Over time, the unavoidable signs of aging become more and more visible, especially on the skin of our face. Using fillers, such as Botox® or Dysbrow®, may just be the solution to help improve our appearance by reversing the signs of aging and reducing dynamic wrinkles that appear when we smile or frown. Habitual muscle movement such as smiling, squinting, chewing etc. reinforces the creases and lines around the face including the eye fold which form deep lines on the forehead that are often referred to as “11’s”. Through the years, we continuously lose volume and elasticity in our skin until eventually there is no soft tissue to serve as a buffer between the muscles and the skin. These creases become permanent wrinkles that Botox can fill to restore youthfulness back into your overall aesthetic.
BOTOX IN DEPTH
by Monica Tadros, M.D., F.A.C.S.
The top two most popular brands used for cosmetic and functional administration of botulinum toxin are Botox® and Dysport®. These filler products have been used by physicians for years with proven, long term efficacy and safety.
HOW DOES BOTULINUM TOXIN WORK TO SMOOTH WRINKLES?
Botulinum toxin (like Botox®) works as a neuromuscular receptor blocker preventing the release of neurotransmitters that signal muscle activation at the site of the Botox injection. Small amounts of Botox® or Dysport® are used in wrinkled areas of the skin to relax the surrounding muscles, leaving patients with smooth skin as wrinkles disappear. These injections are effective for crows feet, forehead wrinkles and “bunny lines”, which are wrinkles on the sides of the nose. These fillers can also be used in moderation for smaller areas like deep wrinkles above the lip and chin and frown lines.
The in-office injection process is performed as a “lunch-time” procedure. Injectable treatments are customized to rejuvenate your skin and act as an anti-aging mechanism. Fillers are injected seamlessly and virtually painless. A topical numbing cream is applied to the anticipated treated area to minimize any discomfort the patient may have. It is extremely important to educate your doctor on what medications, if any, you are taking as well as any questions or concerns in your initial consultation.
HOW DO DR. TADROS’ TECHNIQUES DIFFER FROM BOTOX INJECTIONS BY OTHER DOCTORS IN NJ?
With a firm belief in customization and ideal properties of product, Dr. Tadros stands firm behind the functional and cosmetic benefits derived from Botox®. Each individual that is treated receives a individualized assessment with an appropriate treatment plan in place offering patients the opportunity to receive outstanding results, fit for necessary and desired aesthetics. Achieving natural results relies heavily on the specialist administering the product and their true understanding of each individual’s facial muscle anatomy. It is important to not only have full knowledge on the areas that Botox® and Dysport® treat, but also to know what areas they do not effectively treat. Highly skilled specialists do not just focus on the necessary target area, but the surrounding areas as well.
Her unique approach to facial injectables is to create symmetry and restore balance back into the structure of the face. By customizing the injections, using specific products and techniques, individuals can successfully achieve naturally smooth results, especially on the forehead. The forehead is a very common area affected by premature lines and creases due to the movement of everyday facial expressions. This is a method meant to disguise the wrinkles that reach the hairline and avoid a dropped eyebrow arch or the appearance of them looking unnaturally heavy. Strategically small 32 gauge needles (which are smaller than insulin needles), imported from Japan, are utilized to reduce discomfort and minimize bruising that is traditionally identified with filler injections.
Dr. Tadros has treated thousands of patients with injectable fillers for over a decade and has lectured across the state of New Jersey, as well as nationally and internationally, on the subject matter from both a medical and cosmetic perspective.
HOW LONG DOES BOTOX TREATMENT LAST?
Although Botox® and Dysport® injections reduce the appearance of wrinkles and leave you with a more youthful appearance, the results are not permanent. On average, fillers last anywhere between 3 to 4 months, which is why repeated treatments are recommended, both safe and effective. When the Botox® filler wears off, the wrinkles and state of the skin return to their natural, baseline state. Deep wrinkles do not worsen in appearance after treatments.
WHAT IS THE DIFFERENCE BETWEEN BOTOX® AND DYSPORT®?
In April 2002, Botox® was approved for cosmetic use in wrinkle reduction. Dysport®, similar to Botox®, has been used since 1991 outside of the United States and was approved for use in the states by the FDA in 2009. Both of these products contain the active ingredient, botulinum toxin, in different formulations that make them both neuromuscular blocking agents. An experienced specialist will help each individual choose which product will work best for them and their facial muscles depending on their individual concerns and expectations.
HOW CAN BOTOX AND FACIAL INJECTIONS HELP REJUVENATE MY FACE?
Botox® or Dysport® is a non-surgical facial rejuvenation method that will help eliminate the appearance of deep wrinkles by muscle relaxation. However, these specific injectables will not restore volume back into the overall aesthetic appearance in certain areas of the face. Botox® in most effective providing natural results when treating the eye and chin area, as well as the forehead. Other parts of the face, such as smile lines and surrounding areas respond better to volume replacement rather than Botox.