Injectable wrinkle relaxers like Botox or Xeomin are very popular for men because they provide real results and you don’t have to take any time off work. A brief, free injectable consultation with Dr. Gargiulo will help you better understand what to expect. Furrowed brows, wrinkled foreheads and crow’s feet can all be corrected in about ten minutes. Removing the lines in these areas can go a long way toward a younger and more relaxed look at work.
Botox has many other medical uses besides wrinkle-reduction. One of the most helpful is for controlling Hyperhidrosis, a medical condition in which a person sweat excessively and unpredictably. People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest. Many people who suffer from Hyperhidrosis tell us that they get nervous because they sweat, then sweat more because they are nervous. It affects both men and women.
With aging the skin droops and develops wrinkles, lines and furrows. The severity of these changes in an individual depends on genetic tendency, skin phototype (amount of pigment on the skin) and exposure to environmental factors.
Facial lines and wrinkles form because of the following factors: aging processes, sun damage, muscle movement, gravity, smoking, skin injury, surgery and acne. There is often a degree of asymmetry to the lines, as people tend to smile or frown more on one side than the other, or consistently sleep on the right or the left cheek.
Dr Gargiulo and one of our trained estheticians will make a good assessment and determine your specific needs. There is no charge for this consultation.
A Skin Complexion Analysis is available for clients looking for facial rejuvenation procedures. The system captures digital photos (RGB and UV light) of the face and measures sunspots, pigmentation, pores, roughness, acne, moisture and wrinkles. A report of skin age and type of skin (see picture) is given. This will help plan treatments, and, most importantly, compare the skin changes after skin rejuvenation treatments are done.
Botox, Xeomin and Dysport are most useful for dynamic lines. It can be used to “weaken” the muscles that are responsible for frown lines, crow’s feet and forehead lines. Fine wrinkles disappear, deeper wrinkles become softer and barely visible. It can also be used to change the shape of the eyebrows, to soften so-called smoker’s lines around the lips, and to reduce appearance of neck lines among other uses.
This is an FDA-approved cosmetic that is used for the temporary improvement of moderate to severe facial lines. “Toxins” are done by injection and can last three to six months.
Xeomin and Botox are used in our practice for the correction of facial wrinkles. Most people tolerate it quite well.
If Botox or Xeomin side effects do occur, in most cases, then they are minor and either require no treatment or are easily treated. Local spread of the medication may cause weakening of adjacent muscles, although this is rare.
Occasional mild skin redness or even bruising is possible.
Since the neurotoxin needs to bind to the nerves, the “muscle relaxation” is gradual, usually started being noticeable two to three days after the injection, with full effect seven days later.
We feel that in our experience Xeomin has a faster onset of action. The duration is similar for Botox and Xeomin.
Other Treatments and Prevention
Skin care is important because our skin is the most exposed organ to the environment. Facials done on a regular basis are important to clean and nourish your skin.
Sunscreen Lotions: They are ideal to prevent skin damage. We prefer physical sunscreens (zinc oxide and titanium dioxide) over chemical ones. Make sure that the product is SPF 30 or above, that it is effective blocking the UVA and UVB rays, and it is water resistant.
Moisturizers: They are a complex mixture of chemical agents specially designed to make the external layers of the skin softer and more pliable, and they increase the skin’s hydration (water content) by reducing evaporation.
Moisturizers prevent and treat dry skin, protect sensitive skin, improve skin tone and texture, and mask imperfections. They are also used to prevent the skin from becoming too dry or oily. Using the right moisturizer recommended by an experience esthetician is very important.
Anti-Aging Formulas: These include antioxidants, exfoliants (especially retinoids), stem cells and growth factors.
Resurfacing: These include chemical peels, mechanical (Hydrafacial), Venus Viva and laser rejuvenation. This laser treatment is the one that shows the most impressive results. At AgeFocus we use the latest laser technology, Pico Laser.
Aging, as well as certain diseases, make us lose facial tissue (fat, collagen, muscle and bone). The skin also changes due to reduction in collagen and elastic fibers. This makes the skin thinner, lax and more transparent, making the blood vessels under the skin more visible (this is, in part, due to the loss of fat under the skin). Gravity also plays a role in aging, lowering the cheeks, changing the lower jaw line.
Fillers can correct the effects of aging by adding volume (correcting fat, muscle and bone loss that normally occurs with aging) and “plumping” the area.
With fillers we can change some facial features and avoid surgery. Small chins can be augmented, cheeks and cheek bones can be augmented, facial imperfections can be improved, dorsal aspect of the hands can look fuller (veins less visible). Lip enhancement is another area where fillers can make a significant improvement.
It is important to understand that not all the fillers can be used in all areas, and selecting the appropriate filler is very important.
Biodegradable vs. Non-Biodegradable Fillers
Fillers classified as biodegradable are absorbed by the body and tend to have a shorter duration of effect. Fillers classified as non-biodegradable have components that do not degrade. These fillers may yield excellent longer-lasting results, but they tend to be less forgiving and are associated with an increased incidence of granuloma formation and/or extrusion.
Mode of Action
Some dermal fillers operate in a more passive manner, occupying space until the injected material biodegrades. These products are known as tissue replacement fillers or “volumizers;” they have limited action and must be repeatedly injected to yield continuing results. Other dermal fillers, known as “stimulators,” induce an inflammatory reaction with the goal of stimulating collagen production. Neo-collagenesis is believed to yield both longer-lasting treatment results and possibly other benefits to the dermis.
Types of Fillers
1. Hyaluronic Acid (HA): HA is a naturally occurring polysaccharide found in the extracellular matrix in many human tissues. Approximately 50% of the total HA in the human body is found in the skin. These fillers do not produce allergic reaction. The following fillers belong to this group: Juvederm , Belotero Balance, Restylane and Perlane.
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