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Adam G. Tattlebaum M.D.
Dysport in Washington


Dysport or Botox?

Most of my patients are familiar with Botox. Botox cosmetic is an injectable that relaxes facial muscles that cause dynamic wrinkles such as forehead lines, and crows feet around the eyes. Botox cosmetic made by Allergan. It has been around for over 25 years, and is extremely high safe and effective. In 2009 a new toxin, for cosmetic use, Dysport, was approved by the FDA. Dysport is sold by a company called Medicis (also the company who makes Restylane and Perlane), its been in the United States for about five years, but was used in Europe for years where it was called Reloxen. My patients often ask which is better Botox or Dysport or even the newest product Xeomin and which I prefer.

So here’s some food for thought:

Botox cosmetic and Dysport are very similar and they are both good products in the right hands. They both have good safety records and they both work in the same way. Dysport is dosed differently than Botox The mechanism of muscle weakening is the same. Cost is similar, but can vary by dose In most studies patients and doctors could not tell the difference. Some believe that Dysport may start working sooner than Botox, but it may not last as long. Dysport is a smaller molecule so it may spread in the tissues more easily. Some doctors feel this may give it a softer look, but others are concerned that it may go where it is not wanted. Some feel that you may need more Dysport to achieve the same result as Botox which could make it more expensive.

My humble opinion:

Personally I like both and use both, but Botox is still by far the most popular in my practice. It is the most heavily marketed toxin in the United States and is the most widely know. I had hoped that with competition in the market, pricing would be better, but the cost is about the same to doctors and patients. Because of Botox brand recognition and strong consumer incentive packages (see Brilliant Distinctions) my patients tend to ask for it and stay with it. As a plastic surgeon, I feel that because they are dosed differently using mainly Botox is a bit safer for my patients. Please remember the most important thing: The person injecting you and their approach is much more important than the product itself.
Cosmetic Surgeon in Maryland

A Word From The Doctor

Welcome to my new and updated website. I hope you find it not only better than my old one, but different from the many others you may be looking at.

As a Maryland plastic surgeon I worry that there is not only too much plastic surgery information on the internet to sort through, but that much of it is more hype than substance. I hope you will consider this new site a teaching tool. I have put it together in an effort to answer the most common things my patients want to know.

I hope as you read this site, you will have a sense of how I think cosmetically and how I have approached my patients. By no means is my way the only, but the thinking that I have used and honed over the past 18 years has served me well. I hope it will be of benefit to you.

Each patients results will be different depending upon their goals and starting situation, but I try to present here concepts that will be helpful in considering what is right for you.

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