As for 2020 and beyond, when asked to predict the top future trends in the space, 73 percent of survey respondents cited preventative treatments among millennials — also nicknamed "prejuvenation." The whole idea behind the concept, as its name implies, is that having noninvasive treatments at a younger age will prevent the need for surgical procedures down the line.
The millennial generation has grown up under the contestant scrutiny of social media – they don't know any different," Jacono says. "This constant magnifying glass drives their continued desire for 'tweak-ments,' or multiple small procedures to stave off any drastic rejuvenation as they are continuously prioritizing their appearance. This is 'prejuvenation.
In other words, millennials "want to maintain their aesthetic edge against aging, so they start before the visible signs appear," Gordon says. This trend is likely what's fueling the increased interest in noninvasive procedures like Botox and laser treatments.
Technique: The patient is asked to contract the muscles in the area being treated so the surgeon can determine the proper location for injection. In most cases, BOTOX® Cosmetic is injected directly into the muscle with a tiny needle. It takes a few days to realize the effect of BOTOX® Cosmetic Injections.
*BOTOX® Cosmetic is a registered trademark of Allergan, Inc.
*BOTOX® Cosmetic is a registered trademark of Allergan, Inc.
For anyone who thinks frown lines, forehead creases or other facial expression lines are preventing them from looking as good as they feel, BOTOX® Cosmetic is a wonderful option. The results are pretty dramatic and there is no down-time. Working people today definitely prefer the techniques with no down time so they do not have to sacrifice much time away from their busy schedules. In 2004, there were 2,837,346 BOTOX® Cosmetic injections, up 25 percent from 2003. With its recent FDA approval in 2001, BOTOX® Cosmetic has become even more popular because now people assume it’s safe.
Definitely. If performed by an adequately trained physician, the risk of complications is very low. The FDA is responsible for ensuring the safety of anything it approves. With its recent FDA approval, the public now knows about the extensive studies verifying its safety and efficacy. It does makes a difference to some people who needed reassurance from the organization charged by the government to promote and protect public health. However, it has been used since 1989 and its safety record has been excellent!
Well, it is a shot so bruising and swelling are a possibility but usually very minimal. Even though BOTOX® Cosmetic is now used to treat migraines, there is about a 10-13% chance of getting a temporary headache. About 2-3% of patients get flu-like symptoms or nausea. The one complication everyone worries about is getting a droopy eyelid. The risk is quoted as between 1-3%. If it does happen, usually there are some eye drops we can give you to help stimulate one of the other eyelid muscles to help out until the BOTOX® Cosmetic wears off. Usually the drops are needed for only about 2-3 weeks.
Most people tolerate it well. However, I always try to make things as painless as possible for my patients. The first thing I do is give all of my patients a prescription for LMX, a topical numbing medicine. Putting this on about 20 minutes before the injection helps eliminate the pain from the needle stick. The second thing I do is mix the BOTOX® Cosmetic with salt water and a preservative, which takes the sting out from the actual injection.
It depends on the areas treated but usually 2-10 minutes.
BOTOX® Cosmetic typically starts making a difference within a day or so. By one month after the injection, the maximal benefit is usually present.
For facial wrinkles, it lasts 3-6 months. The first few doses need to be repeated at about 3 months. With more injections, the muscle gets thinner so it typically spaces out the interval for injection to 6 months.
The best options include the forehead, frown lines, crows feet around your eyes, lip wrinkles, neck bands and also for excessive armpit sweating.
Some of my happiest patients have been the ones with excessive armpit sweating. A BOTOX® Cosmetic session will typically reduce the sweating 60-90%! And we’re talking about patients who have tried everything else including medical grade deodorants. There really is no other option that comes close.
For most sessions, one bottle lasts for 2 patients. That is one of the inconveniences with BOTOX® Cosmetic. Once you open it, you need to use it within 4 hours so scheduling can sometimes be difficult.
