Botox/Dysport - Related Questions

Q. I have deep lines under my eyes and I always look tired. Can Botox help this problem?

A. The answer is: MAYBE! I hate to be vague but there are many variables that can change my answer. If you are younger than 35, and are African American or Asian, the answer is usually YES. If you are Caucasian, and older than 50, it is often NO. Botox relaxes the orbicularis oculi that surrounds the eye and can cause a deep roll that makes the eye look tired. If Botox is injected, it relaxes this muscle and the lines and roll are smoothed. Older, white patients often have too much laxity from sun damage and Botox makes the eye look like it is sagging or sad, so they are not optimal candidates. Most people also need a really good eye cream and if you have allergies an antihistamine/decongestant can reduce some of the purple hue under the eye that makes it look tired.

Q. Can Botox actually cause me to get new "bunny lines"?

A. Yes. When the glabellar complex is injected, some patients can actually recruit other muscles to try to frown. The nasalis muscle can become stronger to compensate for the corrugators and procerus muscles being weakened by the Botox. This is easy to fix: a little Botox into the nasalis will correct it in just a couple of days.

Q. Which is better? Botox or Dysport?

A. Great question. Who knows? You likely have to try each on yourself to decide as I think that is the only way to really know. I think both are great, with high patient satisfaction. Dysport has a larger area of effect in my experience. That can be good or bad depending on the patient and the areas of the face it is injected to. Many feel Dysport is better on crow's feet because of the fewer needle shots needed as against botox. Many people in my practice are simply so happy with Botox, they refuse to try anything else (if it ain't broke, don't fix it").


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Lupo Center for Aesthetic and General Dermatology
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Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.

Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, adjunct professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.

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Review From Vanessa V.
Dr. Lupo is truly amazing. This was my first time with filler and not only did she ease my fears but also gave me the most beautiful result. She used just enough to accentuate the contours of my lips and face. Also, she used a product on me called Aqua Gold which gave me wonderful results. The tone, texture, firmness, and overall appearance of my skin was greatly improved. When I left her i felt absolutely FLAWLESS! I highly highly recommend her and her team!
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