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Over time, as we naturally age, overactive muscle movement gradually wears away the collagen in our skin, causing the skin to crease and wrinkles to appear. Line and wrinkle treatments relax these muscles preventing the formation of wrinkles and smoothing out lines. Line and wrinkle treatments work only on the specific muscles injected, leaving the surrounding muscles to function as usual, enabling normal facial expression, just with less wrinkles.
What is botulinum toxin?
Botox is a purified protein. Botulinum toxin is a chemical produced by botulinum bacterial. Botox is a protein derivative of the toxin, which, when injected into the muscle, causes it to become weakened or inactived. It stops the muscle from functioning by blocking neuromuscular transmission- i.e. it stops the chemical messages from the nerve to the muscle.
How does it work?
By using facial muscles repeated throughout a lifetime, the skin is creased in areas of greatest use. The aging process causes the slow down of collagen and elastin production in the skin so that as we get older, these areas of over-use become damaged and the lines become permanent. By reducing the movement of muscles in these areas, the skin stops being creased and is allowed to recover, causing the lines to soften or even fade away. In the areas treated, the muscles are temporarily inactivated (always reversible), during which time the patient can break the subconscious habit of overusing these muscles. Depending on each individual and the dose used, the response to treatment can vary from a relaxation of the muscles to inability to move the muscles.
For the first couple of years, frequent treatments are required to ‘re-educate’ the facial muscles. Thereafter, treatments would be less frequent until a yearly maintenance treatment is normally all that is required.
How long has Botox been in use?
As long ago as 1978, Botox was used as a treatment for patients with eye squints by weakening the overactive eye muscle. Since then, it has been used in a variety of therapeutic areas such as spasmodic neck, writer’s cramp tics, multiple sclerosis, facial spasm, Parkinson’s disease and cerebal palsy, to name a few. In more recent times the use of Botox for cosmetic therapy has become more widespread.
How safe is Botox?
BOTOX® received FDA approval in 2002 for the temporary treatment of moderate to severe frown lines between the brows in people ages 18 to 65. BOTOX® Cosmetic has been used for more than 15 years to help patients worldwide. It is approved by the health ministries of at least 70 countries. In 2005 almost 3.3 million procedures were performed with FDA approved BOTOX®
How is the treatment performed?
Areas most frequently treated are frown lines, located between the eyes; crow’s feet (lateral areas of the eyes); forehead wrinkles, marionette lines, bunny lines, wrinkled chin and loose neck bands. BOTOX® can also be administered in the axilla to decrease profuse sweating. BOTOX® is diluted to a very controlled solution and when injected into the muscles with a very thin needle, it is almost painless. Patients may feel a slight burning sensation while the solution is being injected. The procedure takes about 15 – 20 minutes.The treatment normally starts to take effect after 4-14 days, but this may vary slightly in individuals. The effects will normally last between 2 and 6 months, when you will start to notice an ability to move the muscles more freely.
How long does it last?
BOTOX® Cosmetic typically lasts up to 4 months and can be repeated as long as your condition responds to BOTOX® Cosmetic. The amount of time between treatments varies considerably, depending on the individual, the site of the injection, and how many treatments you have had in the past. Most commonly, re-treatment is between 3-6 months with a small percentage considerably longer. Usually BOTOX® Cosmetic is required approximately 4 or more times per year.
Are there any side effects?
Side effects of this treatment are rare. Occasionally a temporary drooping of the eyelid can occur. This may last few weeks, but will always resolve. In extremely rare cases patients have developed an allergy to the treatment, while others have shown resistance, i.e. it causes little or no effect on the treated muscles.
We offer another alternative to Botox for our patients at Stradbrook Skin. The market leaders for botulinum toxins have been Allergan with Botox, and Ipsen with Dysport. Botox has been so dominant that the use of botulinum toxin has become known as Botox treatment. Azzalure is the newest neuromuscular blocking agent to be approved by the FDA It has been in use in over 21 other countries for 17 years….some of these include the UK, Italy, New Zealand, Germany, and Switzerland to name a few .Azzalure is a wrinkle-reducing injection use a substance derived from clostridium botulin bacteria. When injected into the muscles it has the effect of blocking transmissions between nerve and muscle causing relaxation of the surrounding muscle tissue, effectively reducing wrinkles.
What are the side effects?
Wrinkle reducing injections have been proven to be both safe and effective, however, in some cases there may be certain side effects that could include: headaches, swelling and redness, nausea, temporary eyelid droop.
How does Azzalure compare to Botox?
It is reported that Azzalure actually has a better spreading radius, thus it can cover more wrinkle area with the same about of toxin used. Therefore, with the coverage of a larger area you should spend less for the same type of treatments.
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