Dysport and Botox are both FDA approved botulinum toxin type A injectable neurotoxin prescriptions available for the temporary improvement of facial fine lines and wrinkles in adults.  It is understood that both products are similar in makeup as well as for their use.  In comparing these two products, the main distinction lies in their formulation; which influences the dosage used, how much the product spreads, and how quickly a patient might see the results.  

Similarities and Differences

The development of fine lines and wrinkles is a part of the natural aging process.  Botox and Dysport were developed to temporarily stop the aging process with a neurotoxin formulation that relaxes the facial muscle tissues and prevents them from contracting. To administer, products are injected by your cosmetic dermatologist into a targeted muscle area to block the nerve impulses controlling muscle contraction.  Botox and Dysport provides a quick and temporary fix to those individuals who seek to look attractive with less visible facial creases and lines.

Side Effects

Botox – discomfort or pain at the injection site, headache, and eye problems such as; double vision, blurred vision, drooping eyelids, and swelling of your eyelids.

Dysport – nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea.


Treatment can be very effective over time by targeting the areas of concern.  After a while, fine lines and wrinkles will reappear as the nerve impulses start to reach the targeted muscle area. Depending on the treatment you choose, the treatment results will last 3 to 6 months.  However, it is recommended that a patient follows the treatment plan provided by your dermatologist to maintain the best positive results.


The cost of treatment when selecting Dysport or Botox is important to our doctors and our patients. It is believed that Dysport is a clear winner when compared to Botox, as it is priced at one third the cost of Botox.  


All in all, one can put up strong arguments on behalf of both products. But, when it comes to choosing between Dysport and Botox, it should be a choice made by you and your dermatologist. In certain cases, physicians may use both the products simultaneously in a single session. This practice is exercised to ensure that the patient gets the desired outcome from the treatment.

What is a fractional laser treatment?

A woman is getting a laser treatment at Dilworth Dermatology

Fractional laser resurfacing effectively improves texture, pigment irregularities, scarring, pore size, and overall smoothness of the skin.

We use Cynosure’s Icon as our main fractional laser. Fractional lasers treat a ‘fraction’ of the skin surface at a time, leaving islands of normal skin and allowing for a quicker recovery than with traditional laser resurfacing procedures. This is not to say that traditional CO2 resurfacing is a thing of the past, we will continue to offer this dramatic treatment for those with extensive damage.

During your Icon treatment, energy is delivered into micro-columns that penetrate the dermis, all while leaving the surface intact. This results in the activation of your healing response and the formation of new collagen and elastin. A topical anesthetic is applied for an hour prior to your procedure. The downtime varies according to the level of treatment; the more aggressive treatments can expect more redness and swelling.
Collagen production is seen in 4-6 weeks with continued improvement up to 6 months after 1 treatment!

Icon treatments can be performed on any skin surface and can be tailored to meet your schedule and needs. We would be happy to see you in consultation and discuss what you can expect from your Icon treatment.

Spotlight on Psoriasis

Psoriasis is chronic auto-immune disorder characterized by red, dry, white/silver-scaled, sometimes itchy, lesions on the skin. People with psoriasis have accelerated skin cell growth that leaves buildups or plaques on the surface. The most common areas of involvement are the scalp, elbows, palms, soles, nails, and knees, although the condition may be localized or generalized over the entire body. Psoriasis most often shows up in adulthood, is genetic, occurs more commonly in those with Northern European ancestors, and can be triggered by certain medications.There are five main types of psoriasis:

  1. Plaque Psoriasis-the most common type. Frequently appear on the elbows and knees. The degree of involvement and effect on daily living helps to dictate the treatment. Small areas can be safely treated with topical medications or UV light (sunlight or lamp). More widespread involvement or psoriatic arthritis may need systemic medication or a biologic medication. There are many safe and effective biologics available that target specific pathways in the immune system to block the immune response.
  2. Guttate Psoriasis-appears in childhood or early adulthood. Guttate means’d rop-like’ and this psoriasis manifests as small, thin, pink plaques on the skin. Usually develops suddenly in response to a triggering factor. A very common trigger is a strep infection, such as strep throat. Treatments are topics medications or mild exposure to UV light.
  3. Inverse (Flexural or lntertriqinous) Psoriasis-occurs in skin folds-underarms, groin, under breasts. Usually appears beefy red, shiny, and does not have scaling skin. Can be treated cautiously with topical steroid preparations, as these can thin the skin and cause stretch marks in the area. Other topical creams, such as a prescription Vitamin D cream, work by slowing down the growth of skin cells and do not cause the same issues as with long-term steroid use.
  4. Pustular Psoriasis- most commonly occurs on the hands and feet, although can be anywhere on the skin appearing as white bumps (pustules) on red skin. It is not contagious. Can be treated topically, systemically, or with UV light. A rare form of pustular psoriasis can start suddenly and is considered a dermatologic emergency requiring hospitalization as it can be life-threatening.
  5. Erythrodermic (or Exfoliative) Psoriasis- a severe and rare form of psoriasis that causes a fiery redness over much of the skin surface. It can cause pain, itching, and sloughing of skin that will require immediate dermatologic treatment.

Persons with psoriasis tend to have low Vitamin D levels. Taking a daily Vitamin D supplement can be helpful. Turmeric has been shown to reduce inflammation and can be taken orally as a tea. Mix 1 teaspoon turmeric with boiling water, add honey, and black pepper (to increase absorption).Picking, rubbing, stress, cold weather, smoking, or excessive alcohol intake will exacerbate Psoriasis. Psoriasis is also associated with heart disease and stroke due to chronic inflammation, obesity, and diabetes. The importance of maintaining a healthy weight, getting adequate aerobic exercise, minimizing stress, and treating your psoriasis is evident.