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INTRODUCTION
Botox is a purified protein toxin produced by the Clostridium Botulinum
bacteria. Although Botox is a toxin, there have been no serious side effects.
It is used in extremely small amounts in local areas and does not spread
throughout the body. An appreciated but little known fact about Botox is
that it was initially approved by the Federal Drug Administration (FDA) for
injection into the delicate eye muscle of patients with crossed eyes
(blepharospasm). It has since been safe and effectively used since 1989.
This treatment has proved successful for both men and women.
HOW IS BOTOX USED?
A few drops of Botox are injected with a tiny needle into the muscle that creates a wrinkle. This blocks the nerve impulses from stimulating the muscle and as a result, the muscle relaxes. As the muscle stops contracting, the skin overlying the musclerelaxes and the wrinkles in the skin soften. Botox is a safe and effective purified protein toxin, which blocks impulses from the nerve in the tiny facial muscles that help contribute to more wrinkles. After the treatment, the wrinkles relax along with the muscles while the surrounding untreated facial muscles contract in a normal
fashion. This allows normal facial expressions to remain unaffected.
HOW SAFE IS BOTOX?
For over 12 years Botox has been used safely and successfully in Occuloplastic surgery and for wrinkle therapy. Since Botox is not permanent, possible side effects are temporaryand localised to the area injected. Our Medical director has been using Botox in cosmeticmedicine for the last 4 years in UK & USA and is very experienced with the application of
Botox in Cosmetic Dermatology.
HOW DO I PREPARE FOR THIS PROCEDURE?
First, our doctor will take a complete medical history to determine if you are a good candidate for treatment with Botox. She will then perform a complete facial examination to determine which areas of your face may benefit from Botox. Botox can only treat wrinkles caused by muscular contractions (dynamic wrinkles). Some facial lines and wrinkles (Passive wrinkles / deep expression lines) can only be eliminated by fillers / chemical peeling / re-surfacing.
WHERE CAN BOTOX BE MOST EFFECTIVE?
The most common areas are the frown lines between the eyebrows, the horizontal forehead lines, and crow’s feet. On occasion, some other areas may be treated as well like underarms for patients suffering from hyperhydrosis (excessive sweating)
WILL IT GIVE ME AN ARTIFICIAL APPEARANCE?
Treatment with Botox produces a more youthful and rested appearance, doing away with the lines that form around the upper part of the face. When performed properly, it does not produce an artificial appearance.
IS BOTOX PAINFUL?
There is a small pinch for about 5 seconds. We use tiny special needles to minimise discomfort. Most patients tolerate this quite comfortably. Cold compresses and anaesthetic cream can be used to numb the skin.
WHO CARRIES OUT THE PROCEDURE?
The procedure is carried out by our Medical Director & her team. Our Medical Director is a fellow of the academy of the American Academy of Dermatology. Having over 4 years of specialist experience in this field in the UK & USA.
HOW LONG DOES THE PROCEDURE TAKE?
Botox treatments generally take between 10 - 30 minutes depending on the number of areas to be treated.
You will be asked to return at the end of 2 weeks post treatment for a review of the results and if needed a top – up.
CAN I RETURN HOME THE SAME DAY?
Yes. Treatment with Botox is a very simple procedure, which allows you to return home immediately after your procedure.
ARE THERE ANY LIMITATIONS ON MY ACTIVITY?
Following treatment with Botox, people can usually return to their normal activities. The only restrictions are that they should not have a facial massage or any other activity which may apply pressure to the face for 24 hours.
CAN I USE MAKE-UP IMMEDIATLEY AFTER TREATMENT?
Make-up can be applied immediately after Botox and patients my resume their activities with little, if any, sign they have had something done. There can be a small area of swelling at the injection sites which typically resolves in 1 or 2 hours, if it occurs.
WHAT IS THE RECOVERY TIME FOR BOTOX?
Botox may leave a red mark for a few minutes where administered. The mark disappears by the time you return to work from your lunch hour.
HOW LONG DOES A BOTOX TREATMENT LAST?
Allergan, the manufacturer of Botox, states the effects last about 3 months. We have found the effects to routinely last 4 to 6 months. Our patients usually return a couple of times (2 – 3) a year for their maintenance treatments. After several treatments, the effects may begin to last longer, sometimes for up to 8 months with skilled hands and experienced application.
AM I A CANDIDATE FOR BOTOX?
Yes, if you have furrow between eyebrows, horizontal wrinkles on your forehead, crow’s feet around your eyes, a constant angry look or appear stern or too serious or you don’t like the way you look in pictures or if you have excessive underarm sweating.
HOW LONG DOES IT TAKE TO SEE THE RESULTS FROM BOTOX
Muscle weakening does not begin until at least 1-2 days after treatment, but sometimes takes as much as 12 days. The results are usually seen 7 – 10 days post treatment.
