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Botox and Fillers

Botox may be used for the treatment of dynamic wrinkles of the face caused by contraction of the underlying facial muscles every time you smile, laugh or frown. Injection in certain areas of the face relaxes the muscles so they do not contract allowing the overlying skin to remain smooth and unwrinkled.

What is botox?

Botox is a drug made from a neurotoxin produced by bacterium Clostridium botulinum called botulinum toxin. Its cosmetic use is to remove wrinkles by temporarily paralyzing muscles.

How long do botox inejctions last?

The effects from Botox will last 4-6 months. The treated lines and wrinkles often appear less severe with time because the muscles are being trained to relax. Botox is a non-surgical procedure that relaxes the muscles that cause wrinkles in your brow, forehead and around eyes. After treatment you will look more relaxed and confident because the wrinkles in these areas become smoother, often raising the brow and opening the eyes wider.

What is the use of Botox?

It primarily reduces appearance of facial wrinkles. Following treatment, results are usually seen within 3-5 days. However it can take up to 2 weeks to see full results. The needle is tiny and icepacks minimize the pain prick sensation during injections. Treatment takes only about 10 minutes. Overall facial expression will be one of greater relaxation and alertness.

How do I know if I need Botox?

If you have frown or forehead lines, crow’s feet, smile lines around eyes, or all , Botox injections will make you appear more relaxed and less tired. You should not have Botox if you are pregnant, have an infection at the site of injection, multiple sclerosis, myasthenia gravis , or any neurological disease or history of temporary paralysis, loss of vision or double vision.

What are the risks and side effects?

Our goal is always to make you look natural and not frozen. The most common side effect is a small bruise. Much less common are a “ spock effect”, where one eyebrow goes up more than the other and that is drooping of brow or lid. Both can be easily corrected. Botox may also cause a temporary headache.

How will I look and feel during and after treatment?

The injected area may look like a mosquito bite of 20-60 minutes. Bruise may take up to a week to heal. Frowning, raising your eyebrows, smiling and squinting may help muscles to absorb Botox better. Do this several times after 1-2 hours after injections. Try not to lay back or fall asleep for 4 hours after the injection to avoid spread to nearby areas. Avoid aspirin and high dose Vit E products for 48 hours and 7-10 days prior to treatment to avoid bruising.

Can Botox be combined with other treatments?

Yes. Botox can be combined with other facial rejuvenation methods for best aesthetic results.

Is there another way to get similar effect?

Yes. Wrinkles of forehead and eyes can be smoothed out by injectable fillers, laser resurfacing, tissue tightening, chemical peels and topical therapy.

What is the cost of Botox cosmetic?

Cost depends on the amount of Botox needed and this varies among patients. We charge on the basis of units used during treatment. Men need more units of Botox than women because their muscles are large.

Botox can also be used to treat excessive sweating in palms, soles or armpits. Botox injection provides several months of relief without any major local or systemic side effects.

DERMAL FILLERS

When injected Fillers restore the youthfull contours of your face in three dimensions. They enhance volume, erase wrinkles, and augment lips. Eg: Restylane Lyft, Juvederm, Belotero etc. The active ingredient in each of these products is Hyaluronic acid which coats collagen and acts as a cushion to skin.

What are the risks and side effects?

  • Bruising and Swelling.
  • Downtime around in 2days but can stretch up to 2 weeks.
  • Bumpiness/ lumpiness.
  • Swelling.

How will I look and feel during and after treatment?

  • Treated area is swollen red bruised may last up to 2-5 days or 2 weeks.
  • Minimizes bruising by avoiding aspirin, Vit E, NSAIDS, 7-10 days before procedure.
  • Most patients tolerate procedure well. Topical anesthetic may be required before procedure, especially for sensitive areas like lips.

What benefits can I expect?

  • You can expect a natural and safe transformation to youthful facial appearance.
  • Minimal duration for its effectiveness is between 10-12 months.
  • Maintenance consists 1-2 visits per year for touch up.
  • Filling out hollows under eye area.
  • Making scars from acne, chicken pox more even.
  • Increasing volume to fill out lower cheek or temple area.

How it works?

  • The active ingredient in fillers is Hyaluronic acid which plumps the injected space.
  • It takes about 15-30 minutes for the procedure.

What are the indications?

  • Fillers can be used to fix a variety of concerns related to facial ageing.
  • Adding volume and smoothing out deep creases that run from nose to mouth.
  • Laugh lines or Nasolabial folds.
  • Plumping their lips and smoothing out vertical lines around lips edges.
  • Augmenting cheeks to enhance fullness.
  • If history of cold sores is there, prior antiviral is must.

Can this be combined with other treatments?

Yes- Botox can be injected; Botox corrects upper 1/3rd of the face while fillers help in lower 2/3rd. If laser has to be done one month gap should be there between the two procedures.

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