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Botox gets competitition in war against wrinkles: Dysport

Face it, Botox. A new wrinkle reduction breakthrough is injecting some competition into the quest for the fountain of youth. 

The latest age-defying injectable is called Dysport (pronounced “Diss-port”), which the Food and Drug Administration approved for cosmetic use in the U.S. in April. 

Drawn from the same botulinum toxin A as Botox, Dysport has been used in Canada and Europe for almost 20 years. But is it better than Botox? 

Area physicians view them as virtual twins. 

“They are essentially identical,” said dermatologist David A. Amato of Lower Paxton Twp. The only difference is the solution in which they are mixed. He said Dysport might start to work faster — perhaps a day sooner than the four days that Botox takes to kick in — but the difference is almost “negligible.”  Read more

Dr. Ataii Discusses Botox vs Dysport on San Diego Living

IAPAM faculty member Dr. Alexander Ataii of Laser Clinique explains on San Diego Living the similarites and differences between Botox Cosmetic and Dysport wrinkle eliminators.

Watch this episode on San Diego Living : Read more

Best Practices: Effective Pain Management for Botox Patients

The IAPAM offers the following  ’best practices’ for physicians regarding Botox patient pain management, and in support of ongoing botox training and continuing education. 

As part of a its commitment to aesthetic medicine physicians’, the International Association for Physicians in Aesthetic Medicine (IAPAM) is developing a comprehensive e_report on “Botox Best Practices,” due out this fall.  Through development of this report, the IAPAM has found that here are several aspects of Botox treatment that warrant a separate discussion.  While there is general consensus among physicians regarding ‘best practices’ for: patient consultation, clinical procedures and  post-patient follow-up, interestingly, there are varied opinions surrounding the use of topical anesthetic and ice. The following aesthetic medicine leaders have graciously offered their expertise on the use of topical anesthetic and ice during Botox or similar neurotoxin treatments.

Since first introduced to the medical community in 1989, as a treatment for eye muscle disorders, administering of Botulinum Toxin Type A: Botox and similar neurotoxin injectables, has now become the most popular non-invasive aesthetic medical procedure performed worldwide.  However, as physicians strive to make aesthetic medicine procedures more comfortable for their patients, a “cold hard truth” of sorts has emerged regarding the use of topical anesthetic and ice during injectable procedures.

Through a survey of expert practitioners the following “best practices” for the use of topical anesthetic and ice emerges. 

The critical factor to minimizing discomfort and bruising is technique.  However, based on a patient’s tolerance, topical anesthetic can be used to minimize, but not extinguish, the pain associated with subcutaneous injections.  Ice is generally considered the best tool to minimize bruising.  Other tools in the physician arsenal to minimize pain are size of needle (32 gauge is recommended) and ensuring minimal volume is injected (e.g. dilute the Botox at 2.5 cc per bottle =4u/.1 cc). Finally, for a select group of physicians and patients, ice and topical anesthetic completely take a back seat to a “gentle” hand. Read more