Wednesday, November 7, 2018

Two Wrinkle Types: Two Solutions

By:  Dave Stringham

types of facial wrinkles: dynamic and static. Dynamic lines appear at a young age. They are the lines that form when a facial expression is made. This is because the underlying facial muscle contracts to form the appearance of a facial line. People may relate to such lines as anger lines, worry lines, surprise lines, and smile lines. Static lines may develop without muscle contraction and may also be the consequence of the frequent formation of dynamic lines. With age, dynamic lines evolve into static lines.
Facial Fillers and Injectables
Dynamic Facial Lines: Botox significantly reduces the appearance of dynamic facial lines, including: certain forehead lines, lines between the brows, crow's feet and lines above the upper lip.
Static Facial Lines: Injectable Facial Fillers such as Restylane and Sculptura reduce the appearance of deep static lines such as smile lines.
Anti-Aging Aesthetics
Facial Fillers and Injectables cannot solve all anti-aging problems. The slowed natural skin renewal process has an impact on facial wrinkling. Sun damage contributes to facial wrinkles. Skin conditions play a role in the appearance of an aging face. Lifestyle habits such as smoking and diet affect facial aging. Gravity produces sagging to an aged face. This is why other treatments may be required to improve facial aging, including:
Medical Grade Skincare: Cleansers, toners, exfoliators, moisturizers, and under eye creams found at plastic surgeons' office offer advanced techniques to improve the signs of aging. Topical retinoids, vitamin C, alpha hydroxyl acids, and polypeptides fit into the medical grade skincare category as well.
Skin Resurfacing: Microdermabrasion, chemical peels, thermal skin resurfacing, ablative and non-ablative lasers are all techniques used to improve the appearance of facial wrinkles and aging.
Facial Implants: There are chin and cheek implants to improve the appearance of wrinkles and facial hollowness.
Facelift or Mid-Face Lift: Facelift, also known as the Mid-Face Lift, removes excessive skin and tightens underlying muscles from the cheek to the neck.
Forehead or Brow Lift: Forehead or Brow Lift reduces facial lines that are at rest and lifts droopy eyebrows.
Nose Surgery: Rhinoplasty may lift the nose tip, reshape the nose, augment or reduce an aging nose.
Upper and/or Lower Eye Lid Surgery or Blepharoplasty: Eye lid surgery removes excessive skin and fat pads on the eyelids.
Neck Lift: Neck lift improves the appearance of platysmal neck bands and a sagging neck.

Tuesday, November 6, 2018

How is Dermal Filler Different to Botox?

 by Dr Timothy Beazleigh

How is Dermal Filler Different to Botox?

People are often confused by the difference between Botox and dermal filler treatments, assuming they are the same. Whilst Botox is a muscle relaxant and is used to minimise muscle contraction thus reducing fine lines and wrinkles on facial movement, dermal filler is used specifically to restore volume to deeper, lines, creases and folds that are usually static i.e. permanently visible on the face even when the face isn’t moving.

Traditional areas to treat with standard dermal fillers – including Juvederm and Restylane – are the nasolabial folds (corner of the nostrils to corners of the mouth), marionette lines (corners of mouth to chin/jowls) and the smokers lines (above the top lip). Thicker, more volumising fillers including Juvederm Voluma are used specifically to the mid face region to augment cheek bones, restore volume and plumpness to the lower cheeks and redefine the chin and temples. Fillers are also used to enchance and recontour lips.

As a treatment with dermal fillers requires the needle to penetrate the dermis deeper than for a standard Botox treatment, there is usually more opportunity for bruising to occur as the blood vessels are not visible to the practitioner (beyond the superficial layer), but bruising is by no means a standard side effect and occurs in approximately 50% of treatments.

Juvederm is the filler of choice at Melior Clinics Botox & Facial Aesthetic London Clinic as, being monophasic, it is smooth in consistency and also contains a built in anaesthetic, making the process a lot more comfortable for the patient.

