Which is better, Botox or Dysport? How many units would be required to address my forehead wrinkles?

Question

Hello, I'm currently in the process of deciding whether to undergo either Botox or Dysport treatment within the next month or two. I'm considering the cost differences and was hoping to gain some insights into how many units of Botox or Dysport might be required. I've discovered that two local offices will be running specials in October: one offering Botox at $11 per unit and the other offering Dysport at $4 per unit.

Clayton Crantford · Accepted Answer

I use Botox and Dysport in my practice and do not have a preference. Typically one uses 3 units of Dysport for every 1 unit of Botox so the price difference is nominal. The most important factor is to find a licensed physician with experience who you are comfortable with.

Mehdi Sina · Accepted Answer

Hi,I typically inject between 16-20 U of botox to the forehead. I like botox and dysport equally, the main difference is that 1 U of botox is equivalent to 3 U of dysport, so if we estimate that you will need 20 U of botox or 60 U of dysport you are looking at $220 for botox vs $240 for dysport. In general, I discourage the practice of bargain hunting for cosmetic procedures. Look for someone reputable and pay their fee... If the injections are poorly placed, you can have a bad cosmetic outcome that may be difficult to correct. Best, Mehdi Sina, MD

Steven H. Williams · Accepted Answer

Hello,Thank you for sharing your question and photo.Typically you need 2.5-3x as many Dysport units compared to Botox units so the cost is approximately the same. Both products work well and most patients will find they cannot tell the difference between the two. I compare Botox and Dysport to Coke and Pepsi. I recommend my patients to try both and find their own personal preference.I would start conservatively if you are only planning to treat the forehead and not the glabella (area between the eyebrows), as sometimes it can cause the brows to feel heavy due to unopposed paralysis. I recommend simultaneous treatment of both the forehead and glabella for a more balanced result. 10-12 units would be a good place to start for the forehead alone. As always, please see an experienced, board-certified injector.Hope this helps!