B*tox, Dysp*rt, Xe*min are the trade names of the more commonly used and medically approved Botulinum toxin type A
Static wrinkles are those already etched onto the skin, even without any muscle action. Treatment options for static wrinkles include Fillers, Ulthera or Thermage, Lasers or any of these in combination with Botulinum Toxins.
Areas that are good to have preventive botulinum toxin are the crow’s feet and glabellar areas. Start in your 20s or 30s and you will delay getting crow’s feet or frown lines. This is the essence of preventive botulinum toxin.
It is now commonly believed that starting young with Botulinum Toxins can delay the onset of lines and prevent the sagging of the face.
While there are doctors who will remove wrinkles, at David Loh Surgery, we use Botulinum Toxins to enhance one’s features. Already beautiful patients will look even more beautiful in our hands. We can lift (yes, LIFT by relaxing muscles) various parts of the face and neck, lessen shadows along the jaw and chin as well as to reshape faces with Botulinum Toxins alone!
Another common approach is to use Botulinum Toxins in synergy with collagen building treatments like Ulthera, Fillers and Lasers. With Botulinum Toxins used concurrently, skin is able to lay down more collagen than if such procedures were done alone. This little appreciated fact has been documented in clinical trials from the early 2000s.
USEFUL INFORMATION ON BOTULINUM TOXINS
Action of the drug begins in 2 days, peaking at 10 days and lasts for 4 months. We generally advise a follow-up at one week and four months, for top-ups.
- Are the effects of Botulinum Toxins lasting?
In theory, it is not lasting. But in practice some effects linger.It has been shown that with Botulinum Toxins done back to back, the target muscles “forget” to contract. Thereafter, much less Botulinum Toxins would be needed each time or the periods between follow-ups lengthen somewhat. Most people will need Botulinum Toxins 2-3 times a year.
- Are the wrinkles going to come back with a vengeance once Botulinum Toxins has faded?
Absolutely NOT! They go back to the original state or perhaps slightly improved after 4 months when the Botulinum Toxins has worn off. There is evidence to suggest long term improvements after even one Botulinum Toxins treatment. There are long term improvements to fine lines and skin texture that cannot be explained by the muscle blocking action alone. Perhaps without the background muscle tone on the face, some degree of healing takes place, such that fine lines disappear.
While aspirins usage and mild hypertension or diabetes are not absolute contraindications, those with serious bleeding conditions should not have any kind of injections (all Botulinum Toxins included) unless in life-saving circumstance.