This is a frequent problem I have seen is some centers using one bottle for 4 or 8 patients. They then come to my office complaining that it didn’t work that well or last that long. For example, I have seen several patients who had a BOTOX® Cosmetic injection performed elsewhere that lasted a few weeks and was not that beneficial. I offer to treat them at my office. They are usually amazed to see it be very effective and last 3-6 months. I can only assume that the problem was the BOTOX® Cosmetic was overdiluted.
The only reason I can think of is to make more of a profit. I really can’t think of any other reason.
Certainly not. I think there are some very well trained eye doctors and dermatologists out there. The one problem seen more frequently, unfortunately, is more and more doctors want to do the easy cosmetic stuff and make fast money without dealing with insurance companies. I think patients need to be very careful! Check the physician’s credentials. How many BOTOX® Cosmetic injections have they done? One last thing to remember - To a plastic surgeon who performs forehead lifting and eyelid rejuvenation, an injection is easy, straightforward and the easiest case of the day. I would also tell people to be cautious of getting BOTOX® Cosmetic at a salon or at a BOTOX® Cosmetic party.
I think the environment is not appropriate. I do not think I could do a complete patient evaluation in this setting. Usually people at these parties are drinking and the social atmosphere is very conducive to peer pressure. In my opinion, the informed consent is not valid. The last issue is OSHA safety and ensuring proper disposal of medical waste and needles.
I wish that were true. Unfortunately, in today’s environment, practices only look at the bottom line. Since there is not that much profit with BOTOX® Cosmetic, a doctor might not feel it’s worth his time to do the actual injection. It is not uncommon to let someone else do this – whether it is a nurse or aesthetician. In my practice, I probably do about 70% of the injections.
When performing surgery, you know where all of the facial muscles are. The injection is easy and pretty straightforward. There are many years of training involved in becoming a plastic surgeon. I work with nurses and aestheticians all the time. Just as they are more qualified to talk to people about skin care products, I think I am more qualified to talk to people and evaluate them for BOTOX® Cosmetic as well as perform the actual injection. I think patients need to start asking themselves – who is at the other end of that tiny needle coming at my face! Most people have no idea.
No. Injections are easy for me to do and do not take me very long. The patient chooses, but the pricing varies depending on whether or not the injection is done by the nurse or the doctor.
Feel free to call my office at 1-847-696-9900 and schedule a consultation with me - Dr. Speron. I will go over your options with you after a comprehensive history and physical examination. You can also email me through our web site at firstname.lastname@example.org.
ASPS & ASAPS Position: The American Society for Aesthetic Plastic Surgery (ASAPS) maintains that BOTOX® Cosmetic injections for aesthetic purposes appear to be very safe and effective. Patients who show early signs of aging, as well as those who may not be suitable candidates for more extensive aesthetic facial surgery, may be good candidates for this procedure. Certain medications (some antibiotics, anti-inflammatories, or aspirin) and even some vitamins and herbs may increase the potency of BOTOX® Cosmetic and may increase bleeding and bruising at the time of injection. Therefore, patients should be candid with their surgeon about all medications and supplements. Pregnant or nursing women should postpone undergoing this procedure. It is not known whether injection of BOTOX® Cosmetic has any effect on a fetus or whether it is found in breast milk.
*BOTOX® Cosmetic is a registered trademark of Allergan, Inc.
Fillers is designed to smooth out facial lines on the surface of the face. It helps to restore the support structure of the face, thus enhancing the contours of the upper layer of skin. It can be used to enhance the shape of the lips, reduce the appearance of the scars, and reduce the appearance of fine lines and wrinkles.
There are many injectable substances used today such as:
Hyaluronic Acid exists naturally in all living organisms and is a natural component of connective tissues, including the skin. Hyaluronic Acid adds volume to minimize wrinkles and lines. As the substance naturally occurs in humans and all animals, allergic reactions are rare.
Restylane is the most common filler utilizing Hyaluronic Acid. Restylane is soft tissue that adds volume with immediate results lasting up to one year.
Calcium hydroxylapatite composed of microscopic calcium particles suspended in gel, is normally present in your bones and teeth. Because it is a normal constituent of bone, it should not elicit a chronic inflammatory or immune response. This semi-permanent soft tissue filler helps restore volume to areas with deep wrinkles. It is softer than Collagen and easy to inject.
