Specializing in Cosmetic Injectables
How does Botox Work?
Over time we all develop habitual facial expressions that form lines and then wrinkles in our skin. Some examples are a furrowed brow, squinted eyes, or unconscious frowning.
These actions are considered minor when thought of as a one-time gesture because skin, especially when young, is elastic in nature; however, like water flowing through a canyon, over time these gestures cause expressions to become wrinkles, and the elasticity to fade, resulting in permanent features of the face that we associate with advancing age.
When treated with Botox / Dysport, a tiny amount of the product is injected into one or more of the dozens of muscles that control facial expression. The Botox / Dysport works to relax the muscle by blocking the nerve impulse from reaching that specific area, causing the muscle to relax and the wrinkle to fade. Over time the treated muscles can "learn" not to make the facial expression that caused the wrinkle, resulting in a long lasting effect.
Today you have had injections of a neuromodulator. The purified protein will work its way into the nerves in the treated areas and you will begin to feel and see some changes in about 3 days. The full effect will be apparent after 2 weeks. Our goal is to produce a more rested, smooth, younger version of you while maintaining your ability to express yourself fully.
After treatment, you may experience swelling, redness, pain, itching, discoloration and tenderness at the injection site. This will typically last for a couple of hours. The use of Tylenol (acetaminophen) is permitted. Additionally, although rare, red or swollen small bumps may occur for 2-3 days. If needed, you may apply makeup after 6 hours of treatment, using very minimal pressure on your skin.
For 1 Hour: Exercise the areas that were treated (eg. Practice frowning, raising your eyebrows)
For 3 Hours: Remain upright, do not rub the treated areas.
24 Hours: Refrain from strenuous physical activity, hot tub, sauna, facials, alcohol or aspirin.
Please book your follow-up assessment at the two week mark, especially if this is your first Botox treatment with us. This will ensure that we are able to see how your facial muscles react to your treatment. For medical reasons, your results will be photographed and documented in your confidential patient file.
Botox Cosmetic is a temporary procedure and at first, you may find that your treatment results will last approximately 3-4 months. Over time the results of each treatment may last longer than 4 months.
Botox is injected to treat fine lines and wrinkles, however, it also helps prevent them from developing — while Botox is in place, make an effort to notice which muscles are not moving, for example, the lines between the eyebrows. This gives you the opportunity to change your wrinkle forming habits!
Frequently Asked Questions
What are neuromodulators?
Neuromodulators are a treatment for wrinkles caused by repeated movements. The most commonly treated areas include:
- Lines around the eyes, known as crow’s feet, caused by squinting or smiling
- The horizontal lines across the forehead caused by raising the eyebrows
- The lines and folding of the skin between the eyebrows (glabella) caused by frowning
- Downward turning of the mouth (DAO)
Are they safe?
Yes! They have been available for 20 years, and have been used to treat many diseases. In fact, it is used in children as young as 2 years old to treat cerebral palsy. It has been proven to be very safe through extensive testing and research.
Will it poison me?
No, it is not toxic to you and it is not a poison. The product is a natural, purified protein, not the bacteria that causes botulism. It is an approved drug that is used in very tiny doses and it comes from a naturally occurring bacterium – similar to how Penicillin comes from mould.
How do I know it won’t be toxic to me?
Typically for a cosmetic treatment, you may receive fewer than 100 units. To make someone remotely sick, you would have to receive OVER 35 times this dose all at one time, intravenously, which would NEVER happen.
How does it work?
Neuromuscular blockers work by simply relaxing the muscles underneath the skin to create a smooth and refreshed appearance.
How long does the procedure take?
Generally, after the consultation, the procedure only takes up to 15 minutes. Since there is no downtime, you can do it during your lunch hour, and no one would know you’ve done it!
How quickly does it work?
It can take up to 2 weeks for the product to take full effect. Usually, we ask patients to wait for the full 14 days to pass in order to see the full result.
How is it done?
It is injected with a very tiny needle (it only feels like a little pinch).
How long does the effect last? Is it permanent?
No, it is not permanent. The results will last 3-4 months on average but everyone is different. If you follow the directions give to you by your injector and book your first 3 treatments promptly every 3-4 months (without waiting in between), you may eventually be able to increase the duration of the results (4-6 months).
Does it hurt?
Most patients say that the injections feel similar to a little pinch, although everyone is different. Following a treatment we often hear patients remark “is that all?”!
Is it going to be worse when it wears off?
No! Your face will never get worse if you stop using neuromodulators, or when it wears off. They “stop or slow” the clock of aging. When you stop receiving treatments, the “aging clock” will resume as normal. At the very minimum, you will simply return to where you started. If you use neuromodulators for a number of years and then stop – your muscles learn to relax and therefore you will end up looking a little better than you did when you originally started.
