Dysport vs Botox

Dysport vs Botox

Table of Contents

  1. Introduction
  2. What Is Dysport?
  3. What Is Botox?
  4. Dysport Vs Botox
  5. Chemical constituents – Dysport vs Botox
  6. Chemical Parameters – Dysport vs Botox
  7. Pharmacological differences – Dysport vs Botox
  8. Dose – Dysport vs Botox
  9. Efficacy – Dysport vs Botox
  10. Approved Indications – Dysport vs Botox
  11. Dynamic and Static wrinkles – Dysport vs Botox
  12. Cost – Dysport vs Botox
  13. Procedure – Dysport vs Botox
  14. Results – Dysport vs Botox
  15. Good Candidate – Dysport vs Botox
  16. Side Effects – Dysport vs Botox
  17. Sustainability of Results – Dysport vs Botox
  18. The onset of action – Dysport vs Botox
  19. Natural appearance – Dysport vs Botox
  20. Conclusion
  21. Reference


The antiaging market in the United States is growing. Dysport and Botox are one of the preferred treatment options for wrinkles. Both drugs have similarities and dissimilarities. The active ingredient in both has been derived from bacterium Clostridium yet there are some subtle differences between both the anti-wrinkle medications. Apart from anti-wrinkle treatment, both the drugs are approved by USFDA in various other indications.

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What Is Dysport?

Dysport is a treatment for removing wrinkles. It was approved by USFDA in 2009. The drug is used to treat glabellar lines. These are the lines that are found in between the eyebrows. Apart from cosmetic treatment, the drug is also used for different conditions. The active ingredient in Dysport is abobotulinumtoxinA, a neurotoxin obtained from Clostridium Botulinum.

What Is Botox?

Botox is used for removing wrinkles. It is available in the form of powder for injection. It is reconstituted with sodium chloride before injection. Botox was approved for aesthetic treatment in the year 2002. The active ingredient used in Botox is onabotulinumtoxinA. Apart from cosmetic treatment, Botox is also used for various indications such as bladder dysfunction due to neurological disorder.

Dysport vs Botox

The temporary removal of wrinkles from the facial skin is on the rise. Various options are available to remove the wrinkles and to treat various facial conditions.  In most cases, a non-surgical treatment option is preferred over surgical options because of fewer complications. Quick recovery and early results are another reason to opt for non-surgical options to remove wrinkles.

Dysport and Botox are the two preferred options for the cosmetic surgeons for removing the wrinkles. There are certain similarities between the two and the dissimilarities.

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Both Dysport and Botox contain the ingredients derived from Botulinum Toxin and both are approved by USFDA for treating wrinkles. Both treatments are well-tolerated with fewer side effects. The treatment with Dysport and Botox is convenient for the patient as no hospitalization is required in both cases. Both are used for temporary removing the wrinkles and for sustainable results, follow-up injection of both Dysport and Botox is required.

Apart from the above similarities, there are a few differences between Dysport and Botox. Following are some of the dissimilarities:

Chemical constituents – Dysport vs Botox

Both Dysport and Botox are obtained from the botulinum neurotoxin synthesized by the bacterium Clostridium Botulinum. However, there are various types of the type A botulinum neurotoxins available. While Dysport contains abobotulinumtoxinA, Botox contains onabotulinumtoxinA. It is also to be noted that formulations containing all the type A neurotoxins are different and are not interchangeable.

Chemical Parameters – Dysport vs Botox

Specific potency of the 150kD is different for abobotulinumtoxinA and onabotulinumtoxinA. While abobotulinumtoxinA has a specific potency of 154 units/ng, onabotulinumtoxinA has a specific potency of 137 units/ng. It indicates that a higher amount of Dysport is required to achieve results like Botox. Molecular size in Dysport is smaller as compared to Botox thereby providing faster action to Dysport.  Because of the smaller molecular size and a higher rate of diffusion, the molecules of Dysport spreads to a broader area as compared to Botox. 

Pharmacological differences – Dysport vs Botox

There are pharmacological differences between Dysport and Botox. The addition of albumin as protective substances and volume of injection also alters the duration of action of the formulations. While interchanging both the formulation, the dose ratio should be determined. It is advised to approach the aesthetic surgeon which has ample experience in injecting both Dysport and Botox.

