Botox/ Dysport

Botox/ Dysport injections are a simple and popular method by which one can treat dynamic wrinkles in the upper part of the face, namely the forehead. These wrinkles appear as a result of the activity of muscles that are responsible for facial expression. These muscles are, in turn, attached to the overlying skin. Injection of this material is done in small, yet highly effective, quantities. The injections are performed with exceptionally small needles. Recovery is almost instantaneous, and side effects are either non-existent or minimal and short-lived. The injections are performed in the clinic without any need for local anesthesia. Botox/ Dysport injections are suitable for treatment of wrinkles located on the forehead, between the eyebrows, and around the outer angle of the eyes (near the temple and right above the cheek-bone).
Note that injection of Botox/ Dysport into the skin around the outer angle of the eye may also help in elevating the outer ends of the eyebrow.

It is recommended that one cease taking any blood thinners at least one week before treatment in order to avoid any excessive bleeding or bruising. Furthermore, if one suffers from herpes in the upper region of the face, treatment with oral Zovirax is highly recommended in order to prevent any further outbreaks.

Any pre-existing weakness of the face may worsen with Botox/ Dysport injections, mainly due to the underlying mechanism of the treatment. Therefore, it is recommended that one refrain from Botox/ Dysport treatment if there is any medical history of facial muscle weakness.

Botox/ Dysport injections are suitable for those with wrinkles caused by usage of expression muscles. It is popular amongst those older than 30 years of age, when wrinkles start to appear. Consistent treatment with Botox/ Dysport injections prevents both the worsening of existing wrinkles and the formation of new ones. Furthermore, regular treatments with Botox/ Dysport injections prolong the effectiveness of the material.


The effectiveness of the first treatment normally lasts about 3-4 months. This period is prolonged with consistent treatments thereafter.

During the pre-treatment consultation, examination of the face, including symmetry assessment and location of wrinkles, is performed.
1. Wrinkles on the forehead caused by contraction of the forehead muscle (frontalis muscle)
2. Wrinkles between the eyebrows caused by contraction of muscles during periods of anger (procerus and corrugator muscles)
3. Wrinkles seen on the outer sides of the eye angles caused by contraction of the muscle surrounding the eye (orbicularis muscle)
Botox/ Dysport is named after the first commercial material marketed. Botox/ Dysport contains the material Botulinum Toxin A, a substance that is artificially synthesized from the existing toxin created by Clostridium Botulinum bacteria. There are other materials in the market that work by the same mechanism, such as Dysport. This material prevents musculature contraction by silencing the communication between nerve and muscle. The body normally breaks down this material slowly until the muscle regains full contracture ability. The process of this “break-down” can take between 3 to 6 months.
Treatment is completely reversible. The effectiveness and success of Botox/ Dysport has caused a significant decrease in the number of surgeries for face and eyebrow lifting.

At the end of treatment, one must refrain from direct pressure on the area and minimize physical activity for at least one day. Any pressure or activity can cause dispersal of the material to undesired locations and cause uncomfortable side-effects.

During the first few days after treatment there may be slight bleeding and bruising, redness, and local irritation and swelling. These signs go away after a few days.

The effects of Botox/ Dysport injection are visible only after several days to a whole week.

Botox/ Dysport can also be used to treat other conditions, such as excessive sweating. By injecting several doses of Botox/ Dysport into the armpit, the frequency and severity of sweating can be significantly reduced—thus minimizing embarrassing underarm sweat marks. This treatment too is performed in the clinic.

Possible complications of Botox/ Dysport injection are very rare, and may include:

  1. Bleeding and bruising
  2. Infection and Herpes outbreak
  3. Temporary weakness of local muscles

Additional information about Botox/ Dysport injection will become available during the pre-surgical consultation.