Botox®
Botox® Cosmetic injection is one of the best and most widely requested non-invasive anti-aging procedures available today. This treatment helps to eliminate the appearance of crows’ feet, frown lines, and furrows in the forehead area, leaving patients with a rejuvenated youthful glow. With procedures usually lasting around 20 minutes, Botox® is quick, very nearly painless, and the consistent, effective results it provides make it an ideal anti-aging solution for innumerable patients every year. If you’re interested in a Botox® treatment with Dr. Brzezinski’s office, call (239) 261-9990 today to set up an appointment.
It’s the first and only treatment fda-approved to temporarily make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults Treatment requires minimal downtime. You can return to your daily routine immediately after you leave your specialist’s office. You may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Full results in 30 days. It delivers predictable, subtle results, so you look like you, only with less noticeable facial lines
Botox® cosmetic targets one of the underlying causes of frown lines, crow’s feet and forehead lines — the repeated muscle contractions from frowning, squinting, smiling and raising the eyebrows over the years. Your specialist will inject these muscles with botox cosmetic to temporarily reduce muscle activity. You will begin to notice your frown lines between your brows, your crow’s feet lines and your forehead lines temporarily look better.
Botox cosmetic is a technique-sensitive treatment. You can trust botox cosmetic to deliver subtle results when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. So you’ll look like yourself—only with less noticeable lines. No one should be able to tell you’ve had anything done.
Not at all! Many men make botox cosmetic part of what they do to care for their appearance.
The number of men choosing treatments like botox cosmetic has risen fast – in the past three years alone, men have received over one million botulinum toxin treatments. When surveyed, the majority of men say they want to look good and they’re bothered by the changes they see in the mirror. 80% would choose to treat their crow’s feet first, while 74% would prioritize their forehead lines, and 60% would most like to treat their frown lines.
It’s not your age that determines when botox cosmetic is right for you, it’s the severity of your lines. In fact, 64% of plastic surgeons report seeing a rise in cosmetic surgery or injectable treatments for patients in their early 30’s.
The truth is, everyone’s lines form differently. The timing can be influenced by a combination of factors, from cellular changes that may occur over time, to reduction of collagen, to genetic factors, or damage caused by free radicals from the sun and the environment.
Your specialist will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you. If the hcp deems you to be an appropriate candidate, the injection may take place on that same day. Some patients report that being injected with botox cosmetic feels like a pinch. Your specialist may use ice to numb the treatment area. Or, if you are concerned about discomfort, your specialist may apply a topical numbing cream before administering your treatment.
Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office.
You may begin to notice results within 24 to 48 hours, with full results in 30 days, with results lasting up to four months for moderate to severe frown lines. Remember that results vary from patient to patient though, so your physician will plan your next appointment based on your results and aesthetic goals.
Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave your specialist’s office.
Treatment with botox cosmetic is customized to your goals and needs. When you meet with your specialist, he or she will determine the appropriate treatment for any areas you wish to address, including moderate to severe frown lines, crow’s feet and forehead lines. Remember, only botox cosmetic is approved to treat all three of these areas.
For the crow’s feet area, your specialist will inject 3 areas of the muscle that frames the side of the eye. This will be repeated on the muscle that frames the other eye.
For the frown lines area, your specialist will administer 5 injections into the muscles between your brows and in your forehead.
For the forehead lines area, your specialist will administer 5 injections into a muscle in your forehead.
Three percent of patients experienced eyelid drooping in the frown lines studies, one percent of patients experienced eyelid swelling in the crow’s feet studies, and one percent of patients experienced brow drooping in the forehead lines studies. Other possible side effects include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems: double vision, blurred vision, decreased eyesight and dry eyes; and allergic reactions. These are not all of the possible serious side effects of botox® cosmetic. Please see the important safety information including boxed warning and medication guide and talk to your specialist.
There is no such thing as a “generic” form of botox cosmetic. Be wary of discount products or “cheap” botox cosmetic. Medical formulations, potency, and approved doses vary among products, so no one product can take the place of another. Fda labeling states that botox cosmetic is not interchangeable with any other product. If it doesn’t say botox cosmetic on the vial, then it isn’t botox cosmetic.
Botox® cosmetic has a one-of-a-kind formulation. And botox cosmetic is the most widely researched and studied treatment of its kind. Backed by more than 16 years of published studies, the safety and efficacy of botox cosmetic have been described in 528 peer-reviewed articles in scientific and medical journals.