Friday, November 2, 2018

Normal ageing = Loss of Hyaluronic Acid

Hyaluronic acid is an essential skin component. It acts like a sponge that retains water and keeps the skin moisturized, plumped and healthy.
We lose 50 % of our hyaluronic acid between the age of 40 and 50(1).
The skin becomes dry, thin and fragile.
(1) L’observatoire des cosmétiques, Octobre 2010
In addition to normal ageing and loss of hyaluronic acid, our skin is exposed daily to various external factors that change its surface which results in the loss of brightness:
- Sun exposure
- Pollution
- Junk food
- Lack of sleep
- Smoking
Peau jeune et en bonne santé

- Smooth and hydrated skin surface
- Perfect light reflection
- No shaded areas

Peau vieillisante et endommagée

- Shriveled and dehydrated skin
- Altered light reflection
- Numerous shaded areas

Premature ageing = Excess of oxidative stress (free radicals)
Vieillissement prématuré
Your body has a stock of antioxidants capable of neutralizing the oxidants.
This balance can be disturbed by an unhealthy lifestyle and several external factors. The excess of oxidative stress (free radicals) attacks the skin, decreasing its elasticity and tonicity.
An injectable revitalizing treatment with the adequate ingredients is a must to restore SKIN’S HEALTHY balance and fight against all aspects of SKIN AGEING.

Friday, October 26, 2018

Botulinum toxin ...

Botulinum toxin is produced by a specific type of bacteria. In higher amounts, it can be poisonous. However, only small, weaker doses of botulinum toxin are used to reduce facial wrinkles.
When botulinum toxin is injected, it blocks certain nerve signals that make muscles contract. The muscles relax, reducing unwanted wrinkles. This effect lasts about 3–6 months. After that, the muscles move again and wrinkles come back.
Photograph of eye wrinkles before Botox
Crows’ feet before botulinum toxin injection
When you have botulinum toxin injected, your doctor may first rub an anesthetic cream on the area to numb it. Then he or she will inject the medicine into specific facial muscles. This only takes a few minutes, and can be done right in the doctor’s office. You will be able to continue your daily activities right afterwards.
About 3 days after the injection, you should notice some muscles starting to relax. After 1 week, you likely will see fewer facial wrinkles and lines. This effect wears off in about 3–6 months.

Thursday, October 25, 2018

Types of wrinkles

There are two types of wrinkles: dynamic wrinkles and very fine lines and wrinkles.
Dynamic wrinkles are caused by facial muscles that move when you smile, laugh, and squint. These are often around the lips, on the forehead and between the eyebrows. They are also the “crows’ feet” at the corner of your eyelids. Everyone is born with dynamic wrinkles. As you age, these wrinkles get deeper and easier to see. Botulinum toxin can be used to make these dynamic wrinkles less noticeable.
Very fine lines and wrinkles are formed when collagen in the skin starts to thin. Collagen is protein just beneath and within deep skin layers. Aging and sun damage cause collagen thinning. It makes the skin on your face stretch and sag, creating fine wrinkles. Botulinum toxin does not erase fine lines and wrinkles. However, there are other ways to reduce their appearance.

Wednesday, October 24, 2018

Botulinum Toxin Injections Between the Brows Produce Significant Patient Satisfaction Rates

