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Wrinkle Fillers – What You Must Know Today.

December 4, 2010 By Leave a Comment

A popular  method to reduce the appearance wrinkles is  to  fill  them  with materials  that  are injected under the wrinkle. This treatment is suitable for gravitational   wrinkles   and   is  not  suitable   for expression lines.

The fillers differ from each other by  viscosity, length of time they remain effective in the skin  and  the risks associated. Materials that remain forever as a silicone skin can cause permanent side effects and therefore are  seldom used. Serious  doctors prefer today the use of substances that have  temporary   action  and side  effects .

What are  the  wrinkle fillers?

Restylane is an  example of  a filler made off  hyaluronic acid. This acid exists naturally in our bodies and is  a  natural part of   our  skin connective  tissue. The one used for  injection is synthesized in the laboratory using genetic engineering. Restylane is  transparent gel. There are several types with different sizes of particles in the gel. Larger particles are more suitable for large and deep wrinkles while preparations with smaller particles suitable for injection of smaller wrinkles.

How long is the procedure?

Injection duration is approximately 30 minutes. Since the material is not produced from animals there is no  need for  a Test before the injection.

Does it hurt?

Without  anesthesia  -  For most patients the pain is significant. Pain  can  be  relieved  by  a lidocaine  injection   or   a  topical  anesthetic  cream  applied  30-40 minutes  before   the procedure.

What  will I see  after  the injection?

Immediately after treatment there is little swelling and redness in the injection. Day or two after the injection the swelling decreases. Lips can be asymmetric about a week.

What  should  I  do  after the  filler  injection?

In the first 48 hours – massage or touching the  injected is forbidden. In the case of the lips – not to bite them at least two days. In addition you should avoid heat (like a sauna) or extreme cold exposure.

How to behave before treatment?

To avoid bruising in the injection, you should a week before treatment, avoid taking aspirin or  any  anti clotting  drug,  medications for pain, or supplements containing vitamin E.

What treatments can be combined with wrinkle  fillers?

There   is   frequently   a  need   to combine   fuller  injections  with  Botox or  Dysport.   Botox   /  Dysport  are  more  suitable  to   expression lines  in the upper  part of the  face  while  filler   injections  are  more  suitable  to  gravitational lines   in the lower  part  f the f ace.

Fillers  and  Botox (Dysport) may  be  combined  with   skin tightening   lasers/RF   devices  that  allows  renewal  of  the  natural  collagen  ,  reduction of   wrinkles  and  lifting  of  lower   parts  of the  face  and  neck.  Fractional  skin resurfacing  will further  improve  skin  textures  and  reduce  fine wrinkles.

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Botox – Eight Most Important Facts You Should not forget

December 4, 2010 By Leave a Comment

Why  do we  have  wrinkles ?

Wrinkles are caused by cumulative damage to collagen and elastic fibers  in the dermis following the exposure to the sun and the cumulative effect of facial muscles. The wrinkles can  be  divided   into dynamic wrinkles (wrinkles on the sides of the nose, forehead and eyebrows) that  are  caused  by muscles  movements  and  textural  fine  small wrinkles that exist mainly in areas exposed to the sun.

What is Botox ?

Botox  is   a  chemical   compound   produced  naturally   by  a   germ   called  clostridium.  Botox  started  to  be  used in medicine in the seventies – mainly to correct malfunctions  of  eye  muscles (amblyopia or strabismus). Botox  is particularly useful for  correction  of  expression lines and   is not suitable for static wrinkles that are not affected by movement of facial muscles or fine  textural  wrinkles.

Botox  -  Eight Most  Important  Facts  You Should  Know

  1. Reduction or Miss the expression lines without surgery
  2. There is no need for anesthesia or anesthesia (injections less painful filling)
  3. Addresses the muscles under the skin – not a substitute for peeling
  4. Very good lines of “thought” in the forehead wrinkle between eyebrows
  5. Reduces depth of wrinkles on the sides of the corners of eyes
  6. Impressive results for 3-4 months
  7. There is no constant effects
  8. Some patients have a reduction in migraine

How Botox Works ?

Botulinum toxin A is a toxin produced by bacteria called Clostridium Botulinum. When he injected a small amount is temporarily paralyzing the muscle. The result reaches its peak in about a week injection and saved about 3-4 months.

What will I  feel ?

During treatment you may  experience   a feeling like  a small pin stab . To minimize  pain the  doctor may add a local anesthetic cream 30-40 minutes before treatment and add cold compresses after treatment.

What  are  the  expected side effects?

Side  effects  are rare. Mild redness in the injection  area,  a small hematoma. Infrequently weakening of eye lead  muscle can  develop into   a slightly  drooped eyelid or  a small  change in facial expression. These changes are always temporary and usually are not felt by the patient.

What to do after the Botox injection?

After the injection you can return immediately to normal activities or work. Definitive results  will be  noticeable  just after about 3 days.

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Skin Tightening – New Technology Allows Painless Effective Results

September 27, 2010 By 11 Comments
EndyMed PRO 3DEEP System

EndyMed   (3DEEP  technology ) received FDA clearance in 2009 for the EndyMed PRO™ system for the non-invasive treatment of facial wrinkles and rhytides. A pivotal long-term, multicenter efficacy study for facial wrinkle reduction using EndyMed™ proprietary 3DEEP™ technology-shoed  its  efficacy  and safety  on  reduction  of  wrinkles.To date, several hundred patients have undergone facial and body treatments with EndyMed PRO. Patients consistently report pleasant treatments, with no pain and high satisfaction with the results.

What  it’s unique  -  3DEEP vs Conventional RF Technologies  ?

The EndyMed PRO system and its 3DEEP next-generation RF technology allows  targeted, controlled and contained deep dermal heating, with minimal surface energy flow. 3DEEP is a safe and effective noninvasive technique to improve the appearance of age-related rhytides and lax skin. Furthermore, EndyMed PRO procedures are performed without anesthetics, and to date, all patients reported no pain during treatment.

Study Highlights:

Subgroup of 30 patients were treated for facial and neck wrinkles with careful follow-up of up to 3 months post-treatment, with very positive results

The study’s efficacy endpoint was considered by pre-treatment photographs (baseline) assessed and graded by 2 dermatologists

blinded to the study and patients .Wrinkles were classified according to the Fitzpatrick Wrinkle Scale, Immediately after each treatment, treated area was visually assessed for skin responses, including edema, erythema, hypopigmentation,    hyper-pigmentation, and textural changes

Results: Significant statistical improvement in all (100%) 30 patients with skin improvement  of at least 1 score or more, according to the Fitzpatrick scale. The only skin responses reported were mild, transient erythema and edema in a few cases, which resolved within 10 to 30 minutes

All (100%) 30 patients reported no pain during 3DEEP treatment.

Patient video:

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