Botulinum-A

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(Abobotulinum) Dysport©
FDA Approved April 2009 for glabella (frown lines)
Indicated for the temporaty improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procer us muscle activity in adult patients 65 years of age.
See important safety information at www.Dysport.com
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(Abobotulinum) Botox cosmetic©
FDA Approved April 2002
Indicated for the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity in adult patients 65 years of age.
See important safety information at www.Botoxcosmetic.com
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(Incobotulinum) Xeomin©
FDA approved July 2011
Indicated for the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity in adult patients 65 years of age.
See important safety information at www.Merzaesthetics.com

DYSPORT
BOTOX

XEOMIN

Frequently asked questions

Botulinum Type-A

Why should I come to you for my treatment?

We have been practicing cosmetic injectable treatments for several years, injecting and treating successfully. We have established ourselves as a significant Medical aesthetic spa practice with an ever growing patient/ clientele. Our office hours will accommodate 99% of our patient schedule with no waiting time, we are always accessible for your questions and or interests. Our primary goal is to treat you with the results you expect with minimal expense and down time. You will find that our treatment results are paramount, our open appointment schedule (no long waits and usually same or next day appointment availability since we do not practice other specialties alongside aesthetic medicine. Timely scheduling, accessibility, free consultations, regularly posted discounts, concise treatment plans and great results are what we are all about. It’s time to Define Your Look!

What causes the frown lines and wrinkles?

Frown lines and wrinkles are caused by contraction of the underlining muscle which adheres to the skin above. Eliminating the strength of the muscle interaction will significantly reduce these long term effects.

What else may have cause me to develop these lines even though I am healthy and young?

Environmental factors such as; allergies, tobacco, smog/ smoke/ street pollutants, uv-A & uv-b rays from the sun are a few of the other causes of lines developing. Having a genetic component which is for most people is a major contributor to facial expression lines and premature aging of the skin.

Is there anything I need to tell you before I have the procedure done?

Yes, we will have a full consultation where we will outline all areas of concern and point you in the right direction to optimize treatment results. Diseases like, but not limited to ALS, Myasthenia Gravis or Lambert-Eaton syndrome should be disclosed to us first. Any muscle or nerve pathology you may have must be discussed in full. Pregnancy and breast feeding will delay your treatment with us until it is safe for you.

Will my face be frozen?

No, if you are treated by an experienced medical provider like ourselves, you should have no frozen expression, however you should clearly express what look you would like. Some people prefer and request to have certain regions of their face without expression (frozen) others prefer subtle changes. We will gauge the treatment concentration and location to suite you needs.

Does the injections hurt?

It may truly depend on the medical provider injecting. You may feel some discomfort from the tip of the needle only, but in general my patients have reported to me that there was little to no pain involved. Sometimes a little application of a topical anesthetic may be applied to relieve the initial prick of the needle but these procedures are virtually painless in the right hands.

What is the cost of Botox® / Dysport®?

The cost of Botox® / Dysport® / Xeomin® should not be given without a consultation since more or less may be needed to achieve good results. If anyone gives you a quote over the phone you should be wary and make sure you are getting what you actually pay for. In other words do your research wisely not only based on price and units. “This is your face”. Our treatments are performed by the area only which keeps you an informed patient.

Are these treatments cheaper if I do not need as much product?

As you gain a relationship with us, we will always try give you the best cost per treatment possible. That includes, rebates, discounts, referral appreciation savings and our Smart Beauty Points Program.

When will I start to see a difference?

On average you should start to see a difference from 2-5 days, some maybe as early as 1 day others may be as late as 7 days.

How long will my results last and when should I treat again?

I’m glad you asked. Your results should last on average of 3-5 months. Some people may experience resultant effects as long as 5- 6 months others may see their results dissipating before the 4 month mark. However the effects of Botox® / Dysport® / Xeomin® will decline gradually, so at month 1 you may see some initial muscle activity, at month2 you may see increasing muscle activity at month 3 you may see an additional increase in muscle activity and at month 4 you should have your full muscle activity. This is the reason you should redo your treatments every 3-4 months.

My lines are coming back before 4 months?

This is not unusual. Muscle activity will start to return after 1-2 months however only slightly and as time proceeds you will notice more activity until the muscle has reached it’s pre-treatment strength. This is why it is important to retreat between 3-4 months to attempt to atrophy the muscle and allow enough time for the muscles to be trained to not contract or squeeze as much as it did prior to treatment.

Are there many side-effects?

Side effects associated with Botox® / Dysport® / Xeomin® include localized pain, infection, inflammation, tenderness, swelling, redness and or bleeding/ bruising. Many of these side effects are from injection needle use and technique however some may be of unknown origin. It is important to let us know if you are taking any medication and what dosages.
Please note there is s black box warning included in all three of the botulinum products on the US market to-date and this warning refers to distant spread of botulinum-A from injected site. For more information please visit each companies website and read the safety warnings.

I had a Botulinum-A treatment done a day ago, can I go out and have a glass of wine?

You should not consume alcohol up to 48 hours after the injection procedure. A likely effect would be some bruising at the injection sites.

What should I do before the procedure is done?

1. You should come to the office with a full understanding of the procedure and with any written questions you may have thought off.
2. You should not consume within 24 hours of the procedure:
a. Alcohol
b. (NSAIDS) ibuprofen, alleve, motrin
c. Blood thinners; asprin / plavix etc
d. Vitamins

What should I do after the procedure?

You should certainly go about your everyday chores and activities, there is no need to rest for a considerable amount of time.

What should I not do after the procedure is done?

a. You should not have any facial procedures done immediately to 2 weeks after the Botox® / Dysport® / Xeomin® treatments
Examples: facials, massages to the face, masks
b. Peels
c. Laser treatment to the face.
d. Wash or dry you face vigorously

Why did I get some bruising after my procedures were done?

Bruising can occur after any needle procedure. Since it is impossible to locate every blood vessel directly below the skin a chance of bruising will always be likely. Bruising usually lasts on average 4-7 days starting very dark purple then changing to orange, then green, then yellow then fading away.

Should I use any creams or take any medication for bruising?

There is no need to, however some patients like the effects of a product called “arnica” which is an over-the-counter product and is supposed to speed up the healing process. Some may prefer to use a little make-up cover-up. In any event bruising is possible and very temporary.

A friend of mine received an eyebrow droop. What is this and can it happen to me?

An eyebrow droop is a result of inadequate technique or inadvertently administering the product to close to the lower borders of the frontalis muscle. This will cause the muscle to relax further than expected and some individuals with higher laxity in the skin will droop more. So do not be alarmed this is also very temporary and may last from to 4-12 weeks. This is another reason to only allow experienced practitioners (MD’s, PA’s, RN’s) who inject and treat on a very regular basis (every day) to treat you. If you are interested in only getting a cheaper price for Botox® / Dysport® / Xeomin® then there are some of the issues you may encounter if you are not careful.

What if I need more that injectable treatments, maybe surgery?

Since I specialize only in face and neck cosmetic medicine, we can direct you to one of today’s outstanding plastic surgeons.