WRINKLE CARE PROGRAM

• Botulinum Toxin Type-A (BTA)

• Fillers

BOTULINUM TOXIN TYPE-A (BTA)

What is BTA?
In an effort to reduce the appearance of fine lines and wrinkles, many people are turning to BTA. BTA is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crow feet near the eyes and thick bands in the neck. Being fairly simple and painless, BTA procedures do not require general or local anesthesia. All that is needed is a cold pack or anesthetic cream to numb the area. This entire procedure is approximately 5 to 10 minutes, involving no downtime at all.

Have you ever looked in the mirror and studied those lines around your brow? You may ask yourself, is it a result of aging, change in weight, or too much sun? What about stress? How skin ages is a combination of many factors. The lines that appear between your brows are the result of repetitive muscle movement over time. The more you have frown or squint your eyes, the more these muscles have contracted, causing the skin to crease. Over time the creases remain on the face and can become more pronounced. For women, whose faces tend to be more dynamic and active than men's, and whose skin is typically more delicate, these lines may appear overstated and more permanent.

It makes sense once you understand what causes wrinkles and how BTA works. There are two types of wrinkles. Dynamic wrinkles, or muscle wrinkles, form where muscles move the face the most (around and between the eyes and around the mouth), and Static wrinkles are lines and crinkles that appear at the corners of the eyes and in other areas on the face. Dynamic wrinkles go deep. As they develop, they create grooves in the skin, which are apparent even when you are not moving your face. Static wrinkles are more superficial and are most noticeable when the face is moving, such as when you smile or frown. Because it affects the facial muscles, BTA can help ease or prevent both types.

Best Candidates for BTA
BTA has been used to treat adults of all ages. Though the results have been excellent in all age groups, they are most dramatic in those with minimal signs of aging. It is recommended for patients who:-

Areas that BTA can be injected
Using new and improved butolinum toxin type-A (BTA or DYSPORT), this procedure is particularly suitable for reducing /eliminating dynamic wrinkles or facial reshaping:-

What are the Side Effects of BTA?
There are very few side effects associated with BTA injections. Small bruises or red marks at the sites of the injection may appear but usually will fade within a few days. Mild headaches and nausea, though rare, have been reported by patients who receive forehead injections. Some injections can cause mild muscle aches. It is also possible for an adjoining muscle to experience weakness, although this is usually temporary (one to three weeks).

Swelling, though rare, may occur in the area around the injection. If the swelling lasts more than a few hours, simple massage should help reduce it. (Caution: Do not massage the area in the hours immediately following your injection, since this could cause it to spread to adjacent muscles.)

After the treatment, you should refrain from bending over or from vigorous activities for several hours to prevent it from moving to an unwanted area. In rare cases, BTA injections around the eye area can cause the eyelid to droop though this will wear off in two or three weeks. It is even more rare, but possible, for injections in the neck muscles to cause difficulty swallowing. Be sure to discuss all the possible side effects with doctor before beginning treatment.

Preparation before the BTA Cosmetic Procedure

FILLERS
This is a non-surgical augmentation procedure using hyaluronic acid injected intradermally or using water-based injectable filler for the chin, cheeks, nose and buttocks, injected subcutaneously.  Tiny quantities of hyaluronic acid are injected through very fine needles, boosting the skin's own hyaluronic acid. Depending how many lines are treated, the treatment takes 20 minutes to an hour, with minimal discomfort. This procedure gives a natural feel and promises long-lasting results.  Specifically-designed fillers are also available to those who want fuller and more prominent lips or who wish to rejuvenate aged lips.

Hyaluronic acid therapy is becoming a popular choice as a temporary filler for facial augmentation. It is a safe, non-surgical procedure that conveniently softens facial lines and furrows. It also has the added benefit of not requiring skin testing before use.  The effects can be maintained by small ‘top-up’ treatments as required, generally about twice a year.
What is Hyaluronic Acid?
Hyaluronic acid is a natural substance that is found in all living organisms. High concentrations are found in soft connective tissue and in the fluid surrounding the eye. It is also present in some cartilage and joint fluids, and in skin tissue. In skin tissue, hyaluronic acid is a jelly-like substance that fills the space between collagen and elastin fibres. The role of hyaluronic acid in skin is to:

• provide a mechanism of transport of essential nutrients from the bloodstream to living skin cells
• hydrate the skin by holding in water
• act as a cushioning and lubricating agent against mechanical and chemical damage.

Over time, either through the natural process of aging or through exposure to environmental factors such as pollutants and sunlight, the body's natural store of hyaluronic acid is degraded and destroyed.
Where can Hyaluronic Acid injections be used?
Hyaluronic acid injections can be used as a dermal filler to improve the skin's contour and reduce depressions in the skin due to scars, injury or lines. Facial lines and features that can be corrected using hyaluronic acid implantation which include:

• Frown lines that run between the eyebrows (glabellar lines)
• Smoker's lines which are vertical lines on the mouth (perioral lines)
• Marionette lines at the corner of the mouth (oral commissures)
• Worry lines that run across the forehead (forehead lines)
• Crow's feet at the corner of the eyes (periorbital lines)
• Deep smile lines that run from side of the nose to corners of the mouth (nasolabial furrows)
• Cheek depressions
• Redefining lip border
• Acne scars
• Some facial scars