Lip augmentation is a procedure to provide more fullness to the lips and improved shape. It can be performed in patients who have innately thin lips or in patients who have lost lip volume from the aging process.
Alloderm lip filler uses a product derived from human skin or dermis which has been treated to remove all cellular components. This “collagen matrix” serves as a scaffolding into which the body replaces its own collagen. Eventually the Alloderm resorbs leaving the body’s own new collagen to produce the result. Placement of the Alloderm is done in the office under local anesthesia. Small incisions are made at the corners of the mouth, an instrument is used to create a tunnel for the graft and it is pulled into position. There is inevitably some loss of volume in the lip over time however, most patients maintain approximately 50% of the result long term.
Fat graft or fat injection lip augmentation involves using liposuction to remove fat from an area of the body such as the abdomen, hips or thighs with a small canula attached to a syringe. It is subsequently injected in small strands into the lips. A certain percentage of the graft may resorb or dissolve, requiring a subsequent procedure for optimum improvement. For fat that has successfully “taken” results can be permanent
how much do lip injections cost?
The cost of lip augmentation depends on the amount of time required to do the work, the amount of skill, and the amount of product.
lip augmentation
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Dermal/fat graft lip augmentation involves excising a piece of skin with its underlying fat, usually in an area of a previous scar, such as a c-section scar. The superficial layer of the skin surface (epidermis) is then removed and the graft is placed in the same fashion as an Alloderm graft. Some resorption is expected but a reasonable percentage of volume enhancement is permanent.
Restylane lip augmentation involves injection of a biocompatible gel made of a material called hyaluronic acid. This will provide any degree of enlargement desired for a period of up to six months. Restylane injection is performed in the office and requires a local anesthetic.
Botox and Dysport are both Botulinum Toxin A but are made by different companies. Botox has been available for longer, but Dysport is now FDA approved and has been found to be as effective and safe as Botox. It is a bit different to use from a physician standpoint, but for the patients it is pretty much the same as Botox. Best yet, Dysport is less expensive for the same effect. This is the great thing about competition.
Dysport cost
Dysport injection is a medical procedure that requires nuance, experience and expertise. All Botox providers are not equal in education or skill and some are actually quite poor. Most Botox providers charge either by the amount of Botox used or by the region of the face treated. Shopping around for cheap Botox is not recommended. There are practitioners than offer bargain prices that are not sustainable from a business standpoint. They may be diluting their Botox or injecting less units than advertised.
Dysport vs Botox
Because of Dysport formula and structural differences, it behaves a bit differently in the body than Botox does. Dysp. tends to diffuse more, causing it to spread out over a broader area after it’s injected. This can be beneficial when treating a larger area, such as wide forehead wrinkles, and areas with thinner muscles, such as crows’ feet
Greater diffusion means fewer injections to achieve desired results, and fewer injections mean less discomfort. It also means that Dysport may not work as well for treating small areas or areas with thicker muscles, such as the space between your eyebrows or around your mouth. While an experienced injection specialist who knows facial musculature quite well can control the diffusion and keep the treatment area very specific, Botox may simply be better for some areas and Dysport for others.
Additionally, some people who have not responded to Botox report that Dysport works well for them; these are personal reports that don’t yet have clinical proof to support them.
Mild side effects
The dosage used for cosmetic treatments is relatively small, and its side effects are generally mild. Here again, it’s fairly similar to Botox.
There may be some stinging or burning sensations during the injection as well as swelling or bruising afterward. You may also feel some pain where Dysport was injected or have a skin reaction to the formula, including redness, itching or rash. You might experience a heavy feeling at the injection site; this usually disappears within a couple of weeks.
Some people report headaches or cold and flu-like symptoms, such as a runny nose, sore throat or respiratory symptoms. You may also experience dry mouth and tiredness. These are all temporary and usually minimal. The injection area might feel numb as well, and due to the nature of the treatment, there will be little or no facial movement in the treated area.
