“Botox” and “Dysport” against hyperhidrosis: treatment of excessive sweating using the injection method

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The anaerobic bacteria Clostridium botulinum produces a neurotoxin. A-hemagglutinin type neurotoxin, commonly called botulinum toxin, is used in cosmetology to smooth out facial wrinkles. This is due to the fact that botulinum toxin drugs have the ability to block the processes that ensure neuromuscular transmission.

Correction of crow's feet in the corners of the eyes, photos before and after the procedure

Our clinic primarily uses the drug Dysport. Dysport is often compared to Botox, since these drugs are most often used in cosmetology. The difference lies in the country of origin (Dysport - France, Ipsen / Botox - USA, Allergan). Back in 1996, the authoritative journal Journal of American Academy of Dermatology published the results of large-scale clinical studies showing the absence of a statistically significant difference in the clinical effectiveness, duration and side effects of both drugs. The number of units of Dysport is always administered more than the units of Botox, this is explained by their different activity.

“As a result of the administration of botulinum toxin, a break in the nerve innervation of the muscles and blocking the functioning of the exocrine glands is replaced by the process of restoring the impaired innervation due to the regrowth of the lateral processes of the nerve terminals of the axon endings. Accordingly, 5 months after the procedure, muscle contractions in the area of ​​facial wrinkles will be restored, and after 7 months, the blockage of postganglionic sympathetic nerves in the treatment of hyperhidrosis will end.”

How is the procedure done with DISPORT?

Forehead correction with Dysport before and after the procedure

During the diagnosis and analysis of the patient’s specific wishes, the doctor pays special attention to anatomical features and certain facial movements, which make it possible to determine how mobile and expressed the client’s facial muscles are, and, having predicted the results of the changes, proceeds with injections.

A prerequisite for the procedure is to inform the patient about the potential effects of botulinum toxin administration. The patient provides written consent for the injection; then, based on preliminary studies and taking into account the client’s wishes, the doctor marks the injection zones.

To ensure complete patient safety, injections are performed with disposable insulin syringes with non-removable needles. Injections into the muscle are made quite deeply, but due to the characteristics of drugs based on botulinum toxin, the injections are completely painless. After administering the drug, the injection points are quickly treated with an antiseptic, then ice is applied for 10 minutes. The total time of the entire procedure usually does not exceed 15 minutes. The advantage of this procedure is that there is no recovery period. DYSPORT injections, it is recommended to exclude:

Correction of wrinkles in the eye area with Dysport

In our clinic we use the drug DYSPORT (DYSPORT) - this is a local muscle relaxant, which is a purified neurotoxin complex of botulinum toxin type A. It has high diffusion compared to other drugs due to its lower molecular weight. Often used to treat hyperhidrosis (excessive sweating). The drug is supplied to the clinic in powder form and must be diluted in saline. The concentration of the drug is determined by the doctor and depends on the recommendations of the manufacturers and the physical condition of the patient.

After injections, the patient must maintain an upright position for 4 hours. You cannot touch your face, visit a bathhouse or sauna, or sleep with your face in a pillow. The lifting effect occurs already 5-6 days after the injections, which only increases over time and reaches its maximum after 10-15 days. It is during this period that you should see a doctor so that he can evaluate the result obtained and, if necessary, make corrections. The result of botulinum therapy lasts on average from 4 to 6 months.

During the day you should not:

• head and body tilts
• lifting weights
• massage in the injection area
• drinking alcohol

For two weeks you should not:

• staying in an environment characterized by high temperatures (saunas, solariums, beaches)
• hot compresses
• taking antibiotics

What are filler injections?

Preparations based on hyaluronic acid (dermal fillers) for contouring are a special gel that is injected under the skin. It has a dense consistency and replenishes the lost volume of a certain area of ​​the face, corrects asymmetry, and models the oval.

Often such correction is necessary due to age-related changes or due to genetic predisposition. Modern dermal fillers are absorbable (biodegradable). They are absorbed naturally in the body. We work with certified drugs - Juvederm, Neuramis.

The advantage of contouring is that hyaluronic acid preparations activate natural rejuvenation processes. They stimulate the production of natural collagen and elastin. After the manipulation, patients note that the skin has become more elastic, moisturized, and elastic. Duration of effect is up to 1 year. Then the procedure is repeated.

Hyaluronic acid is used to correct nasolabial and eyebrow folds and shape the oval of the face. It is also used to create the shape of the chin, cheekbones, and lip augmentation.

An alternative is facial lipofilling - natural rejuvenation through transplantation of your own adipose tissue. In addition, the transplanted fat contains stem cells, which serve as an additional source of rejuvenation.

Contraindications to the use of Dysport

• hypersensitivity to the drug
• myasthenia gravis (excessive fatigue of striated muscles) and myasthenic-like syndromes
• soft tissue infections in injection areas
• taking aminoglycosides, spectinomycin, relanium, anticoagulants, baclofen, antiplatelet agents
• pregnancy
• lactation
• age up to 2 years
• generalized movement disorders
• bleeding disorders
• exacerbation of herpes
• hemophilia
• chronic obstructive pulmonary diseases
• renal or liver failure

Dysport injections are successfully used to smooth out deep wrinkles. Due to the relaxation of active muscles, the skin becomes smoother. By systematically repeating the procedure (the number and period are set by the doctor), deep folds are neutralized and the formation of new ones is prevented. The maximum positive effect can be achieved through the combined use of Dysport with chemical peeling, biorevitalization, and contouring.

