Botox and Fillers

Dr. Deepti Dhillon expresses her heart-felt content while sharing her experiences and results that she has been able to provide her patients with whenever they have turned to her for help. She uses methods of Botox and Dermal Fillers like her magic wand to fulfill her patient’s dreams and to simply shave off 10-15 years off a person’s appearance leaving them looking younger again.

Like collagen, small amounts of ‘fillers’ are injected into the skin contours, which add fullness to the face, minimizing static wrinkles and folds.

These two methods can also be used to contour, shape and add symmetry to a face with a guaranteed result of 100% perfection.

Botox:

Nefiriti Neck:  The Nefertiti Lift is a new procedure which redefines the elegant lines of the jaw and neck for a youthful, tighter, more contoured appearance without surgery. It is a new technique achieved by placing multiple injections of Botox along the lower jaw line as well as down the side of the neck along the platysma muscle. You will notice improved tightening and overall reduction of drooping neck skin and often reduced wrinkles on the neck in as few as 3-5days. A well defined jawline with a long neck has been a sign of beauty since the time of the Egyptians. This new procedure creates a well toned, smooth neck and lifted jaw line, takes its name from Queen Nefertiti, whose elegant bone structure continues to be admired in modern times.

Issues affecting the lower face have also been attributed to modern life habits. The ‘smartphone face’ as it has been called refers to a drooping jawline caused by prolonged periods of sitting with head bent forward, shortening the neck muscles and exerting a gravitational pull in the jowl region. Loss of jawline definition and flattening across the cheek area are two major aging features on the face. Injections used to treat wrinkles are now being used in the neck area to rejuvenate the jawline.

Jaw Contouring:

Traditionally, jaw shaving has been the standard treatment for a disproportionate jaw. However, we offer a non-surgical alternative with the injection of Botox. This innovative method of jaw reduction has proven to carry fewer risks as opposed to jaw shaving.

The square jaw can actually look good on some men. In fact, the band of muscle below the eye also gives a somewhat manly character. But it’s a different matter if it’s the demure feminine jawline that you are looking for.

Botox can weaken the masseter muscle giving a softer angle at the jaw and a less square jaw. By blocking the action of selected muscles, very much like in treating wrinkles, we can cause the eventual atrophy (loss of muscle size) in those muscles. Except here we inject the B.Toxin into the bulk of the muscle. Patients generally notice softening of the masseter muscle at one week and softening of the jawline at around 6-8 weeks.

Some personal habits can contribute to your enlarged jaw muscles – the masseter. Excessive chewing of hard items/food and chewing gum can lead to an enlarged masseter muscle. Bruxism can also enlarge the muscles for the same reason – excessive use, which causes the muscle to hypertrophy.

Appleskin method for botox injection into the masseter is quick and relatively painless(described as a pinch, sting by some patients) with no downtime.

Botox for a Migraine:

BOTOX(onabotulinumtoxinA) is a prescription medicine that is injected to prevent headaches in adults with a chronic migraine who have 15 or more days each month with a headache lasting 4 or more hours each day in people 18 years or older. Chronic migraines are believed to affect 1.6% of adults.

BOTOX blocks the release of neuro-transmitters that are linked to causing pain. Neuro-transmitters are chemicals that carry nerve impulses. To prevent a headache, Botox blocks these signals from reaching the central nervous system and causing the nerves to become highly sensitive. The recommended re-treatment schedule is every 12 weeks.

Botox FAQ’s:

What is Botox treatment?

Botox is a natural, purified protein that relaxes wrinkles causing muscle, creating a rejuvenated appearance. Botox is a simple procedure that relaxes select facial muscles to smoothen out lines and wrinkles on your face. No anti ageing cream comes close to the skin smoothening effect of Botox.

How does Botox treatment work?

Botox can be used to relax specific facial muscles that cause dynamic wrinkles (these are the wrinkles that are formed during facial expression). Once the muscles are relaxed, you cannot contract them and continue to make the undesirable facial expression. Thus the lines gradually smooth and new lines are prevented from forming.

What does Botox treatment involve?

