So a little over a year ago Dysport® came on the market as a competitor for Botox®. We have now had vast experience with both. So which one is better? My opinion… both and neither. If you ask each manufacturer they will certainly tell you why theirs is better. While there may be subtle differences in onset and longevity both do the job and do it well. They both have made my patients very happy in Maryland and Baltimore Maryland. I think that the greatest advantage is to the patient, because there is now competition. While we really haven’t seen any decrease in the cost of Botox (as we had hoped) it hasn’t gone up in price either. Before the introduction of Dysport there was a consistent yearly elevation in the cost of a vial of Botox. Recently the price has remained relatively stable. Competition is good. Many of my patients have tried both and while some may like one over the other most are happy with either. At this point in time I think most physicians are comfortable with both. Just a few words of caution: First, I think it is important to go to the office of a board certified plastic surgeon or dermatologist to have this done. These physicians and their staff are specifically trained to use these products. Secondly, Botox and Dysport are used to soften or smooth small wrinkles. I have seen a trend recommending Botox to younger and younger patients (even 20 something) “to prevent the onset of wrinkles”. As of this writing I don’t believe there is any proof to support this theory and I have a hard time with the Idea of injecting a 20 year old. Lastly, I see ads and flyers all over the place for Botox “deals”. The price is only relevant if you actually know how much product you are getting. A “site” could get 25 units or 50 depending upon the dilution of the product. Always ask your doctor how many units you will be getting. For more on this you can see my older post “The Best Botox®”. If you are interested in injectables or a non-invasive cosmetic surgery procedure, contact my office to schedule an appointment at one of my three locations in Maryland or Baltimore Maryland.