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Botulinum A Treatments

Facial wrinkles associated with excessive mimic activity mostly appear around the eyes, between our brows, and on our forehead, and they can be treated with Botulinum A injections.

Botulinum A injections were originally used for the treatment of cross-eyes in 1970 while gaining ground in cosmetic surgery in the 1990s. Since these days, it rapidly became very popular due to its easy applicability, efficacy, high customer satisfaction, and predictable outcome. Botulinum A is a toxin derived from a bacterium called Clostridium Botulinum which can cause food poisoning. This toxin was purified, cleared form its components as a toxin and developed as a therapeutic agent.

Botulinum A works by blocking impulses from the nerves to muscles, resulting in a temporary paralysis in the injection area. The muscles 1-2 cm around the injection area stop working, and therefore these weakened muscles cannot create wrinkles by tugging of the skin during mimic activities.

How is Botulinum A administered?
Botulinum A is injected into the selected areas such as around the eyes, between the brows, nasal root and forehead in appropriate doses after being reconstituted in a proper way.
Where is Botulinum A injected?
Botulinum A is most often injected to crow’s feet, the area between the eyebrows and forehead on the face. It can also be injected into the skin around the mouth, neck and décollete area.
Where can I have a Botulinum A injection?
The injection is very simple and quick. It can be administered in the doctor’s office.
Is Botulinum A a painful procedure?
Botulinum A injections are made using fine and small needles designed to minimize any discomfort of injection. They are similar to the needles used for insulin injections by patients these needles are designed to have very little pain. However, pain is eliminated when a special cream is applied to the application area before the injection.
How long does it take until the effect of Botulinum A becomes apparent and how long does it last?
It usually takes 7 to 10 days to see the effect of Botulinum A injection, and it lasts up to 4 to 6 months. In some cases, this effect may extend up to one year. In repeated injections, the duration of the effect gets longer.
Does Botulinum A remove wrinkles?
Botulinum A will remove the wrinkles if they are superficial. However, when they are deeper, dermal fillers should be used along with a Botulinum A injection to get rid of them. Formation of wrinkles may be delayed if you start using Botulinum A before your wrinkles get deeper.
Does someone who receive Botulinum A injection lose his/her facial expression?
Forehead movements are softened since it paralyzes the muscles in the injection area. However, one cannot say that facial expression is lost. Following Botulinum A injection, facial mimics becomes softened and the face looks relaxed.
How will I look after the Botulinum A injection?
Although Botulinum A injections are not permanent, they gained ground in cosmetic surgery as a very effective treatment method, reversing the biological clock. Botulinum A gives you a fresher and younger complexion. It improves self-perception in many people, resulting in enhancement of self-confidence accompanied by a positive reflection in daily life.
What should and shouldn’t I do after Botulinum A?
You shouldn’t hang your head down at least for 1-2 hours following the Botulinum A injection. You shouldn’t avoid any position that will increase the blood supply to injection areas.
Is Botulinum A harmful?
No. Botulinum A has no harmful effect in low doses used for cosmetic purposes. It only has a local effect, and it does not enter the circulation. It is also safe in the long term.
Who is not a good candidate for Botulinum A injections?
Anyone with proper expectations can be a candidate for Botulinum A injections except those with muscular diseases and pregnant women.
For what other indications and diseases is Botulinum A used?
Botulinum A was used for the treatment of cross-eyes when it was discovered 40 years ago. Currently, it has been indicated in the treatment of sweating as it blocks overactive sweat glands. It is also used to prevent the triggering of migraine attacks. It has been demonstrated that Botulinum A significantly reduced the frequency and severity of migraine attacks.
Is there any side effect of Botulinum A?
You may experience injection-related bruises and headache for a few days following the Botulinum A injection. Rare, it may cause eyelid droop if not applied in experienced hands which reverse as the effect of Botulinum A wears off.
Does Botulinum A cause a diabolical look?
Botulinum A can cause an undesirable expression if not done properly. It may result in a diabolical look as mentioned before, with a small amount of injection to the root of the nose, but a large amount of injection into the corners of eyebrows. However, it is very unlikely to have such an experience in the hands of an experienced physician.
Some say that Botulinum A is a snake venom. Is it true?
No. Botulinum A has nothing to do with snake venom. As already mentioned, Botulinum A is derived from a bacterium. It is usual in medicine to use substances derived from bacteria after detoxification in treating many diseases.



Filler Treatments



Filler Treatments

The effects of gravity, sunlight and facial mimics such as smiling, chewing or squinting for years become more prominent on our face by aging. We look younger and healthy when our skin looks more well-rounded. However, subcutaneous tissues that give us a younger and succulent appearance to the complexion lose their integrity over time, resulting in wrinkles in the areas where movements of muscles occur. But, dermal fillers used for aesthetic purposes give your face a look full of youth and health.

Which filling material do you use?
There are various products used as a filling material. Nowadays, hyaluronic acid is the most commonly used filler, and it is available in different brands produced by different companies such as Juvéderm, Surgiderm, Restylane and Teosyal. We prefer to use Juvéderm for our patients.

Are there different fillers available?

There are many different fillers available. They can be divided into three based upon their longevity:
Temporary fillers: Hyaluronic acid, the most commonly used at present, is the most reliable filler although it is a temporary one. Its longevity varies between 8 and 10 months.
Long-lasting fillers: They include Radiesse, which contains calcium hydroxyapatite and Sculptra which contains poly-L-lactic acid. They can last up to 2 years.
Permanent fillers: As the longevity of fillers goes up, their reliability comes down. That is why we believe that permanent fillers are risky and we do not use them in our routine practice. These fillers include plastic, methyl methacrylate or fluid silicone.
Why is hyaluronic acid most favored?
Hyaluronic acid is a naturally occurring substance already found in the tissues in our body. Externally applied hyaluronic acid preparations are similar to that exist naturally in our body. Therefore, it can be regarded as a natural substance. It is not associated with any allergic reactions.
Are dermal fillers permanent?
Unfortunately no. As we mentioned above, the longevity of dermal fillers varies between 8 and 10 months, which, in fact, allows flexibility for the procedure.
Where can I get the hyaluronic acid administration?
It can be administered in the doctor’s office. It doesn’t interfere with your daily life. You can immediately return to your normal life.
Is hyaluronic acid injection painful?
Although hyaluronic acid preparations also include anesthetics that can relieve the pain during the procedure, you may have a little pain in the injection area during the administration of the filler. Anesthetic creams are used to help reduce the pain in the injection area. Local anesthesia can be applied for lip and deep wrinkle injections that may be associated with more pain.
Which facial areas can be treated by fillers?
Facial fillers are most frequently applied to the deep creases between cheeks and lips. Other common areas include the vertical lines between the brows and corners of the mouth. Crow’s feet and fine clefts on lips are treated by a fine dermal filler while a thicker dermal filler is used for jawline, cheekbones, and cheeks to enhance the shape of the face.
Are fillers used for areas other than the face?
Fillers can also be used for augmenting breasts and buttocks or body-shaping. If the breast augmentation requested is not much, and no surgical intervention is required, then fillers can be used. However, it is less favored since fillers are temporary and costly.
What complications can be expected following a filler injection?
The main risk of filler injections is to end up with an exaggerated and unnatural appearance. This effect will be temporary when you confront such an unsatisfactory result, a very rare situation when you are in experienced hands. Other than that, the patient may develop an allergic reaction to hyaluronic acid although this is very rare. Infection can also be observed, though rare.

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