Dynamic wrinkles are caused by contractions of the underlying facial muscles as you smile, laugh or frown. Now, thanks to a new use for an approved drug, these dynamic wrinkles can be dramatically softened. This procedure uses Botox injections to improve the appearance of worry, frown and laugh lines, crows’ feet, upper lip lines and other dynamic wrinkles
How does Botox work?
Botox blocks impulses from the nerve to the tiny facial muscles that cause these lines so the muscles do not contract. Untreated facial muscles contract in a normal fashion, allowing normal facial expression to be unaffected.
Botox injections have been used safely and effectively for over twenty years in thousands of patients to treat medical conditions such as ophthalmological (blepharospasm) and neuromuscular disorders. Botox has rapidly evolved into a popular treatment for reversing the visible signs of aging
How safe is Botox?
Cosmetic denervation with Botox is a simple and safe procedure. Using a tiny needle, a very small amount of Botox is injected, very precisely, into several locations on the face. Because the needle is so fine and only a small amount of liquid is used, the pain associated with the injections is minimal. No anesthetic is required, and you can resume normal activities immediately. Some patients experience a slight temporary bruising at the injection site. This can easily be covered with make-up
What benefit can I enjoy?
If dynamic wrinkles make you look older than you are, cosmetic denervation can smooth these out and give you a more youthful and rested appearance. Lines around the eyes and on the forehead, and upper lip, respond as well as horizontal necklines. Botox can also be used in the neck region to improve the appearance of platysmal banding. Botox does not improve wrinkles due to aging and sun-damaged skin, as they are unrelated to facial muscle contractions. Botox injections will not improve sagging skin or replace the need for a facelift or brow lift
What are the possible side effects?
While infrequent, mild temporary bruising is the most common side effect. In some cases, the medicine can migrate and cause a temporary weakness of nearby muscles. In rare cases, there can be a drooping of an eyelid or asymmetry of facial expression. The risk of any side effect depends on the muscles injected. Dr. Samadani will discuss this with you in length before your treatment. Because the effects of Botox are completely reversible, any side effects are temporary
Does Botox help with excess sweating?
Yes, Botox blocks the release of acetylcholine, which also stimulates the sweat glands. This can be used on your underarms (to decrease perspiration) and even hands, feet and forehead
How long does Botox last?
The effects of the Botox injections last from three to six months. The early clinical studies indicate that the duration of treatment benefits is increased over time so that you should require injections less frequently in the future. In few patients the benefit last over 9 months. Also, the duration of effect varies from patient to patient and may be less effective for those over 65 years of age. The beneficial effect of decreasing sweating appears to last longer than 6 months for most people
If you would like to learn more about your cosmetic options, or find out if Botox treatments might work well for you, please call our office and schedule a consultation with Dr. Samadani
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Botox Check Juvederm Check
As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, such as smiling, chewing and squinting. The underlying tissues that keep our skin looking youthful and plumped up begin to break down, often leaving laugh lines, smile lines, crows’ feet or facial creases over the areas where this muscle movement occurs
Soft-tissue fillers can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a facelift
If you're considering a facial-rejuvenation treatment with collagen or fat here are a few items to consider. Please ask Dr. Samadani if there is anything about the procedure you don't understand.
The Restylane and Juvederm are sterile gels consisting of non-animal stabilized hyaluronic acid. It is injected into the skin to correct facial lines, wrinkles and folds to enhance the appearance & fullness of lips in over 60 other countries. Depending on the area treated, these fillers can last 6 months or even longer (lips: approximately 4 - 6 months). Touch-up and follow-up treatments help sustain the desired degree of correction
After the injection common reactions include swelling, redness, itching, bruising, skin discoloration and tenderness at the implant sight. They typically resolve spontaneously 2 - 3 days after injection into the skin and within a week after injection into the lips
Radiesse FN is calcium hydroxylapatite microspheres in a gel carrier. It is injected into facial folds or lines, depressed scars, or other areas of depression. Radiesse cannot be called permanent, although it can last for up to years. Reabsorption of implant will probably occur. The benefit may last up to 18 months
Initial swelling (edema) will be noticeable for at least several hours and perhaps as long as several days. This effect is temporary, and does not affect the long-term tissue response
Sculptra therapy is the injection of poly-L-lactic acid into the skin and underlying tissues. It is designed to help correct skin depressions, such as creases, wrinkles, folds, scars, hollow eye rings, degenerative skin aging, and facial lipoatrophy (loss of fat).
