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How long does 50 units of dysport last? I had 50 units spread across two areas on forehead - on horizontal lines and "11's".

Dysport typically lasts about three to four months, though this varies with dose, muscle strength, and metabolism. Fifty units split between the forehead and the 11s is a modest dose overall, so you may find the effect softens a bit sooner than someone treated with a heavier concentration, particularly at the glabella where stronger muscles often need more product to fully relax.

Dysport works by blocking nerve signals to the muscle, and its maximum effect shows around two weeks. If you're feeling heaviness in the forehead rather than smooth relaxation, that's often a sign too much was placed there relative to the 11s, which can throw off the balance between the two areas. There's no way to speed up metabolism of the toxin once injected. Follow up with your injector when it starts wearing off so the ratio between forehead and glabella can be adjusted next time. A board-certified plastic surgeon can help fine-tune dosing based on how your muscles responded this round.

Clinical Context

When Dysport is divided between two areas, each region gets a smaller share of the total dose than if it were treated alone. The forehead (frontalis) and glabella (the '11' muscles) can respond differently to the same amount of product, since muscle strength varies by area and person. This is why one area may seem to wear off before the other. Your injector can adjust the split between these zones at your next visit based on how you responded this time.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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