Botulinum toxin type A injections are the most common cosmetic procedure performed in the United States. There were 4.3 million procedures performed in 2015 accounting for 42 percent of all cosmetic procedures in that year, based on the Cosmetic Surgery National Data Bank Statistics from the American Society for Aesthetic Plastic Surgery, (ASAPS). According to a 2016 study published in the Aesthetic Surgery Journal, the official publication of ASAPS, patient satisfaction with their overall facial appearance increased by 28 percent with injections to the so-called “11s” (the glabellar rhytids, which are the lines that appear between the brows as we age).
The satisfaction rate was determined based on participating patients’ completion of the FACE-Q survey, a newly developed and validated patient-reported outcome instrument that can be used for measuring a patient’s own perceptions of cosmetic facial procedures. The survey consists of 63 questions asking patients to evaluate their overall appearance, age appearance, and the appearance of cheeks, nasolabial folds, lower face and jawline, chin and neck.
Dr. Daniel C. Mills, president of ASAPS states, “The results of this study are not surprising and validate what we’ve suspected for quite some time. I see an ever-increasing influx of patients in my practice in Laguna Beach, California requesting botulinum toxin type A injections to the area between the brows and other areas on the face, like the crow’s feet and forehead as a preventative anti-aging or pre-aging measure from patients in their 20s up to their 70s. It’s a quick nonsurgical fix that packs a powerful punch. This new study reaffirms the efficacy of botulinum toxin type A and the satisfaction it brings to patients.”
The study’s authors examined 57 female patients who completed the FACE-Q survey. After the baseline survey, the patients received injections of one brand of botulinum toxin type A, (Botox, Dysport or Xeomin) in the region between the brows. Two weeks post-injection, the patients completed the FACE-Q survey again. The percentage changes in patient responses from the first to second surveys were assessed to determine how the injections affected patient satisfaction with their facial appearance.
Patients stated that they believe they look an average of 5.6 years younger post-injection with any of the botulinum toxin type A products. The average age of the 57 patients with pre- and post-neurotoxin FACE-Q responses was 49.6 years (range of 32-75 years old).
“This indicates that patients’ satisfaction with their overall facial appearance was statistically significantly greater after receiving the injections, and certainly accounts for the continued success of neurotoxin popularity to reduce the signs of aging,” states Dr. Ivona Percec, the study’s senior author.
To view the complete study, visit the Aesthetic Surgery Journal website,
The American Society for Aesthetic Plastic Surgery (ASAPS), is recognized as the world’s leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body. ASAPS is comprised of more than 2,600 plastic surgeons; active members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and nonsurgical aesthetic procedures. International active members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict code of ethics and must meet stringent membership requirements.
Courtesy of The American Society for Aesthetic Plastic Surgery

Friday, September 21, 2018

Friday, September 7, 2018

Filler emergency kit ~ for HA dermal fillers

Source: Dr Ben Chan

2nd degree connection

Medical Director, Cosmetic Institute of Australia, Principal, Skintech Group of Clinics & Superclinics

Melbourne, Australia

Wednesday, September 5, 2018

Danger zones for dermafillers !!!

The high risk areas for arterial/venous occlusion when injecting dermafillers are the temple, glabella, nose, cheek, nasolabial folds, lips, and lower face. It is virtually the entire face. Injury of vessels may result in embolisation (resulting in visual loss), blockages (tissue necrosis), severe bruising, and volume compression. There can also be injury to nerves.

Friday, August 31, 2018

Friday, August 24, 2018

Injured by Botox – and fighting in court - Botox injuries aren’t all about droopy eyelids and lopsided smiles.

