Much press has been given lately to Dysport the new botulism toxin wrinkle treatment that is being hailed as a Botox competitor.  I have reviewed some of the available safety and efficacy data and am not entirely convinced I would want to make the switch for my practice. Dysport does not seem to be radically different or offer any clear advantage over Botox in terms of cost and duration of efficacy.

 I have been using Botox since 1997.  I was invited that year to give a lecture in Brasilia, the capital of Brazil.   A Brazilian plastic surgeon was my co-presenter and he already had an extensive experience injecting thousands of patients. He mentored me in the art and science of using Botox for facial rejuvenation. Since that time, I have literally injected tens of thousands of units and  I (and, more importantly,  my patients) have been very pleased with the results. So, it is my opinion, that there is no compelling reason to switch from Botox to Dysport at this time.  "If it aint broke, don't fix it!"  I will continue using Botox in my practice.