Botox / Xeomin / Dysport / Dermal Fillers ( including Biofillers )


Botox/ Xeomin: Are  your lines and wrinkles are making you look older, perpetually tired or even angry ?  This can be effectively corrected  while maintaining facial mobility for a natural, calm appearance — so important in presenting oneself as confident and relaxed.

Maybe it’s time to think about Botox!

 What is Botox? Botox is a non-surgical wrinkle treatment that is injected directly into the muscles to iron out unwanted wrinkles. It is one of  a group of medications using Botulinum Toxin as injections. Others  in this group include Xeomin, Dysport, and Myobloc .  Botulinum toxin is produced by bacteria  that causes Botulism, a type of food poisoning.  The toxin  blocks certain chemical signals from nerves that  cause muscles to contract– thereby temporarily relaxing  those underlying muscles and smoothing out the overlying wrinkle. Thus when used on the face it  reduces the appearance of some facial wrinkles such as  frown lines ( angry 11) , crows feet, forehead lines, and neck lines.

It  can also be used to create a slimmer  face when it is injected into the ‘chewing ‘ muscles along the  jaw resulting in a V shaped facial contour.

The botulinum toxin medications  are also used to treat various other  problems –excessive sweating (hyperhidrosis), overactive bladder and lazy eye.  as well as  chronic migraines,

Botox works best for lines formed because of muscle contraction such as frown lines (angry 11), horizontal forehead lines and smile lines (crows feet). Botox is also used to lift the eyebrows or droopy eyelid, to correct lines around the lips and neck.

Risks:
Botox injections are relatively safe when performed by an experienced doctor. Possible side effects include:

  • Temporary redness lasting for 15-20 minutes
  • Bruising, pain,  or swelling at the injection site,  ( If bruising occurs –it is usually minimal  and temporary and  can easily be concealed with mineral make-up. It usually resolves in a couple of days.
  • Droopy eyelid or  uneven eyebrows
  • Crooked smile or drooling
  • Headache or flu-like symptoms
  • Eye dryness or excessive tearing
  • Rarely  botulism-like signs and symptoms.

Call your doctor right away if you notice any of these effects hours to weeks after receiving the injections:

  • Muscle weakness or vision problems, SOB, difficulty  swallowing or talking, loss of bladder control.

How to prepare:
Tell the doctor  about your illnesses and medications.  Also advise us if you’ve received any type of botulinum toxin injections within the past four months.  if you take muscle relaxants, sleeping aids or allergy medications. If you take blood thinners, you may need to forgo them for several days before your injection, to reduce your risk of bleeding or bruising.

Do not use  Botox when you’re pregnant or breast-feeding.

What to expect:
Before the procedure
Most often  the injections are associated with minimal discomfort and are tolerated  well. However  you may want your skin to be numbed beforehand, especially if your palms or soles are being treated for excessive sweating. Various methods are available for comfort – topical / vibration  anesthesia or local ice.

During the procedure
Your doctor uses a thin needle to inject tiny amounts of botulinum toxin into your skin or muscles. The number and dosage of injections needed depends on many factors, including the extent of the area being treated.

After the procedure
Expect to resume your normal daily activities right after the procedure. Take care, though, not to rub or massage the treated areas. This can cause the toxin to migrate to a different area.

Results
Botulinum toxin injections usually begin working a few days following the  treatment. Depending on the problem being treated, the effect may last three to 6 months or longer. To maintain the effect, you’ll need regular follow-up injections.

A Botox treatment lasts for 3-6 months, and with repeated treatments, the effectiveness of Botox injection tends to last longer as the muscles become less prominent. After the treatment, there is no recovery time (downtime) needed, patients can go back to their regular activities with a more natural and youthful look.


Hyaluronic acid and other fillers:
Do you feel your skin has developed unwanted lines and folds ? You may wish to consider dermal fillers– one of the best-known treatments today in restoring the skin elasticity  and appearance

What are Dermal Fillers?