How much does it cost?
The cost of treatment varies by each patient, but a personal consultation can give you the exact amount. The cost can range from $300 and up depending on the area being treated. There are a few things you should consider in addition to price: What type of medical professional is performing the treatment? Has the medical professional had a lot of experience injecting neuromodulators? Is the medical professional gentle and using the latest techniques to ensure a great result?
I don’t want to look like a mask without expression – will that happen?
No! Your injector will ensure that you get the look you want – as natural as you want. Most people simply want to look natural, relaxed and refreshed, without looking “done”. In the experienced hands of the professionals at our clinic, patients typically say that no one knows that they had anything done. Friends simply say that they look well rested and great!
ABOUT DERMAL FILLERS
How do HA FIllers work?
Fillers are extremely effective when used in conjunction with botox, but the two products work very differently in how they reduce the detrimental effects of time. Where botox is injected to reduce the effects of the muscles that cause wrinkles. Fillers, on the other hand, work to replace the fullness of the skin.
Botox can be thought of as new regulations that limit the use of the heavy machinery that caused the damage, and fillers can be likened to the new gravel and asphalt that is laid down into those ruts to smooth the roadway. One product prevents the continuance of the damaging actions, while the other repairs the harm that has already been done.
The filler products used at W.D Aesthetics are safe and natural cosmetic dermal fillers that restore volume and fullness to the skin, resulting in the correction, reductions, and often elimination of facial wrinkles and folds. Those same industry standard products are also used for lip enhancement.
Fillers are made of non-animal-based hyaluronic acid; a natural substance that already exists in the human body. The hyaluronic acid comes in the form of a crystal-clear gel called Non-Animal Stabilized Hyaluronic Acid. They are injected directly into the skin in tiny amounts through an ultra-fine needle. The anesthetic solution can be applied as a skin cream or by injection in some cases. The procedure is simple and offers visible results right away.
We pride ourselves in creating an artistic accentuation of the individual's strengths, while minimizing any flaws. This may range from a subtle filling of the lips to a more dramatic creation of natural cheek lines.
Today you have had injections with hyaluronic acid dermal filler to restore volume to your skin. The product has been placed carefully in the appropriate position to promote a personal visage of youth and good health. A local anesthetic containing lidocaine may have been used on the surface of the skin or by injection.
After treatment, you may experience swelling, redness, pain, itching, discoloration and tenderness at the site of treatment. This will typically last for less than a week. The use of Tylenol (acetaminophen) is permitted. If the lips were injected, the swelling may be more significant. Arnica gel can be helpful to minimize redness and swelling.
In rare circumstances, a blood vessel may have inadvertently been injected which may cause skin breakdown. Be aware that you must guard against infection by keeping the skin clean, especially in the first 48 hours. You may apply only a small amount of makeup after 6 hours but do so gently. Avoid excessive rubbing or manipulation of the skin. Aspirin, alcohol, and heavy exercise are permitted after 24 hours.
The gel is quite movable for the first few days — do not press on the treated area. Try to sleep on your back.
For at least 2 weeks after treatment, avoid prolonged exposure to either hot (eg. hot tubs) or cold (eg. skiing) temperatures and prolonged direct sun exposure.
Please report any redness and/or visible swelling that persists for more than 1 week or any other symptoms that cause concern, to our office. It is normal to feel the sensation of newly placed filler. This feeling may last a few days to several weeks. We would like to see you 2 weeks after treatment in order to repeat your personal photos and assess the outcome of the injections. Additional injections may be undertaken at an additional fee.
Over the course of the next few weeks, the filler will settle into position and absorb water, improving the initial effect. Fillers usually last for 6-18 months depending on the area treated and the total number of syringes used.
DERMAL FILLERS FAQ
Frequently Asked Questions
What is Hyaluronic acid?
Hyaluronic acid is a gel that is injected into the skin to add volume, restore volume and fill in wrinkles or folds. The syringe contains hyaluronic acid almost identical to that naturally found in the body. It is completely biologically degradable.
How does it work?
A small amount is injected directly into the skin to add volume. HA is naturally integrated into the tissue and allows for the free passage of important nutritive elements like oxygen and hormones. The product will also bind water, which adds to the filling effect.
What are fillers used for?
Wrinkles can be raised to the level of the surrounding skin. The most common areas are the glabellar lines (between the eyebrows), the nasolabial folds (from the wing of the nose to the angle of the mouth) and the lips, but other sites may also be treated. Cheeks which have become flattened by the aging process can be lifted beautifully using filler. Very deep wrinkles and some types of acne scars cannot typically be treated with this material. Very superficial wrinkles are often difficult to correct.
Do the injections hurt?