Finally, allergan, the maker of botox cosmetic, owns the entire manufacturing and packaging process, which helps ensure the reliability and safety of each vial.
Dysport®
Dysport® is a cosmetic injectable whose purpose is to eliminate frown lines while maintaining a more natural appearance. It specifically targets lines in the space between the eyebrows, minimizing their appearance but having the smallest possible effect on facial movement and facial expressions. Patients choose Dysport® for results that are pleasantly subtle, but still effectively rejuvenating. If you’re interested in a Dysport® treatment with Dr. Brzezinski’s office, call (239) 261-9990 today to set up an appointment.
Dysport is a prescription injection administered by a licensed healthcare professional to treat moderate to severe frown lines (those wrinkles between the eyebrows). Medically, it’s a botulinum neurotoxin (abobotulinumtoxinA), an acetylcholine release inhibitor and a neuromuscular blocking agent. It temporarily prevents specific muscle movements that cause frown lines.
Dysport is supplied as a single-use, sterile 300-unit vial. The dose of Dysport for the treatment of glabellar lines (frown lines between your eyebrows) is a total of 50 units injected equally among the specific muscles. The dose of Dysport is not the same as the dose of any other botulinum toxin product and cannot be compared to the dosage of any other botulinum toxin product that you may have previously used.
Although office visits can vary, the procedure generally takes 10 to 20 minutes.
Though results vary, over half of users see improvement in moderate to severe frown lines between the brows within 2-3 days.
One treatment of Dysport provides results that may last for up to 5 months.
The most common side effects are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea.
Dysport and Botox are both made from botulinum toxin type A. All botulinum toxins have the same mechanism of action: blocking the release of acetylcholine (ACh) and preventing the muscles from contracting to maintain the aesthetic effect. However, the dose of Dysport is not the same as the dose of any other botulinum toxin product and cannot be compared to the dosage of any other botulinum toxin product that you may have previously used.
There’s only one FDA-approved Dysport. Be sure to ask your specialist to see the packaging of your product to make sure it’s authentic.
- Look for the full product name on the front and sides of the packaging.
- Make sure the seal on the product is intact.
- Make sure the product isn’t expired.
- Check the Galderma logo at the top left corner of the package.
- Find the barcode and distribution statement on the bottom of the package.
Juvéderm®
JUVÉDERM® is the #1 selling collection of hyaluronic acid fillers in the U.S. Each product in the JUVÉDERM® Collection of Fillers adds volume to a different area of the face—without surgery. All JUVÉDERM® fillers are smooth, crystal-clear gels that are administered by injection in your aesthetic healthcare provider’s office.
Different formulations are approved to either volumize cheeks, smooth facial wrinkles and folds, smooth lines around the mouth, or plump the lips. The results are subtle and long-lasting.
JUVÉDERM® VOLLURE® XC softens moderate to severe facial wrinkles and folds by adding volume around the nose and mouth in adults over the age of 21.
JUVÉDERM® VOLUMA® XC injectable gel is for deep injection in the cheek area to correct age-related volume loss and for augmentation of the chin region to improve the chin profile in adults over 21.
JUVÉDERM® VOLBELLA® XC adds subtle volume to lips and softens the appearance of perioral lines.
JUVÉDERM® ULTRA PLUS XC smooths moderate to severe facial wrinkles and folds around your around your nose and mouth.
JUVÉDERM® ULTRA XC adds fullness and plumps lips as well as smooths and corrects moderate to severe wrinkles and folds in adults.
Products in the JUVÉDERM® Collection are FDA approved and have been widely studied. Numerous clinical studies have been completed globally evaluating the safety and effectiveness of Vycross® technology fillers. Please see below for more Important Safety Information.
The JUVÉDERM® Collection of Fillers is made from hyaluronic acid (HA). HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. Each product in the JUVÉDERM® Collection of Fillers is made from a modified form of HA.
Your aesthetic healthcare provider will take your medical history and provide a facial analysis. Be prepared to discuss your aesthetic areas of concern. This is not a surgical treatment. Actual treatment with JUVÉDERM® injectable gels can take 15 minutes to 60 minutes, depending on which area of your face is being treated.