As the controversial treatment hits the high street, JACQUI DEEVOY speaks to the victims who are set to sue two of its biggest manufacturers.
TWENTY FOUR people who claim botulin injections have destroyed their lives are aiming to sue two prominent manufacturers.
According to the evidence gathered the use of Botox, owned and marketed by Allergan and French company Ipsen, has resulted in life-changing side effects for thousands worldwide.
After meeting through a Facebook support group, 24 sufferers have united hoping to sue the pharmaceutical giants.
While experts warn that the £99 high street treatments, which Superdrug last week started offering in its flagship store in London, should not be seen in the same way as other less invasive beauty treatments, customers – many influenced by TV shows such as Love Island where contestants in their 20s are resorting to Botox to keep their faces “perfect” – are sure to be queuing up to smooth out their frown lines.
Getting rid of wrinkles was what some of the 24 complainants hoped to do when they first had Botox; others were prescribed it for medical reasons.
London fitness instructor Maria Bajo is working closely with criminal lawyer Stephen Fidler and the other 23 victims to get the main producers of the Botulin Type A treatments investigated and taken to court.
“I have done five years of research and have found plenty of evidence to prove that the various symptoms, illnesses and conditions that Botox-damaged people are suffering from have been caused by the products supplied by these companies.
“We also have evidence that the toxin and ingredients from the injections stay in the blood for many years, circulating around the body, affecting the brain and organ function, causing neurological and other damage,” says Maria, who intends to present this in court.
Forehead being injected with Botox
It’s a common misconception that Botox is used for purely cosmetic reasons (Image: GETTY)
Although many doctors agree that Botox can be harmful, only a few have carried out studies or written papers on the subject.
One four-year study by Dr Anna Hristova (published in the Journal of Bacteriology and Mycology) concluded a condition known as impaired neuronal communications syndrome (INCS) is a serious and longlasting complication of Botox treatment.
The problem is that not many medics know about it and sufferers are often misdiagnosed.
She says: “There is no current widespread awareness of the syndrome among the medical society. Further research is urgently needed.”
ALLERGAN plc started in the United States in 1950 as Allergan Pharmaceuticals.
It operates in around 100 countries, employing 17,000 people, and owns a host of well-known brands including the Botox product.
Ipsen is a French pharmaceutical company employing 1,000 workers, which develops and markets medications including Dysport®, a trade-name for the botulinum type A, the bacteria that causes botulism – a rare and potential fatal illness.
Botox being injected into a lady
When used in small amounts – for medical or aesthetic reasons – Botox is generally considered safe (Image: GETTY)
It’s a common misconception that Botox is used for purely cosmetic reasons.
Thousands are given it to treat medical problems from blepharospasm (uncontrolled blinking) to excessive sweating to bladder problems.
Allergan is even looking into how it can treat premature ejaculation.
When used in small amounts – for medical or aesthetic reasons – Botox is generally considered safe.
The drug comes with risks but the severity seems to be underplayed by the companies manufacturing it and by those administering it. Since 2009 the US Food And Drug Administration (FDA) has required Botox to carry a “black box”, the strictest warning in the labelling of drugs or drug products.
It indicates that there’s reasonable evidence of an association of a serious hazard with the drug. There is no official warning attached to Botox or Dysport® in the UK or anywhere in Europe.
Since 2003 Allergan has been sued several times with claimants suffering droopy eyelids, numbness, headaches, swallowing and breathing problems, brain damage and death.
In 2011, Allergan was ordered to pay $212million (£166million) compensation to a Virginia man who suffered brain damage after using the drug to treat hand tremors. It was also fi ned $600million in 2010 for “misbranding”.
To date there have been no lawsuits in the UK, despite plenty of reports of adverse reactions to the drug.
Lawyer Stephen Fidler and the 24 victims want to change that. “A large file of papers proving, in our view, an offence of administration of a noxious substance, has been delivered to the City of London Police,” he says. “We understand that they are reviewing the matter.”
However, a spokesman for Allergan insists: “Patient safety is a priority for Allergan and we take any reports of side effects related to all of our products very seriously, however we cannot comment on specific cases. “Allergan believes that medical aesthetic injectable treatments are medical procedures and should only be carried out by a trained and qualified healthcare professional in an appropriate clinical environment.”
Ipsen was unavailable to comment.
Maria Bajo
‘I feel faint and have terrible brain fog’ (Image: NC )
FITNESS instructor Maria Bajo had more than 50 life-changing symptoms, including heart problems, diffi culty in breathing, anxiety, loss of bladder control, hair loss, tooth decay and hallucinations after having Botox. “
I started using Botox in 2008,” says the 45-year-old north Londoner.
“At the time I was planning to start a family with my partner but instead of becoming a father he became my carer.”
Unfortunately he found it too much to cope with and left her in 2014.
“We’re still friends,” she says. “It was hard for him. He had to cope with my illness, my depression, the hallucinations...
At one point I was freaking out because there were monsters everywhere and I kept shouting that I had to kill them.”

