Blog with Dr. Irwin

Tag >> Dysport

I just had Dysport injections a few days ago. Both of my brows are considerably lower, and both eyelids are droopy as well. Although that is a problem in itself, the more important situation, is my right eyelid is drooping so much that it is covering my eye! My neighbor said it looks like I've had a stroke! Is there anything at all that I can do to reverse this and if not, how long will I have to suffer with it?
Okay - I don't want to sound like a nag but........ have you called your doctor???  He/she is the person who needs to hear about this!   And, yes there are things to help you with this... more

I had 60 units of dysport injected a week ago in my forehead/between my brows for the first time. I am very unhappy with what seems like the bridge of nose being widened making my eyes seem wideset and the lids are heavy. My forehead feels like cement and my eyes kind of ache. Do you think the distorted look of my eyes and nose will resolve?

To reassure you, the effects of Dysport/Botox are temporary and will resolve.  It's difficult to predict the time frame but in general it takes 3-6 months to wear off completely.  You may... more


At a recent consultation re forehead wrinkles the surgeon told me that he did not recommend injecting the forehead only. Instead he suggested injecting in the middle of my brow and forehead as this gave more control. He said with forehead only the botox would defuse and I might end up with wonky eyebrows. Is what he suggests a real risk or and I being swindled into having 2 areas done and therefore paying double??

This is why I don't like the "area" method of billing for Botox.  You don't really know, do you?  If the Botox is billed by volume (we do it this way) or units (many offices), then you... more


I had 60 units of dysport injected a week ago in my forehead/between my brows for the first time. I am very unhappy with what seems like the bridge of nose being widened making my eyes seem wideset and the lids are heavy. My forehead feels like cement and my eyes kind of ache. Do you think the distorted look of my eyes and nose will resolve?

First, let me reassure you.  It will go away but it may take 2-4 weeks before it feels substantially better.  If you are female, in my opinion, 60 units is WAY too much.   Botox and... more


Is it safe to have thermage done around 2 days after botox for crow's fleet and forehead lines? Will it cause the migration of botox to other regions and thus causing complication or ineffectiveness?
It's fine to do the Thermage the next day even after Botox.  It doesn't take the Botox long to bind to the proper receptors at the junction between the nerve fiber and the muscle.  And,... more

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