Dysport. What is this procedure in cosmetology. The price of the drug, instructions, contraindications

The modern medical product Dysport has the property of eliminating facial wrinkles that arise due to the genetically determined mobility of the facial muscles.

For more than 10 years, this tool has been used both in ophthalmology, neurology, and for "beauty injections" in dermacosmetology. It is considered an unsurpassed substance for aesthetic correction and is popular when it is necessary to rejuvenate the skin of the face, décolleté, and neck.

General characteristics of the drug

The drug is in the form of a powder and comes in glass bottles or plastic boxes. They contain a complex of botulinum exotoxin (type A) and a protein with a complex molecular structure - hemagglutinin. Also included are lactose (2.5 mg) and human albumin (0.1235 mg).

All these active components have a muscle relaxant (relaxing) effect on muscles, temporarily block their activity (6-12 months). To obtain parenteral fluid for injection, 0.9% isotonic saline (lactose) is used.

The prepared botulinum toxin is a transparent product without any preservatives or artificial additives. Its shelf life is limited to 8 hours (at t up to + 8 ° C). Given the severity of the indications for procedures using Dysport, this tool is not available in the pharmacy network. It can only be used as directed by a doctor.

Its purchase is carried out by prior order with delivery only through specialized institutions (cosmetic clinics, pharmacological points).

At the same time, an important argument is the presence in them of highly qualified personnel who own the appropriate therapy technique. The purchase of 1 bottle of the drug with a capacity of 300/500 IU costs 10,000-15,000 rubles.

In this case, it should be assumed that the procedure may require several vials and the cost of a full course of intramuscular injections directly depends on the required unit level of the active component.

It should be borne in mind that in different clinics it can range from 70 to 400 rubles. Estimated 1 UNIT up to 70 rubles. may indicate the use of a low-quality analogue of this drug or its counterfeit.

Indications in cosmetology and duration of action, the effect of the procedure

Dysport is one of the leading anti-aging agents in cosmetology, which have indications for use in such cases as:

• the need to smooth mimic small and deep folds on the forehead, “wrinkles of anger” between the eyebrows on the bridge of the nose, “crow's feet” near the eyes, “nasolabials”, in the neck and décolleté;
• the need to correct the outlines of eyebrows, lips, mouth to restore the symmetry of their location;
• minimization of excessive sweating in the armpit, feet, palms (hyperhidrosis);
• restoration of muscle tone in certain diseases (cerebral palsy, limb / cervical spasms, blepharospasm).

The possibility of using the drug, its dosage in each case should be determined by a specialized doctor.

The first result can be seen a couple of days after the procedure and the disappearance of the swelling from the injection, and after 15 days the maximum effect is achieved. With the first intramuscular or subcutaneous injection of Dysport, the desired skin condition remains for up to six months, and after subsequent manipulations, the time increases to 9 months.

This duration is due to the peculiarities of the metabolism, the patient's immune system, compliance with the recommendations regarding the rehabilitation period after the injection. After the cessation of the action of the drug, the skin and muscles return to their previous state, which will require repeating the procedure.

Along with these features, it is important to consider that some problems can be solved at a certain age, namely:

• fighting against crow's feet around the eyes - 19-25 years;
• elimination of the first signs of skin aging - 25-35 years;
• light skin smoothing - 35-45 years old.

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Contraindications

The use of the drug Dysport in some cases can provoke undesirable consequences. Here there is a conditional differentiation into permanent, temporary (relative) risk zones.

Contraindications that are permanent include the following:

• individual intolerance (resistance, that is, resistance, to botulinum toxins; allergic reaction to protein components);
• problems of the circulatory system;
• pathology of the functioning of the respiratory system of a chronic nature, difficulty in swallowing;
• manifestations of neuromuscular abnormalities (myasthenia gravis, nonasthenia gravis);
• diseases of the endocrine system.

Temporary phenomena that prevent the use of this drug:

• children under 12 years old;
• a course of treatment for various diseases with the use of antibiotics-aminoglycosides, antiplatelet agents, anticoagulants, baclofen;
• periods of menstruation, childbearing and breastfeeding;
• diseases of a somatic (bodily) nature in the alleged injection sites of the drug (purulent-inflammatory processes, wounds, burns, on the skin);
• infectious diseases;

• acute phase of chronic diseases;
• condition after surgery.

Dysport is such a procedure in cosmetology, the expediency of which can be determined more specifically only by a specialist after a thorough comprehensive examination of the patient.

Overdose

When determining the volume of drug use, individual characteristics play an important role here, namely: age, specificity of facial expressions, depth and thickness of wrinkles. Avoiding undesirable results of rejuvenation of the appearance requires strict adherence to the instructions on the correct selection of doses for specific areas of its administration.

Namely:

• about gub - 5-15 units;
• around the eyes, "crow's feet" - about 120 units. (from 5 to 15 units for 4 points near each eye);
• frontal part - 35-90 units (up to 15 units for every 5-6 points);
• eyebrow, bridge of nose - 42-100 units (up to 10 units for 4 points);
• neck, decollete - 30-80 units

Indicators of a single injection of an active substance should not be higher than 200 units. Exceeding the concentration parameters of this drug for dilution and overdose during injections is fraught with such negative phenomena.