AFTER TREATMENT
• Please refrain from touching the treated area for 3-4 hours
• Remain upright for 3-4 hours
• Do not have facial massage or electrical stimulation to the face for 72 hrs
• Do not overstretch, bend or kneel excessively for 2 weeks following treatment
• Do not fly for up to 72 hours after the treatment
• Muscle weakening does not begin until at least 1-2 days after treatment, but sometimes takes as much as
12 days
• After cosmetic treatment, the effects of Botulinum toxin usually persist for about 4 - 6 months before
muscle activity is gradually resolved
• It is recommended that you come back for more treatment at the first sign of muscle re-activation
INFO ON FILLERS
Kosmoderma uses the very best in Filler technology.
At Kosmoderma we currently use only Temporary Fillers as they have the highest safety profile, thus giving superior results with minimal / no downtime. These fillers are made of natural substances like hyaluronic acid and give instant results.
WHAT IS A FILLER?
A Filler restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds and for contouring of the lips. It is a safe and natural device used to fill the dermis (deeper skin), hence they are also known as ‘dermal fillers’. There are various brand names like – Restylane, Juvederm, Esthelis…
WHAT ARE TEMPORARY FILLERS MADE OF?
The dermal fillers are made of non-animal-based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. The hyaluronic acid in Temporary Fillers is a crystal-clear gel called NASHA or Non- Animal Stabilized Hyaluronic Acid. NASHA is biodegradable and fully biocompatible with human hyaluronic acid and is made in a lab by bio-fermentation.
HOW ARE TEMPORARY FILLERS DIFFERENT THAN OTHER HYALURONIC ACID BASED PRODUCTS?
Unlike rooster-derived hyaluronic acid based products, these fillers are free from animal proteins. This quality limits any risk of animal-based disease transmission or allergic reaction. These Fillers contains trace amounts of gram-positive bacterial proteins and should not be used by patients with a history of allergies to such material. Additionally, they have the highest concentration of hyaluronic acid available in a dermal filler.
ARE TEMPORARY FILLERS SAFE?
Yes. They have been used by dermatologists and plastic surgeons since 1996 worldwide. There is limited risk of animal based disease transmission or allergic reaction. They are fully biocompatible and allergy testing is not required.
These Fillers contain trace amounts of gram-positive bacterial proteins and should not be used by patients with a history of allergies to such material. If you are pregnant, breastfeeding, or under 18, you should not undergo Fillers treatment.
ARE THERE ANY SIDE EFFECTS?
The most commonly reported side effects are redness & swelling at the injection site, which typically resolve within a few hours. Rarely, bruising and pain at the injection site is possible and typically resolves within 1 – 2 days in the skin and within a week in the lip area. The manufacturers report that the possibility of a granulomatous reaction to NASHA is extremely rare.
WHAT AREAS CAN THE FILLERS BE USED ON?
In the U.S. the FDA has approved Temporary Fillers for wrinkles and folds like the ones from the nose to the corners of the mouth. The Fillers are also used for plumping up thin lips, contouring uneven lips and treating depressed scars on the face.
HOW LONG DOES THE FILLER LAST?
The Temporary Fillers have been proven to deliver long-lasting results. Studies have shown that the effects generally last for about 6 – 9 months.
HOW OFTEN SHOULD I HAVE THE TREATMENTS?
Treatments are typically scheduled twice a year. We advise a top – up session when you feel that the product is almost absorbed.
HOW DO THE FILLERS WORK?
The Filler works in 2 ways: Upon injection, into the mid – deep dermis, the NASHA gel adds volume and fullness to smooth the wrinkles and folds. The Filler integrates into the dermal tissue, then attracts and binds water molecules to help maintain volume.
HOW ARE FILLERS DIFFERENT FROM BOTOX®?
Fillers are natural cosmetic products. In contrast, Botox® Cosmetic is a drug that blocks nerve transmission and relaxes the underlying muscles. Many patients have been very pleased after receiving treatment with both products. They can be used in combination for superior results.
HOW ARE FILLERS DIFFERENT FROM BOVINE COLLAGEN?
Bovine collagen is derived from animals (cows) and requires an allergy test whereas the Fillers can be administered immediately and no waiting is required.
DO THE INJECTIONS HURT?
The Fillers are injected directly into the skin in tiny amounts by an ultra fine needle, resulting in minimal discomfort. The procedure is simple and convenient, and results are practically instantaneous. To optimize your comfort during the short procedure, your Kosmoderma practitioner will anesthetize the treatment area.
WHO CARRIES OUT THE PROCEDURE?
The procedure is carried out by our Medical Director & her team. Our Medical Director is a fellow of the American Academy of Dermatology & European Academy Of Dermatology, having over 4 years of specialist experience in this field in the UK & USA.
IS THERE ANYTHING I SHOULD DO BEFORE THE TREATMENT?
These Fillers require no pre testing, but you should take a few precautions before being treated. Avoid using Aspirin, non-steroidal anti-inflammatory medications (NSAID’s), St. John’s Wort, or high doses of Vitamin E supplements prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, discuss this with your practitioner during the consultation.
48 HRS AFTER TREATMENT
- Apply Aloe Vera to the area as needed to calm the swelling and redness if any
- Massage the area gently for 4 – 6 hours post treatment
- You can use make – up on the area, we advise mineral make up as it is bacteria free
- Avoid Steam, Sauna & facials for 24 – 48 hrs post treatment
- If you have any queries contact your Kosmoderma practitioner on 98457 70005
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