The treatment of wrinkles on the face has changed radically over the last 25 years. Surgery does its part in tightening skin, lifting loose skin, restoring youthful contour, and certainly plays a role in helping wrinkles. However, certain wrinkles on the face can be significantly helped with two other treatments- BTxA medication (Botox and Dysport), and fillers. Fillers are substances that are injected to elevate the skin of wrinkles to help smooth them. They work well and have found their most successful role for wrinkles in the lower face. For treatment of upper face lines, the wrinkles of the forehead and crow’s feet line, Botox and Dysport injections have become the procedure of choice.
The most popular of all cosmetic procedures, Botox and Dysport soften the effects of time. These very safe and effective medications weaken the small facial muscles responsible for the vertical lines between the brows, mid-forehead lines and crow’s feet lines at the outer corner of the eyes. These wrinkles of the upper face have been worn into the skin by a lifetime of making certain expressions such as frowning- often they can make you look tired and older. It works by temporarily paralyzing the treated muscles thus preventing them from contracting and creating furrows. This effect can last up to four or five months, at which time you will need another treatment to maintain the results.
Botox and Dysport are actually two slightly different formulations of the same naturally occurring molecule BTx A. Botox was first used clinically in the late 1980’s and has become increasingly popular since then. In addition to its effects on the treatment of facial wrinkles, it is used throughout the body for treatment of many medical conditions in all age groups.
The typical treatment involves several injections of Botox (or Dysport) using a very small needle into the muscles that are causing the wrinkles. In general it takes about 5 or 6 days for the results to be seen. Botox works very nicely but favors the newer wrinkle. If your wrinkles have been longstanding and you have sun ravaged skin, you will see improvement but may not see complete resolution of the wrinkles. Bruises from the injections are uncommon but I usually recommend holding off on aspirin, ibuprofen and other medications that may increase your chance of a bruise for several days prior to treatment.
Management of your eyebrow height and shape requires careful attention. The detailed anatomical knowledge of a plastic surgeon allows effective reliable placement of the medication to achieve the desired result. At times I use Botox in other advanced treatment areas in the lower face and neck. We also use Botox in the treatment of hyperhidrosis (excessive sweating) in the axilla.
Botox and Dysport- real, noticeable, nonsurgical results. With its high patient satisfaction and no recovery time, it has become one of the most popular therapies in maintaining a youthful look.