The Anti-wrinkle: Botox & Dysport

By Lynn Ponder: Today we are starting a new monthly series of Questions & Answers with one of the TOP facial plastic surgeons in the Nation, Dr. Carlos L. Wolf.

Dr. Wolf is board certified by the American Board of Facial Plastic and Reconstructive Surgery and by the American Board of Otolaryngology, and he is a fellow of the American College of Surgeons and the American Academy of Facial Plastic and Reconstructive Surgery. Dr. Wolf is invited as a regular guest on South Florida Television and Radio, has authorship of popular columns for the Miami Herald and Cosmopolitan Magazine (Spanish version).

At Miami Plastic Surgery, Dr. Wolf and his colleagues offer a wide range of treatment options. Their facilities are located in South Miami at the renowned Baptist Hospital and there they provide only the highest quality of personal service and superior results.

I am interested in trying either Botox or Dysport to look better. I see a lot of advertisements from different doctors and spas that tout how cheap they can do the Botox or Dysport by the unit. If Botox is Botox and Dysport is Dysport, shouldn’t I just pick the cheaper place?

Dr. Wolf:
Not if you want great results. Now for the long answer: While you may be getting the same amount of Botox or Dysport, the results of the procedure are all about the technique and placement of the product. Just like anything else in medicine, experience and technique really matter. Because there is a lot of money to be made, many nontraditional physicians (urologists, psychiatrists, family doctors and many others) have gotten into the aesthetic medical field. With little experience and even less understanding of the anatomy and physiology of the materials they are injecting, they promote themselves as experts. Much of their expertise comes from a weekend course on injectables. There are many well-trained doctors, who “do the time” in postgraduate education, that can do a good job.

Because of the above reasons, you should be cautious with your selection of who will be injecting you. Ask the doctor about his or her training and field of expertise, and as usual, ask what risks and benefits you can expect. Botox and Dysport are neurotoxins, which weaken or paralyze your muscles. The injections are placed in such a way as to rebalance your muscles to make you look refreshed. The amateur injector is only interested in removing the wrinkles, while the experienced injector attempts to improve the overall balance of facial muscles. By rebalancing the muscles, your injector can enhance your facial expressions. Good luck.

Carlos Wolf, M.D.(pictured in this post), is a board-certified facial plastic surgeon who sees patients in Napa and Miami. If you have any questions, he can be reached at the following email address:

Article was previously published in the Napa Valley Register.