Dose – Dysport vs Botox

Dose for Dysport and Botox are different. These doses are non-interchangeable. Single-usee vial of Botox contains 50 or 100 units of onabotulinumtoxinA and multi-use vial of Botox contains 100 or 200 units of onabotulinumtoxinA. The powder should be diluted with sodium chloride before injecting it. On the other hand, the single-use vial of Dysport contains 300 or 500 units of abobotulinumtoxinA. While injecting botulinum toxin product for the first time, either Dysport or Botox, the lowest recommended dose should be used.

Efficacy – Dysport vs Botox

Contrary results are obtained from various studies. Some studies indicate that the duration of action of Dysport was longer as compared to Botox while other studies found no difference in duration of action. At least one study concludes that the onset of action of Dysport was quicker as compared to Botox and Dysport injection was also found to be less painful. 

Approved Indications – Dysport vs Botox

Botox has a broad scope in terms of approved indications. The indications approved for Botox not only include cosmetic treatment rather it is used in bladder dysfunction caused due to neurological disorders, upper and lower limb spasticity, hyperhidrosis, and cervical dystonia. Dysport is approved for cervical dystonia and lower limb spasticity along with the treatment of glabellar lines. 

Dynamic and Static wrinkles – Dysport vs Botox

Dynamic wrinkles are the lines that initiate from the glabella region and move upwards to the forehead. Static wrinkles are the lines that occur in the neck, jaw, and cheeks and occurs due to sagging skin. It is to be noted that both Dysport and Botox works on dynamic wrinkles and are not effective against static wrinkles.

Cost – Dysport vs Botox

The price of the injection of both Dysport and Botox varies depending upon various factors. The factors include an area to be treated, the experience of the surgeon, clinic infrastructure, number of sessions required and number of injections to be used. Further, the potency of both injections is different. Although the cost of Dysport is slightly lower in the United States as compared to Botox because of more quantity used as compared to Botox, there seems no significant difference in costs. The approximate cost of Dysport and Botox in the California region is $4-$5 and $10-$15 per unit respectively.

Procedure – Dysport vs Botox

The procedure for injecting Dysport and Botox are similar. Unless there are some specific complications, both the procedure takes a few minutes to complete. In both cases, the patients can go home the same day.

Results – Dysport vs Botox

The results obtained from Dysport and Botox yield similar facial experiences, provided the Dysport should be in a similar dose ration as that of Botox. As already discussed, more quantity of Dysport may be required as compared to Botox because of the low specific potency of Dysport.

Good Candidate – Dysport vs Botox

Both Dysport and Botox are injected in people who pass the minimum criteria. The candidates should not be pregnant, do not have hypersensitivity, has the age below 65 years and do not have a mild allergy. In the case of thick skin and skin disorders, Botox is not the preferred option.

Side Effects – Dysport vs Botox

Both the treatments are well tolerated with mild side effects. Because of its high potency, Botox has higher, although the slight, risk of botulinum toxicity. In rare cases, the side effects of Botox are more as compared to Dysport. Dysport may have side effects such as rash, headache, and pain at the site of injection. Patients with Botox may experience redness, swelling, numbness, and headache as side effects.

Sustainability of Results – Dysport vs Botox

Botox provides more sustainable results as compared to Dysport. The results of Botox remain for 6 months or more while the results of Dysport sustains for 3-4 months.

The onset of action – Dysport vs Botox

Dysport has a faster onset of action as compared to Botox. The results of Dysport can be seen in 2-3 days while the person has to wait for a week to notice the results from Botox.

Natural appearance – Dysport vs Botox

Treatment with Dysport has a more natural appearance as compared to Botox. This means that with Dysport, there is a little difference between the treated and untreated areas.

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Both drugs are effective and well-tolerated. Both have their advantages and disadvantages. There is no one among the two that is significantly better than the other. The efficacy of both medications varies from person to person. The results from these medications also depend upon the experience of injector and tolerability of the patient. Because the cost of both treatments is almost similar, the cost is not the deciding factor for choosing. Ask your aesthetic surgeon about the best option for you. Based on your skin type, the area requiring treatment, and your expectations, he is in a better position to advise you on the best option.



Dysport vs Botox
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