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Skin Renewal Doctors all have a broad knowledge, background and passion for aesthetic medicine. Please feel free to ask them your questions and concerns.

Treatments
Treatments

Botox ® & Dysport ®

You only have one opportunity to make an impression. First impressions are significantly influenced by facial expression. Research has revealed overwhelming data indicating that ‘more attractive’ individuals receive better judgments and treatment from others. More recently, a US doctor has revealed from his research the positive impact botulinum toxin (Botox® or Dysport) can have on first impressions.
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Botulinum Toxin has been used safely for decades in the treatment of muscle disorders of the eyes and voice box, headaches, spasticity of the stomach, spasticity associated with cerebral palsy, and other neuromuscular disorders, but it has really grown in popularity over the years as the gold standard for treating frown lines and wrinkles associated with facial movement. An experienced and well trained doctor is able to use Botox® and Dysport to treat and soften dynamic lines and wrinkles that often can cause a person to look older, tired, worn-out or even angry.

frequently asked
questions

What kind of wrinkles does Botox treat?

To understand the various treatments of wrinkles, one must understand that there are different kinds of wrinkles, dynamic and static lines or wrinkles.

Dynamic lines or wrinkles are those wrinkles and lines that appear when your face is animated.

Static lines or wrinkles are those facial lines that are evident even when our face is at rest and are due to volume loss and are better treated with dermal fillers. These two types of wrinkles are what separate Botulinum Toxin from any of the injectable fillers.

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 lips. With ageing, this repetitive motion the skin starts to show strain and deep folds and tiny wrinkles start to develop. Botulinum Toxin will also help prevent a mouth frown by relaxing the muscles that exert a downward pull to the mouth.

For the body: Botulinum Toxin injections also can be used to block chemical signals from nerves that stimulate sweat glands. See Botulinum Toxin underarms and Botulinum Toxin palms. For acne conditions: Botulinum Toxin when transdermed into the skin with a FDA approved machine, can decrease the secretion of sebum from the pilosebaceous unit, an important factor for acne conditions.

Another off-label indication for Botulinum Toxin is for chronic migraine. Botulism Toxin is injected into fixed-sites in varying locations, including the forehead, temples and potentially extending into the neck muscles. According to Allergan, the manufacturer of Botulinum Toxin, Phase III clinical trials showed a significantly greater decrease in headache days among patients receiving Botulinum Toxin, compared with those receiving a placebo. There are numerous medical conditions for which Botulinum Toxin is used.

How much Botox® is needed for each area?

The amount of Botox® or Dysport units differs amongst patients as some patients require more Botox or Dysport because of:

  • Larger or stronger muscle mass eg. men
  • Facial expression differences, some people have a dead pan face whilst others have very expressive faces
  • Recruitment of other facial muscles outside the norm after Botulinum Toxin has been given
  • Biochemical differences have to be taken into account; for example patients taking a lot of fat burners appear to metabolise Botulinum Toxin much faster and have a much shorter duration of action of their Botulinum Toxin cosmetic treatment

Badly sun damaged skin changes the amount of Botulinum Toxin units needed.

All of these above mentioned criteria will be assessed by the attending doctor before he or she administers Botulinum Toxin and this is why it is so important to choose a clinic where the doctor focuses on aesthetics and administers Botulinum Toxin to at least 5 to 10 patients a day. A doctor can only claim to be experienced in the administration of Botulinum Toxin after at least 1000 patients have been injected. At Body Renewal all NEW patients MUST make a follow up appointment to see the doctor 2 weeks after the initial injection to assess final result. Additional injections may be needed to attain a perfect result. This will be charged accordingly if more than 2 to 4 units are needed for a top up.

Where is Botox® injected to reduce wrinkles?

On the Upper Face: For a chemical brow lift , Botulinum Toxin, 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 undesirable effect.

Why do we get Dynamic lines or wrinkles?

When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Our face was otherwise wrinkle-free when we weren't animated. All dynamic wrinkles, with age, will eventually lead to static wrinkles as collagen is depleted and constant motion "cracks" the skin. Dynamic Wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, and these grooves become permanently etched on the face as fine lines and wrinkles.

When should one start using Botox® cosmetic?

With the millions of Botulinum Toxin injections that are performed annually, evidence and experience have shown that prolonged use of Botulinum Toxin over a period of 10 years does slow down the ageing process .If we can relax these facial expressions with Botulinum Toxin, then we can prevent the breaks in the skin, commonly known as wrinkles. If the skin is continually relaxed, collagen can build up in the area that is treated and the wrinkle will improve. Repeated Botulinum Toxin injections (every 4 to 5 months) will ensure a superior long term result as collagen is not depleted by the constant motion of our muscles.