Botox treatment is a non-surgical procedure whereby a small amount of Botox is administered into selected facial muscles by a trained medical professional using a very fine needle. Generally, Botox treatment takes around 15minutes. Discomfort is typically minimal and brief, and no anaesthetetic is usually required. The injection may sting for a few second but normal activities can be resumed soon after. After the injection, results become visible in 3-7 days and it takes about 14 days to see the full effect. The dose recommended for the treatment will vary depending on your individual situation and the severity of your lines.

How long does Botox treatment last?

The effect can last up to 4 months before lines slowly begin to return; if you have repeat Botox treatment the effect tends to last longer. If you choose not to have further Botox treatment your muscles will eventually return to normal activity and your wrinkles will gradually revert to their pre-treatment levels.

Will facial expression be affected by Botox treatment?

Botox works specially on the muscles treated. This means that any muscles left untreated, including untreated facial muscles, should not be affected by the Botox treatment.

Are there any side effects?

In addition to its use for cosmetic reasons, Botox treatment is also used to treat a patient in a variety of therapeutic indications including cerebral palsy in children, movement disorders (head, neck, shoulder, face) and axillary hyperhidrosis (excessive underarm sweating).  In the amounts used for the treatment of upper facial lines, the side effects are usually temporary localized to the area of injection. Possible side effects include headaches, pain, burning/stinging, bruising, swelling or redness at the injection site, local muscles weakness including drooping eyelids/eyebrows, swollen eyelids, skin tightness, itching/aching forehead, nausea and flu-like symptoms.

Can Botox treatment be combined with other products and procedures

Many people use a combination of cosmetic products and/or procedures with Botox. Your doctor will advise you as to whether or not you will receive results if your Botox treatment is combines with other products and/or procedures.

Fillers: (Juvederm)

Filler is an injectable gel containing hyaluronic acid that restores youthful volume to cheeks, cheekbones and chin that have become thin due to weight loss or age-related facial fat loss. The results are generally immediate, soft and natural looking.

The overall procedure takes just about 30-45 minutes depending on the extent and the area under consideration.

The average effect of fillers lasts up to 18months. It may sometimes be shorter or longer depending on:

  1. your age
  2. your physiology
  3. your lifestyle (smoking and exposure to sun or UV rays may shorten the effect)

Common treatments done using fillers are:

Nose Shaping
Lip Augmentation
Double Chin Reduction
Nose Reshaping
Eyebrow Shaping
Cheek Augmentation
Chin Augmentation

Post treatment care:

You are advised not to apply pressure to or massage the injection site during the first days following injection session. In the two weeks following treatment, we advise against prolonged exposures to temperatures under 0 degree Celsius and to sun or strong heat (UV rays, saunas, steam baths, tanning procedures etc.)

Hyperhidrosis:

Sweating is necessary to control body temperature during times of exercise and in warm/hot surroundings, and is a normal response to a rise in temperature or anxiety. In about 1% of the population, this system is revved-up and works at a very high level, causing sweating to occur at inappropriate times, far in excess of the amount necessary to maintain normal body temperature. It can occur in many different areas of the body, and the condition is known as Hyperhidrosis, which means ‘excessive sweating’. It affects both sexes equally, and all races. Those with hyperhidrosis appear to have overactive sweat glands. The uncontrollable sweating can lead to significant discomfort, both physical and emotional.Millions of people exhibit symptoms of hyperhidrosis – including excessively sweaty palms, sweaty hands, armpits, feet or facial blushing.

When excessive sweating affects the hands, feet, and armpits, it’s called primary or focal hyperhidrosis. Primary hyperhidrosis affects 2 – 3% of the population, yet less than 40% of patients with this condition seek medical advice. So primary focal hyperhidrosis is diagnosed more by the absence of other disease, is chronic, lasting at least six months, may occasionally resolve spontaneously and usually shows at least two of the following characteristics:

  • Affects both areas similarly.
  • Is severe enough to disrupt your daily activities.
  • Occurs at least once a week.
  • Has an onset before the age of 25 (and may even start in infancy).
  • Family history.
  • The local sweating stops during sleep.

If the sweating occurs as a result of another medical condition, it is called secondary hyperhidrosis. The sweating may be all over the body, or it may be in one area.

Related Treatments

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