For instance:

• generalized weakening of the muscles of the whole body and, especially, the intercostal muscles;
• the possibility of the risk of paralysis of the motor centers of the diaphragm, the appearance of symptoms of oral poisoning;
• the occurrence of puffiness, hematomas in the treated parts of the face;
• distortion of the outlines of the "nasolabial" (asymmetry), ptosis (drooping) of the upper eyelids, unnatural lifting of the eyebrows.

At the first signs of such deviations, it becomes necessary to interrupt the procedure to eliminate the symptoms (urgent administration of anti-botulinum serum, emergency mechanical ventilation - artificial lung ventilation).

However, if the breeding instructions, the basic requirements for the procedure and monitoring of the client's well-being are followed, such problems do not arise.

Side effects

Ignoring the existing rules for taking this drug (dilution, dosage, administration) can lead to such negative side effects.

This could be:

• paresis / stiffness of the facial muscles (the effect of a frozen mask);
• headache;
• feeling of nausea;
• dizziness;
• an allergic reaction (skin redness, itching, burning);
• soreness of the treated areas;
• keratoconjunctivitis (inflammation of the eye cornea), asthenopia (eye fatigue), double vision, increased lacrimation;

• general malaise (chills and weakness throughout the body, fever)

These symptoms can be observed immediately after injections for 3-4 days and are reversible. When visiting specialized clinics, where the dosage and technique of Dysport administration is determined by a professional, taking into account the individual nuances of existing problems, such situations, as a rule, can be avoided.

Operating principle

The cosmetological attractiveness of the outpatient use of Dysport lies in the achievement of a rejuvenating effect. This is manifested in the visual restoration of skin elasticity, the elimination of dynamic wrinkles, which occurs through the following processes.

It:

• impact on the functioning of nerve impulses;
• blocking the nerve endings of small muscles by limiting the exchange of these signals between them;
• relaxation and contraction of the subcutaneous muscles as the drug enters the tissue;
• maintaining full blood circulation at the injection sites of Dysport;
• achieving a cosmetic effect as a result of muscle contraction, straightening of the epidermis, smoothing of wrinkles without atrophy of the skin and causing injury to it;
• positive local effect of botulinum toxin on muscle tone;
• the temporary preservation of the effect of the procedure is explained by the gradual decomposition of the composition of the drug, which requires its repetition after a certain time.

Comparison of the drug with Botox

These 2 most popular anti-wrinkle treatments have similar parameters such as:

• The presence in their composition of the same active substance - botulinum toxin type A.
• The similarity of the principle of their action, indications and contraindications for use.
• The same requirements for preparation for the procedure.
• Achievement of obvious cosmetic results after a course of injection.

• Ability to drive a car after taking medications.
• The strictness of the requirements for the conditions of their storage and the professionalism of the specialists performing these procedures.

Along with this, there are certain differences, in particular, the following:

Precautions

Dysport is a procedure in cosmetology that cannot be considered as a complete analogue of other anti-aging injections. Along with the existing nuances about its therapeutic doses, their correlation with the effect, it is necessary to follow certain rules for taking the procedure.

It:

• Manipulation by an experienced doctor / cosmetologist and not at home, but on an outpatient basis (aesthetic medicine clinic, a special treatment room).
• Use only a certified product with a serial number and expiration dates on the packaging.
• Compliance with the doctor's recommendations regarding the administration of medications that affect the muscular and nervous systems.
• Taking into account the precautions for home care of the injection zones.
• Immediate referral to a specialist when the first symptoms of unwanted side effects appear (headache, allergies, burning, itching, redness, nausea).

Instructions for the use of Dysport in cosmetology

The use of the drug in aesthetic medicine is carried out step by step in the following sequence:

1. Initial examination of the patient by specialists (dermatologist, cosmetologist) to determine the possibility of the procedure.
2. When preparing for the prescribed procedure (10 days before it), stop taking antibiotics, alcohol, smoking and limit the use of coffee and strong tea.
3. Fulfillment of doctor's prescriptions for taking tests in order to clarify the presence of contraindications, frequency / frequency of sessions and dosages.
4. Clarification of the zones and points of introduction of Dysport by changing facial expressions when expressing different emotional states (smile, chagrin, bewilderment, and others).
5. Applying markings at suspected hyperactive injection points.
   
6. Treatment of designated areas with special antiseptic, anesthetics.
7. Dilution of the drug with saline, the dosage of which is determined by the doctor depending on the depth, number, location of wrinkles and many other factors.
8. The introduction of this agent subcutaneously / intramuscularly for 15-30 minutes. This action is carried out in a sitting position of the patient and is carried out using a special microsyringe along the folds of the muscles that are under the wrinkle.
9. Upon completion of the manipulation, the sites of exposure are cooled by applying ice to them, for up to 30 minutes.
10. Further maintenance of the vertical position of the head for 4-5 hours.