Dermal fillers are injectable gels that may be used to improve fine lines, nasolabial folds and eye bags. Fillers can also add volume in the cheeks, fill the lips as well as to augment the chin and increase the height of the nose bridge without surgery. The result can be seen immediately as the skin looks firmer, more youthful, and radiant.

There are a variety of FDA approved filler products available–the popularly used fillers using Hyaluronic Acid (HA) as well as Calcium Hydroxylapatite.

Hyaluronic acid is naturally occurring in the body. It helps keep skin plump and  supple. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles.  FDA approved HA fillers include:

  • Juvéderm products: Juvéderm XC, VOLUMA, VOLBELLA, VOLLURE
  • Restylane products: Restylane, Restylane Silk, Restylane Lyft, Restylane Refyne, and Restylane Defyne
  • Belotero Balance

Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium microspheres are suspended in a water-based gel. The consistency of a CaHA filler is typically thicker than that of a hyaluronic acid filler and typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for adding volume to cheeks, filling deeper lines and wrinkles. FDA approved CaHA fillers include Radiesse®. The results can be seen immediately.

How do  Dermal Fillers work?

The filler gel is injected in the problem areas in which it fills up the gap caused by unwanted lines and folds.

A Liquid Lift is a special  dermal filler technique  of filling the lines and wrinkles, as well as removing eyebags or “tear troughs”, restoring facial contour, and giving you a more rejuvenated look  — resulting  in a gentle natural lift of  facial features.  The treatment takes about 30-60 minutes depending on the amount of filler required, and the result can be seen instantly.

Autologous fat injections:

Autologous fat injections are the only injectable filler treatment that requires surgery, but can be long lasting. Fat tissue from your own body is harvested from another area (autologous means “from the same person”)  using a mini-liposuction apparatus. This fat is then purified and injected into the face or problem area to help restore volume to the cheeks, tear troughs or other areas.  See ‘nanofat transfer’ in services.

What to Expect During Treatment

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet the doctor to discuss your concerns and goals.

Pre-treatment consultation

During your consultation,  we review  your  concerns  and  medical history. This is  very important because certain allergies, skin and neurological conditions, or medications can jeopardize the your safety of your treatment.

Your  dermal filler treatment

The area is first cleansed, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a numbing medication, which is intended to help minimize discomfort during and after your treatment. Then a  precise amount of filler is injected below the skin.

You are usually able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and subside over the next few days. You may resume routine activities right after treatment, but your doctor  may ask you to take the day off from exercise or other strenuous activity.

If you are having fat injections…

Facial fat grafting is a surgical procedure and follows a different treatment protocol. Typically, fat grafting is performed under local anesthesia with sedation. Up to 2 weeks of downtime may be required and your doctor  will go over what to expect with surgery and recovery during your consultation.


How Long Do the Results Last?

How long the effects of dermal fillers will last depends on the product, the area of treatment, and the patient. Usually the denser the product is and the more deeply it is injected, the longer it will last, although this is not a hard and fast rule. To maintain your results, you will need to repeat treatments, adjusting the amount and techniques as necessary to ensure optimal results.

Hyaluronic acid fillers tend to be  most temporary  and therefore are often used for first-time filler patients. These typically last from 6 to 18 months.  Certain HA fillers, such as VOLUMA, are formulated to last longer, and are for use in certain areas such as cheeks.

Synthetic fillers tend to last longer, as they are not absorbed by the body. They can be a great option for the right patient, but you’ll want to be ready to commit to results that will be there for several years.

Fat injections are meant to last indefinitely; however, some of the injected fat graft may not ‘take’ and  is expected not to survive.  Combining the treatment  with PRP may help better survive the fat tissue and improve the overall result. Your surgeon may overfill the treatment area, resulting in an initially fuller look that will gradually settle into a more natural appearance.

To know if you are a good candidate for fillers, please fill in the form and mention your skin concern and we will get in touch with you.



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