Your face is the most expressive part of your body. Every time your face moves, be it with a smile, a frown or a look of surprise, it contributes to the creation of a crease or wrinkle that multiplies and intensifies with time. Botox®, Dysport® and Xeomin® are FDA-approved treatments which are sought after by millions of men and women for good reason. They are non-surgical minimally invasive treatments and are proven to be very effective at reducing those “frown” lines between the eyebrows. Forehead wrinkles and crow’s feet around the eyes, as well as other areas may be treated.
Because the facial muscles are very active, Dr. Kroll’s approach is to relax, or “neuromodulate” the areas affected, aiming for the most natural appearance possible. She treats with a light and gentle hand, working meticulously to reach her patients’ aesthetic goals. She avoids overtreating or “freezing” these areas and avoids the “Mr. Spock” look with oddly angled eyebrows.
Since Dr. Kroll is a facial aesthetics expert, fellowship trained and double-board certified, she intimately knows the anatomy in these areas to decrease risk and to achieve the highest patient satisfaction. Many patients cannot believe how comfortable they are during this treatment. Results typically last 3-4 months.
Botox®, Dysport® and Xeomin® (botulinum, type A) are made of a sophisticated protein that is used for cosmetic and medical purposes. There are only slight differences with each of these products but their effect has been shown by research to be comparable. They should be administered in precise amounts to relax muscles of the face that are causing wrinkles and creases.
Common treatment areas include the “11’s”-the scowl lines between the eyebrows, forehead wrinkles, smile lines around the eyes (also called crow’s feet), and even neck bands (off label). Drooping eyebrows can also be treated off label. This is called a “Botox brow lift” or “chemical brow lift”. Botox typically takes 2-5 days to start working and typically lasts 3 months. It can be repeated for desired effect. The full effect of Botox may take up to 2 weeks to achieve. Botox®, Dysport® and Xeomin® are exciting minimally invasive treatments to counteract the aging process.
There are many brands of neurotoxin. Botox® is the first and most recognized major brand within this class, but Dysport® and Xeomin® are also similar medicines which are used to fight wrinkles with excellent results. These medicines are available in your aesthetic physicians office and are all FDA approved. Using genuine product is extremely important. Counterfeit imitations should not be used at any time in order to decrease the risk of adverse effects.
Botox®, Dysport® and Xeomin® typically start working at day 2 and most of the effects are seen by day 5. The full results may take up to 2 weeks to achieve. Botox®, Dysport® and Xeomin® can typically last 3 months. Once the effect starts to fade, the muscle action slowly returns and with that the lines and wrinkles reappear as well. To maintain results after the medicine wears off, retreatment is recommended. After repeated treatments the lines and wrinkles tend to get softer because the muscles are trained to relax.
The procedure only takes a few minutes in the office and anesthetic is not needed. A fine needle is used to precisely inject the product into specific muscles with minimal discomfort To help decrease the risk of bruising avoid excessive alcohol, aspirin, anti inflammatory drugs (NSAIDs), vitamin E and fish oil for 2 weeks prior to your procedure.
Botox®, Dysport® and Xeomin® work by reducing the movement of specific muscles. Once injected, the product blocks the signals from the nerves to the muscles. This makes the muscles less able to contract making the wrinkles relax and soften. This medicine is used to treat wrinkles on the forehead, crow’s feet (smile lines around the eye), frown lines, neck bands and other areas.
Botox®, Dysport® and Xeomin® should not be used by pregnant or breast feeding women, and any person with a neurological disease. Consult in person with your doctor before having Botox®, Dysport® , Xeomin® injections to determine if you are a good candidate for this procedure.
The best candidates for Botox®, Dysport® and Xeomin® are those with wrinkles that move (dynamic wrinkles). Other types of wrinkles at rest may need other treatments such as dermal fillers, skin peels, lasers, microneedling, Pelleve® or surgery. Your doctor will examine you and customize a plan for you to reach for your aesthetic dreams.