Dysport in Calgary

Dysportat Rejuvenation Dermatology Calgary South.

Dysport is a botulinum toxin approved in Canada for the frown lines between the brows and used across the upper face to soften lines of expression. It works in the same way as Botox, with a slightly faster onset and a softer spread. At Rejuvenation Dermatology Calgary South, every injection is performed by Dr. Paul Kuzel, a board-certified dermatologist.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What it is

AbobotulinumtoxinA, and how it works.

Dysport is the brand name for abobotulinumtoxinA, a purified botulinum toxin type A. It has been approved in Canada since 2009 and in clinical use worldwide for over two decades.

MechanismInjected into a muscle of expression, Dysport blocks the signal from nerve to muscle so the muscle relaxes. The skin over it stops folding, and the line that folding creates softens. The effect is confined to the treated muscle and wears off as new nerve endings form.
Differences from BotoxDysport and Botox are the same type of toxin with different formulations. Dysport tends to take effect a day or two sooner and spreads a little further from the injection point, which suits broad areas such as the forehead. Its units are not interchangeable with Botox units; roughly two and a half to three Dysport units equal one Botox unit.
DurationEffect begins at two to three days, peaks at two weeks and lasts three to four months. With regular treatment the muscle weakens and the interval often lengthens.
Areas treated

Where Dysport is used.

The approved indication is the frown lines between the brows. The other areas are established uses, chosen at consultation.

Approved indication

Frown lines

The vertical lines between the brows produced by the corrugator and procerus muscles. The most common reason for treatment and the area where Dysport was first approved.

Established use

Forehead lines

Horizontal lines produced by the frontalis muscle. Dysport's wider spread suits this broad, flat muscle. Dose is balanced against the frown lines so the brow does not drop.

Established use

Crow's feet

Lines fanning from the outer corner of the eye on smiling, from the orbicularis oculi. Small doses placed away from the lid margin.

Established use

Brow lift

Relaxing the muscles that pull the brow down produces a subtle lift of the outer brow, opening the eye.

Established use

Bunny lines, chin and neck

Lines across the bridge of the nose, dimpling of the chin, and the vertical bands of the neck. Treated where they contribute to the patient's concern.

Medical uses

Sweating, migraine and jaw

Botulinum toxin is also used for hyperhidrosis, chronic migraine and jaw clenching. Those protocols are described on their own pages.

Excessive sweating
Why a dermatologist

Anatomy, dosing and the natural result.

A good result from Dysport is one that nobody notices. It depends on knowing the muscles of the face, how they balance one another, and how much to give each.

Muscle balanceThe forehead muscle lifts the brow; the frown muscles pull it down. Treating one without accounting for the other drops the brow or produces a peaked, surprised look. Dr. Kuzel doses the two together.
Dysport-specific dosingDysport's units and spread differ from Botox. Using Botox doses with Dysport, or the reverse, produces either no effect or too much. Dr. Kuzel uses each product on its own dosing.
Choosing the productFor most patients, Dysport and Botox give equivalent results and the choice comes down to onset, spread and price. For a few, one works better than the other. Dr. Kuzel uses both and recommends on the basis of your face rather than a house preference.
CoverageCosmetic Dysport is not covered by Alberta Health Care and is quoted at consultation, by area or by unit. Medical uses of botulinum toxin, such as hyperhidrosis and chronic migraine, are covered differently and are described on those pages.
Dysport or Botox

The two products, compared.

Both are botulinum toxin type A. The differences are small and practical, and either is a reasonable choice for most patients.

Onset

Dysport is slightly faster

Effect at two to three days for Dysport, three to five for Botox. Both peak at about two weeks. The difference matters to patients treating before an event.

Spread

Dysport spreads a little wider

This is an advantage on the forehead, where a broad muscle is treated with fewer injections, and a consideration near the eye, where precision matters and Botox is sometimes preferred.

Units and cost

The units are different

About two and a half to three Dysport units do the work of one Botox unit. Prices per unit reflect this, so the cost of treating an area is usually similar. Compare by area, not by unit.

