Injectibles
Neuromuscular Injectables:
Botox
Currently, Botulinum toxin is most commonly used medication for the management of hyperfunctional lines or wrinkles. Wrinkles often caused patients to be misinterpreted as angry, anxious, fearful, or fatigued. Injections of Botulinum toxin A are an important anti aging therapy that provides the opportunity to rejuvenate the facial expressions with minimal morbidity.
Pharmacology
The Clostridium Botulinum bacterium produces 7 distinct toxins lettered A through G. All 7 toxins are antigenically distinct; however, toxin A is most familiar to clinicians. The toxin requires 24-72 hours to take effect. The paralysis of the involved muscle requires the toxin bind to the nerve and stops it from functioning. Some individuals may require as many as 5 days for the full effect to be observed.
Contraindications to BOTOX® injections include
the following:
- Pregnancy
- Breast
feeding
- History
of reaction to toxin or albumin
- Some
muscle diseases
- Age
younger than 12 years
- Any
Infection at the required injection site
Injectable fillers are used to round out wrinkles, lines, and scars, or to give the face a more desirable shape. Fillers are made from a variety of different substances.
In this procedure, the treatment area is cleansed, an anesthetic
is applied, if necessary, and the filler is injected under the skin
using a tiny needle. Patients may feel some discomfort or pain
during the injections. Side effects, which include bleeding,
pain, swelling, bruising, and infection, may be treated using ice
packs or medications.
The results of soft tissue augmentation with injectable fillers
are not permanent, even though a filler substance may be considered
permanent. The results of permanent fillers can change over time; as
you age naturally, these fillers may shift or clump. The continued
aging of your face and variables in the absorption of fillers will
affect how long your results last.
Should you choose not to repeat treatment, your appearance will
return to its original condition. Plumped lips will lose volume and
improved wrinkles, creases and scars will visibly recess and fully
reappear in time.
Types of
fillers:
Hyaluronic Acid (Restylane,
Juvederm,
Hylaform, Perlane, and Dermalive)
Hyaluronic Acid is a natural substance found in our bodies. It is
well suited to plump thin lips and fills facial creases such as
nasolabial folds. It may also be appropriate for some surface
wrinkles and concave scars. The results may last 6 months or longer.
Calcium Hydroxylapatite
(Radiesse)
Under the brand name Radiesse, each syringe contains CaHA particles that are suspended in a water-based solution (available in (0.3, 1, or 1.3 ml) to reduce the appearance of wrinkles and skin folds around the mouth and nose as well as fill certain scars. The filler is biocompatible, non-toxic, and non-allergenic; results last for up to six months or more.
Synthetic Poly-L-Lactic Acid (Sculptra)
Synthetic poly-L-lactic acid, also known under the brand name of Sculptra, is a synthetic but biocompatible material derived from natural sources. Sculptra treats skin folds, indented chin, hollowed cheeks, and sunken eyes. Results last up to two years. People usually require multiple initial treatments to obtain a fully satisfactory outcome and then receive maintenance treatments in order to continue to see results.