Botox® is a purified protein derivative of onabotulinumtoxinA, prepared in a very dilute form of the medication. Botox® affects the nerve endings of the muscles where it is injected to weaken the muscle, and thereby softens wrinkles in the face. The medication is injected by a trained health care professional, such as a physician or certified Physician Assistant (PAC), or ARNP. After injection, you will notice improvement in the wrinkles in about 10 days.
The results usually last for about 3 months. The FDA approved use of Botox® is for treatment of glabellar frown lines, but Botox® is commonly and safely used to treat forehead wrinkles, crow’s feet wrinkles, and to sculpt the shape of the eyebrow. Side effects include pain at the injection site, rare allergic reactions, and very rarely ptosis of the eyelid. Its use is contraindicated with neuromuscular conditions such as Myasthenia Gravis.
It is sometimes used in conjunction with dermal filler materials, such as Juvederm, for a “lunch time” or “scar less facelift.” In order to reduce the incidence of side effects, patients are required to avoid rubbing the areas of injection for 6 hours after the treatment.
JUVÉDERM® is composed of hyaluronic acid, a natural substance found in the dermis of human skin. This filler material is essentially a sugar – protein in structure. It has a crystalline composition that attracts water molecules, hydrating the skin. It is often used in a form that has a local anesthetic mixed with it to help lessen the discomfort of the injections. Side effects may include pain or redness at the injection site, and rare allergic reactions. Unlike collagen, this medication does not require pre-treatment skin testing, because allergic reactions are so uncommon.
The medication was initially approved by the FDA for treatment of wrinkles in the nasal-labial folds (smile lines), but it is commonly and safely used off label as dermal filler for other areas of the face as well. Our highly trained staff of certified physician assistants regularly treat patients with Juvederm®. The procedure takes only minutes and patients can usually return to work immediately. The results may last for up to one year.
JUVÉDERM VOLBELLA® XC is the latest edition to the Juvederm filler collection. Volbella is tailored to add subtle volume to the lips and smooth the appearance of vertical lip lines (sometimes called “smoker’s wrinkles.”) This filler is very soft and gives a luxurious and luscious appearance to the lips.
JUVÉDERM VOLUMA® XC is the only filler proven to last up to 2 years in the cheek area. It is designed to add fullness to the cheek area to correct age-related volume loss. When enough volume is restored to one’s cheeks, it may improve one’s overall facial profile, and it may also give a mild lift to the facial appearance.