RadiesseR (formerly known as Radiance) is one of the latest injectable substances to treat wrinkles and give fuller lips. Radiesse requires no allergy testing and can last two to five years.
For lip injections, Dr. Speron gives a dental block so the procedure is very comfortable. After treatment, keep an icepack on the area for 15 minutes to reduce possible swelling. You may take arnica (under the tongue) every two hours for the first day or two to minimize any bruising. Swelling is usually the worst for the first 4 to 6 hours. People generally feel comfortable going out in public after 1 to 2 days depending on where and how much filler they received.
** There is a tremendous "Buzz" around the hyaluronic acid derivatives like Restylane and Hylaform. This material can last 6-9 months.
**However, something even more promising is now starting to be routinely used for injections - Radiesse (formerly known as Radiance). Made by Bioform, this injectable substance is made of Hydroxyapatite (something normally present in your bone and teeth). Because calcium hydroxylapatite is a normal constituent of bone, it should not elicit a chronic inflammatory or immune response. It is actually softer than collagen and very easy to inject. There is no allergy testing required. It is supposed to last 2-5 years.
It has been used in Europe and Canada for some time and is FDA approved for other uses, but not yet for facial rejuvenation. Remember, Botox was used since 1989 for facial rejuvenation without being FDA approved. Botox was only FDA approved in early 2002. FDA approval for Radiance is expected in the summer of 2003. Dr. Speron has been using it since January of 2003 and is very impressed with it. Patients think it lasts at least 12 months.
As with any injection some common side effects are temporary redness and swelling at the injection site. These typically resolve within two to three days. Most people can resume their normal activities within a few hours after the treatment.
Other symptoms can include
Topical numbing cream may be used to reduce any discomfort. For lip injections, Dr. Speron gives a dental block so the procedure is very comfortable.
After treatment, keep an icepack on the area for 15 minutes to reduce possible swelling. You may take arnica (under the tongue) every two hours for the first day or two to minimize any bruising occurs.
Today, there are no known side effects for most hyaluronic acid products including pills, serums, creams and liquids. However, there are some side effects associated with knee and facial injections.
Some of the less common side effects for facial injections of hyaluronic acid include: blue color or flushing or redness of skin, cough, difficulty in swallowing, dizziness or feeling faint, fever, redness or pain at place of injection, skin rash, hives, and/or itching, stuffy nose, swelling of eyelids, face, or lips, as well as tightness in chest, troubled breathing, and/or wheezing.
Facial injections of hyaluronic acid gel to combat aging do not pose an allergy risk for patients. However, hyaluronic acid gel does not contain lidocaine, an anesthetic, so injections can be painful. In addition, there is usually temporary inflammation that produces swelling and redness following injection with hyaluronic acid gel - especially in the lip area.
Body fat makes excellent soft tissue filler material. Fat injection transfers fat from one part of the body to another to recontour the face; diminish frown lines, crow's feet and nasolabial folds (smile lines); and provide definition to areas like the cheeks and chin. It can also be used to fill out depressed scarred areas on any part of the body. Fat injection is not permanent, and may require an effective maintenance program.
The following may not be a candidate:
Fat is taken from an area (or area's) of the body where it may be unwanted and transplanted to area's of the face or body where it is needed. Using special harvest and transplant needles, microfat injections can now be done with very reliable survival and longterm natural enhancements. Ultrasonic or power assisted liposuction can also be performed at the harvest site following the transplantation. Most microfat transplantations can be performed in 1 1/2 to 3 hours.
Microfat injections are performed comfortably under IV sedation and local freezing.
Microfat transplantation has excellent results but produces significant swelling that may take 10 days to 7 weeks to subside. Bruising usually fades quickly and can be camouflaged by 7 days. Most people can return to work in 2 weeks.
The results of microfat transplantation can be a natural, permanent improvement in the shape of the cheek bone, eyebrows, lips or hands. The harvest site can also be thinned using ultrasonic liposuction.
Cost varies depending on site to be augmented and the patients goals. Fat injections usually begin around $500. Liposuction prices average around $3,000 per body part for the donor site.