Sever side effects
These Dysport side effects can include drooping eyebrows or eyelids, blurred vision, difficulty speaking, hoarseness, muscle weakness, loss of bladder control, and trouble breathing or swallowing. These are seen more often with the larger doses used for medical conditions, but the possibility does exist with cosmetic doses, though that possibility is exceptionally small. Seek medical care right away if these occur. A thorough medical history provided to your licensed medical injection specialist will help prevent any serious side effects from occurring.
Serious complications
Severe reactions are rare, but if you’re allergic to any of the ingredients in Dysport, you might experience trouble breathing, speaking or swallowing. Again, seek immediate care if these occur. Less severe allergic symptoms could include itching, rash, wheezing, dizziness, fainting or asthma symptoms. You should also seek medical care with these symptoms. Be sure to report any and all allergies you have to your injection specialist during your consultation, including allergies to medications, anesthetics and food.
The lactose in Dysport comes from cow’s milk. It rarely causes intolerance problems because it doesn’t enter the digestive system; however, it could cause allergic reactions for patients who are allergic to dairy products. The formula contains human albumin as well, which is a protein found in normal blood plasma. This, too, rarely causes problems but is worth listing. The botulinum toxin already discussed is the third main ingredient and is safely used for cosmetic purposes. There have been no reported cases of botulism from cosmetic Botox and Dysp. injections as of the date of this article’s publication.
Pregnancy and Lactation
Women who are pregnant, who are planning to be pregnant or who are breastfeeding shouldn’t receive Dysport. People with neuromuscular conditions should also avoid treatment. Other conditions can be problematic too, and there can be negative medication interactions as well. Be sure to disclose all your health conditions and medicines to your medically licensed injection specialist before receiving treatment.
How long after Dysport injection can I fly?
It is safe to travel immediately after Botox injection , however pressure differential in the cabin might increase bruising and swelling in the injected area , Moreover stooping to pick up a piece of luggage during the first hours or lying down during flight might cause the Botox to diffuse into surrounding tissues and causes unwanted side effects, So it is wise to do treatment at least 24 hours before departure.
The use of botox armpits was approved by the Food and Drug Administration in 2004 for patients whose hyperhidrosis is inadequately managed with topical agents. Prior to administering BOTOX, many clinicians perform a Minor’s starch iodine test to document the extentand severity of hyperhidrosis in each axilla. This can then be used to mark the skin with a grid of evenly spaced injection sites . The approved dose of BOTOX is 50 U1 per axilla, injected intradermally in 0.1- to 0.2-mL aliquots per injection site using a 30-gauge needle. In the pivotal trials, 100 U were diluted with 4.0 mL of nonpreserved saline. Discomfort with the axillary injections is min- imal, and the placing of ice packs on the axillae prior to treatment generally provides sufficient anesthesia. Vibration and topical anesthetic creams have also been successfully employed to reduce pain.
Botox armpits reviews
The largest study reported to date was a fifty-two week, multicenter, double-blind, randomized, placebo controlled study involving 322 patients with axillary hyperhidrosis (Lowe et al. 2007). The proportion of treatment responders – those achieving a 2-point reduction on the Hyperhidrosis Disease Severity Scale (HDSS)2 – was significantly greater four weeks after treatment with BOTOX 75 U or BOTOX 50 U than after treatment with placebo (75% and 75% versus 25%; p < 0.001).
The median duration of effect of BOTOX treatment was approximately six and a half months. Furthermore, at fifty-two weeks posttreatment, it was estimated that at least 22% of BOTOX-treated patients had still not returned to having an HDSS score of 3 or 4 (which had been one of the study’s key inclusion criteria). Patients whose HDSS scores did increase to this level were eligible for retreatment, and the duration of effect after such retreatment was similar to that after initial treatment, suggesting that efficacy does not decline with repeat treatments.
Hyperhidrosis can result in considerable impairment in a patient’s quality of life, and importantly, BOTOX treatment was also shown to result in significantly greater improvements in this regard than placebo. Furthermore, botox armpits injection appears to have an excellent safety profile.
