Columbus Dispatch August 3, 2009 – Quicker, cheaper rival of Botox makes debut in Columbus, Ohio

Attention, baby boomers, 60-ish singles, executives and laid-off professionals preparing for job interviews: The wait is over.

Dysport — the new botulinum-toxin product touted as a quicker, longer-lasting and less expensive way to get rid of wrinkles — has arrived.

“People are excited. This is long-awaited,” said Leslie Baumann, a University of Miami researcher and Miami Beach, Fla., dermatologist who participated in clinical trials for Food and Drug Administration approval of Dysport.

Some medical professionals in central Ohio have noted similar enthusiasm.

“Patients who traditionally use Botox are the most excited to try it,” said Dr. Jeffrey Donaldson of Donaldson Plastic Surgery on the Northwest Side, who has offered it to patients for about a month.

Dysport and BOTOX are both effective wrinkle treatments. Is one really better than the other?

Dysport from Ipsen is a botulinum toxin, similar to Allergan’s Botox, that just gained FDA approval for use in America in April of this year. It is the first toxin approved in the US to offer competition for the well-established Botox prompting many questions about their differences in effectiveness and price.

How does Dysport work?

Dysport is a botulinum toxin which works by binding to the nerve endings and blocking the release of acetylcholine, the neurotransmitter that sends signals back and forth to the brain to contract the muscles. Dysport has non-cosmetic uses as well in those with cervical dystonia, a condition in which the muscles of the neck contract involuntarily and can result in a great deal of pain for the sufferers.

In the cosmetic use of Dysport, it is injected into the facial muscles that, when contracted, cause the glabellar lines – the frown lines between the eyebrows. When injected, the muscles relax thereby reducing the appearance of wrinkles.

Seen on WCMH-TV4 September 17, 2009 – Longer, Fuller, Thicker Eyelashes with Latisse, Columbus, Ohio!

COLUMBUS, Ohio—The same person who fills your cavities also could be filling your wrinkles—with Botox.

Some dentists now are offering cosmetic procedures such as Botox.

Dr. Michael Firouzian started offering Botox and other dermal fillers after some of his patients asked about it.

“I found out that it’s something within our scope that we can do. I went down to Florida and did some training, and I had a plastic surgeon come in for a whole week and I trained with him,“ Firouzian said.

Plastic Surgeon Dr. Jeffrey Donaldson said that a week of training can’t compare to years of training required for board certification in plastic surgery.

He said patients should stick with plastic surgeons for any cosmetic procedure.

“From my end, a plastic surgeon has specific training in cosmetic services and reconstructive services. It’s the safest bet to have those procedures done,“ Donaldson said. “Materials like Botox injected into the wrong anatomical area can cause things like eyelids to drop and different facial expressions to disappear.“

Firouzian said he knows and understands the risks.

“As dentists, we are fully trained in knowing all the anatomy and knowing where all the nerves are. This is a service we offer to our own patients with a full understanding that there are certain guidelines we have to abide by,“ Firouzian said.

The Ohio State Dental Board has ruled that treatments, such as Botox, are within the scope of practice for dentists as long as they are limited to the facial areas.

The American Society of Plastic Surgeons said Botox falls squarely within the practice of medicine and should only be done by a board-certified plastic surgeon.

Many companies have begun to promote “non-surgical blepharoplasty,” in Columbus, Ohio: eyelid lift without a lift! Some medical offices and spas have perpetuated these offers, promising that creams, peels, lasers, probes or therapeutic massage will remove the dark circles and lift the sagging skin. Unfortunately, these strategies fall short because they do not treat the underlying anatomy — the muscles, fat and skin.

Droopy upper eyelids often tend to run in families, as mothers and fathers pass on such characteristics to their children. The sagging skin accumulates over time, leading to a tired, worn-down appearance and sometimes even a decrease in lateral vision. The extra skin will not go away with any amount of cream or laser; the skin must be removed by surgery to restore a youthful appearance.

Similarly, the lower eyelids become puffy because of a decrease in fat below the lid-cheek junction, and a protrusion of fat from beneath the eye into the lid. This can occur with thinning of the eyelid skin such that the darker muscle behind it shows through… hence the dark circles. Again, no probes or peels will reshape the fat or tighten the muscle; these maneuvers must be accomplished through the skill of a plastic surgeon.

Non-surgical therapies may seem less expensive than surgery, but added together they often cost more without ever treating the problem.

Columbus, Ohio, blepharoplasty patients trust Dr. Donaldson because he has undertaken specialized fellowship training in oculoplastic surgery — plastic surgery around the eyes. He offers the latest techniques for treating difficult eyelids and customizing his results for each patient.


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