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FAQ's

 

WHAT IS BOTOX ?

DERMAL FILLERS

PRESCRIPTION SKIN CARE

 

What Is Botox ?

Botulinum Toxin is a chemical produced by the botulinum bacteria.  Botox is a protein derived of toxin which when injected into a muscle causes it to become weakened or inactivated.  It stops the muscles from functioning by blocking neuro muscular transmission, i.e. stops the chemical messages from the nerve to the muscle.  


As long ago as 1978 Botox was used as a treatment for patients with eye squints by weakening the overactive eye muscle.  Since then it has been used in a variety of therapeutic areas such as spasmodic neck, writer’s cramp, ticks, multiple sclerosis, facial spasm, Parkinson’s disease and cerebral palsy.  In more recent times the use of Botox for cosmetic therapy has become more wide spread.

Botox is one of the many trade names for the protein called botulinum toxin that is produced by the bacterium clostridium botulinum.  For many years this product has been used in medical and cosmetic treatments for its muscle relaxant properties.

Botox is one of the many trade names for botulinum toxin that is produced by the bacterium clostridium botulinum.  Botulinum toxin has been safely used in the medical profession for years.  Since the 1980s Botox has been used successfully in the field of aesthetics / cosmetic medicine.  In cosmetic procedures a small amount of diluted botulinum toxin enables deep controlled relaxation of muscles to smooth wrinkles and lines on the face.  Botox can be used to reduce the appearance of wrinkles and lines over the upper part of the face.  

 

How Does Botox Work ?

By using the facial muscles repeatedly throughout a lifetime, the skin is creased in areas of greatest use.  The aging process causes the slow down of collagen and elastin production in the skin so that as we get older, these areas of overuse become damaged and the lines become permanent.  By reducing the movement of muscles in these areas, the skin stops creasing and is allowed to recover, causing the lines to soften or even fade away.  In the areas treated, the muscles are temporarily inactivated during which time the patient can break the subconscious habit of overusing these muscles.  Depending on each individual and the dose used the response to the treatment can vary to relaxation of the muscles to an inability to move the muscles.  For the first couple of years, frequent treatments are required to re-educate the facial muscles.  Thereafter, treatments would be less frequent.  

Botulinum toxin is a protein that blocks the transmission of nerve signals to the muscle, inhibiting the muscle from contracting and thereby preventing the overlying skin from wrinkling causing the lines to relax and soften.  It usually takes 3 – 7 days to see an improvement and the effects tend to last from 4 – 6 months.  Most patients require retreatment to remove wrinkles and lines as they begin to reappear, but after each injection the wrinkles return as less severe as the muscles are trained to relax.  


Botox is a highly effective remedy for treating dynamic lines (wrinkles caused by muscular activity) and is probably the most well known wrinkle treatment. 

KINETIC / STATIC

 

Where Can Botox Be Used ?

Botox can be used for the upper part of the face to reduce lines in the forehead, frown, crows feet, bunny lines, around the mouth, chin and for hyperhidrosis (excessive sweating, usually underarm).
TERMINOLOGY

 

Is Botox Safe and What Are The Common Side Effects ?

In high concentrations botulinum toxin is a potent poison.  However, Botox used in minute doses, as it is in cosmetic medicine, has a very high margin of safety.  


Side effects of this treatment are rare.  Occasionally a temporary dropping of an eyelid can occur.  This may last a few weeks but will always resolve.  In extremely rare cases patients have developed an allergy to the treatment while others have shown resistance, i.e. it causes little or no effect on the treated muscles. 


It is very rare to have an allergic reaction to Botox.  Occasionally bruising or swelling may occur and this can take anything from a few hours up to 4 days to resolve.  Botox can also give you a headache for a few days following treatment.  If this occurs usual remedies will suffice.  


Botox may spread to involve muscles of the face that were not intended to be the target which may result in dropping of the eyelid but this would usually subside within 2 – 3 weeks.  

MORE – AZALURE LEAFLET

 

What Does Botox Treatment Involve?

The treatment begins with a no obligation, confidential face to face in depth consultation to discuss medical history and expectations of treatment.  


Photography of the areas to be treated will be undertaken to observe the before and after effect of treatment efficiently at the time of treatment and at a follow up appointment, usually 2 weeks post treatment. 


The procedure takes about 15 – 20 minutes.  The aesthetic nurse will ask you to use certain muscles of the face to observe how they work, which will then be marked out in preparation for treatment and application of topical numbing cream carried out if required, however many fillers also contain a local anaesthetic.  An extremely fine needle is used to inject the Botox into the appropriate area.  This may cause some slight but brief discomfort.  The area may have some slight redness and swelling which normally resolves in an hour or two.  The treatment normally starts to take effect after 4 – 14 days but this may vary slightly with some individuals and the effects will last between 2 – 6 months when you will begin to notice the muscles moving more freely.  

