Botox is a purified protein toxin produced by clostridium botulinum bacteria. Botox is a toxin; however, if is used in extremely small amounts, it is especially effective in relaxing the “expression” lines found around the eyes and forehead.
Botox is injected into the muscle that created the undesired wrinkle using a very fine gauge needle. When injected, Botox weakens the muscle by blocking the nerve impulse from reaching the area. When the muscle weakens and relaxes, the overlying skin also relaxes causing the wrinkles to gradually soften and, in some cases, disappear.
What to Expect
A slight sting, or burning sensation, may be experienced for a few seconds upon injection; but once completed discomfort should subside. Maximum results are usually achieved in three to five days. Nerves are not affected, so numbness should not occur. Botox affects only the immediate area, so other muscles remain unaffected. Botox will normally be effective for three to five months. Additional treatment is required after this time, with subsequent treatments often lasting longer.
There is little down time associated with this procedure and the patient should brn to work and be able to return to social activities immediately. Botox has proven to be safe with little systemic complications documented.
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A naturally occurring substance, collagen, is found in the second layer of skin. Collagen, the support structure of the skin, provides the framework for cell growth and circulation. Age, environmental damage, and heredity may cause collagen to break down, leaving undesirable wrinkles, creases and depressions such as “crow’s feet”, and “frown” or “laugh” lines. Collagen injection and implantation are effective methods of treating these undesirable changes.
Collagen injection and implantation were approved by the Food and Drug Administration in 1981 and are popular cosmetic procedures. Natural substances derived from purified bovine collagen are used to replace the natural collagen that the skin has lost over time. To improve deep creases or enhance lip fullness, there are filler materials that can be surgically implanted.
What to Expect
In these procedures collagen, along with a local anesthetic, is injected with a tiny needle into the area to be treated. The procedure for both the injections and the implants usually takes less than an hour. Implantation may be done with a local anesthetic. A tiny incision is made at either end of the site and closed with a small suture. Some slight bruising may occur but should disappear fairly soon.
The effects of collagen are only temporary and will need to be repeated every three to six months. Pretreatment is normally done to assure that there is no allergic reaction to the material being used.
Patients should be able to resume work and return to all normal activities immediately following collagen replacement. These procedures are safe, time-tested, and normally provide immediate results.
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