What is BOTOX Cosmetic?
BOTOX® Cosmetic is a non-surgical, physician-administered, injectable treatment that can smooth modern to severe frown lines around the brows in patients from the age of 18 to 65. It is the only treatment of its type to be approved by the Food and Drug Administration (FDA). Results can vary between people but the effects of BOTOX® can last up to four months.
The injection is made from a purified protein from the Clostridium botulinum bacteria and targets the muscles that cause frown lines around the brows by relaxing them and reducing their activity.
Is it FDA Approved?
Yes. Though its cosmetic benefits had been researched since the late 1980’s, in April 2002, the FDA approved the usage of Botox Cosmetic (botulinum toxin type A) to treat frown lines near the glabellar lines. In clinical trials, nearly 90% of men and women saw an improvement in the appearance of their lines one month after treatment.
What is the treatment like?
It is quick, nonsurgical, and minimally invasive. The treatment only involves a few small injections into the muscles around the brows, causing little discomfort. Patients often say the sensation of discomfort is similar to a bug bite. Better yet, there is no recovery time.
Dr. Byun will determine the most effective area for injections to achieve the best results. No anesthesia is required, though Dr. Byun may numb the area with a cold pack or anesthetic cream before injection. The entire procedure takes ten minutes, and you may resume normal activity immediately.
When will I see results from a BOTOX Cosmetic treatment?
You may see noticeable improvement within mere days. Improvement of lines can continue for up to a month and results may last up to four months.
How long does BOTOX Cosmetic last?
Results can last for as long as four months, but continual treatment every few months can prevent frown lines from returning to their pre-treatment appearance.
Will I experience any side effects?
The most common side effects are headache, temporary eyelid droop, nausea, respiratory infection, and flu-like symptoms. Less than three percent of people have adverse reactions that may cause pain in the face, erythema (reddening of the skin) at the injection site, and muscle weakness, but these primarily only occur within the first week.
Will my facial expressions continue to look natural?
Though there are easily visible results, BOTOX® Cosmetic will not radically change your entire facial appearance or make it look as though you have undergone a surgical procedure. The muscles that cause frown lines have simply had their activity reduced. Therefore, you can still frown and look surprised, but you will not have wrinkles or creases between your brows.
What will happen to the frown lines between my brows if I choose not to continue treatments?
Nothing negative. The lines around your brows will just gradually return to their pre-treatment appearance.
Botox Before And After
Dermal Filler Options
Radiesse By Bioform
Radiesse is a dermal wrinkle filler used to smooth moderate to severe facial wrinkles and folds. It consists of a synthetic, injectable implant made of smooth CaHA (calcium hydroxylapatite) microspheres with diameters of 25 to 45 microns in an aqueous gel carrier. It provides volume in the skin after injection, while still allowing the body to produce collagen in its recovery. The gel and microsphere are absorbed and metabolized by the body, leaving behind only the natural collagen. The three applications that Radiesse has been FDA-approved for in the United States, though there are more applications in development, are listed below.
Ora/Maxillofacial Defect Treatment
Radiesse performs a variety of applications that include treating periodontal defects, ridge augmentation, extraction sites, craniofacial augmentation, sinus lifts, and cystic defects. It can also act as a osteoconductive scaffold for bone infiltration.
Radiesse for Vocal Fold Augmentation
For vocal fold insufficiency due to bowing or paralysis of the vocal colds, Radiesse is used in a medialization laryngoplasty by injecting it into the vocal fold and/or its supporting structure. The implant supports the vocal folds, repositioning them correctly, facilitating speech, preventing accidental aspiration of liquids, and alleviates shortness of breath from laryngyeal incompetence. More Radiesse may be injected as necessary for additional correction of augmentation.
Radiographic Tissue Marking Treatment
Radiesse can be used to mark precise locations of internal sites for surgery and therapeutic treatments.
What is Restylane?
Restylane is a safe and natural cosmetic dermal filler that restores volume to the skin to correct facial wrinkles and folds, like nasiolabial folds.
