Check out Dr Beulink's "Personal Comments" found at the end of each procedure - everything you need to know about cosmetic procedures but didn't know to ask!
BOTOX:fade away neck bands, lift jowls ......
Since 1989, botulinum toxin has rapidly gained international medical and public recognition as a treatment of choice for the correction of frown lines, brow lines and crows feet. In more recent years, its cosmetic application has broadened to include improving the appearance of an aged neck by reducing unsightly neck muscle bands and by taking away the donward sagging pressure of jowls.
What Is Botulinum Toxin?
Botox® (produced by Allergan) or Dysport® (produced by Ipsen) are commercially purified forms of toxins produced by the Clostridium Botulinum bacteria. In its natural state this bacterial toxin is responsible for causing botulism (food poisoning). This occurs when a large quantity is eaten, and results in widespread temporary muscle paralysis throughout the body. It is this temporary loss of muscle action that has been, for many years (since the 1890’s), exploited for clinical advantages in numerous fields of medicine, including opthalmology (eye speciality), neurology (nerves), musculoskeletal and since 1989 popularised for its use in the field of cosmetic medicine.
How is it Used?
Neck Bands : Excessively prominent or hanging neck muscle bands at the front of the neck and under the chin can very effectively be reduced by injecting small amounts of Botox or Dysport directly into them. A few days following the injection, the bands just appear to fade away, resulting in an often dramatically improved silhouette. A further development of this has been the so called "Nefertiti Lift". For this, the botulinum is injected into the neck bands at the front of the neck, as well as the side bands that insert into the angle of the jaw. These side bands are what pull down on the lower side of the face and aggrevate the jowls, and by injecting these the bands relax, the jowls reduce and the lower face lifts. This has the effect of streamlining the neck and narrowing and lifting the heavy lower face; a bit like the neck of Queen Nefertiti.
Facial and Neck Sculpturing : Injecting Botox or Dysport into particular muscles of the face or neck can help improve the structural contours and appearance of the face. For example, injecting very small amounts into the lower outer corners of the mouth can help create a less saddened or aged look. Chunky outer cheeks, common in square and particularly Asian faces, can be slimmed by detoning these often overly strong and powerful cheek muscles. This technique can also be applied to people who excessively teeth grind.
Facial Wrinkles : Cosmetically, Botox and Dyspport are used to treat certain movement-generated wrinkles in the face. The muscles that cause these wrinkles are temporarily relaxed by micro injections of Botox ™, which result in the lines fading away over time. This lasts for about four to six months, but with multiple treatments can become more prolonged.
All Botox or Dysport treatments are outpatient procedures done at a clinic. The treatment itself doesn’t take long, is relatively painless and you are able to resume normal daily activities immediately after treatment.
Dr Beulink’s Personal Comments – Botulinum Toxin
One of the most common questions I have been asked is “What is the difference between botox and fillers?” Simply put, Botox is for treating a wrinkle that is caused by an underlying muscle pleating the skin, and Botox stops that muscle from moving and hence the line gradually fades away. Fillers are like a putty filler. They instantly fill a wrinkle by directly filling or puffing up the skin surface. Generally speaking, Botox is particularly suited for the top part of the face (around the eyes) while fillers are particularly suited for the lower face (around the mouth).
In my experience I have found that as with any product used for cosmetic treatments, placement is extremely important for the type and length of results.
As every person is not “built” equal, each treatment needs to be tailored to the individual’s needs, to ensure a nice, natural and maximum effective treatment.
In 1994, I found that this procedure was often associated with an unacceptable risk of bruising, particularly around the eyes. I have since produced a unique formula to minimize and often stop any bruising.
This procedure is quick, easy and almost painless (with my technique and unique formula most patients exclaim how minimally uncomfortable it was!).
Some people worry that this treatment will leave them with a frozen or mask-like, expressionless face. This is NOT the case, as long as this product is placed and used appropriately and sensibly. Specific, small, problem muscles only should be treated which leaves the bulk of the expression muscles intact and functional. A frozen face is caused by bad treatment!
Botulinum toxin has over 40 years use in the field of modern medicine, and although it is a “toxin” to the body, cosmetically we are using approximately 1/5000th of a lethal dose. To date, I am unaware of any long term side effects (with sensible use!).
Apart from bruising (very rare in my hands), the only side effect of note I have seen from this treatment is an upper eye lid droop (usually only on one side) when treatment is done to the frown lines. The affected lid droops approximately 1-2mm and is temporary, usually lasting for approximately 21 days. The risk of this is said to be approximately 3% internationally, however, I’m sure poor placement and bruising contributes largely to this figure, as I have found that the risk of this in my hands (for well over a decade now), has been less than 0.25% (note technique and unique formula as above). Prescription eye drops are available that can help lift the droopy eye lid during this time.
Another very uncommon side effect can be a headache lasting several days. However, for the two such cases I have seen in the last 10 years, I have otherwise seen numerous people who have experienced profound relief from their recurrent tension headaches and migraines with this treatment.
Other uses for botulinum toxin include symptomatic treatment of axillary hyperhidrosis (excessive armpit sweating). These are people that have told me “Botox has changed my life!” It can be that effective!
Botulinum toxin is also used for the treatment of muscle spasticity including torticollis (wry neck), blepharospasm (eye twitch), and facial spasm.
For more information on BOTOX ® and Dysport ® view the datasheet at www.medsafe.govt.nz