Botulinum Toxin treatments
What is Botulinum toxin ?
the Upper Face: For a chemical brow lift , Botulinum
toxin , a purified protein, when used in small
dilutions in a controlled fashion by a skilled
physician with extensive experience of Botulinum
toxin injections, relaxes dynamic frown lines
between the brow, on the forehead and the wrinkles
around the eyes. Botulinum toxin makes you look less
worried, angry, or tired, and more relaxed,
approachable, and confident.
For the Lower Face:
Botulinum toxin , when used in small dilutions in a
controlled fashion by a skilled physician with
extensive experience, can cause a chemical jowl lift
and decrease a permanent mouth frown, a very
What is Botulinum toxin made from?
Botulinum toxin is a purified botulinum neurotoxin
type A complex, produced from a culture of the A
strain of bacteria called Clostridium Botulinum Type
A. Although the Clostridium bacteria cause botulism,
the Botulinum toxin facial extract does not.
What kind of wrinkles does Botulinum
Botulinum toxin is for
dynamic wrinkling. It is a muscle relaxing agent so
it will soften the wrinkles and lines that occur
from a dynamic facial movement, such as between the
brows with frowning or the crow’ s feet from smiling
or around the mouth from excessive pursing of the
Is Botulinum toxin safe?
Botulinum toxin facial injections have become an
essential ingredient in facial rejuvenation, erasing
frown lines and relaxing worried brows. Botulinum
toxin is safe and effective and has been approved
for cosmetic use by the FDA. Botulinum toxin has
become the most commonly performed cosmetic
procedure and has been used for more than 10 years
in aesthetic practice and more than 20 years in
neurology and ophthalmology. There are many
publications supporting its use. It has a long and
impressive safety record.
Botulinum toxin facial
should be injected at a physician’s office by an
experienced and trained medical doctor with an
intimate knowledge and understanding of the muscular
anatomy of the face as well as the aesthetic
implications of proper placement . The final outcome
of a Botulinum toxin procedure is very dependent on
the experience of the injector. In addition
Botulinum toxin side effects will be minimized if
done by a practitioner who injects Botulinum toxin
• Botulinum toxin has been proven safe if
administered by a trained medical professional
Botulinum toxin has been used worldwide in millions
of patients since 1989
What To Expect
after a Botulinum toxin treatment?
Usually you will have a mosquito-bite looking area
for 20-60 minutes which resolves without a trace.
Try not to fall asleep or relax in a recumbent
position for at least 4 hours after a Botulinum
toxin procedure as this may rarely lead to some
diffusion or spreading of the Botulinum toxin Facial
to adjacent areas and causing problems
regular skin care regimen can be resumed immediately
following a treatment and makeup may be applied if
desired. After having had Botulinum toxin
injections, exercise should be avoided for twenty
How long will it last?
Within 4 days of the treatment you should start to
see an improvement in your lines and the final
result only “ kicks in” 14 days later. The result
can last up to 4 months but varies from patient to
patient and the initial amount of Botulinum toxin
units given per area . Some patients have a
hyperactive brow and are constantly raising their
brows or frowning . In these patients a shorter
effect can be expected as the Botulinum toxin is
quickly “ worked” out. Some practitioners charge per
area for Botulinum toxin and others quote per unit.
The more units injected, the longer the duration of
Can all skin types be safely treated
with Botulinum toxin ?
Yes, all skin types can be
safely treated with Botulinum toxin ?
What are dermal fillers?
Dermal fillers are injectable substances designed to
• erase wrinkles,
• augment lips,
• and restore the youthful
3-dimensional contour of the face.
What types of
dermal fillers are there?
Dermal fillers consist
of hyaluronic acids ,calcium hydroxy-appatite
fillers , human fat, bovine or porcine collagen and
fillers: The hyaluronic acid fillers are sterile,
clear, dermal iller gels made of chemically modified
hyaluronic acid. Hyaluronic acid is a naturally
occurring substance found in the fluids surrounding
cells and tissues. Hyaluronic acid is found in the
human body in the skin, cartilage, joints and the
eye. In skin tissue, hyaluronic acid fills the space
between collagen and elastin fibers. The role of
hyaluronic acid in skin is to deliver nutrients,
hydrate the skin by holding in water and to act as a
cushioning agent. Hyaluronic acid is hygroscopic
which means that it draws water very strongly to it,
yielding a larger volume effect than the material
would have by itself. Made from highly purified
natural hyaluronic acid, the gel is gradually
absorbed by your body through natural mechanisms.
Calcium hydroxy-appatite fillers are
microspheres of smooth particles of calcium that,
after injection, also form a scaffold that is slowly
filled with human collagen.
fillers containing porcine collagen and
poly-L-lactic acid can be used for the same
indications such as hyaluronic acid dermal fillers
with the exception of lip augmentation where
hyaluronic acid is the preferred filler. .
What areas do the dermal fillers treat ?
The typical areas treated are
• the nasolabial
folds (lines from the end of the nose to the end of
• perioral area (wrinkles around the
• wrinkles of the cheeks, and
marionette lines (lines from the corners of the
mouth to the jawline, accentuating the downturn of
• lip augmentation which provides
definition to lips which have become thin and
• volume replacement for “tear-trough
deformity” (hollow under-eye circles), hollow
cheeks, cheek-lift, brow-lift and
and strengthening the jaw line by lessening the
effect of jowls and sagging.
Are dermal fillers safe?
Dermal fillers have been proven safe if administered
by trained medical professionals. Hyaluronic acid
dermal fillers are produced by human genes inserted
into a bacterium for reproduction. Hyaluronic acid
is a highly “conserved” protein, meaning that its
genetic composition is almost exactly the same in
97% of animal species. This gives is an extremely
low incidence of allergic reactions, hence there is
no need for pre-treatment skin testing. There is
little risk of a foreign-body reaction with
hyaluronic acid fillers and they are completely
reversible with time.
FDA approval hyaluronic
acid fillers such as Juvederm, Restylane and Perlane
have been used in millions of patients for more than
10 years with a very low incidence of side effects
and thus are considered very safe.
generation fillers containing porcine collagen ,
calcium hydroxy-appatite and poly-L-lactic acid can
be used for the same indications such as hyaluronic
acid dermal fillers with the exception of lip
augmentation where hyaluronic acid is the preferred
filler. These newer generation fillers are very
injector dependent and can cause lumpiness if
improperly injected by inexperienced injectors.
What To expect after a dermal filler
There is mild redness and
swelling after the procedure which rapidly subsides.
Try to avoid aspirin containing products or
high-dosage vitamin E supplements for 10 days prior
to the procedure to avoid bruising which may occur
especially after treatments of the lips and cheeks.
You may put makeup on immediately and resume
whatever activities you have planned, as long as you
appreciate that you may have bruising which may last
for up to a ten days after the procedure.
Can dermal fillers be combined with other
Dermal fillers are commonly
performed at the same visit as Botulinum toxin .
Botulinum toxin helps with the upper one-third of
the face whereas injectable fillers generally help
with the lower two-thirds. The combination is one of
the most widely used and most effective methods of
achieving a significant aesthetic improvement within
1-2 weeks time.
Can all skin types be safely
treated with dermal fillers?
Yes, all skin types
can be safely treated with dermal fillers?