Other large studies in the literature,including one with even longer follow-up (sixteen months;Naumann et al. 2003), report similar findings and, in addition, significantly greater patient satisfaction with BOTOX than placebo (Naumann and Lowe 2001).
Reimbursement for BOTOX treatment of hyperhidrosis has become more common subsequent to the recent publication of therapeutic guidelines and treatment algorithms, revisions to the International Classification of Diseases, and the introduction of new current procedural terminology (CPT) codes (e.g., “chemodenervation of eccrine glands; both axillae” for axillary hyperhidrosis).
How long does botox last?
The effects of Botox are temporary, which means you’ll need more injections in the future. For underarm sweating, booster injections are generally needed every 7 to 16 months. Results may not last as long for the hands and feet, and you may need to repeat your treatment after about 6 months.
The appropriate use of Botox requires an understanding of the art of facial aesthetics and the science of this unique molecule. No two patients are exactly the same,and patients commonly present with baseline asymmetries. Cookbook approaches should be avoided. The mechanism of action of botox cosmetic is to decrease muscular activity by inhibiting the release of acetylcholine, which is necessary for neuromuscular transmission.
To practice the art of facial aesthetic , botox cosmetic , knowledge of the facial musculature is essential. This includes the thickness and pattern of muscle fibers as well as differences in the sex and race of the patient. Men, in general, require higher doses per treatment area. Thin muscles, such as the platysma, require much lower doses than larger muscles, such as the corrugators. Patients should be evaluated for brow and lid ptosis at baseline. Asians and elderly patients may present with brow or lid ptosis at baseline, and the treatment patterns and doses of Botox utilized should minimize the chance of exacerbating such underlying conditions. A lower eyelid snap test should be performed to reveal any underlying weakness of eye-lid closure and, if present, treatment periorbitally should only proceed with caution, keeping this baseline state in mind. botox cosmetic is FDA approved for use in the glabellar area; however, it has now been used in multiple areas.
Botox long term side effects
The cosmetic use of Botox is safe even in cases of repeated injections. On the other hand, the long-lasting cosmetic use of botulinum toxin can trigger permanent changes in facial expression, and an expressionless, mask-like face. Lack of facial animation or permanent changes in facial expression may be undesirable in some cases. For individuals who have a greater need for facial animation, who must communicate with children, for actors, and broadcasters, such an outcome may have negative professional consequences. In accordance with this, such patients should be undertreated and the physician’s strategy for a balanced botulinum toxin treatment should be shared with the patient.
In botox cosmatic for treating the glabella, botox is utilized to weaken muscles such as the bilateral corrugators, depressor supercilii, and the central procerus, which is responsible, in large part, for the glabellar lines . Often two injections are given per corrugator (which will also treat the modestly important depressor supercilii), with one or two injections in the procerus. It has also been suggested that botox treatment of the glabella region results in a slight brow lift by weakening the central frontalis effect of brow elevation and thus proportionately increasing the frontalis effect of lateral brow elevation. A more advanced technique , in which botox is used to weaken the lateral lid depressor muscles, thereby achieving a lateral brow lift To avoid lowering the brow, the forehead, being the primary brow elevator, is most commonly treated in conjunction with the glabellar area, which is composed of primary brow depressors. When treating the forehead for the first time, many physicians will reserve treatment of the forehead area for a two-week follow-up visit after glabellar treatment and utilize a relatively low dose to reduce the possibility of lowering the brow too much. Men particularly have lower set brows, and aggressive treatment of the forehead should be done with caution as lowering of the brow can be an unwanted result.
Treatment of crow’s feet will results in partial paralysis of the lateralorbicularis oculi. Treatment of the nasalis, to decrease the presence of bunny lines , the depressor anguli oris, to release the downward pull on the corners of the mouth the chin, to reduce dimpling ; the masseter, to reduce masseter hypertrophy and help restore mandibular angles ; and the platysma, to reduce neck rhytids, are shown. In summary, although the FDA-approved use of botox cosmetic is 20 units for the treatment of glabellar lines, there are many new and interesting uses of botox for the treatment of many different facial lines.
