Posts Tagged ‘Botox’


Ask beauty-conscious women over 40 for one of their favorite anti-aging tools and many will profess their love for Botox or other neuromodulator treatments such as Xeomin and Dysport. It seems health journals are routinely reporting new benefits from Botox use such as migraine relief, depression management and Hyperhidrosis treatment. With all of these new findings, it is easy to begin to categorize Botox as some sort of panacea.

While neuromdulators are long proven to smooth “11” lines, crow’s feet , neck cords and even subtly lift eyebrows, this magnificent emulsion does have its limitations. Here are three conditions Botox cannot effectively correct.

  1. Deep Lines

Yes, neuromodulators are great for preventing and addressing fine lines but only those caused by facial expressions. Botox works by relaxing those muscles responsible for dynamic wrinkles. Dynamic wrinkles are those lines formed as a result of frowning, squinting, laughing, smiling or scowling. With time, the habitual act of these expressions etch deeper lines into the skin. By relaxing such expressions, you prevent deeper etching of the lines and wrinkles. However, if deep lines persist even when muscles are relaxed, Botox alone will not remove the lines. If the wrinkling is still present after the application of a neuromodulator, you most likely will require an injectable filler to plump the skin and provide dermal volume to push the crease out. If you are experiencing wrinkling from sun damage, a dermal filler is better suited for your condition. Botox will not address this type of wrinkling.

  1. Skin Complexion

While neuromodulators can improve the appearance of the skin by smoothing out fine creases and lines, it has no effect on skin complexion. If you are looking to restore radiance to skin, treatments such as microdermabrasion, chemical peels and laser resurfacing will be better suited to your needs. A proper diet, sufficient water consumption, routine exfoliation and daily application of sunscreen are also great ways to ensure a glowing complexion. Keep in mind that exposure to sun and wind or tobacco use can wreak havoc on your skin.

  1. Sagging Skin

Sagging skin results as elasticity of the tissue is lost through aging and skin damage(often inflicted by sun exposure or weight fluctuation). Jowls and heavy eyelids are two popular expressions of this condition. While Botox can subtly lift the eyebrows and provide a slight improvement to eyelids, Botox is not equipped to address these issues. Although dermal fillers like Perlane, Restylane or Juvederm can provide a bit of relief, the most effective and proven way to lift sagging skin is through surgical removal or lifting of excess skin. A facelift is the best way to address jowls while blepharoplasty (eyelid lift) is ideal for correcting drooping eyelids.

While Botox is valuable for a number of conditions, it is definitely not a miraculous cure all. It is important for patients to have reasonable expectations before pursuing this treatment.

Our Board Certified Surgeons have years of experience with injectable neuromodulators. To schedule your complimentary consultation, call 423-648-4011.

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Cosmetic Surgery after weight loss

Constantly reminded by health experts and physicians to get our eight hours of beauty rest, sleep is regarded as one of the biggest defenses against aging. However, sleep may be responsible for giving you wrinkles…in an inadvertent way.

While an adequate night’s rest is a legitimate way to ward off premature aging, the position in which you sleep may be responsible for fine lines and wrinkles. In fact, the American Academy of Dermatology explains that sleeping face-down or sideways may cause lines of the face, neck and chest. Crow’s feet and cleavage wrinkles are common results of repeatedly sleeping on one’s side or stomach. In fact, you can distinguish sleep lines from average wrinkles by applying pressure to the area you sleep on. Are the lines magnified? Chances are, these lines are a result of sleep positioning.

Not to worry, there are very simple, natural solutions to this sleep dilemma. The most straightforward way to prevent such wrinkling is to change your sleep position by training yourself to sleep on your back. This is the most cost-effective way to address sleep lines. If sleeping flat on your back is not an option, there are specialty pillows available for purchase.

Worn like a bra, there is a pillow intended to prevent chest wrinkling by acting as a wedge between the cleavage. To prevent lines of the face, there are memory foam type pillows claiming to prevent wrinkling. Keep in mind, not much is known regarding the actual proof of effectiveness. Many cosmetic surgeons and dermatologist believe claims by such pillow manufacturers to be dubious. While specialty pillows may provide a little aid, you should not expect a miracle. If it sounds too good to be true, it probably is.

If crow’s feet are already visible, you may want to consider a solid plan of attack with a neuromodulator like Botox, Dysport or Xeomin as they are long proven to erase these lines. Neuromodulator treatments start around $300, take only 30 minutes to complete and results last up to four months. Chemical peels and microdermabrasion are the most conservative ways to approach “cleavage wrinkles” and are generally suited for patients on the less severe end of the spectrum as they only address the most superficial layers of skin. These mild treatments start around only $100 and do not take long to complete but may cause temporary redness and peeling of the skin. If cleavage wrinkles have become permanent fixtures on your chest, laser treatment, dermabrasion or deep chemical peels are likely a viable solution.

Laser resurfacing is ideal for patients with deeper wrinkling of the chest. A variety of laser technology is available to address these conditions. Erbium, YAG and CO2 (carbon dioxide) lasers are the most common types of lasers used for skin resurfacing. Erbium works at a more superficial, less invasive level while CO2 Laser works at a deeper skin level and is one of the most invasive lasers. Another option is the fractionated YAG laser which is less invasive yet does not penetrate as deep as the CO2 laser. Laser resurfacing costs around $300-$1000 per session.

Undoubtedly, sufficient sleep is important for your health, but make sure your positioning is not wrinkling you. It is best to train yourself to sleep flat on your back, but if it is already too late, you may need cosmetic intervention.

To find out which treatment is best for you, call 423-648-4011 and schedule a complimentary consultation with our Board Certified Surgeons.

