Botox and Dysport San Antonio

Want BOTOX injections in San Antonio? Dr. Jose Barrera, MD is a certified injector of Botox and Dysport for conditions including managing facial nerve paralysis and Bell’s palsy, migraine therapy, and cosmetic applications. Botox and Dysport may be used to manage synkinesis (abnormal twitching and involuntary muscle movement of the face) associated with facial nerve paralysis and Bell’s palsy.

Bell’s Palsy

Bell’s Palsy is a benign weakness of the facial nerve. It is usually self-limiting and is not life threatening. Bell’s Palsy manifests itself by the sudden onset of partial or total paralysis of all the muscles on one side of the face. This usually occurs following a viral infection. Bell’s Palsy will improve in 4-6 months and almost always by 12 months.

Grading System

I. Normal

II. Slight Asymmetry

III. Forehead motion present; eye closure with maximal effort

IV. Forehead motion absent

V. Twitches

VI. Completely out


Patients are usually given instruction to use eye drops during the day, an ointment and a moisture chamber at night to protect the eye on the effected side. If a moisture chamber cannot be tolerated, tape the eye shut. Steroids and Acyclovir (Zovirax) may be used to lessen the symptoms in severe cases however; the symptoms will typically improve spontaneously with no treatment.

With those who have only partial recovery and are concerned by the effects, there are other options. A weight can be surgically placed to help the eye lid close. Surgeries to help pull the side of the face and mouth up are also possibilities.


The prognosis is typically good with 86% of patients having a complete recovery. Risk factors for incomplete recovery include:

  • Age over 55 years
  • Hypertension
  • Complete facial weakness
  • Pain other than ear pain
  • Changes in tearing

What is Botox and Dysport?

Dysport is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults less than 65 years of age.

How does Botox and Dysport work?

Wrinkles are caused by repeated contraction of facial muscles. Over time, the muscles above and between the eyebrows repeatedly contract and tighten, causing wrinkles. Dysport works by blocking the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines.

How many injections do I need to relax my forehead muscles?

Forehead wrinkles can be treated with 1 injection into each of 5 points between and over the eyebrows.


What’s the difference between Botox and Dysport?

Like Botox Cosmetic, Dysport is an injectable form of botulinum toxin Type A

What are common side effects of Botox or Dysport?

The most common side effects of Botox or Dysport treatments are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea.

How long do I have to wait between treatments?

You should wait at least 90 days between Botox or Dysport treatments.

What is the cost of Botox Cosmetic versus Dysport?

Dysport is approximately 1/3 the cost of Botox; however, it is also 1/3 the strength. This means you will need about three times as many units of Dysport to get the same results as you would with one unit of Botox. As a result, the cost of Dysport treatment will likely end up being similar to Botox.

Who will be injecting my Botox or Dysport?

Dr. Jose Barrera is a certified injector and a triple board certified plastic surgeon. Dr. Barrera’s goal of patient satisfaction and safety are paramount to his practice. He performs and supervises all treatments in the office. He will perform both Botox and Dysport San Antonio.



Dr. José Barrera, MD specializes in BOTOX® and has extensive experience with sculpting the face using BOTOX®. Whether you are looking for a rejuvenating alternative to a facelift, enhancement of the lips or cheeks, you will soon understand why many have chosen Dr. Barrera for this type of treatment.

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults for a short period of time (temporary).

BOTOX® Cosmetic is a prescription medicine that is injected into the area around the side of the eyes to improve the look of moderate to severe crow’s feet lines in adults for a short period of time (temporary).

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