Both Botox® and Dysport® are used to target facial muscles, causing them to relax and thereby reducing the appearance of fine lines and wrinkles. They work by blocking the release of acetylcholine, a neurotransmitter that communicates nerve impulses to your muscles, allowing the muscles to relax and the skin remains smooth.
Both Botox® and Dysport® work in the same manner, have similar safety and efficacy profiles, and have been used worldwide for more than 20 years. The effects of Dysport® are seen more quickly than Botox®. The longevity of both products depends on the amount of product used (remember, this is a medication), the area of the face or body where it is placed, and the individual patient.
The ideal candidate for Botox® and Dysport® treatment are those who have fine lines or wrinkles that are exacerbated by facial expressions. Most healthy people can have Botox® and Dysport® treatment. However, if you are pregnant or breastfeeding, or have a history of certain neurological disorders, including myasthenia gravis and multiple sclerosis (MS), you should not have either.
Typically, patients see some results within 3-5 days of the treatment; however, the full effects are realized 3-4 weeks after treatment. If this is your first visit to the office, you will return for a follow-up 3 weeks after your initial visit to evaluate the results. The results of both products tend to last 3-4 months, with patients requiring treatment a few times annually to maintain optimal results.
Dermal fillers, such as Restylane®, Restylane® Lyft, Restylane® Silk, Juvéderm, and Voluma® can be used to augment and enhance facial features, replace facial volume that is lost over time, and improve the appearance of the hands by adding volume. The filler provides the initial volume, which is maintained over time as the filler retains water at the specific location of the treatment. Fillers are quite safe, have a low risk of side effects, and can be reversed easily and rapidly if the desired results are not achieved.
Most healthy individuals may receive dermal fillers; however, there are some contraindications to treatment. Your provider will conduct a thorough review of your medical history to ascertain if you are a candidate. Women who are pregnant or breastfeeding cannot have dermal filler treatments.
All dermal fillers have unique properties that make them more or less optimal for specific types of facial augmentation or for certain areas of the face. After a thorough evaluation of your unique facial features and specific treatment concerns and goals, your provider will discuss your treatment options and create a customized treatment for you.
You will see some degree of results immediately after the treatment; however, some swelling will also be present. The treated area will initially feel swollen, appear pink, and be tender to the touch. This subsides over the next week, and most patients are back to social activities after a day or so. Results may last 4-18 months, depending on the filler used, the area of the face or hands treated, and individual results.
During treatment, a saline-based solution called Asclera® (Polidocanol) is injected into unsightly leg veins, damaging the interior wall of the vessel and rendering it incapable of circulating blood. A tiny, fibrous clot is formed, and the vessel and clot are broken down by your body’s own healing mechanisms.
Candidates for sclerotherapy include individuals who have unwanted spider veins or varicose veins. Most healthy individuals may receive sclerotherapy treatment; however, there are some contraindications to treatment. Your provider will conduct a thorough review of your medical history and any allergies to ascertain if you are a candidate. Women who are pregnant or breastfeeding cannot have sclerotherapy treatments. Typically, the consultation and treatment are conducted on separate visits.
Some patients will require evaluation by a vascular specialist. We provide referrals to several excellent vascular specialists in the San Francisco Bay Area when needed.
It is normal for the area to look worse before it looks better. Typically, bruising from the treatment may last 7-10 days. The appearance of the legs will continue to improve over the course of the next 6-8 weeks, which is when the full effect is typically realized. Results vary with each individual and often several treatments are required to achieve the desired outcome. Many patients will return for a “maintenance” session every 1-3 years or whenever the veins recur.
Aging, sun exposure, smoking and other environmental effects cause the lips to lose volume over time. A more youthful lip can be achieved by enhancing volume, improving the appearance of fine lines around the mouth, and improving the appearance of oral commissures and the naso-labial folds.
Typically, fillers, fat grafting, skin resurfacing procedures and neuromodulators are used either alone or in combination to provide a globally youthful appearance to the lip and the surrounding tissue.
Fine lines caused by motor movement, or “smoker’s lines” can be improved by placing very small amounts of Botox® or Dysport® to relax the muscle movement slightly. Restylane® Silk can also be used to improve perioral lines and volume loss.
Lip rejuvenation includes both surgical and non-surgical options. Your surgeon will discuss which treatment options are best for you.
Enhanced lip volume can be achieved by placing a hyaluronic acid filler, such as Restylane® or Restyalane® Silk, or a more permanent dermal fat grafting, in which your own fat cells are used to naturally enhance lip volume.
The position of the upper lip in relation to the face can be improved with a lip lift, allowing a more feminine and youthful upper lip position, as well as revealing more of the upper teeth while smiling.
Micro needling utilizes a mechanized micro needling device to create thousands of microscopic channels into the skin, through which neutraceutical topicals such as Vitamin C or even platelet rich plasma can be introduced.
Micro needling improves the appearance of fine lines, lines around the mouth, hyperpigmentation, acne scars, surgical scars and stretch marks.
Typically 2-4 treatments, spaced 4-6 weeks apart are required to achieve desired results. Once a treatment series is completed bi-annual treatments and topical prescription skin care products can maintain optimum results.
Patients should plan some social downtime, as there is typically mild redness and swelling after each treatment. The amount of downtime correlates with the depth of the treatment, so treatments can be customized to accommodate the results the patient wishes to achieve, as well as the amount of downtime they can tolerate.
Chemical peels penetrate through the upper layer of skin, to a controlled, predetermined depth to exfoliate superficial skin cells, revealing healthy, more youthful-appearing skin.
Peels are used to improve skin texture, fine lines, pigmentation and to even skin tone.
Typically, you will see an improvement with your initial treatment, but depending on the type of skin issues you wish to address, several treatments spaced over a period of time may be required.
There is social downtime, typically lasting a few days. Patients are encouraged to plan a light social calendar due to the exfoliation process.
Dermabrasion is performed using a mechanized dermabrasion instrument. The treated area is anesthetized, and dermabrasion is used to remove superficial dead skin cells as well as the upper layers of the epidermis.
Dermabrasion is used to improve the appearance of static perioral lines, improve skin texture and stimulate new collagen in the treated area. A specific area of the face may be targeted, or the entire face may be treated.
Patients are encouraged to plan 7-10 days of downtime with mild to moderate redness and mild swelling. Visible improvement in skin texture is immediately apparent, but the full effects of the treatment will be realized over several weeks.