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BOTULINUM

TOXIN

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BOTULINUM TOXIN

Clostridium botulinum is a toxin more commonly known as Botox. There are a few other brand names for this toxin, but Botox is the most widely used. Botulinum toxin works by preventing muscle contraction in the muscles it is injected into. This results in smoother skin and reduces the appearance of wrinkles.

It is most commonly injected into the forehead, the frown lines between the eyes (the glabella) and the crow’s feet on the sides of the eyes. There are more advanced injection areas but you will need to discuss that with Dr. Senger at the time of consultation.

XS Medspa  offers all 4 types of botulinum toxin currently on the market. They are BOTOXDYSPORT, XEOMIN and JEUVEAU. All 4 types of botox work the same way and typically last 3-4 months. They may even last as long as 6 months in certain patients. Each type of botox has slight differences and will work

differently depending on your individual response.

The standard 3 areas that. most perople do are the forehead, glabella (brow) and crows feet.

TYPES
 
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BOTOX

 This is the most commonly known botox because it was first to arrive to the market. It typically starts working 3-4 days after injection and lasts on average 4 months. Because it was the first botulinum product to the market, it is also the most studied. It is currently FDA approved for crows feet and frown lines. Results from the injection may start to appear in as little as 48 hours however for results are typically seen after one week. We are a partner with Allergan Cosmetic and provide the Brilliant Distinctions Rewards program for our patients.

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DYSPORT

Similar to Botox, Dysport is an FDA-approved for treatment for frown lines. It is concentrated differently and therefore an injector must be experienced with how to prepare and administer Dysport. Some clinicians report that it spreads further and more evenly than Botox and may require different injection techniques. Some patients feel that Dysport can produce a stronger, more even appearance than Botox, while others still prefer Botox as a more reliable and more familiar product. Dysport is different from Botox and Xeomin in that it may start working in as little as one day. Its duration of action is typically the same as the other two but individual results may vary

 
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XEOMIN

This Botulinum product is one of the newer botulinum toxins and has only been around a couple years. It is different from Botox and Dysport in that it is a purified protein and does not contain the accessory proteins that botox and dysport do. This means that it could potentially last longer in someone that is not having reliable results with Botox or Dysport due to antibody activity against those products with prolonged use. Otherwise, the onset of action and duration of effectiveness is similar to Botox.

 
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JEUVEAU

This the newest botulinum type A toxin to enter the market.  Referred to as NEWTOX, it was FDA approved in 2019 and behaves very similar to Botox.  It has similar duration and onset as Botox and may work better in some patients developing resistance to the other botulinum toxins.  The only disadvantage of this brand is that it has not been in use as long as the other brands and therefore does not have a proven track record.  However, initial clinical studies seem to indicate similar efficacy and safety as Botox.

 
SPECIAL PROCEDURES
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MASSETER MUSCLE

Botox injections for masseter muscle hypertrophy have become an effective treatment for jaw slimming, TMJ and even teeth grinding.  The typical procedure involves injection of 15-20 units of botox on each side of the face in close proximity to the angle of the jaw.  The results typically last approximately 4-6 months.  Jaw slimming has become a popular procedure for women with wide jawlines and has also been shown to be very effective in treating TMJ.   Teeth grinding while sleeping and morning headaches are also diminished. 

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JOWL / NEFERTITI NECK LIFT

IInjecting Botox into the prominent platysmal bands in the neck can create significant softening of the banding. Prominent platysmal bands become more prominent with age and are more apparent in thinner people.  Injection of botox along the jowels and at the base of the marionette lines can also result in a significant jowl lift.  The combination of these two procedures can produce a dramatic jowl and neck lift while softening the appearance of banding in the neck.  Treatment for this condition may require 40 to100 units of botox depending on severity. 

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BUNNY LINES

Also known as "elephant trunk", Bunny lines are often overlooked and treatment in this area is important to compliment smoothing of lines in other ares of the face.  Bunny lines are often made when a patient is squinting or smiling.  These lines can become very prominent and are even more obvious when it is a treatment area excluded from botulinum toxin procedures because it will be the only area of the upper face left with significant movement and wrinkling of the skin. 

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GUMMY SMILE

In some people when they smile they expose too much of the upper gum area.  This can result in an unattractive smile and in most cases can be reduced quite easily with specially placed botulinum toxin injections in the upper lip area.  This will gently relax the muscle the pulls the upper lip high above the gum line.  This results in maintaining a normal smile that exposes the upper teeth but reduces the amount of gum area shown while smiling.  In most cases 1-2 successive treatments can achieve a carefully balanced smile with using only 4-6 units of botox.  Sometimes a second treatment is required to slowly and conservatively reduce the amount of muscle pull on the upper lip without affecting the natural look of the smile. 

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LIP FLIP

For patients that do not want to use fillers and instead want to achieve a slightly fuller upper lip with a more pronounced pout then this procedure is for you.  It typically requires 2-4 injections placed in the upper lip next to the cupids bow area.  This procedure is not for everyone and will only achieve decent results in patients with specific lip anatomy.  Dr. Senger will advise you if this procedure is a good option for you during a consultation.   

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VERTICAL LIP LINES / PUCKER LINES

Although dermal filler is treatment of choice in treating vertical lip lines, another option is botox injections that area placed into the upper lip and in some cases the lower lip as well.  This will result in weakening of the muscles that pucker the lip and could result in changes in the way you kiss or drink through a straw.  For this reason the procedure has to be performed with caution so there is not too much weakening of the upper lip muscles.  Sometimes a combination of botox and dermal filler is required for people with very deep vertical lines and excessively strong puckering muscles.

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HYPERHIDROSIS

Botulinum toxin injections have been used for patients that have excessive sweating in their hands, feet and most commonly in their axillary region.  It is very effective but can be very costly and results typically only last up to 6 months. Normally 100 units of botox is administered for underarm sweating and as much as 100 units per hand or foot is required to alleviate excessive sweating in the hands and feet.  A more permanent solution fo excessive underarm sweating and odor is MIRADRY.

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DIMPLED CHIN

Although dermal filler is treatment of choice in treating vertical lip lines, another option is botox injections that area placed into the upper lip and in some cases the lower lip as well.  This will result in weakening of the muscles that pucker the lip and could result in changes in the way you kiss or drink through a straw.  For this reason the procedure has to be performed with caution so there is not too much weakening of the upper lip muscles.  Sometimes a combination of botox and dermal filler is required for people with very deep vertical lines and excessively strong puckering muscles.

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BROW LIFT / FOX EYE

Many people have heaviness in their eyelid caused by a excessive skin descending from the brow.  Other people want a higher arched brow to obtain a more modelesque appearance.  A brow lift can achieve these desired results by relaxing the muscles directly above and to the side of the brow which pull the eyebrow down and in.  The amount of lift and arch can be tailored to each patients specific desired results.  For patients that require more lift than can be achieved with botox, MINT PDO THREADING is a good alternative.