How does Botox® help the ageing process?

Consumers are always interested in maintaining a youthful appearance, and as the global population's median age increases, this market is increasingly expanding. When we are younger, the brow and jaw line elevators are more prominent and the face appears constantly elevated.

As we age, the dynamics change and the depressors take over and combined with gravity, a gradual sagging of our brow and jawline takes place. If we can keep the dynamics between elevators and depressors neutral with strategically placed Botulinum Toxin injections every 4 to 6 months, then the sagging that occurs with ageing will be reduced.

Multiple clinical studies have shown that a modest elevation occurs in the range of 1 to 3mms which in the face can be a make a real observable difference. Once the Botulinum Toxin "kicks" in 10 days later, the face takes on a relaxed and refreshed look and one's face appears to glow.

In other words, an anti ageing effect is achieved because Botulinum Toxin relaxes the downward pressure that the depressor muscles exert on the facial tissues. This results in the elevator muscles of the face becoming more dominant, raising the brow and jawline and preventing the downturned mouth or mouth frown.

Is Botox ® safe?

Botulinum Toxin Facial injections have become an essential ingredient in facial wellness, erasing frown lines and relaxing worried brows. Botulinum Toxin Facial is safe and effective and has been approved for cosmetic use by the FDA. Botulinum Toxin Facial 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 has done over 1 000 procedures and who injects Botulinum Toxin cosmetic daily.

  • Botulinum Toxin has been proven safe if administered by a trained medical professional
  • Botulinum Toxin has been used worldwide in millions of patients since 1988
What To Expect after a Botox® treatment?

Usually you will have a mosquito-bite looking area for 20-60 minutes which resolves without a trace. Very occasionally, little red areas at areas of injection appear but resolve within a couple of days. 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

Your 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 four hours.

Try to avoid aspirin containing products or high-dosage vitamin E supplements for 48 hours before the Botulinum Toxin procedure unless medically necessary. Avoidance of these for 10 days prior to the procedure is recommended to avoid bruising.

How long will Botox® last?

Within 7-10 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 given. Baby Botox is Botulinum Toxin given in 3 areas but in half the quantities of a usual procedure. This kind of Botulinum Toxin will only last approximately 6 weeks and is useful in actors who need facial expression.

With repeated Botulinum Toxin treatments, the result of Botox injections can last for longer periods.

Some patients have a hyperactive brow and are constantly raising their brows. In these patients a shorter effect can be expected as the Botulinum Toxin is quickly "worked" out.

Can all skin types be safely treated with Botox ® Facial?

Yes, all skin types can be safely treated with Botulinum Toxin Facial.

Frequently asked questions

What kind of wrinkles does Botox treat?

To understand the various treatments of wrinkles, one must understand that there are different kinds of wrinkles, dynamic and static lines or wrinkles.

Dynamic lines or wrinkles are those wrinkles and lines that appear when your face is animated.

Static lines or wrinkles are those facial lines that are evident even when our face is at rest and are due to volume loss and are better treated with dermal fillers. These two types of wrinkles are what separate Botulinum Toxin from any of the injectable fillers.

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 lips. With ageing, this repetitive motion the skin starts to show strain and deep folds and tiny wrinkles start to develop. Botulinum Toxin will also help prevent a mouth frown by relaxing the muscles that exert a downward pull to the mouth.

For the body: Botulinum Toxin injections also can be used to block chemical signals from nerves that stimulate sweat glands. See Botulinum Toxin underarms and Botulinum Toxin palms. For acne conditions: Botulinum Toxin when transdermed into the skin with a FDA approved machine, can decrease the secretion of sebum from the pilosebaceous unit, an important factor for acne conditions.

Another off-label indication for Botulinum Toxin is for chronic migraine. Botulism Toxin is injected into fixed-sites in varying locations, including the forehead, temples and potentially extending into the neck muscles. According to Allergan, the manufacturer of Botulinum Toxin, Phase III clinical trials showed a significantly greater decrease in headache days among patients receiving Botulinum Toxin, compared with those receiving a placebo. There are numerous medical conditions for which Botulinum Toxin is used.

How much Botox® is needed for each area?

The amount of Botox® or Dysport units differs amongst patients as some patients require more Botox or Dysport because of:

  • Larger or stronger muscle mass eg. men
  • Facial expression differences, some people have a dead pan face whilst others have very expressive faces
  • Recruitment of other facial muscles outside the norm after Botulinum Toxin has been given
  • Biochemical differences have to be taken into account; for example patients taking a lot of fat burners appear to metabolise Botulinum Toxin much faster and have a much shorter duration of action of their Botulinum Toxin cosmetic treatment

Badly sun damaged skin changes the amount of Botulinum Toxin units needed.