JUVÉDERM® injectable gels labeled with “XC” contain pain-reducing lidocaine to help manage pain or discomfort during the injection. You may also ask your aesthetic healthcare provider about a topical numbing cream or ice to help further minimize discomfort.
You will see results immediately/instantly.
Results may last one year to two years, with optimal treatment and depending on the formula used and the area treated. Please read each product description to see how long results last with each formula and treatment area, based on what was observed in clinical studies.
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.
Treatment with JUVÉDERM® fillers is not permanent. Depending on the JUVÉDERM® filler used and the treatment area, results may last one year to two years with optimal treatment.
The most common side effects are redness, swelling, pain, and tenderness. Minimize exercise, sun or heat exposure, and alcoholic beverages within the first 24 hours following treatment to avoid worsening these side effects. Talk to your licensed specialist about post-care instructions following treatment and please see below for more Important Safety Information.
Restylane®
The Restylane family of products is a brand of hyaluronic acid dermal fillers, which includes Restylane Silk, Restylane Lyft, Restylane, Restylane Refyne and Restylane Defyne. Each is a clear gel formulation of hyaluronic acid specifically formulated to act like your body’s own naturally produced hyaluronic acid. Each Restylane product is designed for a specific purpose.
Restylane Silk is the first FDA-approved product specifically designed for subtle lip augmentation and the smoothing of wrinkles around the mouth. It is composed of a gel that is smaller and smoother than other Restylane products, resulting in a softer, more precise result — ideal for restoring and enhancing the lips. Additionally, Silk is administered via ultrafine needle, which is designed for improved accuracy and precision.
Restylane Lyft is approved by the FDA to correct volume deficit in the back of the hands, for cheek augmentation and the correction of age-related midface contour deficiencies, as well as the treatment of moderate to severe facial folds, such as the nasolabial folds (smile lines). Lyft is the first and only hyaluronic filler approved by the FDA to treat face and hands. Lyft contains 0.3% lidocaine, which is added to reduce the discomfort during treatment.
Restylane is used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane is also indicated for lip augmentation.
Restylane Refyne integrates with your skin to help smooth out the lines that run alongside the corners of your mouth (nasolabial folds and marionette lines) and the flexibility you need for natural-looking movement and expressions.
Restylane Defyne is designed to act like your body’s own hyaluronic acid to help smooth out deeper lines around your mouth (nasolabial folds and marionette lines) while letting you look more natural through a range of facial expressions.
Restylane products are approved only for patients over the age of 21.
Dermal fillers are facial injection treatments used to help diminish wrinkles while restoring volume and fullness in the face and hands. There are several types of dermal fillers, one being hyaluronic acid. All Restylane products are transparent hyaluronic acids, which are sugars naturally found in the skin that help provide hydration, fullness and elasticity.
Wrinkles are part of life — our skin changes as we age. It becomes thinner, loses fat, and no longer looks as plump and smooth as it once did. Facial aging actually begins in your 20s, when skin firmness begins to decrease as a result of both internal (genetics and natural aging) and external (sun exposure, smoking, stress, etc) factors.
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Hyaluronic acid is a naturally occurring substance in your skin that helps provide fullness and elasticity, with the help of collagen and elastin.
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Hyaluronic acid, collagen, and elastin diminish as we age, causing skin to lose volume, while increasing the chances for wrinkles and folds to appear.
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What causes the appearance of aging in hands?
As part of the natural aging process, volume in the hands can deteriorate over time, making them appear aged. Veins, tendons and bones may become more visible.
The “cupid’s bow” is the double curve of the upper lip, resembling the bow of Cupid, Roman god of love. The upper lip is believed to be most attractive when it is well-defined and when the two sides look the same. Everyone’s facial structure is different, and so is everyone’s ideal lip shape and size. Restylane Silk is designed to provide precise lip shaping and line control, resulting in silkier, smoother lips and natural-looking results.
With full treatment, you can see lasting results for up to 18 months in nasolabial folds with Restylane; up to 12 months in the cheeks, up to 6 months in the back of the hands, and up to 6 months in facial wrinkles and folds, such as nasolabial folds, with Restylane Lyft; 6 months for lips and perioral rhytids with Restylane Silk; and up to 12 months in the facial wrinkles and folds (such as nasolabial folds and marionette lines) with Restylane Refyne and Restylane Defyne.
