The development of neurotoxins in esthetic care is revolutionary. Before the introduction of neurotoxins (BOTOX® Cosmetic), plastic surgeons had little to offer patients with dynamic creases. We tried lasers, dermabrasion, fillers, surgical excisions, and with the exception of permanent nerve resections, nothing worked well. One very bright doctor noticed that when BOTOX injections were used in the treatment of muscle spasm, the patient’s wrinkles went away. There was no looking back. The dawn of neurotoxins had begun.
Neurotoxins are molecules that interfere with the transmission of signals from nerve to muscle. When the signal is lost, the muscle stops working. In some cases, that’s not a good idea. When neurotoxins are introduced in careful amounts in very specific locations, the cosmetic effect can be profound with no negative effect on the body.
The FDA (Food and Drug Administration, an agency of the U.S. federal government) has approved the use of these chemicals for the temporary treatment of wrinkles between the eyes, and for crow’s feet around the eyes. There are many other locations where they are used, but those are “off label”.
When these medicines were first introduced, the goal seemed to be to erase expression. Everyone wanted a glass forehead with no lines, ever. That look is considered out of fashion. We now strive to contour the native anatomy to create a more pleasing shape and highlight the patient’s positive traits.
When you have a contour problem, you can either bring down the high points, or you can raise the low points. Fillers are a generic term that describes a material that you can inject into a depression to create an elevation. Anything can function as filler as long as it doesn’t harm the body. Salt water can be injected with a very positive result; it simply won’t last.
We have many fillers in the U.S. There are many more available around the world. Some are safe; others have very severe potential problems. It is always best to stick to products, which have been approved by the FDA.
Fillers are described by what makes them. There are fillers made from collagen. Fillers made from hydroxyapatite (a bone like material). The most common fillers in the U.S. such as Juvéderm® XC and Juvéderm Voluma™ XC are made from Hyaluronic Acid (a material that is identical to a substance in all of our tissues). Different manufacturers make these products, and each of these products have different characteristics. Some are long lasting; some are short lasting. Some are soft; some are hard.
With so many products available, how do we decide what to use? This is where knowledge and experience is extremely important. What works in one place may not work in the other. With Dr. Geldner’s superior surgical skills, his 25 years of experience, and his experienced and compassionate staff, we exceed our patients’ expectations.
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“I just went here for Botox with Dr. Geldner. I love the results. Competitively priced for a top notch doctor. I will keep coming back as soon as it wears off!!!”