There exists no deficiency of people with a medical background who are offering injectable cosmetics in their offices now, specifically Botox and dermal additives; but, finding the right practitioner to perform these long-lasting 'corrections' to your lovely face can be quite a challenge. Here I offer some tips and guidelines to help consumers who are considering these services to proceed with a little more confidence.
If you can actually see the face of a friend or friend that has had work done by a certain practitioner, and you think they look just fabulous, that's a good beginning. If their practitioner is logistically convenient for you and you can afford his/her rates, then you should feel relatively safe about booking an appointment for yourself. One problem here can be that many people who use these products don't necessarily want to admit to it; and, in fact, their privacy should be protected and thankful, especially by their practitioner! Also, your buddy's 'correction' may have been the result of Botox injections, whereas your correction might require a dermal filler. A practitioner's skill at injecting Botox does not necessarily guarantee his/her skill at injecting dermal additives (and vice versa), so your results could be less satisfactory. You may have completely different needs and areas of concern from your friend. Let's talk for a minute about those areas and the products used for corrections.
Botox is used for improving dynamic lines and lines and wrinkles, mostly around the eyes (Crow's feet), between the eye-brows ("11" lines), across the top of the nose (bunny lines), and the entire forehead. A small amount which is injected superficially under the eyes can also help in reducing the appearance of bags. The Botox is which is injected, (using a very fine needle), not into the lines and lines and wrinkles directly, but into the nearby muscles that are contracting repeatedly with facial expressions and creating those lines and lines and wrinkles. Minimize the muscle contractions and you minimize the lines they cause. Botox is not a magic 'eraser', and a good practitioner allows you to have realistic expectations about your results. Properly which is injected, it can and usually does reduce the appearance of lines and lines and wrinkles in most people. By injecting it into the sweat glands, Botox is also highly effective for the treating axillary (underarm) hyper-hydrosis (excessive perspiration). It takes 3-7 days to see the full effects of Botox and it typically lasts 3-4 months. Maintaining treatments will often mean a little less product needed for subsequent corrections.
Dermal Additives, as opposed to Botox, are which is injected into (under) and/or around the lines and lines and wrinkles of concern, and they are also used to replace lost youthful volume to areas of the facial skin Cosmeceuticals– MCCM. Two popular products, and the ones i always used my practice, are Juvederm XC and Radiesse.
Juvederm XC is a hyaluronic acid, clear gel that comes in a 0. 8 cc syringe and has Lidocaine, which is a local anesthetic, already mixed engrossed to increase comfort during needles. With a little bit of a 'softer' feel and finish than Radiesse, it is the product of choice for lips enhancements. It can also be used for filling deep naso-labial folds (the lines from the edge of the nostril to the high corner of your mouth), as well as jaw-line dental contouring (to minimize the appearance of jowls), marionette lines (that come down from the corners of your mouth), and general volume replacement (most often used in the cheaper face). Results are seen immediately (there may be a little temporary swelling and/or bruising at treatment sites) and its effects last about 12 months. One nice benefit to the use of Juvederm XC is that it can be instantly absorbed with the treatment of an enzyme, hyaluronidase, into any over-corrected areas.
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