Viewers outraged at benefits woman's botox

She became steadily more ill and her symptoms became so bad she considered a euthanasia clinic in Switzerland: “I was in so much pain, it was like torture,” Maria recalls.
“I just wanted it to stop.
Euthanasia seemed like a good option.”
Slowly recovering with a strict clean eating diet, vitamins and supplements, but no medication, no alcohol, no make-up or hair dye, she’s researched the dangers of Botox and has spoken to doctors, scientists, Botox victim survivors and the companies that make the products.
Eight years on she now has medical evidence that shows she is suffering from latrogenic botulism – Botox cosmetic poisoning.
Doctors have agreed to go to court to support her but knowing all this still doesn’t help her on an everyday level.
“My life is challenging. I have to have naps in the day. I live with feeling constantly faint; I have terrible brain fog; my anxiety comes and goes,” she says.
“I have nerve-related difficulties such as lack of bladder control, along with memory and concentration issues.”
She regrets having Botox and wouldn’t recommend it to anyone: “So many people don’t want to know the truth, so all I would say to someone who’s determined to have it, is please do some research before getting it: despite what we’re told it is not a safe procedure.
Alan Ross
'Ten years later and I have permanent muscle problems' (Image: NC)
ALAN ROSS had Dysport (the Ipsen brand of Botox) for an overactive bladder in 2008.
The 54-year-old from Inverness had a temporary catheter fitted and then had Botox injections. T
he muscles closed in around the catheter and caused it to retract: he needed emergency treatment to have it removed.
“The consultant said the effects were temporary and that feeling would come back after six months to a year,” says Ross.
“Ten years later and I have permanent muscle problems, worse than when I first went for treatment.”
As a result of his bladder problems, caused by the Botox, Alan, who trained as an archaeologist, can no longer work: “I am currently going through several hundred catheters a week,” he says. “I have to change them dozens of time a day, so that makes it impossible for me to have a normal life.
I cost the NHS over £15,000 a year.”
His experiences during and after the treatment also contributed towards the breakdown of his marriage and a loss of contact with his children. “It’s been a horror story from the start,” he states.
“I’m not exaggerating when i say Botox ruined my life.”
Janine Brockway
'I considered committing suicide.' (Image: NC)
EVENTS organiser Janine Brockway started having Botox for forehead and eye wrinkles in 2012.
She consulted two doctors and both insisted it was safe. Within months the 44-year-old from Maidenhead, Berkshire, became ill and was diagnosed with chronic fatigue syndrome and fibromyalgia.
She didn’t make a connection at first but eventually noticed symptoms would become worse after treatments.
“I asked the doctor who was supplying the Botox whether my illnesses could be caused by the Botox and she told me that this wasn’t possible.”
Shortly after that conversation, anxiety and panic attacks started.
She also suffered from extreme fatigue, insomnia, numbness in her legs, chest pain, neck spasms, blurry vision and nausea.
Depression also kicked in.
“Sometimes, I felt so bad,” says Janine, “I considered committing suicide.”
She decided Botox was causing her problems in 2016 after becoming extremely sick, vomiting, unable to breathe properly and finding it hard to walk.
“There was no doubt in my mind that it was the Botox causing it,” she says. After stopping the treatments her health has improved dramatically and she says: “Having Botox was the worst mistake of my life.
I tell anyone who cares to listen to not have it.”
Jennifer Wilson
‘If I’d known risks, I’d never have had Botox’ (Image: NC)
JENNIFER WILSON was having Botox four times a year for cervical dystonia, a painful condition in which the neck muscles contract involuntarily causing a head tremor or sudden twisting and turning of the head.
“It worked well for years,” she says of the treatment which she started in 2010.
“Then, after having an injection in August 2017 I developed severe insomnia, lost my ability to balance and couldn’t complete everyday normal tasks without getting confused.”
Not making the link between the Botox and the symptoms, the 57-year-old medical secretary from Glassford in South Lanarkshire went on to have another injection in November 2017, when her face, lips and tongue swelled up.
She then developed a sinus infection, along with chronic fatigue, muscle weakness and dizziness, which her GP put down to a viral infection.
She was left housebound for two months.
This February she had another Botox treatment and again developed the same debilitating symptoms, as well as hearing issues.
Desperate for answers, she finally consulted an expert. “A few months ago I saw a neurologist, who confirmed that my problems could be linked to the Botox,” she says.
“I stopped the treatments immediately.” Sadly Jennifer feels she stopped too late.
“My symptoms are worsening,” she claims, adding that she has suffered from blurred vision, drooping eyelids, sore skin on her face, feeling faint, general weakness, swollen lymph nodes, blocked ears, stabbing pains in her head, migraines, pain in her teeth and jaw, a persistent cough, chills, trembling, diarrhoea, heart palpitations, forgetfulness, confusion, poor concentration and nausea. “And that’s just the half of it,” she says.
“The symptoms come and go; when I think they’ve gone, they reappear. Every day I feel like I have a hangover. “If I’d known I’d have ended up like this, I’d have never had the Botox treatments.”