What is Botulinum Toxin? How does it work in wrinkles?
It is a toxin produced by the bacterium Clostridium botulinum. When injected in large quantities, the toxin causes paralysis of muscles. When injected in very small amounts into a particular muscle, it causes paralysis of that muscle only. Therefore if it is injected into small groups of muscles which cause frowning and wrinkling, the frown lines and wrinkle lines will disappear. The toxin (available to your dermatologist) has been purified.
What is Botulinum Toxin used for?
It is to treat:
Puckering of the chin
Vertical frown lines (mid forehead, in between the eyebrows)
Crow's feet (side of eyes I cheeks)
Horizontal wrinkle lines on the forehead
Vertical and horizontal neck lines
Bunny lines on the bridge of the nose
How is Botulinum Toxin administered?
The toxin is injected serially into a group of muscles which controls frowning and wrinkling, with a very fine needle.
When treating frown lines, the toxin is injected into a group of muscles just above the eyebrows. The toxin is also injected into a muscle at the bridge of the nose. When treating crow's feet, the toxin is injected serially at several points into the muscles causing the wrinkles at the side of the eyes.
How long will the treatment take? Is it painful?
It takes only a few minutes. It is a relatively painless procedure. The patient will experience pain from the needle pricks only.
How long will the anti-wrinkling effects of Botulinum Toxin lasts?
The anti-wrinkling effect sets in within three to four days after the injection. By the second week, full paralysis of the wrinkling muscle will take place. The anti-wrinkling effect of Botulinum Toxin lasts 3-6 months. There is individual variation. Gradually muscle function returns and wrinkles reappear. When this happens a repeat treatment is necessary to maintain the desired results.
Is the anti-wrinkling effect of Botulinum Toxin permanent?
What must I do after the injection?
After the treatment you should remain upright for 3 -4 hours. During this period you must try to move the muscles that have been injected as much as possible to maximise the effect of the toxin on the muscle. Do not rub the skin or muscles on or around the injected site. Do not fly for 24 hours.
Are there any side effects?
Botulinum Toxin injection is a relatively safe procedure. Side effects are uncommon. They are usually related to the injection procedure itself. There may be slight discomfort from the needle prick and a small chance of a bruise developing around the injection site. Slight drooping of the eyelids may occur but this is uncommon and transient. Transient headaches may occur. No permanent side-effects from injection have been reported so far. The body is not symmetrical and sometimes the injections can have a more pronuced effect on one area or side.
What are injectable fillers?
Injectable fillers are substances which can be injected under the skin to “lift and fill in” facial lines and creases, temporarily restoring its youthful and plumped-up appearance.
What do injectable fillers treat?
Injectable fillers are primarily used to improve the appearance of the skin’s contours. They can help fill out deep facial wrinkles, creases and furrows, sunken cheeks, skin depressions and some types of scars. They can also be used to add a fuller, more sensuous look to the lips. These dermal injectable fillers are particularly helpful for the treatment of nasolabial folds (lines from the side of the nose to the mouth that accompany aging) and wrinkles or marionette’s lines on the chin. Some newer injectable fillers also add thickness to the skin filling in areas of fat loss resulting from the aging process or side effects of certain drugs.
Types of injectable fillers available
Injectable fillers are classified as temporary or semi-permanent based on how long they remain within the skin before being cleared by the body. Temporary fillers generally last several months while semi-permanent fillers last more than 1 year.
What types of Injectable Fillers are available?
Hyaluronic Acid Fillers
Polylactic Acid Fillers
Hyaluronic acid decreases in our skin as we age, resulting in a loss of volume and poor water retention. Hyaluronic acid based fillers result in localized swelling as a result of more water binding to this acid. The body then gradually and completely clears the hyaluronic acid over several months. These fillers last between 9 to 12 months.
Polylactic acid fillers for Global Facial Rejuvenation
With increasing age, there is a combination of fat and soft tissue volume depletion, loss of skin elasticity and loss of skeletal support resulting in wrinkle formation, facial sagging and hollowness of certain areas of the face. Global facial rejuvenation is when injectable fillers are used to rejuvenate the ageing face in its entirety to restore its youthful appearance. Polylactic acid filler injections are able to do this by treating facial creases and restoring volume loss at the same time. It stimulates collagen production and dermal thickness thereby smoothening out lines and wrinkles whilst restoring lost facial volume resulting in a fuller younger looking face.
Where can we inject them?
Static deep glabellar rhytides
Static forehead “worry lines” rhytides
Tear trough augmentation
Fat atrophy of the cheek
Lip augmentation ( Contour and profile )
Vermillion border enhancement
Pilthral crest definition
When will I see results?
With most injectable fillers, the results are seen immediately. However with the use of polylactic acid, the immediate volume effect disappears within 72 hours and the filling effect is gradual over weeks to months. Pre and post operative photographs will be taken which usually will demonstrate the changes.
Is it safe?
The injection of fillers is very safe when performed by an experienced and qualified dermatologist. However individual patients differ in their responses to “foreign substances” and some outcomes may not be predictable. Patients may experience some short-term redness, minor swelling and occasionally a small bruise. The swelling and redness usually goes away within 3 days. More long-term risks common to all injectable fillers may consist of infection, lumpiness and nodule formation.
What can I expect from filler injections?
It is important to understand that fillers stay in the skin temporarily and are not permanent. The body breaks down the injected substance over a time frame of weeks to months to years depending on the material injected. Other factors, which may affect the durability of the injected fillers, are the age, genetic background, lifestyle and injected site in an individual patient. As a result, a repeat procedure or in some cases a “top-up” may be required to restore the facial contours after some time.
How long will the effects last?
The effects of temporary fillers usually last between 9 to 12 months depending on the type of filler used and the rate that the body clears the filler which varies between individuals. Semipermanent fillers last between 1 to 2 years.
What is cryotherapy?
Cryotherapy is a method of freezing which uses liquid nitrogen (temperature of -196 degree Celsius).
What is cryotherapy used for?
It can be used for a number of different skin conditions, such as viral wart, molluscum contagiosum and seborrhoeic keratosis.
Will cryotherapy hurt?
You may experience some discomfort, as the temperature of your skin can drop to -50 degree Celsius.
How is cryotherapy performed?
Your dermatologist or nurse will spray liquid nitrogen onto the area of skin requiring treatment.
What will happen after the procedure?
Your reaction to the procedure depends on the length of time of freezing.
our skin will become red and may form a blister. The area may also become weepy. Please be assured that these reactions are normal.
If blisters form, release the fluid by pricking with a needle, sterilised in a flame, and keep repeating this process until the blister dries. Do not remove the roof of the blister.
Once the area has stopped weeping, a black scab will form. The scab may take about 1 to 2 weeks to drop off, leaving a pink-coloured area underneath.
If you experience any discomfort in the area, you can take a painkiller such as paracetamol. Do not exceed the stated dose.
If you have any other questions or are concerned that the treated area has not healed after treatment, do contact your dermatologist or the clinic.
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