What is BOTOX Cosmetic?

BOTOX Cosmetic is a simple, non-surgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA). Results may vary but the effects can last up to 4 months.

BOTOX Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

Is it FDA Approved?
It is a purified protein administered in a simple nonsurgical procedure that temporarily improves the appearance of moderate to severe frown lines between the brows in people aged 18 to 65. During treatment, very low doses of BOTOX Cosmetic are administered via a few tiny injetions directly into the muscles that cause those stubborn lines between the brow. The treatment is minimally invasive and nonsurgical. It requires no recovery time and causes little discomfort.

What is the treatment like?
BOTOX Cosmetic is a quick and minimally invasive treatment. Your doctor makes a few tiny injections into the muscles that cause moderate to severe frown lines between your brows.

Dr Byun will determine exactly where to administer the injections to achieve the best results. No anesthesia is required, although he may choose to numb the area with a cold pack or anesthetic cream prior to injecting. The entire procedure takes approximately tem minutes. Discomfort is minimal and brief. Most patients compare the sensation to a bug bite. You may resume normal activity immediately.

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.

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.

Will I experience any side effects?
The most common side effects include headache, respiratory infection, flu syndrome, temporary eyelid droop, and nausea. Less frequently occurring (<3%) adverse reactions include pain in the face, erythema at the injection site, and muscle weakness. These events are thought to be associated with the injection and occurred within the first week.

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 the frown lines between my brows 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 is Resylane?
Restylane is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct facial wrinkles and folds, such as nasolabial folds.

Restylane is a cosmetic dermal filler made of hyaluronic acid, a natural substance that already exists in the human body. The hyaluronic acid in Restylane is a crystal-clear gel called NASHA or Non-Animal Stabilized Hyaluronic Acid. NASHA is completely biocompatible with human hyaluronic acid.

Restylane maintains its shape using the body's own moisture. The hyaluronic acid in Restylane is hydrophilic or "water loving." As hyaluronic acid gradually degrades, each molecule binds to more water and over time, the same volume can be maintained with less hyaluronic acid. This ability of hyaluronic acid to bind to water is what helps provide lasting results.

Unlike rooster-derived hyaluronic acids and bovine collagen products, Restylane is free from animal proteins. This limits any risk of animal-based disease transmissions or development of allergic reactions to animal proteins.

After your treatment, you might have some redness or swelling. This will normally last less than seven days. Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappear. If you are pregnant, breastfeeding, or under 18, you shouldn't use Restylane.

Where can Resylane be used?
Restylane has been used in more than 1.5 million treatments in over 60 countries to correct a variety of wrinkles and to enhance the appearance of the lip border. It is currently approved in the U.S. for the treatment of facial wrinkles and folds, such as nasolabial folds, which are the lines from the nose to the corners of the mouth.

How can I expect?
You should take a few precautions before being treated with Restylane. One week prior to treatment with Restylane, avoid taking St. John's Wort, high doses of Vitamin E supplements, aspirin, and other non-steroidal anti-inflammatory medications, such as ibuprofen. These agents may increase bruising and bleeding at the injection site. Also, if you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence.

Restylane is injected directly into the skin in tiny amounts by an ultrafine needle, resulting in minimal discomfort. The procedure is simple and convenient and results are practically instantaneous. To optimize your comfort during the short procedure, your physician may decide to numb the treatment area.

How long does Restylane last?
Restylane is proven to deliver long-lasting results. Studies have shown that Restylane effects generally last for about six months. The unique NASHA technology helps maintain the cosmetic effect until the injected material is nearly gone.

Is Restylane safe?
Since 1996, over 1.5 million Restylane treatments have been safely administered by dermatologists and plastic surgeons in more than 60 countries. This innovative treatment is now approved in the U.S. for the treatment of facial wrinkles and folds.

Restylane has a highly favorable safety profile. It's composed of Non-Animal Stabilized hyaluronic acid. Hyaluronic acid is a substance found naturally in the human body. Restylane is fully biocompatible. There is limited risk of animal-based disease transmission or development of allergic reactions to animal proteins. No allergy testing is required before use.*

After your treatment, you might have some redness or swelling. This will normally last less than seven days. Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappear. If you are pregnant, breastfeeding, or under 18, you shouldn't use Restylane.

Precautions

How is Resylane different from Botox?
Restylane is a natural, cosmetic filler. Botox is a drug that blocks nerve transmission and relaxes the underlying muscles. Many patients have been very pleased after receiving treatment with both products.

Restylane is different than other hyaluronic acid-based products and bovine collagen.

Unlike rooster-derived hyaluronic acids and bovine collagen products, Restylane is free from animal proteins. This limits any risk of animal-based disease transmissions or development of allergic reactions to animal proteins.* Bovine collagen is derived from cowhide and requires an allergy test. Restylane can be administered without pretesting, so no waiting is required.

What are the post-treatment instructions?
Your healthcare professional should discuss what to do after your treatment. However, be sure to review the information below and discuss any concerns with them.

Post-Treatment Checklist

• Please observe the following after treatment with Restylane.
  After your treatment, you might have some redness or swelling. This will normally last less than seven days. Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappear. If you are pregnant, breastfeeding, or under 18, you shouldn't use Restylane.
• Avoid touching the treated area within six hours following treatment. After that, the area can be gently washed. Sunbathing and cold outdoor activities should be avoided until any redness or swelling disappear.
• If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another recurrence. Speak to your physician about medications that may minimize a recurrence.
• Avoid exercise and alcohol for six hours after your treatment.
• Having a follow-up treatment before the product has fully dissipated may enhance the lasting effect. Please be sure to consult your physician about recommendations for touch-up or follow-up treatments.
• One week prior to your next treatment with Restylane, avoid taking St. John's Wort, high doses of Vitamin E supplements, aspirin, and other non-steroidal anti-inflammatory medications, such as ibuprofen. These agents may increase bruising and bleeding at the injection site.