Botox® is a muscle relaxant which is injected into the muscles, or deep into the skin. It works by partially blocking the nerve impulses to the muscles that have been injected. It is used to control the persistent muscle activity in the forehead causing lines and wrinkles.
Botox® is a safe, natural occurring substance that causes muscle relaxation which lasts for approximately three to four months. In high doses, it will weaken muscles substantially, while in lower doses, the effects are subtle. These effects can be used to improve frown lines between the eye-brows, crow’s feet at the corners of the eyes, horizontal lines in the forehead, and eyebrow height and shape. It can also be used to treat vertical lip lines, down-turn at the lips, and twitching or spasm of the eyelids, cheeks, and face
It is injected with a tiny needle directly into the muscle(s). The injection only takes a few seconds and is mildly uncomfortable. Effects can be seen after two to three days but the full effect is usually seen after one week. Bruising rarely occurs and fades naturally.
Facial fillers are also a popular alternative in non-surgical facial rejuvenation. They are sometimes done alone, but can also be used in addition to Botox®. They work by restoring volume under the skin thereby erasing wrinkles and emptiness from aging, most commonly at the lips and creases around the mouth. Many fillers include hyaluronic acid, a natural substance already present in your skin and usually lasts six to twelve months. It can be used to improve the size of the lips (and shape), creases around the mouth and frown lines between the eyebrows. It can also be used for facial scars and depressions, and dark circles under the eyes.
Fillers are injected with a tiny needle, sometimes with ice, anaesthetic cream, or local anaesthetic to minimize discomfort. Effects are visible immediately, but mild local swelling occurs rapidly and lasts for about 24 hours. Bruising seldom occurs and fades naturally. Fillers last six to twelve months with hyaluronic acid, but less with collagen, and longer with synthetic microspheres.
Bruising can occur as with any injection. Infection is extremely uncommon. Botox® can rarely cause weakness in a nearby muscle, causing asymmetry, or a droopy eyelid or lip. To minimize risk, you will be advised not to touch the injected areas for several hours so that the Botox® can bind to the intended muscles. Facial fillers can also cause asymmetry, and rarely, a local sensitivity reaction.
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