The cost varies with each patient. Some patients want multiple areas treated and some patients have stronger muscles needing more of the medication injected in each area. Generally, the cost is between $200 and $600 per treatment.

After about 4-6 months the facial muscles, once weakened resume motion and the wrinkles caused by these muscles are again forming. It is best to receive repeat treatments every 3-4 months before the full effect has worn off so the wrinkles do not form again. To get the most benefit from treatments they are best done three or four times per year.

We use the tiniest needle to inject the medication and use ice and vibration on the injection site just before the injection to create a nearly painless treatment.

The injections take about 15 minutes to perform in our office. Initially, the injection sites appear similar to mosquito bites but are hardly noticeable after 20 minutes. You may go right back to work or play and no one will notice you had anything done. We recommend you not rub the areas injected and limit vigorous exercise for about 4 hours after the injections. On occasion, you may have a small bruise lasting about a week, but the bruise is easily covered with makeup.

Dysport works a bit faster than Botox by several days. You may see results in 1-2 days with Dysport and about a week with Botox. The full effect of both medications takes two weeks. Every patient is different, some needing more medication than others. On occasion it may require a touch up adding more medication to give the desired result. We always wait two weeks before additional injections to allow enough time for the medication to take full effect.

In Dr. London’s experience Botox and Dyport are equivalent in efficacy and duration of effect. However, Dysport starts working a bit faster.

There are many millions of injections of Botox/Dysport given per year worldwide. The results are most always very effective and pleasing to the patients. Like any medical procedure, your results can be largely dependent on the medical professional providing the service, the injector. These medications given in the wrong area or the wrong concentration can have adverse effects. Such problems include droopy eye brows or eye lids, blurred vision, and a crooked smile. In many medical spas or medical practices, a nurse or a physician extender rather than a physician will be the injector. Most will have the training and expertise necessary to give you a great result without any complications. At London Medical Spa these treatments are always and only performed by a board-certified physician ensuring that the injections are done safely, correctly and to your satisfaction.

When properly, administered Botox/Dysport injections will not be noticeable to the untrained eye. You will just look refreshed and relaxed. Your stress lines will be diminished or removed but your face will still be able to show expression normally.

Drugs like Botox/Dysport may be used in many areas of the body in addition to the face. These medications can be used in the underarm area, feet and palms to help with excessive sweating. They can be used in areas of the face and posterior neck muscles to treat migraines, in the bladder to treat bladder spasm and urinary incontinence, on the neck to help with muscles spasms and even in the vocal cords to help with voice disorders. A surprising side effect of botulinum toxin treatment is the injections may also help with depression. A study published in the journal Emotions in 2010 suggested that if Botox takes away some part of the facial expression, some of the emotional experience may also be lessened. However, more research is needed to validate and expand upon this research work.

Your skin is always in a state of repair. New cells are continuously being formed in the basal layer of the epidermis and over several months rise to the surface to be sloughed off invisibly. This process slows with aging. If the underlying muscle can be made to stop creasing (damaging) the skin, the skin will repair itself. This is how drugs like Botox/Dysport do their job. Combining regular chemical peels, micro-needling or laser resurfacing with the neuromuscular blockers will speed this process. The combination of Botox/Dysport and skin resurfacing is a powerful “1-2” punch for taking years from your facial appearance.