Duration

Equivalent

Both last three to four months at standard doses. Some patients find one lasts longer for them; that is individual and is discovered by trying each.

Botox
Your visit

Consultation and treatment in one visit.

A Dysport appointment takes about twenty minutes. Treatment is usually performed at the first visit.

ConsultationWhat concerns you, what you want to keep, your medical history and any previous treatment.
AssessmentDr. Kuzel watches the face in motion and at rest and maps the muscles to be treated.
Plan and consentAreas, dose, expected effect, duration and side effects. The price is confirmed before treatment.
InjectionA series of small injections over a few minutes. No anaesthetic is needed.
Follow-upA review at two weeks if adjustment is wanted, then repeat treatment every three to four months.
Aftercare and safety

What to expect after injection.

Side effects are minor and short-lived when the product is placed correctly. The instructions below reduce them further.

After treatment

  • Small bumps at injection sites settle within an hour; a bruise, if any, within a week
  • Avoid rubbing the area, lying flat, strenuous exercise and alcohol for four hours
  • Makeup can be applied after a few hours
  • Effect begins at two to three days and is complete at two weeks
  • A mild headache on the day of treatment is common and passes
  • Uncommon: temporary drooping of an eyelid or brow, which resolves as the product wears off
  • Not used in pregnancy, breastfeeding, or with certain neuromuscular conditions

Booking and fees

No referral is needed for cosmetic treatment. Dysport is quoted at consultation, and the price is confirmed before anything is injected.

Call (403) 286-6888 for current pricing.

What to expect

Expected outcomes.

Lines of expression soften noticeably within a week and are at their smoothest at two weeks. Lines that are present at rest, from years of folding, improve over several treatment cycles as the skin stops being creased, and may not disappear entirely; those are treated with filler or resurfacing alongside.

The face still moves. The aim is to reduce the force of the expression that creates the line, not to remove expression. Patients who want a softer result are given a lower dose, and patients who want more can be topped up at the two-week review.

Effect lasts three to four months. Repeat treatment at that interval maintains the result, and the interval often lengthens with regular use.

2 to 3Days to onset 14Days to full effect 3 to 4Months per treatment
Questions

Questions about Dysport, answered.

Is Dysport the same as Botox?

Both are botulinum toxin type A and work in the same way. Dysport is formulated differently, takes effect a day or two sooner, spreads slightly further, and is dosed in different units. For most patients the results are equivalent. Dr. Kuzel uses both and recommends according to the area and the patient.

How much does Dysport cost in Calgary?

Dysport is quoted at consultation, by area or by unit. Because Dysport units are smaller than Botox units, the per-unit price is lower and the cost of treating an area is usually similar. Call (403) 286-6888 for current pricing.

How soon does Dysport work?

Effect begins at two to three days and is complete at two weeks. Patients treating before an event should book at least two weeks ahead.

How long does Dysport last?

Three to four months at standard doses. Regular treatment weakens the muscle over time and the interval often lengthens.

Will my face look frozen?

Not when dosed correctly. Dr. Kuzel treats the muscles that create the line while leaving the rest of the face moving, and doses conservatively at a first treatment, with a top-up at two weeks if more is wanted.

Does it hurt?

The injections are very fine and take a few minutes. Most patients describe a brief pinch. No anaesthetic is needed; a cold pack is available.

What are the risks?

Bruising and a brief headache are the common side effects. Uncommonly, product affects a neighbouring muscle and causes temporary drooping of an eyelid or brow, which resolves over weeks. Serious reactions are rare. Dysport is not used in pregnancy, breastfeeding, or with certain neuromuscular conditions.

Can I have Dysport in one area and Botox in another?

Yes. Some patients prefer Dysport on the forehead and Botox around the eyes. The products can be combined at the same visit.

Do I need a referral?

No. Cosmetic Dysport can be booked directly. Medical uses of botulinum toxin, such as hyperhidrosis and chronic migraine, are covered differently and are described on those pages.

Who performs the injections?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, performs all injections personally. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. No referral is needed, and treatment is usually performed at the first visit.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

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