All of these above mentioned criteria will be assessed by the attending doctor before he or she administers Botulinum Toxin and this is why it is so important to choose a clinic where the doctor focuses on aesthetics and administers Botulinum Toxin to at least 5 to 10 patients a day. A doctor can only claim to be experienced in the administration of Botulinum Toxin after at least 1000 patients have been injected. At Body Renewal all NEW patients MUST make a follow up appointment to see the doctor 2 weeks after the initial injection to assess final result. Additional injections may be needed to attain a perfect result. This will be charged accordingly if more than 2 to 4 units are needed for a top up.

Where is Botox® injected to reduce wrinkles?

On the Upper Face: For a chemical brow lift , Botulinum Toxin, 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 undesirable effect.

Why do we get Dynamic lines or wrinkles?

When we were younger and our skin had abundant collagen, the only lines and wrinkles we had were dynamic. Our face was otherwise wrinkle-free when we weren't animated. All dynamic wrinkles, with age, will eventually lead to static wrinkles as collagen is depleted and constant motion "cracks" the skin. Dynamic Wrinkles are caused by facial expressions and repetitive facial movements. Each time we use a facial muscle, a groove forms beneath the surface of the skin, which is why we see lines form with each facial expression. As skin ages and loses its elasticity, the skin stops springing back to its line-free state, and these grooves become permanently etched on the face as fine lines and wrinkles.

When should one start using Botox® cosmetic?

With the millions of Botulinum Toxin injections that are performed annually, evidence and experience have shown that prolonged use of Botulinum Toxin over a period of 10 years does slow down the ageing process .If we can relax these facial expressions with Botulinum Toxin, then we can prevent the breaks in the skin, commonly known as wrinkles. If the skin is continually relaxed, collagen can build up in the area that is treated and the wrinkle will improve. Repeated Botulinum Toxin injections (every 4 to 5 months) will ensure a superior long term result as collagen is not depleted by the constant motion of our muscles.

How does Botox® help the ageing process?

Consumers are always interested in maintaining a youthful appearance, and as the global population's median age increases, this market is increasingly expanding. When we are younger, the brow and jaw line elevators are more prominent and the face appears constantly elevated.

As we age, the dynamics change and the depressors take over and combined with gravity, a gradual sagging of our brow and jawline takes place. If we can keep the dynamics between elevators and depressors neutral with strategically placed Botulinum Toxin injections every 4 to 6 months, then the sagging that occurs with ageing will be reduced.

Multiple clinical studies have shown that a modest elevation occurs in the range of 1 to 3mms which in the face can be a make a real observable difference. Once the Botulinum Toxin "kicks" in 10 days later, the face takes on a relaxed and refreshed look and one's face appears to glow.

In other words, an anti ageing effect is achieved because Botulinum Toxin relaxes the downward pressure that the depressor muscles exert on the facial tissues. This results in the elevator muscles of the face becoming more dominant, raising the brow and jawline and preventing the downturned mouth or mouth frown.

Is Botox ® safe?

Botulinum Toxin Facial injections have become an essential ingredient in facial wellness, erasing frown lines and relaxing worried brows. Botulinum Toxin Facial is safe and effective and has been approved for cosmetic use by the FDA. Botulinum Toxin Facial 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 has done over 1 000 procedures and who injects Botulinum Toxin cosmetic daily.

  • Botulinum Toxin has been proven safe if administered by a trained medical professional
  • Botulinum Toxin has been used worldwide in millions of patients since 1988
What To Expect after a Botox® treatment?

Usually you will have a mosquito-bite looking area for 20-60 minutes which resolves without a trace. Very occasionally, little red areas at areas of injection appear but resolve within a couple of days. 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

Your 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 four hours.

Try to avoid aspirin containing products or high-dosage vitamin E supplements for 48 hours before the Botulinum Toxin procedure unless medically necessary. Avoidance of these for 10 days prior to the procedure is recommended to avoid bruising.

How long will Botox® last?

Within 7-10 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 given. Baby Botox is Botulinum Toxin given in 3 areas but in half the quantities of a usual procedure. This kind of Botulinum Toxin will only last approximately 6 weeks and is useful in actors who need facial expression.

With repeated Botulinum Toxin treatments, the result of Botox injections can last for longer periods.

Some patients have a hyperactive brow and are constantly raising their brows. In these patients a shorter effect can be expected as the Botulinum Toxin is quickly "worked" out.

Can all skin types be safely treated with Botox ® Facial?

Yes, all skin types can be safely treated with Botulinum Toxin Facial.

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