contraindications and restrictions.
- Examinations are carried out to identify the optimal points for injections.
- A survey is conducted to record facial habits (this calculates a strict number of Dysport units to achieve maximum effectiveness).
After diagnosis, the place where the drug will be injected is disinfected and anesthetized. Using a thin needle, the product is introduced into all points. Approximately a certain number of doses are injected into the treated area (calculated individually - 5-20, distributed over several points - 2-4). At the end of the session, an ice compress is applied to the area for 4-5 minutes to reduce swelling.
This cosmetic and therapeutic process helps to lift nasolabial folds and significantly rejuvenate the face.