BOTOX / DYSPORT- Wrinkle Minimizing Treatments
Fine Lines and Wrinkle Minimizing
Smooth lines and lift brows, creating an open, friendlier, more relaxed face with a result that is natural looking and still expressive.
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What can BOTOX® Cosmetic be used for?
- Frown or Worry Lines
- Periorbital Wrinkles (Crow’s Feet)
- Bunny Lines
- Brow Lift
- Brow Asymmetry
- Drooping Mouth Corners
- Enlarged Masseter (Jaw) Muscle
- Vertical Lip Wrinkles
- Platysma Stranding (“Neck Banding”)
- Chest Wrinkles and Vertical Lines
What are the overall advantages of treating wrinkles with BOTOX®?
- Temporarily reduces wrinkles without surgery.
- No sedation or anesthesia is needed.
- Affects underlying muscles (as opposed to the skin’s surface or
- skin’s sub-layer the way peels do).
- Reduces horizontal creases in forehead. Reduces frown lines.
- Minimizes the look of crows’ feet and laugh lines.
- Effects are customizable.
- Some patients report they no longer get migraine headaches.
How does Botox work?
A few drops of BOTOX® are injected with a tiny needle into the muscle that creates a wrinkle. When BOTOX® is injected into a muscle, it blocks the nerve impulse from reaching that area, and as a result, the muscle weakens. As the muscle weakens, the skin overlying the muscle relaxes and the wrinkles in the skin gradually soften and often disappear. BOTOX® treatment does not effect normal facial expressions.
Botulinum Toxin Type A (BOTOX® Cosmetic) is a protein complex produced by the bacterium Clostridium botulinum. When used in a medical setting as an injectable form of sterile, purified botulinum toxin, small doses block the release of a chemical called acetylcholine by nerve cells that signal muscle contraction. By selectively interfering with the underlying muscles’ ability to contract, existing frown lines are smoothed out and, in most cases, are nearly invisible in a week. Basically, the botulinum toxins block the signals that would normally tell your muscles to contract. If a specific muscle can’t move, it can’t cause a wrinkle.
What does Botox Cosmetic do?
BOTOX® Cosmetic is a simple, nonsurgical treatment that can temporarily smooth moderate to severe wrinkles and lines. Since its FDA approval in 2002 for cosmetic use, over a million people have been treated with Botox Cosmetic.
What areas can be treated?
BOTOX® Cosmetic is used to smooth the wrinkles and lines in the forehead, brow area and crow’s feet around the eyes.
What exactly is BOTOX® Cosmetic?
BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium.
It can temporarily reduce moderate to severe frown lines between the brows in people 18 to 65 years of age. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines. The treatment is usually done in about 10 minutes, and no recovery time is needed. Within days, you may see an improvement that can last up to 4 months. Results may vary.
How does BOTOX® Cosmetic work?
Those moderate to severe frown lines between your brows form over time as the result of muscle activity. BOTOX® Cosmetic is injected directly into the muscles between your brows. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.
When will I see results from a BOTOX® Cosmetic treatment?
Within days, you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as moderate to better 1 month after treatment. Results may vary.
How long does BOTOX® Cosmetic last?
Results from treatment with BOTOX® Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.
Is treatment with BOTOX® Cosmetic painful?
Discomfort is usually minimal and brief. Prior to injecting, you may ask your practitioner to numb the area with a cold pack or anesthetic cream. Aside from any pre treatment numbing, the entire injection procedure takes less than 10 minutes. Many people are in and out of the office without downtime following BOTOX® Cosmetic treatment.
Who should not use BOTOX® Cosmetic?
BOTOX® Cosmetic should not be used in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation. Patients with neuromuscular disorders such as ALS, myasthenia gravis or Lambert-Eaton syndrome may be at increased risk of serious side effects.
Will I experience any side effects?
The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection. Patients with certain neuromuscular disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects.
Will my facial expressions continue to look natural?
Although the results are visible, a treatment with BOTOX® Cosmetic will not radically change your facial appearance or make you look as if you "had work done." The muscle activity that causes frown lines between the brows is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.
