What is Botulinum Toxin?

  • The simplicity and safety of Botulinum Toxin A treatments are among its most compelling attributes. Its cosmetic use demands a thorough understanding of facial muscles and the neurotoxin, as well as a sound understanding of proper injection technique.
  • The message for a muscle to contract is mediated via a chemical transmitter (messenger substance) called Acetylcholine (Ach).
  • After injecting Botulinum Toxin A, the release of Ach is blocked (“road block” for Ach). The muscle, therefore does not contract.
  • Due to the muscle not exercising, the muscle bulk decreases over time. There is no direct damage to the muscle (or sweat gland, if done for Hyperhidrosis).
  • If injections are discontinued, the muscle action will resume over time.
  • Regular injections, however, lead to long-term gain due to the fact that the muscle becomes smaller. Botulinum Toxin A has been proven to improve the texture of overlying skin and is locally acting.  Botulinum Toxin A is also an extremely effective treatment for excessive sweating (primary focal hyperhidrosis).

How often should Botulinum Toxin be used?

  • The normal duration is 3-4 months.
  • However, due to loss of habit and decreasing muscle bulk, the duration of action may increase over time, making less frequent treatments possible.
  • The duration for hyperhidrosis (excess sweating) is longer – on average 7 months for armpits.

Contra-indications for procedure

If you are pregnant or breastfeeding or have diseases of muscular weakness (myasthenia gravis, etc.) you should not be receiving botulinum toxins.

JUVÉDERM® Injectable Gel Fillers

  • It is injected into the cheek area to correct age-related volume loss in adults.
  • It is injected into the facial tissue for the correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
  • It is injected into the lips and perioral area for lip augmentation.

What is hyaluronic Acid?

The JUVÉDERM®collection of fillers is made of hyaluronic acid (HA). HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. 

When will you see results?

You will see changes within a few hours up to 72 hours after treatment 

How long do results last?

The duration of effect is related to the number of cross-linkers used and varies within each product range.  Results may 10 to 18 months, with optimal depending on the formula used.

Contra-indications for procedure

Do not receive JUVÉDERM® injectable gel fillers if you have a history of severe allergic reactions (anaphylaxis), or if you are allergic to lidocaine or the proteins (Gram-positive bacterial proteins) used to make hyaluronic acid (HA) in JUVÉDERM® injectable gel fillers.