Sculptra (Poly-L-lactic acid) is a biocompatible (does not harm the body), biodegradable (broken down or metabolized by the body), synthetic polymer from the alpha-hydroxy-acid family (fruit acids). Poly-L-lactic acid has been used medically for many years in dissolvable stitches, and does not require pre-treatment skin testing for allergies.
Depending on the area and condition treated and the volume of Sculptra used, the effect of the treatment may last from 1 to 2 years, but in some cases, the duration can be shorter or longer. Most areas of treatment will require 2 - 4 sessions, usually at 3 to 6 week intervals, for optimal correction. Because individual responses to Sculptra therapy may vary, the exact number of treatment sessions required cannot be predicted with complete accuracy. Additionally, in order to maintain the desired degree of correction, intermittent touch-up treatments may be needed.
Common injection-related reactions might include swelling, redness, pain, itching, discoloration, and tenderness at the injection site. These typically resolve spontaneously, usually within 1 to 15 days after injection.
Initial swelling (edema) will be noticeable for at least several hours and perhaps as long as several days. This effect is temporary, and does not affect the long-term tissue response.
What to expect
The most important fact to remember about injectable fillers is that the results are not permanent. The body eventually metabolizes injected material. You should not expect the same long-lasting results that may be gained from cosmetic surgery. In some individuals, the results may last only a few weeks; in others, the results may be maintained indefinitely. Researchers believe that age; genetic background, skin quality and lifestyle as well as the injected body site may all play a role in the injected material's "staying power." However, the precise reason for the variation of results among patients has yet to be identified.
When injectables are administered by a qualified healthcare professional, complications are infrequent and usually minor in nature. Still, individuals vary greatly in their anatomy, their physical reactions and their healing abilities. The outcome of treatment with injectables is never completely predictable.
Facial rejuvenation is very individualized. That's why it's important to discuss your hopes and expectations with Dr. Samadani who has experience with many different types of surgical and non-surgical facial procedures. In your initial consultation, your doctor will evaluate your face - the skin, the muscles and the underlying bone - and discuss your goals for the surgery. Your doctor will help you select a treatment option based on your goals and concerns, your anatomy and your lifestyle. Dr. Samadani will ask you about your medical history, drug allergies, and check for conditions that could cause problems, such as active skin infections or non-healed sores from injuries.
If you are especially sensitive to pain, Dr. Samadani may use a topical cream anesthetic to numb the injected area. Or, you may elect to have an injected local anesthetic or sedative drugs.
Before Injections 1. Two weeks before treatment, be sure to avoid aspirin, Advil, Motrin, Aleve and vitamin E and omega 3/fish oil as these products thin the blood (see list below). Avoid alcohol the night before treatment, as this also thins the blood. 2. Try consuming pineapple, as it is a well-known anti-bruising fruit. If you do not like pineapple, go to the local health store and pick up bromelain, the active ingredient in pineapple. Can start Arnica tablets as they may prevent bruising or help bruises fade faster. They are available for purchase in my office.
After Injections 1. Ice the treated area on and off for the first 24 hours after being injected with a facial filler. 2. Use warm compresses on the treated area after the first 24 hours. 3. Vitamin K cream can be used on the bruised area, as this can help speed the healing process. This product can be purchased at a health food store. 4. Arnica tablets may help prevent bruising or help bruises fade faster even when they are started after the procedure. Arnica also comes in a cream/gel.
We help you make an informed decision (920) 887-1325 Ayaz M. Samadani M.D.