How do Botox® and Dysport® work?

Botox® and Dysport® are both FDA approved neuromodulators that work by preventing muscle contraction and thereby relaxing unwanted lines that add age and fatigue to our faces. The injections are given directly into the muscle and can improve forehead lines, frown lines, crow’s feet, bunny lines on nose, lip lines, a down-turned or gummy smile, droopy brows, a dimpled chin, a square jaw (masseter muscle), and platysmal neck bands.

Improvement is initially noted 2-3 days after injection but may take up to 2 weeks for full effect. Botox® generally lasts about 3-4 months whereas Dysport® may last 5-6 months. Patients who adhere to a regular “maintenance” schedule will actually prevent wrinkles from getting deeper with age and help “freeze” the aging process.

Why should I choose Dr. Gupta?

Performing Botox®/Dysport® injections requires a thorough working knowledge of the musculature of the face and neck. As an oculofacial surgeon, Dr. Gupta operates on the face and neck routinely and as such, has an in-depth understanding of the location and function of each muscle. This knowledge in conjunction with Dr. Gupta’s artistic and meticulous technique is key in attaining a safe and natural result. As Botox and Dysport® are not recommended for every patient, a thorough evaluation is essential to determine if one is a good candidate for these injections.

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BEFORE/AFTER GALLERY: BOTOX®/DYSPORT® INJECTIONS

Patient #1 – please click on any image to enlarge, see details and slideshow

Before
Note crow's feet.

After
After injection, he can still smile, but without the lines!

Before

After

Before

After

Patient #2 – please click on any image to enlarge, see details and slideshow

Before at Rest
Note prominennt forehead lines in this young male.

Before with Brow Elevation
Lines are now very deep with elevation of the brows.

After
After injection, lines are much softer at rest and there is no unnecessary brow elevation. The forehead muscle will thus be kept at bay.

Patient #3 – please click on any image to enlarge, see details and slideshow

Before
Uneven brows and forehead lines. Tired look.

After
After injections, brows are more even and forehead is smooth. Refreshed, rested look.

Closeup, Before

Closeup, After

Patient #4 – please click on any image to enlarge, see details and slideshow

Before
Note prominent platysmal neck bands under chin.

After
After injections, neck bands are markedly relaxed for a more youthful look.

Patient #5 – please click on any image to enlarge, see details and slideshow

Before
Deep forehead lines: tired look.

After
After neuromodulator injections, the forehead is smooth yielding a more refreshed look.

Patient #6 – please click on any image to enlarge, see details and slideshow

Before
Prominent frown/scowl lines: angry look.

After
After injections, the frown muscles are relaxed and the look is softer and more pleasing.

Patient #7 – please click on any image to enlarge, see details and slideshow

Before
Note forehead lines, crow's feet and droopy/heavy brows.

After
After neuromodulator injections, uplifted look with diminished forehead lines, and crow's feet. The brows have been lifted with a nice arch and opening of the eyes.

Clinical Study:

As a leading national expert in injections, Dr. Gupta was asked to participate in an efficacy study of various anti-wrinkle creams as compared to Botox injections. 3 subjects from this study are shown below (Patients 8, 9, 10). For each, half of the face received a single session of Botox injections and the other half received topical cream daily for 3 weeks. The photos below depict the results after 3 weeks. You be the judge-which side looks more refreshed?

Patient #8 – Received Botox on her Left Side; Cream on her Right