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What is Botox?

BOTOX Cosmetic, produced by Allergan, Inc., is a therapeutic muscle-relaxing agent derived from the bacterium, Clostridium botulinum. FDA-approved BOTOX Cosmetic is utilized as a treatment to correct the visible signs of stress and aging, improve the appearance of worry lines, frown lines, laugh lines, crow’s feet and other dynamic wrinkles.

How does Botox work?

The contractions and movements of the facial muscles are controlled by signals from the brain. BOTOX relaxes the muscles so they do not contract. After treatment, the overlying skin remains smooth and unwrinkled, while the facial muscles responsible for our expressions contract in a normal fashion, allowing normal facial expressions.

What is the Botox treatment like?

Botox is a simple and safe procedure. With a very fine needle, Botox Cosmetic is injected into the specific muscle that is contracting and causing the lines and wrinkles on the face. Treatment is effective, safe, and takes approximately 10 minutes. The pain is a minimal “pin prick” and no anesthetic is required. Immediately following treatment, you may resume regular activities!

How long does a Botox treatment last?

The effects usually last 3 to 4 months, and fade away gradually. Following several treatments, the results may last 4 to 8 months or longer. Botox Cosmetic offers extended relief over the course of long-term treatment.

Are there any possible side effects?

Side effects of Botox cosmetic, if any, are usually mild and temporary. Botulinum toxins contain proteins, which in some circumstances may be naturally safeguarded against by the body’s ability to produce antibodies. If antibodies are formed, the therapy will generate a lesser response. Temporary bruising is the most common side effect, although this usually resolves within 2 to 3 days.

What type of results will I see?

Typically, the effect of Botox cosmetic is visible within 3 days. If dynamic wrinkles make you look older than you are, cosmetic denervation can smooth these out and give you a more youthful and pleasant appearance. Botox cosmetic is often used in conjunction with other procedures performed at Hawaii Medical Skin Care Clinic. This includes skin rejuvenation and the use of injectable fillers for wrinkle correction. Hawaii Medical Skin Care’s expert Cosmetic Surgeon will determine how best to utilize Botox cosmetic for each individual client.


XEOMIN® (incobotulinumtoxinA) is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults.


Dysport was introduced to the cosmetic industry’s line of injectable treatments as a competitor to Botox, an injectable used to treat certain wrinkles which occur as a result of muscle movement. Like Botox, Dysport is derived from botulinum toxin, and is used to treat so-called “dymanic” wrinkles which occur as a result of facial movement, such as frowning or squinting. These wrinkles can be much more difficult to treat than “static” wrinkles, which occur when skin begins to sag with age. Common examples of dymanic wrinkles are crow’s feet and frown lines, also called “glabellar” lines.

Dysport was first developed in the United Kingdom in the 1990s as a treatment for certain neuromuscular disorders, and has been used in more than 60 countries for treatment of various conditions and disorders. The U.S. Food and Drug Agency approved Dysport for cosmetic use in the United States in May 2009.

What is Dysport Injection?

Treatment with Dysport takes only about 10 minutes, and involves injections of tiny amounts of the special solution beneath your skin, directly into the muscles that cause dynamic wrinkles to form. Only the muscles you desire to relax are treated, so that your results can be tailored to achieve the look you are wanting, without fear of a ‘frozen’ looking expression.

Like any injection, there may be some slight discomfort with Dysport treatment, and your Hawaii Medical Skin Care cosmetic surgery specialist will do everything advisable to decrease this, so that you have as pleasant and enjoyable of a visit as possible.

How Dysport Cosmetic Work?

During facial expressions, such as frowning and squinting, muscles contract, pulling the skin into folds and lines which are hard to eliminate or reduce. Dysport acts to block the nerve impulses that direct the muscles to contract, and therefore prevent the facial lines from forming. The effects of the Dysport injections will become more evident in the 2-4 days after administration of the Dysport, as the solution relaxes the muscles. Because only specific muscles are affected by the Dysport injections, the result is a natural, but less stressful, more youthful appearance.

Dysport Cosmetic Side Effects

Dysport is very well tolerated and side effects are minimal. In some patients, there may be slight bruising or swelling in the injection site, as well as some minor, temporary discomfort. In addition, a small number of patients may experience a headache following treatment, which can be treated with over-the-counter medications.

Additionally, a very small number of individuals may experience what is known as “ptosis,” or eyelid drooping. This condition will resolve within a few days to as many as four weeks following treatment. A very small percentage of patients may also experience flu-like symptoms or rash. These side effects should be reported to your doctor.

Dysport Cosmetic Results

The initial results of Dysport are visible within 2-4 days after the injections, and continue to increase for another few days as the product fully relaxes the underlying muscles. Physicians who have used both Dysport and Botox regularly, Dysport has been noted in many instances to have better “spread” – that is, to disperse more evenly in the treated area – and to give faster results. Some studies also report Dysport lasts 1 to 2 months longer than Botox, usually lasting from 5 to 8 months in most patients. Like any cosmetic product, your results will vary. Repeated courses of treatment prolong the results of Dysport treatment even further. You can ensure the best results possible by discussing your goals and expectations with your very experienced cosmetic surgeon at Hawaii Medical Skin Care prior to treatment with Dysport.

Before & After Gallery

Please browse our full Before & After Photo Gallery by clicking the button below. We can help you look and feel your best whether it be a new body shape and contour with Smartlipo Triplex and Cellulaze or youthful skin rejuvenation of your face, neck and décolleté with our Fotona QX Max Laser Treatments.

Hawaii Medical Skin Care