I have this conversation with patients several times over the day….

“Are Botox® and Dysport® the same?" "What is the difference between them? "How much do they cost?"

The answer is "Yes and no"! Confusing, I know.

So here is the low down….

Size:

There is no magic ratio, but I consider 1 unit of Botox® to equal 3 u of Dysport®. So, 20 units of Botox® will be around 60 u of Dysport®. ( This would be a standard dose in the area between the eyebrows.) They are NOT 1:1 and if anyone tells you otherwise, you are being under treated! The molecule of Dysport® is smaller so you need more of it. Also because of the size, there is more of a possibility that Dysport® will feather or disperse beyond the treatment area. This can aide in my treatment protocol if I would like my neuromodulator to spread over the treatment area. However, it could cause some concern if I really need it to be fixed.

Price:

This can be confusing as well especially when someone is advertising Dysport prices and calling it Botox®. I charge $13 per unit for the Botox and $4 for unit of Dysport because I am truly charging by the Dysport® unit. Some practices try to make them “equal” and charge $13 each, but this is not the case. You are still getting way more Dysport® units than Botox® units if they are treating you correctly.

Longevity:

They should last around the same time. I truly feel it depends on the individual.

Onset of action:

Some people feel Dysport® kicks in faster, but I feel there are mixed reviews on it. Again, I feel this is based on the individual.

My overall opinion:

If someone really likes that stiff feel or has really stubborn muscles, I recommend Botox®.

If someone does not want a stiff feel and desires more motion, I recommend Dysport®.

Everyone in between, I feel could go with either product and encourage everyone to try both. They both have great Rewards Programs and are owned by very good companies!

So, give them both a try! You can decide if YOU have a favorite!

Should I do Botox® or Dysport®?