What will happen to my frown lines if I choose not to continue treatments?
If you do not continue treatments, the moderate to severe frown lines between your brows will gradually look like they did before treatment.
What should I tell my aesthetic specialist before using BOTOX® Cosmetic?
Only your skincare specialist can decide if BOTOX® Cosmetic is right for you. Before starting treatment, tell your skincare specialist if you: have any diseases that affect your nerves and muscles. These diseases may increase your chance of side effects with BOTOX® Cosmetic treatment are breastfeeding have an infection where BOTOX® Cosmetic will be injected, are allergic to any of the ingredients in BOTOX® Cosmetic are pregnant, think you might be pregnant, or planning to become pregnant soon.
Can any of my medicines interact with BOTOX® Cosmetic?
Be sure that your skincare specialist knows the names of all the medicines you are using, including: aspirin, antibiotics used to treat infections, such as gentamicin, tobramycin, clindamycin, and lincomycin medicines used to treat heart rhythm problems, such as quinidine medicines used to treat different conditions, such as myasthenia gravis or Alzheimer’s disease. As with all prescription medicines, you should also notify your skincare specialist if you are taking any over-the-counter medicines or herbal products.
Will I be able to make facial expressions?
After treatment with BOTOX® Cosmetic, you may look in the mirror and see a marked improvement in the moderate to severe frown lines between your brows. But BOTOX® Cosmetic will not radically change your facial appearance. You can still frown or look surprised—without the wrinkles and creases between your brows.
What does FDA Approval mean?
You've heard it many times before: A product is advertised as "FDA-approved." But what does that really mean? In the United States, prescription drugs and biologics are required to undergo rigorous laboratory, animal, and human clinical testing before they can be put on the market. The Food and Drug Administration (FDA) reviews the results of these studies to: verify the identity, potency, purity, and stability of the "ingredients," and demonstrate that the drug is safe and effective for its intended use.
BOTOX® Cosmetic received FDA approval in 2002 for the temporary treatment of moderate to severe frown lines between the brows in people 18 to 65 years of age. BOTOX® Cosmetic is available by prescription only.
What should I expect on the day of treatment?
Here's what you might expect from the moment you arrive until your procedure is done.
The day of your appointment-
Allow time before your appointment for filling out forms and for consulting with your aesthetic skincare specialist. Many offices have on-staff licensed aestheticians who are trained in skin care and skin care procedures who can answer many of your questions. You may also be asked about your expectations for treatment and if you have any allergies or any condition that wouldn't make you a good candidate for BOTOX® Cosmetic.
Before the treatment-
You'll be seated in a reclining chair. No anesthesia is required, although your skincare specialist may choose to numb the area with a cold pack or anesthetic cream.
Your skincare specialist will determine where to administer the injections by examining your ability to move certain muscles in your brow area. The entire BOTOX® Cosmetic injection procedure takes approximately 10 minutes (more or less depending upon whether or not numbing agents are used and any additional questions you may have).
After the treatment-
There's no recovery time needed. You're ready to get on with your day! The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection.
Within days, you may notice an improvement in the moderate to severe frown lines between your brows that can last up to 4 months.
The resulting effect is of both smoother facial features and a “lifting” effect as the BOTOX® serum allows those muscle functions to become more dominate.
Men are becoming equal fans of BOTOX®, too-
Erasing frown and worry lines give a more assured appearance. And a special added psychological benefit? Seeing yourself “look” less stressed or angry actually triggers more positive emotions. Many clinics are reporting that their ratio of males to females receiving Botox has climbed to almost 50%.
BOTOX® Combination Treatments
Using BOTOX® to relax the dynamic muscles that cause wrinkles is frequently combined with follow-up dermal fillers. Some lines on the face are a result of skin laxity aging and are not affected by BOTOX®. These lines are readily improved with the use of either Restylane, Juvederm or Belotero (all Hyaluronic gel fillers). In some situations the Restylane can be injected during the same visit. Other times, such as when treating lip wrinkles, the Restylane or other selected filler will be placed several days later when the muscles have relaxed.