It is made of hyaluronic acid, a substance that naturally occurs in the human body. The hyaluronic acid in Restylane is also called NASHA, or Non-Animal Stabilized Hyaluronic Acid, and is completely bio-compatible with human hyaluronic acid.
Restylane maintains its structure using the body’s own moisture, as hyaluronic acid is hydrophilic, or “water-loving.” Even as the hyaluronic acid gradually degrades, each hyaluronic acid molecule may bind to more water molecules, meaning the structure may be maintained with less hyaluronic acid, which is essential for producing lasting results.
Unlike rooster-derived hyaluronic acid or bovine-produced collagen products, Restylane is free from animal byproducts and contains no animal proteins. This prevents risk from animal-based disease transmission or allergic reaction from animal proteins. These animal-based products mean that an allergy test is require before use, while Restylane requires no pretesting – thus, no waiting.
After treatment, redness or swelling may occur, but will normally last less than a week. Sunbathing and cold outdoor activities should be avoided until redness and swelling subsides. If you are pregnant, breastfeeding, or under 18, you should not 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 enhance the appearance of the lip border. It is approved in the U.S. to treat facial wrinkles and folds, including the nasiolabial folds, which are the lines between the nose to the corner of the mouth.
How can I expect the procedure to go?
There are a few precautions to take before having a Restylane treatment. One week prior to the treatment, avoid ingesting St. John’s Wort, Vitamin E supplements, aspirin, and non-steroidal anti-inflammatory medication, such as ibuprofen, as these may increase bruising and bleeding at the injection site. If you have previously suffered from facial cold sores, the needle punctures may cause another recurrence.
Using an ultrafine needle, tiny amounts of Restylane are injected directly into the skin. This procedure is short and convenient and should cause minimal discomfort. In addition, results are almost instantaneous! To maximize comfort, Dr. Byun may decide to numb the area of injection before the procedure.
How long does Restylane last?
Studies have shown that Restylane effects typically last up to six months. The NASHA technology helps to maintain the initial cosmetic effect for an extended period until the injection is nearly gone.
Is Restylane safe?
Yes. Since 1996, 1.5 million Restylane procedures have been performed by dermatologists and plastic surgeons and has been approved by the FDA for use in the United States. Due to the lack of animal products contained, Restylane has a highly favorable safety profile.
- The safety of Restylane for patients who are pregnant, breastfeeding, or under 18 has not yet been established.
- Restylane should not be used on patients with known susceptibility to keloid formation or hypertrophic scarring as the risk Restylane may have on these patients is still unknown.
- Exposure of the treated area to excessive sun, UV lamps, or extreme cold weather should be minimized until the initial swelling and redness has dissipated.
- If laser treatment, chemical peeling, or a related procedure that triggers an active dermal response is considered after Restylane treatment there is a possibility of eliciting an inflammatory reaction at the implant site. If Restylane is injected following incomplete healing after one of these procedures, there is also a chance for an inflammatory response.
How is Resylane different from Botox?
While Botox operates on the nerves, blocking nerve transmission to relax the muscles, Restylane is a natural cosmetic filler that provides volume to affected areas. Patients who receive both are often very satisfied.
What are the post-treatment instructions?
Dr. Byun will discuss with you what to do following your treatment. However, be sure to review the information below to bring up any concerns.
- After treatment, redness or swelling may occur, but will normally last less than a week. Sunbathing and cold outdoor activities should be avoided until redness and swelling subsides.
- Avoid touching the treated area for six hours following treatment. After that, the area may be gently washed.
- If you have previously suffered from facial cold sores, there is a risk that the needle punctures could cause a recurrence. Talk to your physician about medication that can minimize this risk.
- Avoid exercise and alcohol for six hours following your procedure.
- A follow-up treatment before the Restylane has fully dissipated may help enhance the cosmetic effect. Please consult your physician regarding recommendations for touch-up or follow-up procedures.