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About Botox® Cosmetic
Botox® Cosmetic anti-aging treatment is a safe, injectable solution for wrinkles and lines. The product is made from a highly purified form of a natural protein complex, which has been used to treat various conditions associated with muscle spasms in infants, children, and adults for more than two decades. The cosmetic form of this product is a direct result of such medical uses.
Dysport™ is a product that has been approved in the U.S., by the Food and Drug Administration. It has the same active ingredient as Botox®, but it is produced by a different manufacturer. It has been used for medical purposes in Europe since 1990. The units of Botox and the units of Dysport are different, and there are minor differences in the composition and "carrier proteins." Studies so far, and the experience in Europe and Canada, have shown no differences in the frequency or type of side effects of the two products. There is some evidence that Dysport™ has an earlier onset of action -- frequently within 2 days -- and in some people, it may have a slightly longer duration of action than Botox®.
Patient Before & After Pictures
Treats wrinkles and lines in the upper portion of the face, excessive sweating (hyperhidrosis), and certain headaches
May also be used to treat neck bands, "downward smile," or other areas of the neck and lower face
How do these products erase wrinkles?
The association between wrinkles and muscle movement has long been recognized. It is especially evident when a stroke patient suffers paralysis on one side of the face, because the wrinkles on that side disappear. For treating wrinkles, the causative overactive muscles are injected with a highly diluted formula of Botox®. The use of these products prevents nerve signals from reaching the treated muscles, temporarily weakening them, and eliminating lines.
With continued use of Botox® or Dysport™, the treated muscles become smaller due to lack of use, which extends the effectiveness of each treatment. For most individuals, the initial treatment lasts between two and four months. If the effects does not fade significantly before the second treatment is performed, it should last between three and five months. Similarly, if the third and subsequent treatments are administered in a timely fashion, the results can be more long lasting.
Some new patients have made comments like, "I tried Dysport™ from somewhere else a year ago, but it did not work." Such statements reflect a lack of understanding regarding Botox® and Dysport™. In our office, patient education is part of our standard of care. We ensure that our patients understand that these products do not create permanent changes. A series of treatments, are required to achieve and maintain optimal results.
The primary use of Botox® and Dysport™ is the correction of lines located on the upper portion of the face, especially crow’s feet, forehead lines, and frown lines. In addition to aging your appearance, these lines can create the illusion of depression, concern, or anger. These products may be used for improving folds and wrinkles in the neck, fine or deep lines around the upper lip, a “downward smile” (the corners of the mouth drooping), or a “gingival smile (too much visible gum tissue). Botox® and Dysport™ have also been used to reduce the muscle roll beneath the lower eyelid, which is enhanced by smiling in certain people. Botox and Dysport have also been used to shrink prominent jaw muscles, giving a more feminine, heart shaped appearance to women with square appearing faces. These products may also be helpful in the correction of webbing or transverse creases of the neck. Botox® and Dysport™ cannot be used to correct wrinkles and lines that are not the result of muscular contraction; however, dermal fillers such as Juvéderm or Restylane are often effective in such situations. Dermal filler treatment may be administered in the same appointment as Botox® or Dysport™.
Botulinum toxin works by weakening the muscles that are causing the skin to fold, thus reducing the appearance of creases and lines. Once excess muscle activity has ceased, the folds quickly become less noticeable as the skin smooths out. However, it is important to understand that the line will remain for a time. Dermal fillers can build up the concave area, which improves the lines, but they do not affect the problematic muscle activity. Botulinum toxin products are frequently used in conjunction with dermal fillers at a single treatment site to expedite the initial results. The filler should be extremely long lasting if the Botox® or Dysport™ is properly maintained.
Am I a good candidate for Botulinum toxin treatment?
This is an excellent option for most individuals who wish to look younger. However, it is not recommended for people with albumin allergies, pregnant women, breastfeeding mothers, or individuals with certain uncommon neurological disorders.
What results are to be expected from Botox® or Dysport™?
Between two days and two weeks after your initial session, you should notice a decrease in movement of the treated muscles. Dysport™ tends to have a more rapid onset of action than does Botox®. The next seven to fourteen days should bring additional reduction or complete absence of movement of the specific muscle or muscles that were injected. We frequently schedule a follow-up appointment two or three weeks after the initial treatment at which time we will evaluate the degree of improvement. If there is still noticeable movement in the muscle, additional injections may be administered to optimize results.
With the weakening of facial muscles, the overlying skin will gradually remodel itself, reducing and often eliminating lines. The results of Botox® cosmetic treatment typically last approximately three months; however, stronger or thicker muscles may initially require more frequent treatments. It has been reported that approximately three out of ten Dysport™ patients enjoy results lasting four months or longer.
Successive treatments are frequently more effective with longer lasting results, because the muscles grow weaker with extended periods of inactivity. However, if touch-ups are infrequent, allowing the product to wear off, muscles can regain strength causing the return of wrinkles and folds, and preventing the muscles from diminishing in size.
Results of botulinum toxin treatment will typically last from three to six months, although the time frame may occasionally be shorter or longer. For optimal long-term results, treatment should be repeated as soon as the product begins to wear off. Keeping the problematic muscles weakened is essential to prevent lines from returning.
