Non-Surgical Rejuvenation

      Botulinum Toxin (Botox)

Non-Surgical Rejuvenation Hampshire

Botulinum Toxin (Botox ® )

What is Botox®?

Botox® is a registered trade name for Botulinum Toxin. It is a manufactured variant of the toxin released by the bacteria Clostridium botulinum that in life produces botulism, a form of food-poisoning. In the lab, however, it is possible to accurately refine the active ingredient in the toxin and package it into tiny controllable amounts. The way the toxin works is to paralyse muscles that it comes into contact with. In this way, it is possible to target particular muscle groups with individual injections of Botox® so as to accurately and selectively paralyse that area.

What is Botox® used for?

Botox® was originally used to prevent the uncontrollable twitching of the muscles around the eye (blepharospasm) sometimes seen in patients with nerve injury and patients with strabismus (squinting). While treating this group of patients, an observant ophthalmologist and his dermatologist wife noticed that following administration of the toxin, there was a noticeable decrease in the laughter lines around the eyes and the frown lines between the eyebrows. They published their findings, and the rest is history.

Wrinkles are caused by the action of muscles underlying the skin. When the muscles contract, the skin over the top ruffles up and forms wrinkles. Muscles are never completely relaxed. Even when you are keeping your face expressionless, there is a degree of ‘tone’ in the muscles under the skin causing the wrinkles to remain. Botox works by paralysing the tone in these muscles and reducing the amount of wrinkling in the overlying skin.

Botox® is also useful for conditions of excess sweating (hyperhidrosis). It works by paralysing the tiny muscles that pump sweat out onto the skin.
Botox Non-Surgical Rejuvenation
What are the risks

The commonest Botox® complication is that it does not work as effectively as you might have hoped. Be aware that it takes a few days for the toxin to have its full effect and these effects last anywhere from three to twelve months. However, as Botox® use becomes more frequent, the effects appear to last longer.

A rare complication in experienced hands is misplacement of the Botox® and paralysis of a muscle adjacent to the one you wished to paralyse. A classic example of this is paralysis of the eyelid when attempting to use Botox® to raise the eyebrow. This causes the eyelid to droop and requires regular application of special eye drops until the effects of the toxin wear off.

The use of Botox® is not very well regulated in the UK. This means that it can be administered by any healthcare professional such as a nurse, as long as it has been prescribed by a doctor. Therefore it does not have to be a plastic surgeon who administers the toxin. Plastic surgeons have had several years of training involving the aesthetics of the face and the important anatomical structures involved in achieving balance. While there are many practitioners who have not had the same training but are still achieving good results, it is important to take care in choosing where to go for treatment so that you receive the best care possible.

What are Fillers?

Fillers are gel-like materials that can be injected under the skin in order to create more volume, fill out a defect, or improve the appearance of wrinkles.

How do Fillers work?

Fillers can be made of different materials. The fillers I use in my practice are made from Hyaluronic Acid, a natural component of the body's connective tissue. This protein is held suspended in a fluid gel which both helps with smooth injection, but also hydrates the tissues injected. The filler becomes incorporated into your own tissue and acts as a magnet, drawing in water which increases the volumising effect and hydrates the tissues further to give a fresher appearance.

Where can Fillers be used?
Fillers can be used almost anywhere there is skin. Depending on the indication, fillers may be injected into the lips (for lip augmentation and fine wrinkle reduction), into the cheeks (to volumise and give the impression of higher cheek bones or to replace volume lost with age), into the wrinkles of the face in order to soften them and into the décolletage (cleavage), in order to restore a youthful appearance to sun damaged skin.
  Juvederm Before After Hampshire
Before                After
Using the Juvederm® System

What are the risks
If done carefully by an experienced practitioner, the procedure is safe and predictable. It is possible that your skin may react unfavourably to the chemical so it is important to let your doctor know of any allergies or sensitivities you may have. The filler can gather into lumps under the skin that can be uncomfortable or even visible. This is normally countered by vigorous massage of the area at the time of the procedure, but in some cases may be long-lasting. It is possible for the filler to be underdone or overdone. In the first scenario, this is easily solved by repeat injections. Overdone filler placement is more difficult to treat and will normally involve waiting a few months for the filler to be absorbed. It may also be necessary to return to the clinic for repeat injections if there is visible asymmetry between one side and the other.

After the Procedure

Over the next 24-48 hours, the filler will attract water into the area and it will appear more swollen than you would expect. This takes 10-14 days to fully settle down into the final result. The filler will last for 6-9 months before the effect is lost. Repeat injections will be necessary to keep the desired effect going, but after several episodes of filler injection, there is likely to be some scarring under the skin and the effect of the filler may be permanent.

Filler can be a cheaper and less invasive option for facial rejuvenation and can achieve some amazing results. If you are looking for a permanent filler solution, it may be worth considering Fat Transfer/Fat Injection/Fat Grafting

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