BOTOX® Cosmetic & Dysport® FAQs

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Learn the answers to frequently asked questions about BOTOX® at our Orlando medical spa. This information also applies to Dysport®, which is closely related to BOTOX Cosmetic and provides similar benefits.

Note: This information is not intended to be taken as medical advice; it is based on Dr. Kenrick Spence's many years of experience treating thousands of patients with BOTOX at his Orlando facial plastic surgery practice.

To take the first step to achieving smoother, rejuvenated skin with Dysport or BOTOX Cosmetic in Orlando, request a consultation online. Or, call the Hillcrest Dermatology & Plastic Surgery at (407) 999-2585, and our knowledgeable staff will be happy to help you.

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BOTOX Cosmetic & Dysport Questions Answered by Dr. Spence

When should I begin using BOTOX or Dysport?

At the Hillcrest Dermatology & Plastic Surgery, we have patients in their 20's using BOTOX or Dysport. These younger patients use these injectables for one of two reasons:

  • To treat early signs of facial aging, especially deep furrows between the brows.
  • To treat hyperhidrosis (excessive sweating), particularly in the armpits.

There is no wrong or right age to start using BOTOX or Dysport. In general, for younger patients, I recommend BOTOX Cosmetic because of its precision. For more mature patients with significant forehead wrinkles and sun damage, I usually suggest Dysport due to its effectiveness in diminishing those signs of aging.


If I stop using BOTOX or Dysport, will I have more wrinkles than before I started?

No, you will not have additional wrinkles. The accumulated effect of BOTOX or Dysport over time will result in fewer wrinkles. If you only use BOTOX or Dysport temporarily, you will not have more wrinkles when you stop.


Would it make sense to have BOTOX or Dysport just a few days before my wedding?

With such an important event coming up, I recommend the use of BOTOX or Dysport 14 days or more prior to the event, because it may take 7 to 10 days to achieve the most benefits. If you wait until just a few days before your wedding, you may not enjoy the full effects of your treatment. In addition, any minor asymmetry may become more noticeable. Find an experienced injector with whom you are comfortable and begin your treatments 3 to 4 months before, so you can achieve your ideal result by the time your wedding comes around.


I am worried about being overdosed on BOTOX or Dysport; can this happen?

The dosages of these injectables used at the Hillcrest Dermatology & Plastic Surgery are very well-tolerated and well within recommended dosing ranges.

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Will I have a frozen face with BOTOX or Dysport?

At our Orlando Med Spa, we are in constant pursuit of perfection, seeking to achieve a natural, youthful and refreshed look for our patients. We will adjust your BOTOX or Dysport dosage to achieve the right facial expression for you.


Can I get my BOTOX Cosmetic or Dysport the same day as my chemical peel?

We do not recommend lying down or massaging your face for at least 4 hours after your BOTOX or Dysport treatment. Therefore, we perform these injections after chemical peels but not immediately before. However, the BOTOX and Dysport injectors at Hillcrest Dermatology & Plastic Surgery will combine dermal fillers if desired.


How do I best prepare for my BOTOX or Dysport injections?

One of the most common side effects from BOTOX or Dysport administration is bruising. For that reason, we recommend that you stop all blood thinners at least 5 days before your treatment. Because many over-the-counter supplements have blood thinners in them, it important that you inform us of all the medications you are taking prior to your injection. Some common non-prescription blood thinners include vitamin E, fish oil, and garlic.

Certain stronger blood thinners require the advice of your primary care physician or cardiologist before stopping them such as Coumadin®, Plavix®, and aspirin.


What can be done for a drooping eyelid if it occurs after my injection?

There are two ophthalmologic preparations that are helpful: (1) 10 percent phenylephrine drops, and (2) Iopidine. Transient drooping of the eyelid is the most significant complication and occurs in less than 2 percent of all injections. This risk can be minimized by staying upright for four hours after your injection. If drooping eyelids do occur, they usually resolve in two weeks

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How painful are the injections?

The smallest needles are used, and patients report that it is much less painful than a local anesthetic. That sensation can be minimized with the use of ice or by taking two Tylenol prior to your injections.


Can I get BOTOX or Dysport if I am pregnant?

The safety of BOTOX and Dysport has not been proven during pregnancy. As a policy, we do not inject pregnant or nursing mothers with BOTOX Cosmetic or Dysport at the Hillcrest Dermatology & Plastic Surgery.


When injecting muscles at one site, will BOTOX or Dysport affect muscles elsewhere?

The effects of BOTOX Cosmetic are local and do not spread via the bloodstream.


Does the body make antibodies to BOTOX or Dysport?

Yes, antibodies to BOTOX Cosmetic or Dysport can occur. This development tends to be more of a problem for patients receiving larger doses, such as those with neurological disorders.


What can I do to avoid problems after my BOTOX or Dysport injections?

Do not massage the area injected. Remain upright for 4 hours after your treatment.


How do BOTOX and Dysport work?

Both composed of a purified form of the botulinum toxin, BOTOX and Dysport temporarily relax the muscles that you use when you smile, laugh, and frown. Over time, these repeated facial expressions can cause what are known as dynamic wrinkles, such as crow's feet and forehead lines. By relaxing the muscles, BOTOX and Dysport injections result in a smoother, younger-looking face.

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