    

In order to avoid overdose, one should focus on the admissibility of introducing the maximum number of units of the active substance, which can only be determined by a doctor. A single injection of this drug is carried out in 4 zones / points: on the forehead, near the eyes and lips, nose bridge (no more than 20 units in each).

At the same time, the estimated cost of one injection (injection) of Dysport is more than 100 rubles, and the treatment of the zone is from 3000 to 5000 rubles. The manifestation of insistence on increasing doses of botulinum toxin, despite the rise in the cost of the procedure, is associated with side effects, health complications, in particular, up to loss of vision.

The rehabilitation period after injections

Dysport is one of the few procedures in cosmetology that provides for a short duration of rehabilitation measures.It will take only about 3 weeks for the injection to be effective. One of the important moments of the recovery period, according to experts, is light gymnastics of the facial muscles (in problem areas).

Mimic exercises performed on the first day after the procedure contribute to the even distribution of botulinum toxin throughout the face.

Although there is another statement about the need to refrain from such activities in the first time after the procedure. Along with this, some adjustments should be made to the usual way of life and adhere to the recommendations of specialists (specialized doctors, cosmetologists) about what should not be done after these "beauty injections".

What not to do after the procedure

For more effective rehabilitation of the body after the procedure, it is important to comply with the following requirements:

• a ban on touching, massaging, heating injection sites - 7-15 days;
• exclusion of any cosmetic procedures, the use of a hairdryer, tonics, lotions - up to 10 days;
• refusal of salty, spicy food, minimal fluid intake (to avoid increased puffiness) - 14-20 days;
• exclusion of visiting places where body heating is possible (beaches, bath complexes, sauna, solarium, hot shower, bath) for at least 2 weeks;

• minimization of physical activity in the form of sports, dancing, physical labor for 14 days;
• refusal to take a number of drugs (muscle relaxants, pain relievers, antibiotics).

After the time has elapsed to comply with these "forbidden" rules, you should seek a second consultation with a doctor. With a positive result, it will be possible to enter the usual rhythm and gradually increase your activity.

Dysport and alcohol

Regarding the use of alcoholic beverages, which belong to muscle relaxants, the opinion of experts is absolutely definite - a categorical prohibition. Such a bad habit should be abandoned 2 days before the procedure and within 14 days after it.

This is due to the fact that the lightest alcoholic beverages are able to neutralize / prevent the effects of botulinum toxin. In addition, its combination with alcohol increases the burden on the functioning of the liver and kidneys.

Ignoring this rule can provoke the formation of hematomas as a result of intensification of blood circulation, vasodilation. As a result, the active substance is “washed out” in all tissues, and instead of the desired anti-aging effect, you can get a distortion of facial features.

Dysport and antibiotics

Antibiotics are included in the basic list of medicines, which are prohibited in combination with Dysport. Such a tandem is undesirable, since it can lead to blocking / relaxation of muscles, asthenia and give a negative result to this cosmetic procedure.

This effect is characteristic of all drugs of tetracycline groups (macrolides, aminoglycosides). If the first of them are able to reduce the degree of exposure to botulinum toxin, then the latter can cause blocking of muscle activity.

Therefore, experts recommend using the Dysport procedure 2-3 months after taking antibiotics during colds.

An exception to this prohibition is the urgent need to take antibiotics, which will exceed the risk to human health. However, in this case, the admissibility of the combination should be determined by a professional, based on the ratio of benefits and harms in a particular case.

Along with antibiotics, the combination of Dysport with analgesics, which directly affect blood clotting, is risky. This increases the risk of bruising and bruising. And the group of B vitamins prevents the process of smoothing wrinkles, achieving natural skin smoothness.

Application during pregnancy

Scientists in Italy conducted experiments on expecting offspring of animals on the reaction of living organisms to botulinum toxin.

As a result of these studies, it was found that the use of a neurotoxin during pregnancy can have the following consequences:

• an acute course of allergies in the expectant mother, which provokes her immunity deterioration;
• increased vulnerability during hormonal changes in the body of a pregnant woman to various diseases;
• aggravation of feelings of general weakness, dizziness;
• deterioration of the digestive tract;
• negative phenomena in the intrauterine formation of the fetus;
• the occurrence of structural disorders in a bearing child (at different stages);
• increased risk of spontaneous abortion (miscarriage).

During lactation, the use of this drug can provoke a decrease in the dynamics of the physical and mental development of newborns (weight gain, the formation of the nervous / skeletal systems). The possibility of such a negative phenomenon is explained by the ingress of protein components into the mother's milk through her circulatory system.

Data on possible serious problems suggests that Dysport cannot be used while carrying and feeding a baby. It is known that even Kim Kardashian, in anticipation of the offspring, did not dare to use a similar procedure. In cosmetology, as in medicine, it is important to follow the Hippocratic oath and the motto "Do no harm!"

Article design: Anna Vinnitskaya

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