What are the side effects and safety concerns?
Ophthalmologists and dermatologists have been treating patients with Dysport™ since 1991 and Botox® since 1980. These products were originally used for the treatment of infants with overactive ocular muscles, and they have excellent records of safety and efficacy. Although recently some media sources have raised safety concerns, the only significant problems thus far have occurred in children with cerebral palsy is when large doses of botulinum toxin were injected into the neck muscles for the treatment of spasticity (muscle hyperactivity).
We believe that Botox® and Dysport™ are highly effective, extremely safe treatments that can help you avoid projecting negative emotions that you are not feeling. One patient reported a long-term conflict with her husband involving his repeatedly asking why she was angry. Despite her constant denials, it was only after her botulinum toxin therapy that their marital dialog could progress to other topics.
Botox® and Dysport™ only affect the muscle's ability to receive nerve signals; they do not directly affect the nerve and therefore do not cause numbness.
Many men and women have been enjoying the benefits of Botox® or Dysport™ treatment for over a decade and experienced no serious problems. To date, there have been no reports of lasting side effects, safety risks, or allergies associated with cosmetic botulinum toxin therapy. The most common side effects of botulinum toxin include drooping eyebrows or eyelids, or headaches. Lid and brow problems can almost always be avoided by skilled technique. Were you to cease maintenance sessions of Botox® or Dysport™, your appearance would gradually revert to what it would have been without treatment.
How long will recovery take?
There is no downtime, which is one of the greatest benefits of Botox® and Dysport™ treatment. Occasionally, slight bruising may develop at the treated site, but that is the only immediate visible effect. You can apply cosmetics and resume usual daily activities immediately after treatment. Because the treatment is very gentle, sedation and local anesthetics are not needed, so you will be able to go on about your regular activities. You can even drive yourself home or return to work following your appointment. The gentle, precision injections take just a few minutes to administer.
Is it painful?
These treatments are gentle and short. Due to the precision accuracy and advanced equipment that we utilize, nearly everyone who has received this treatment from another practice prior to coming here has concurred that our Botox® and Dysport™ treatments are considerably more comfortable than their previous experiences. Our new patients often express surprise at how comfortable and gentle treatment is. You may feel slight, fleeting discomfort as the ultra-fine needle is inserted and a tiny amount of product is delivered to the overactive muscle, but this sensation passes within a few seconds.
What aftercare is needed following Botox® or Dysport™ treatment?
After your treatment, we highly recommend exercising the treated muscles for about one hour. This allows optimal uptake of the formula by the targeted muscles. You should not touch or rub the treatment site for at least two hours, to prevent the product from spreading to unintended areas. Were the Botox® or Dysport™ to spread, it would reduce the desired effect on targeted muscles as well as causing temporary relaxation of other non-targeted muscles. There are no special instructions or restrictions once two hours has passed after your treatment.
Who will perform my treatment?
Dr. Bock will personally administer your Botox® or Dysport™.
What is the cost of these treatments?
At one time, many cosmetic treatments were thought of as luxuries, available only to individuals with a considerable amount of disposable income. However, Botox® and Dysport™ are quite economical, even for men and women who have modest incomes. Patients find it easy to work these treatments into their budgets, just as they do for expenses such as clothing or haircuts and styling. Dysport™ requires more units to treat the same size area, with a lower price per unit, making it equivalent in cost. Our pricing is quite competitive; Botox® in California often costs more at other practices where the injections are not administered by a physician.
The cost of your initial consultation is credited toward your first cosmetic treatment or procedure.
How many Botox® units do I need?
Each patient has unique requirements. The following are the average amounts required for common treatment areas. Please be aware that Dysport™ typically requires three times as many units as Botox® with a proportionately lower per unit price.
Anterior neck (reduction of jowls, reduction of horizontal or vertical lines on the anterior neck) – approximately 30 to 40 units
Crow's feet (squint lines and wrinkles that radiate outward from the corner of the eye) – approximately 10 to 20 units
Lines on the upper forehead – approximately 10-15 units
Glabellar lines (just above and between the eyebrows) approximately 20 to 30 units
If I am interested in Botox® or Dysport™ treatments, where do I start?
The next step is to call California Skin & Laser Center at 209-751-4292 and schedule an evaluation. At that time, Dr. Bock will advise you as to whether you are a candidate for this procedure, and what other possibilities exist for improving your appearance.
Why should I choose to visit California Skin & Laser Center for my Botox® or Dysport™ treatment?
At California Skin & Laser Center, we want you to enjoy exceptional results and to feel that your needs and concerns have been addressed promptly in a sensitive and caring fashion. We diligently strive to ensure your satisfaction, your comfort, your privacy, and your safety. In our office, all treatments are performed or supervised by a board-certified dermatologist with many years of successful experience in a wide variety of aesthetic procedures. Many treatment modalities are available, and we can recommend the one or two that are most likely to meet your needs; help you realize your aspirations and achieve your goals. Our offices are located in Stockton and Lodi, CA, proudly serving San Joaquin County and Central Valley communities, including Sacramento, Tracy, Modesto, Manteca, Valley Springs, and Galt. Many of our patients also travel from the San Francisco Bay Area.