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Botox® and Dysport®: Which One is Better? (Spoiler Alert! You may not like the answer.)

By March 22, 2021March 31st, 2021No Comments
Dysport® and Botox® are basically the same

What are the differences between Botox and Dysport?

Both Dysport and Botox treatments assist in smoothing fine lines on your face to help you appear more youthful. Both Dysport and Botox are considered safe and effective for the temporary treatment of moderate to severe wrinkles. Botox and Dysport both work by blocking nerve signals to the muscles, temporarily weakening muscle contraction. With less movement, lines and wrinkles are softened leaving a more rejuvenated appearance. There is even some evidence that when used regularly they can prevent wrinkles from forming.  

Before we discuss the differences, we must be clear that the differences are very slight and can differ from person to person and from study to study based on the endpoints of the study. One thing that can be said is that Dysport and Botox are two different parts of the same larger botulinum toxin with slight differences which are covered below. The research literature is complicated regarding these differences. Without getting too scientific we can say the molecules are different sizes and nobody has been able to really define the different effectiveness based on size, or weight of the molecule, or paralyzing effect. And all three of those things have some impact which has not been well figured out. SO, other than some subtle differences, which are not exactly consistent across different studies, it’s really a Pepsi vs. Coke type of comparison. The real answer is it depends on your individual preference as a patient. This preference can be based on past experience, because each individual is different, or financial considerations in terms of the company loyalty programs or if there is a special on one of the products. You can decide with your doctor during your consultation which is best for you. And yes, you do not have to use either one exclusively. With either Botox or Dysport, you will look great and look more refreshed. So what is the difference? 

Main Differences: 

  • Quickness 
  • Time on market 
  • Cost/Loyalty Programs 
  • Product 
  • Safety/Allergic Reactions  
  • Side Effects & Pain Levels 


Dysport works slightly faster and spreads out slightly more. Dysport can be noticeable after 2-3 days and lasts between 3 to 4 months on average. Botox starts to work in 3-5 days and takes full effect in 5-10 days on average and lasts between 3 to 4 months on average. Some studies found Dysport starts to wear off quicker but still lasts longer and is about equal to Botox later in the 12 week time period. The time each lasts varies for each individual patient. 

Time On Market 

In 2009, Dysport was FDA approved. Botox is also FDA approved but has been around for decades. Both are safe. However, Botox has a longer history and is more popular as the main industry brand name. You can try both at different times and see for yourself. 

Dysport Costs & Loyalty Programs 

Dysport and Botox cost roughly the same amount. However, Dysport sometimes offers loyalty programs if you are a regular patient. 

Dysport Product 

Dysport has slightly different particles, protein buffers and velocity of spread than Botox. Translation: Dysport works slightly faster and spreads out a little more to treat a larger area. So it may be better for large areas like the forehead and not as good in places where we are concerned about moving into other muscles that we do not want to effect Botox may be preferable to smaller areas like around eyes.Both have the same active ingredient with minor formula differences and produce extremely similar results. 

Dysport Safety & Allergic Reactions

Both Dysport and Botox are FDA approved and safe. The neurotoxins are absorbed into your body and essentially wear off over the course of 3-5 months on average. It is extremely rare to have an allergic reaction for either product. If you do develop allergy to either one, it may even be possible to switch to the other one, but you would have to discuss that in detail with your doctor. Dysport and Botox are equal in terms of safety and quality. 

Dysport Side Effects & Pain Levels 

Both Dysport and Botox are similar in terms of slight pain levels which is mostly related to the needle. Side effects profiles are very similar. Patients may experience some minor and temporary stinging, bruising, redness, itching, or burning at the injection site.Patients may even experience a headache, dry mouth, or tiredness but these are usually minimal and temporary. There is always the potential that they will affect different muscles and cause unwanted weakness. This is related to the patient and the injection technique of your doctor. Proper technique should always be used to achieve the desired result for a given patient and a specific area of the face. For that reason, your doctor’s experience is one of the most important considerations when choosing a practitioner.

Is Dysport Or Botox Right For Me? 

Focus on who is administering the injections instead of which brand is better. A skilled physician will have the experience to attain your goals and help you look your absolute best. Both Dysport and Botox show fantastic results and are safe when administered by an experienced professional. At MGMD Aesthetics we tend to use them almost interchangeably. However, because we make very specific customizations based on your goals, facial structure, age, muscle movements and many other individual characteristics, Dr. Green may decide to use one instead of the other.

So to answer the original question: Botox and Dysport are extremely similar treatments. Neither one is clearly better than the other. 

More questions about Dysport or Botox? At MGMD, we have recommended both to our happy patients, always based on your needs and preferences combined with our expertise. Schedule a free consultation today and feel free to ask us questions at any time at:  773-549-4772 or visit 3355 N Lincoln Ave, Suite 12 in Chicago or fill out our contact form here

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