 

What Aftercare Is Required After Having Botox ?

You may return to normal activities immediately after the injections, as no anaesthetic has been used. Following the injections you should keep your head up and not over strain.

Do not massage the treated area, as this may spread the Botox to neighbouring areas and cause unwanted effects.

Light make-up may be applied 1 hour after the procedure.

It can be helpful to exercise the non treated face muscles by frowning and smiling frequently.

 

Dermal Fillers

 

What Are Dermal Fillers ?

Dermal fillers are safe injectable materials made from a synthetically produced hyaluronic acid (“HA”), which are used to smooth out the appearance of facial lines.  


Dermal fillers are used to replace the loss of tissue volume and restore facial contours, which occurs as we age.  Fine lines and wrinkles can also be corrected and skin hydration improved.  


As the face ages, skin loses collagen and facial fat pads diminish and migrate, causing sagging and wrinkles.  Dermal filler can be used to plump up these areas of the skin and fat helping restore appearance.  


Dermal fillers are a non-animal based clear gel that is almost identical to a naturally occurring substance in the body called hyaluronic acid.  They work with the body’s own hyaluronic acid to smooth, plump and fill out lines.  


Present in all living organisms, HA, has already been used widely in general medicine to help eye surgeons perform cataract operations and injection into arthritic joints to aid mobility.  In your skin in creates volume and the appearance of vitality.  However, the finer result you can achieve depends on the type of filler you use and the area treated.  

 

How Do Dermal Fillers Work ?

Dermal Fillers are a safe injectable product that replenishes the skin’s natural volume.  This is a clear gel similar to the hyaluronic acid found in the skin that keeps the skin hydrated and elastic.  As time passes HA is gradually lost from the skin leading to fine lines and wrinkles.  Dermal filler injections help to fill out and smooth away fine lines, wrinkles and scars on the face as well as adding volume.  They can also be used on the hand as well as the face.  


The biggest difference between various fillers available is the size of the particles used, the active ingredient and the quantity in each vial.  For instance, we would suggest fillers with smaller particles for superficial lines and larger particle fillers for deeper wrinkles, restoring lost volume, skin folds and lips. 

 

Where Can Dermal Fillers Be Used ?

Dermal fillers can be used at virtually any site on the face, more commonly the cheeks, lips, nose to mouth lines (nasal labial lines) and the lines that run down from the corners of your mouth (marionette lines).  It can also be used glabellar (frown), forehead, around the mouth (for example smoking lines) and chin.

 

Are Dermal Fillers Safe and What Are The Common Side Effects?

Complications particular to dermal filler include risk of allergic reaction to the filler, contour irregularities, lumpiness, asymmetry, bruising, under correction and over correction and if you experience cold sores then there may be a reoccurrence of them after treatment.  


Some injection related reactions occasionally occur such as transient redness, swelling, pain, itching and tenderness at the injection site.  However, these resolve themselves after a day or two for wrinkles treatments and after a few more days for lip treatments and usual remedies suffice.  Other types of reactions are very uncommon with just 1 in 15,000 people experiencing hypersensitivity reactions after having hyaluronic acid fillers.  

 

What Does A Dermal Filler Treatment Involve?

The treatment begins with a no obligation, confidential face to face in depth consultation to discuss medical history and expectations of treatment.  


Photography of the areas to be treated will be undertaken to observe the before and after effect of treatment efficiently at the time of treatment and at a follow up appointment, usually 2 weeks post treatment. 


The procedure takes about 20 – 40 minutes.  The aesthetic nurse will mark out the appropriate area(s) in preparation for treatment and application of topical numbing cream carried out if required, however many fillers also contain a local anaesthetic.  An extremely fine needle is used to inject the dermal filler into the appropriate area.  This may cause some slight but brief discomfort.  The area may have some redness and swelling which normally resolves in an hour or two. The exception being lip augmentation when discomfort and swelling can last for several days.  The treatment normally starts to take effect instantly but can take up to 14 days to have full effect.  This may vary slightly with some individuals and the effects will last between 5 – 9 months when you will begin to notice the volume and plumpness of the treated area reduce.

 

What Aftercare Is Required After Having Dermal Fillers ?

Avoid touching the area after your injections and this may distribute the filler to unwanted areas.

A cool pack may help to reduce any swelling.

Paracetamol can be taken for any discomfort.


Avoid direct sunlight until the swelling and redness has subsided.


Avoid taking Aspirins, Nurofen, Ibuprofen, St Johns Wort or high doses of Vitamin E for a week after treatment. 

Avoid alcohol and exercise for at least 6-8 hours after your treatment.

You can wash the treated area with soap and water. If needed light make up may be used with lean fingers following your treatment.