This particular combination treatment can improve the entire facial area. We refer to this type of combination treatment as a "Liquid Face Lift".
Dynamic muscle contraction is responsible for a number of undesirable lines and wrinkles on the face. For over a decade Botox has been the only product used to reduce dynamically caused wrinkling and lines. Now with Dysport both patients and providers have a choice. (We love competition because it helps us get better pricing for our patients!)
How Dysport is different
Dysport is very similar to Botox with the primary neuroprotein, botulinum type A, being the same. The differences lie in the dosing unit calculation due to dilution type, the time it takes to see effectiveness, dispersion of the product and possibly longevity.
Dysport for many patients seems to take effect a little quicker than Botox, and for some reports lasts a little longer. For some treatments, such as forehead lines, Dysport has a larger “spread” so frequently both Dysport and Botox are used in the same session to provide the best benefits of both.
Dosage is individually tailored to your facial muscle mass to be most effective. Because dosing units are not similar, comparing dosage units of Botox to those of Dysport is not applicable. The size and use of the muscles that produce frown lines varies among individuals, so treatments must be customized to each patient’s needs. However, the typical unit “conversion formula” is approximately 3 units of Dysport to 1 unit of Botox.
Is Dysport better?
Dysport and Botox are not seen as rivals in our practice and we’re not assuming one is better than the other. In many instances we may use both products for one patient’s needs across various areas. Botox has a proven track record and it’s a mainstay in our practice. The choice between the two may be as simple as patient preference or physician decision about which product would provide the most effectiveness for a specific location.
Where is Dysport Used?
Dysport is used in all the same locations as Botox
- Frown lines
- Worry lines
- Crow’s feet
- Brow asymmetry
- As a “Chemical Brow Lift”
- Bunny lines
- Downturned mouth corner
- Neck “cords” or “bands”
- Chin crunch or dimpling
- Excessive underarm sweating
Who makes Dysport?
Dysport is distributed by Galderma (previously Medicis), the same company which now supplies Restylane and Perlane / Restylane Lyft. It was developed by Ipsen, a global pharmaceutical developer headquartered in France and has been used medically since 1991.
Softening frown and worry lines
Xeomin is the newest “frown fixer” available to patients across the country. Pronounced zee-oh-min, the new tox product acts like its predecessors Botox and Dysport in reducing or preventing contractions of the glabellar muscle between the eyes.
How is Xeomin different from Botox or Dysport?
The difference in Xeomin (incobotulinumtoxinA) is that it does not carry the proteins that are typical of the other products. The potential advantage lies in the lessened likelihood of antibodies being formed to the proteins which – for a very limited number of patients – can render the product ineffective. (This typically is only seen in patients who have used botulinum toxin for an extended period of time.)
How is Xeomin similar to Botox or Dysport?
The muscle-restricting action is, for all practical purposes, like Botox and Dysport and the dosing is the same as Botox.
Why would I choose Xeomin over the injectables already available for a longer period of time?
For some patients there is a slight quicker effect. Patients can frequently use both Dysport and Botox in a single session to achieve desired results.
FDA approval of Xeomin
The FDA approval of XEOMIN is based on the results of two pivotal U.S. clinical trials involving 16 investigational sites and included 547 healthy adult patients. In both studies, XEOMIN significantly improved the appearance of glabellar lines 30 days following the first injection, when compared to placebo. XEOMIN is the only botulinum toxin currently approved in the U.S. that does not require refrigeration prior to reconstitution.
“XEOMIN is a promising new option for both patients and providers and we are encouraged by the response rates seen in the Phase III clinical trials,” said Derek H. Jones, M.D., an investigator for the XEOMIN U.S. study, Clinical Associate Professor of Medicine at the University of California in Los Angeles, Calif., and Director of Skin Care and Laser Physicians in Beverly Hills, Calif.
Xeomin is used in 14 worldwide locations under the names Xeomin and Bocouture.