Pain is very individualized and dependent on one’s tolerance to pain. Prior to treatment, a topical anesthetic cream can be applied, which takes about 30 minutes to take effect. Or in some instances, pain can be improved through the use of a nerve block similar to what you may have experienced at the dentist’s office.
What is involved in a dermal filler treatment session?
The treatment can be carried out immediately and takes about 30 minutes. The filler is injected with a very thin needle into the skin. The results can be seen immediately. Clients may/may not experience slight swelling or bruising in the treated area.
Can fillers replace surgical procedures?
No. People with excess facial skin or people who want a major resurfacing of the skin cannot be corrected with fillers alone.
Can the material be removed?
No, but since hyaluronic acid is a natural material, it dissolves with time. If you feel uncertain about the desired result, it is possible to have the treatment done in steps on different occasions.
Is it safe?
The hyaluronic acid is almost identical to that already present in the body. Since it is not made from animals there is no risk of transmitting diseases from animals or eliciting allergic reactions to common foodstuffs such as eggs, meat or chicken. Immediately after the treatment, the treatment site can be slightly swollen and/or red. This is a normal result of the injection and goes away in a day or two after treatment, and within a week after lip injections.
Are there any types of reactions that may occur?
Yes. If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another cold sore eruption. If you are using any anti-inflammatory medication (i.e. Advil), you should be aware that it may increase bruising and bleeding at the injection site. Other types of reactions are very uncommon, but about 1 in 2000 persons have experienced transient swelling, redness and tenderness at or near the treatment site(s) up to several weeks after treatment.
How long does the effect last?
The filler dissolves naturally with time, and without touch-ups will eventually totally disappear from the body. How long a hyaluronic acid filler treatment lasts is very individual, depending on many factors such as the structure of the skin, lifestyle, age and metabolism. However, for the majority, about 50- 80% of the effect remains after six months. You can replenish the filler whenever you feel the need, as touch-ups can be performed any time after the initial treatment. The injected material will gradually disappear until your skin looks just as it did before the treatment.
How does Hyperhidrosis Work?
Sweat is your body’s temperature regulator, a way in which our bodies cool down. Many individuals suffer from excessive sweating, a medical condition known as hyperhidrosis. In severe primary axillary (underarm) hyperhidrosis, sweating significantly exceeds the body’s normal requirements for cooling. It is a fairly common problem that can be limited to the underarms but can also affect the face, back, palms and soles of the feet. Usually an inherited condition, hyperhidrosis can affect those who suffer from it on a social, functional, and emotional level.
There are several products and treatment options available to assist individuals suffering from hyperhidrosis.
BOTOX® treatment is approved by the FDA to treat the symptoms of severe hyperhidrosis when medicines used on the skin (topical) do not work well enough. BOTOX® is injected into the affected areas and works by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don’t receive chemical signals, the severe sweating stops.
After receiving treatment with BOTOX® for hyperhidrosis the area(s) treated may appear slightly more irritated on day 2, with a gradual decrease in irritation each day. You can expect local redness and/or swelling which can last approximately 2-5 days in duration. You are instructed to cleanse that area(s) gently, twice daily with antibacterial soap, until the area no longer appears to be inflamed (2-5 days). After cleansing, apply a thin layer of antibiotic cream (i.e. Polysporin) to the treated area.
Avoid the use of antiperspirants or body creams for 48 hours post treatment. Also, refrain from “high sweating” activities such as running, aerobics, weight lifting etc., for 48 hours as well.
If any red or swollen areas appear to be worsening, apply a saltwater compress to the area. You can do so by measuring out 1 tsp of salt and adding this to 8oz of hot water. Soak a clean cloth in this solution, making sure the water is not too hot when applied to the skin. Apply the compress to the affected area for 10 minutes, twice daily, each day until the redness and swelling subsides.
Frequently Asked Questions
What is Hyperhidrosis?
Hyperhidrosis is a condition where sweat glands are excessively stimulated to produce more sweat. This is usually a familial condition.
What body areas are mostly affected?
Axillary hyperhidrosis- this is excessive underarm sweating. other areas of the body that could be affected are hands feet and face.
What treatments are available for hyperhidrosis?
Botox injections into the affected area are the most effective form of treatment when cost, side effects and duration of effect is taken into account.
How long does botox treatment for hyperhidrosis last?
Six months to a year.
Does Botox for hyperhidrosis hurt?
There could be a mild sting involved with the injection however the therapist would normally use a topical anesthetic ointment that would alleviate this.
Are there any side effects?
Very small doses are used, and correctly administered not significant side effects have been reported.
Is it covered by insurance?
Botox is an approved treatment for hyperhidrosis and most plans cover the treatment. There is also a program available where the first treatment with botox is covered by the producer.