What is the difference between Botox and filler?

Both manipulations are injectable - drugs are injected using a very thin needle. Their difference is their different composition and method of action.

Dermal fillers do not affect muscle contraction, they solely replenish volume. The procedure is recommended to eliminate superficial and deep wrinkles that arise due to insufficient tissue volume.

Hyaluronic acid improves the condition of the skin, botulinum therapy does not affect the quality of the skin. Under the influence of Dysport, a natural smoothing of wrinkles occurs. The first result is noticeable after 2-3 days, the final result after 2-3 weeks. The effect of dermal filler is noticeable immediately.

Many patients ask - what is better to inject - Botox or filler under the eyes and between the eyebrows? Everything is individual. However, Dysport is often used for the upper third of the face, and fillers with hyaluronic acid are used for the lower third.

Effect and required number of procedures

The muscle relaxant effect appears a few days after injection of the drug. Impact at the cellular level is provided for:

• endocrine glands and skin - after 1-5 days;
• limbs, neck and large muscles - from one to two weeks;
• face, hands and laryngeal muscles - after 2-7 days.

But in practice, personal deviations from the norm are also observed. Often after injections there is an immediate effect. But a four-week delay is also possible. Reinnervation appears a couple of months after the procedure. This is a guarantee of 100% restoration of muscle contractions within 4-6 months. The effect of Dysport injections may last longer. There are cases when the period reached one year. The individual characteristics of patients play a large role in this matter. Numerous studies in the field of histology show that even several dozen repetitions of injections into one muscle group do not lead to atrophy.

Cosmetology product Dysport

Dysport is an innovative product that helps fight all manifestations of age-related changes, as well as excessive sweating. It effectively smoothes expression wrinkles around the eyes and on the forehead, eliminates deep creases in the nasolabial fold, and also allows for correction of the shape of the lips. Blocking the activity of the sweat glands will help get rid of the problem of hyperhidrosis, which cannot be controlled with standard hygiene products.

Complications that may occur

After administration of Dysport, undesirable local reactions may occur. These include:

• painful sensations in the injection area - may last no more than a day;
• microscopic hematomas - last no longer than a week;
• lacrimation (very rare);
• ptosis (15% of cases are associated with treatment of blepharospasms);
• rarely, eversion of the eyelids;
• inflammatory processes on the ocular cornea;
• systemic reactions that manifest themselves in general weakness of the body, falls - when using large doses of Dysport. They are stored for seven days.

Within thirty days from the date of the procedure, all of the listed side effects disappear on their own. Therapeutic effects and intervention of medical specialists are not required. Therefore, Dysport injections are popular in the beauty industry and aesthetic sphere.

Results of the procedure

When thinking about how much facial Botox costs, whether prices are affordable in a prestigious clinic, you should understand that by using the services of a certified center and experienced specialists, you will be able to protect yourself and get a good result. By the end of the first week after the procedure, patients notice visible changes:

• smoothing out small and medium wrinkles, while large ones become less noticeable;
• the face looks much younger and fresher;
• the skin becomes firm and elastic;
• any manifestation of emotions now does not cause the appearance of wrinkles and creases.

The effect lasts a long time, but gradually the effect of botulinum toxin weakens - the transmission of nerve impulses will be restored, so it is important to immediately consult a doctor about the next course of treatment. Usually 1-2 times a year is enough to constantly maintain youth and beauty.

Cost of Dysport injection at D. Grishkyan’s clinic in Moscow

Dysport injections cost

Indications for botulinum therapy

Finding a clinic for injections of Dysport or Botox for the face at the best price in Moscow is relevant for those patients who want to get rid of: wrinkles (including crow’s feet, cords, pouches on the face and neck);

• drooping corners of the mouth;
• blepharospasm;
• hyperhidrosis in the palms, soles and armpits.

Despite the fact that therapy is most often recommended for patients aged 35-50, you can resort to a similar method of improving appearance at 25 - now the manifestations of aging begin to bother you quite early due to a busy lifestyle and unhealthy environmental situation.
Doctors prescribe a course of treatment to correct:

1. Static wrinkles that appear with age due to decreased elasticity and firmness of the skin.
2. Dynamic wrinkles, which are considered the result of active activity of the facial muscles.

If dynamic defects can be corrected with facial injections of Dysport or Botox, then static ones are best eliminated with a combination treatment - using both injections and other lifting techniques.

Who is it contraindicated for?

Before the procedure, possible contraindications are identified that exclude the possibility of this type of treatment.

These include:

• pregnancy and lactation;
• myasthenia gravis;
• period of exacerbation of any chronic diseases;
• infectious processes are acute and sluggish;
• allergic reaction to drugs containing protein components;
• blood diseases, in particular hemophilia.

Certain restrictions may apply to patients taking certain medications, including:

• antibiotics;
• muscle relaxants;
• tranquilizers;
• antiplatelet agents;
• anticoagulants, etc.

Dysport cannot be used during the course, or for 2 weeks after its completion.