A. Yes you can have both on the same day. Often, people with lots of sun damage or those who waited too long to start Dysport (or Botox) have deeply etched lines that relaxing the muscle alone will not give full correction. Some filler into the skin can smooth those lines better than neuromodulation alone with Dysport can accomplish. I usually inject the Restylane L first so I can massage and make sure there is no lumping, then I do the Dysport (remember: never massage Dysport or Botox). Finally, it is imperative that this area be injected only by a board certified dermatologist or plastic surgeon. The circulation here is compromised and injecting in the wrong place can cause a serious adverse event.
Q. I am confused about the difference between Botox and Dysport. Which is better?
A. Both are good and both are currently FDA approved for frown lines and hyperhidrosis (excessive sweating). I use both in my practice. As a general rule, since I have been doing Botox for so long and have done clinical trials on it for FDA approval of new indications, I do use more Botox. If a patient has used Botox for years and has been happy, I simply do not see a compelling reason to switch. If, however, a patient is not totally satisfied, I recommend Dysport be tried. Perhaps it will last longer in some patients. It seems to cause fewer "crazy eyebrows" in patients with high foreheads. Some patients think it kicks in quicker. The only definitive way to know if you like one over the other is to try each for yourself since everyone is different.
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