Tag Archives: Botox

Filling In Crow’s Feet Isn’t A Job For Fillers

Q. I want to fill in the lines around my eyes. What kind of filler do I need to do this? Heather, Milford
 

A. Heather, it sounds like you are referring to what we call “crow’s feet” or expression lines around your eyes. Whenever you laugh, frown, concentrate or squint into the sun, your facial muscles contract and your skin creases. As you get older your skin loses its elasticity and those creases deepen into lines that become permanently etched on your face. While it seems logical that filling those lines in would be the best way to make them go away just as you would spackle a hole in the wall, the best option is actually to relax those muscles with a medication such as Botox® or Dysport®.

These medications work by relaxing your muscles that cause you to make those expressions. Over the next two weeks after your treatment, the muscles will gradually relax preventing you from creating more lines. You probably won’t notice it happening, Heather. You’ll just become aware that your crow’s feet are starting to soften and diminish. You can enjoy a more youthful appearance while maintaining a natural expression.

Dysport Eye Lift

Dysport, right eye

Dermal fillers on the other hand are used to fill up those areas suffering from volume loss such as the cheeks, jowls, marionette lines and lips. As we age, we slowly lose our skin elasticity and the lower face begins to see the effects of gravity. Unfortunately, over time, this leads to a tired or aged appearance. Fillers work with your body to stimulate new collagen growth and regenerate tissue helping to restore what time has taken away.

Heather, as a general rule, anything from the eyes up to the forehead is best treated with a muscle relaxer while anything from the cheeks down to the chin will yield better results with a dermal filler. Since there are always exceptions it is best to consult with an experienced injector. They can look at the areas of your face that trouble you and offer a personalized recommendation based on your concerns, needs and budget.

It can be confusing trying to understand the many treatment options available for those pesky wrinkles. Find a trusted medical professional and talk to them about the best treatment plan for you to help you feel younger in no time.

Jennifer-Lab Coat-6cropJennifer Kauffman is a Board Certified Nurse Practitioner, practicing in Warsaw and Ft. Wayne. She is a sought after speaker at medical conferences such as the American Academy of Plastic Surgeons. Jennifer is a member of American Academy of Nurse Practitioners and Coalition of Advance Practice Nurses of Indiana. She received her Nursing and Nurse Practitioner degrees from Goshen College, and Indiana Wesleyan University. Jennifer is a Clinical Instructor nationally to physicians and nurses on sclerotherapy.

Do you have a question for Jennifer, about this article or another cosmetic skin care issue? Please call Vein Institute & Medical Spa at 574-267-1900 to have your questions answered and considered for future columns. Questions can also be submitted online at www.veinmedicalspa.com

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Taking The Confusion Out of Wrinkle Medications

Today’s Question: I’ve heard about several different medications available to treat the wrinkles on my forehead. How do I know which one is best? Is one safer than another? Adele, Milford
 
A. That’s a very common question, Adele. There are currently three medications on the market to smooth out those wrinkles on your forehead, crow’s feet and frown lines including Botox®, Dysport® and Xeomin®. These highly purified neurotoxins are manufactured by three different pharmaceutical companies. While they each are a slightly different form of the medication, the cosmetic benefit is virtually identical. Think of it like Pepsi, Coke and RC. It really depends on the patient’s and injector’s preference, but they all do the same thing.
Botox collage
Even though Dysport and Xeomin are newer products to the United States, they are just as safe as Botox. Dysport has been used in Europe since 1990 and Xeomin since 2008. All three medications are FDA approved. In fact, Botox is one of the safest and most studied drugs by the FDA. According to the American Society for Aesthetic Plastic Surgery, Botox was once again the most common non-surgical procedure performed. It was performed more than 5 million times in 2011, up from less than 800,000 in 2000.
Dysport Eye Lift
Studies have shown that Dysport begins to work up to three days sooner than Botox. I have seen the same results in my practice, Adele. Once the medications have taken effect and the wrinkles are smoothed, the clinical studies demonstrate that all three medications’ longevity is the same.
Xeomin forehead

The treatment itself, regardless of which medication you choose, is a simple, painless, in-office procedure. The entire procedure typically takes less than 15 minutes and involves only minimal discomfort. Patients can return to work or daily activities immediately after. Full results will be visible between three days and two weeks after injection, and typically last between three to six months. Results can actually improve over time with repeated injections, as the muscle becomes conditioned to being relaxed.

If you have any further questions about these medications, Adele, you will want to discuss them with an experienced injector. They will help you decide which wrinkle relaxer is best for you. In no time, you will look more refreshed and awake and feel more confident while still looking like you.

Jennifer-Lab Coat-6cropJennifer Kauffman is a Board Certified Nurse Practitioner, practicing in Warsaw and Ft. Wayne. She is a sought after speaker at medical conferences such as the American Academy of Plastic Surgeons. Jennifer is a member of American Academy of Nurse Practitioners and Coalition of Advance Practice Nurses of Indiana. She received her Nursing and Nurse Practitioner degrees from Goshen College, and Indiana Wesleyan University. Jennifer is a Clinical Instructor nationally to physicians and nurses on sclerotherapy.
 
Do you have a question for Jennifer, about this article or another cosmetic skin care issue? Please call Vein Institute & Medical Spa at 574-267-1900 to have your questions answered and considered for future columns. Questions can also be submitted online at www.veinmedicalspa.com

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Botox Not Just For Wrinkles, Migraines Too

Today’s Question: I suffer from migraines. My doctor recommended Botox® as a treatment option. Does it really work? Becky, Warsaw
 
A. Becky, Botox® is definitely a great option to treat chronic migraines for some people. Even before it was approved by the FDA to treat migraine headaches in 2010, many of my patients who were treated with Botox to improve facial wrinkles would comment at their follow up appointment that they noticed their headaches had improved or disappeared. Chronic migraines in adults are characterized as 15 days or more a month of headaches lasting four hours or more. The FDA’s approval for the use of Botox to fight migraines was based on the results of two studies involving 1,384 adults in North America and Europe. Botox, which was introduced in 1989, is one of Allergan’s top drugs, and is one of the most studied and safest drugs in the world.

To treat chronic migraines, Botox is given approximately every 12 weeks as multiple injections around the head and neck to try to dull future headache symptoms. Once treated, it can take up to two weeks to notice the full benefit of the medication. As an added bonus, patients will also experience a smoother forehead! In a way, this is one time you can have your cake and eat it too! Botox gives migraine sufferers an alternative to a daily prescription medication especially if they suffer from unwanted side effects like memory loss, nausea and drowsiness.

If you have any questions if Botox is right for you and your concerns, be sure to talk with a trained medical professional.

Jennifer-Lab Coat-6cropJennifer Kauffman is a Board Certified Nurse Practitioner, practicing in Warsaw and Ft. Wayne. She is a sought after speaker at medical conferences such as the American Academy of Plastic Surgeons. Jennifer is a member of American Academy of Nurse Practitioners and Coalition of Advance Practice Nurses of Indiana. She received her Nursing and Nurse Practitioner degrees from Goshen College, and Indiana Wesleyan University. Jennifer is a Clinical Instructor nationally to physicians and nurses on sclerotherapy.
 
Do you have a question for Jennifer, about this article or another cosmetic skin care issue? Please call Vein Institute & Medical Spa at 574-267-1900 to have your questions answered and considered for future columns. Questions can also be submitted online at www.veinmedicalspa.com.

Leave a Comment

Filed under Beauty, Face, Injectables