Restylane Silk: In clinical studies, the results of Restylane Silk lasted approximately 6 months following treatment. In a U.S. clinical trial involving 221 mostly female subjects, 98% of subjects reported a visible improvement in lip fullness in upper and lower lip (combined) 14 days after injection, and 77% still had lip improvement at 6 months following injection.
Restylane Lyft: In a clinical trial involving 150 subjects, blinded evaluators observed that 90% of subjects treated with Restylane Lyft showed an improvement in fullness in the right and left midface areas (combined) at 2 months, and 54% of subjects showed an improvement at 12 months. Additionally, 95% of subjects reported that they were satisfied with the appearance of their midface at 2 months, and 73% of subjects were satisfied at 12 months. In a clinical trial involving 89 treated subjects, blinded evaluators observed that 86% of subjects* treated with Restylane Lyft showed an improvement in volume of the back of the hands at 3 months, and 76% of subjects* showed an improvement at 6 months.
Restylane: In a clinical study treating the lines from the nose to the corners of the mouth (laugh lines), blinded evaluators reported that 95% of subjects improved for up to 18 months when they received an initial Restylane treatment, plus a follow-up treatment approximately 4.5 or 9 months later. Using this Restylane regimen of treatments, blinded evaluators reported similar subject improvement, on average, at 18 months compared to their Week 2 Wrinkle Severity Rating Scale (WSRS) score.
Restylane Refyne & Restylane Defyne: In a clinical study of subjects treated for laugh lines with Restylane Refyne and Restylane Defyne, investigators reported improvement in the appearance of wrinkles for up to 12 months in the majority of patients. Using the Wrinkle Severity Rating Scale (WSRS), a validated 5-point measure of the size and depth of the wrinkles, with grade 1 defined as absence of wrinkles and grade 5 as extremely deep and long wrinkles, investigators reported that 79% of Restylane Refyne subjects and 77% of Restylane Defyne subjects had at least a 1-grade improvement on the WSRS after 6 weeks. Subjects also performed self-assessments (SSA) of wrinkle severity, with most reporting at least a 1-grade improvement in SSA scores with Restylane Refyne and with Restylane Defyne after 6 weeks.
*The duration of effectiveness of Restylane for the correction of nasolabial folds (NLFs) was evaluated in a randomized, evaluator-blinded multicenter study. Restylane was shown to have an overall duration of effectiveness of 18 months from baseline following retreatment at 4.5 or 9 months.
Depending on your volume needs, most Restylane treatment appointments last less than an hour and begin to work almost immediately by adding volume to smooth away wrinkles. A clear gel formulation of hyaluronic acid, Restylane products act like your body’s own hyaluronic acid (and eventually break down naturally). Each Restylane product is designed for a specific purpose.
After your treatment, you may experience side effects, such as swelling, redness, pain, bruising, headache, tenderness, lump formation, itching at the injection site and impaired hand function. These are typically mild in severity and normally last less than 7 days in nasolabial folds and less than 14-18 days in lips. Patients should be limited to 6.0 mL per treatment of moderate to severe facial wrinkles and folds. For treatment of volume deficit in the hands, patients should be limited to 3.0 mL per hand per treatment. Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years.
Initial Restylane treatments are usually complete in one or two sessions, as needed. Depending on your individual body chemistry, you will work with your specialist to determine a maintenance schedule. Talk to your physician or healthcare professional about your individual needs.
The Restylane family of products should not be used by people who:
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Are pregnant, breastfeeding, or under 22 years of age
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Have recently used drugs that thin the blood or prevent clotting
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Have had previous bad allergies, particularly to microorganisms known as gram-positive bacteria
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Have serious allergies to drugs that have previously required in-hospital treatment
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Have bleeding disorders
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Have a known allergy to lidocaine, if using Restylane Silk, Restylane lyft, Restylane, Restylane Refyne or Restylane Defyne
Breathe Easy with PRO-NOX™!
Ease anxiety and discomfort with PRO-NOX™ self-administrated anesthetic. An inhaled gas mixture of 50% oxygen and 50% soothing anesthetic, PRO-NOX™ provides relief from pain and anxiety through the pain-receptor-numbing action of the anesthetic, while the oxygen allows you to breathe naturally.
INTERNAL MEDICINE | DR. DIANE BRZEZINSKI
(239) 261-9990