These uses have been described by astute clinicians, and such advanced techniques allow for facial contouring and the treatment of a variety of rhytids. A proper understanding of anatomy, the individual patient’s baseline state, and careful consideration of treatment goals are critical for optimal outcomes.
Botox risks
Risks of botox cosmetic are very minor . The main risks consist of headache, pain, and flu-like illness. In rare cases, there may be a drooping lid or eyebrow area.
It is important for the cosmetic surgeon to assess the patient’s lids before injecting because the patient may not be a good candidate if he or she has an extremely droopy lid to begin with or one that is held up by constantly arching the lids. Ptosis (a severe drooping of the eyelid) can happen in up to 5% of patients but is very rare if the cosmetic surgeon does this procedure often (In this author’s practice, it occurs in less than 0.01%). These complications are typically very minor occurrences and resolve with time.
Botox injection aftercare
Try to exercise your treated muscles for the 1st hour after your Botox treatment (e.g facial gestures like frowning, raising your eyebrows and squinting). This will work the injection into your muscles. Although this may help Botox procedure outcome, it will not impact on your treatment adversely if you forget to. Do not have a facial, nor rub or massage the treated areas for 24 hours after your treatment.
Do not lie down or do strenuous exercise for 3 hours after treatment. Also, avoid any exposure to a sauna, hot tub or tanning for 4 hours. Please be aware that some patients experience a mild headache after the Botox treatment. if this happens you take Paracetamol as needed.
Prevetion of complications
Do not take Aspirin, Ibuprofen or other anti-inflammatories or alcoholic beverages as this may increase bruising. Any tiny bumps or marks will go away within a few hours after your Botox treatment. There is a small risk of bruising. If this does occur, it will only be temporary and can easily be covered with makeup. Botox takes 3 to 5 days to begin to work. The botox cosmetic treatment can take up to 2 weeks to reach the completed results.
Frequency
Anti-wrinkle injections are a temporary procedure and at first, you may find that your treatment results will last approximately 3 or 4 months. If you maintain your treatment appointments with the frequency recommended, the duration of each treatment result may last longer than 4 months.
Botox cosmetic and pregnancy
According to Allergan company ,if you’ve used Botox and just found out you are pregnant, it’s unlikely there’s any risk to your baby. Studies have shown that when Botox is injected into facial muscles, the small amount used is not expected to circulate throughout your body. Therefore it wouldn’t get to your baby, however checking b- HCG before botox injection ,for rulling out positive cases is essential, because botox effects on pregnancy has not been studied .
If you’re pregnant and are considering Botox injections, though, due to the lack of data, it is recommended waiting until after you deliver your baby to receive the treatment.The Botox won’t hurt the baby, but you probably won’t need it during pregnancy. Being pregnant causes your body to retain water, which usually puffs up your face and fills in all the little character lines and crow’s feet around your eyes. So being pregnant may be all the cosmetic therapy you need.
Botox and breastfeeding
Botox cosmetic in patients who are breast feeding may cause some problems for nursing mothers . Although Botox stays in the muscle and does not migrate to the breast, there’s just no research proving this because we don’t ever run tests on pregnant women, breast feeding women, etc. so it’s definitiveness cannot be ultimately shown. There is no need to be concerned for your baby’s safety or your milk; however, it is not generally advised to do any types of injectables on women who are nursing.
Botox cosmetic cost
Botox injection is a medical procedure that requires nuance, experience and expertise. All Botox providers are not equal in education or skill and some are actually quite poor. Most Botox providers charge either by the amount of Botox used or by the region of the face treated. Shopping around for cheap Botox is not recommended. There are practitioners than offer bargain prices that are not sustainable from a business standpoint. They may be diluting their Botox or injecting less units than advertised.
References
PUBMED Office- Based cosmetic procedures and tecnique by SORIN EREMIA http://www.emedicinehealth.com
Botox foreheadbotox injection points for brow lift
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