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Photo courtesy of dreamstime.com

Photo courtesy of dreamstime.com

Most of us know Botox can be useful in treating a variety of conditions such as fine lines, wrinkles, excessive perspiration and migraine headaches, but now recent studies suggest Botox may also be effective in helping to relieve depression. Botulinum toxin as an anti-depressant? According to researchers at the Hannover Medical School in Germany, yes.

A total of 30 patients who possessed chronic depression unresponsive to traditional forms of treatment participated in the study. Essentially, patients randomly received a single injection of either botulinum toxin or a placebo. Injections were placed at the “frown-line” area (between the eyebrows). At a six week post-treatment follow-up, Botox recipients reported a 47.1 percent decrease in depression related symptoms whereas placebo recipients only reported a 9.2 percent reduction in depression related indications.

Study analyst Professor Tillmann Kruger explains, “Our emotions are expressed by facial muscles, which in turn send feedback signals to the brain to reinforce those emotions. Treating facial muscles with botulinum toxin interrupts this cycle.”

Have you ever heard smiling can actually trick your brain into thinking you are happy? This is the essence of Botox therapy.

The study has since been replicated in two similar investigations, giving Botox injection therapy a promising reputation in the field of psychiatry. Where oral anti-depressants present a myriad of possible side-effects, Botox therapy for depression exhibits no evidence of side-effects other than an added bonus-a reduction in wrinkles and fine lines. Moreover, oral depression medications typically require daily use whereas a single injection of botulinum toxin lasts around three months.

Because insurance does not currently cover Botox for depression, this form of treatment can be costly- starting around $500 per treatment. But for many depression patients resistant to traditional therapy, the investment may be worth a try. Worst-case scenario, reduction in depression may not be notable, but frown-lines are erased allowing for a happier, more youthful appearance.

Botox injections only take around 30 minutes to perform and require no downtime. Patients report minimal discomfort.

If you are interested in frown-line treatment, call 423-648-4011 and schedule your complimentary consultation with our Board Certified Surgeons.

Information for this article was referenced from “More Evidence Botox Works for Depression” by Caroline Cassels found on webMD.com

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© Phil Date | Dreamstime Stock Photos

© Phil Date | Dreamstime Stock Photos

Ready or not, wedding season has commenced. Whether you are the bride, mother of the bride , bridesmaid or simply acquaintance of a bride or groom to be, chances are high that you will be attending a wedding within the next few months.

While the wedding is typically all about the bride, cosmetic wedding preparations are a great idea for anyone wanting to put their best foot forward. After all, weddings are often a time to reunite with friends and family you may not have seen in ages. Who wouldn’t want to look their best? Here are a few procedures to consider before that big day.

1. Neuromodulators-
Neuromodulators like Botox, Xeomin or Dysport are one of the most common and basic cosmetic procedures performed in the United States. Often costing anywhere from $250 to $700 per treatment, neuromodulators are injected to relax the muscles responsible for creating crow’s feet and frown lines. These injectables can also be used to provide a natural lift to the eyelids and brows. While there is essentially no downtime required for this treatment, don’t wait the day before your wedding to have the injections completed as results typically take 1 to 3 days to surface. We recommend patients schedule this treatment 6 weeks in advance of their big day. Botox injections only take about 30 minutes to complete and results last 3-4 months.

2. Fillers-
Often performed in conjunction with neuromodulators, fillers are an injectable solution to fine lines, wrinkles and volume loss caused by aging and skin damage. Fillers can be used to plump lips and sunken cheeks, rejuvenate hands and undereyes or fill in those unsightly crevices around the mouth. Ranging from $400 to $600 a syringe, patients may need anywhere from 1 to 3 syringes depending on how many areas need treatment and the severity of the problem area being treated. Although fillers do not necessarily result in downtime, swelling and bruising at the site of injection are common. This is why we recommend patients book this procedure at least 4 weeks ahead of their event. Fillers take around 30 minutes to an hour to complete and, depending on the type of filler, can last as little as 6 months or as long as 2 years depending on the filler and technique.

3. Chemical Peel or Laser Resurfacing-
Looking to erase dull, sun-damaged skin? Varying in degrees of intensity, from light to deep, chemical peel or laser resurfacing are a cost effective and non-surgical solutions for sun damaged skin. Applied as a topical gel, chemical peels are used to remove the dull, damaged surface layers of the skin to reveal the more radiant, youthful layers of the dermis. The more intense the chemical peel, the deeper the peel penetrates. According to the depth and the potency of the peel, pain is typically minimal if not non-existent all the way to intensive requiring IV sedation. Lasers can take the resurfacing to a whole new level. While chemical peels and laser resurfacing are considered non-invasive, redness and flaking often results after treatment, so we recommend booking this procedure a few weeks to months ahead of your event depending on the level of resurfacing and expected changes.

Just like high school reunions or holiday gatherings, weddings are major life events that motivate many to diet, exercise and even make a visit to their cosmetic surgeon to dress up and be the best that you can be. Even if you aren’t the bride, it is perfectly normal to want to look your best…think of all the photos that may be taken…..show your best side.

While these pre-wedding “touch ups” aren’t as dramatic as undergoing a surgical procedure such as a facelift or brow lift, they can certainly take years off of your appearance to gain the glow. If you are considering a pre-wedding touch up, call 423-648-4011 and book your private complimentary cosmetic consultation.

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While most cosmetic surgery patients widely acknowledge Botox’s effectiveness at reducing the appearancBotox Chattanoogae of wrinkles and fine lines, many are oblivious to the preventative uses of injectable neuromodulators. Yet the number of “20 somethings” receiving Botox or Dysport for preventative treatment is steadily increasing. In fact, according to a 2010 report released by the American Society for Aesthetic Plastic Surgery(ASAPS), 15.2 percent of individuals between the ages of 19 and 34 received this non-surgical alternative.

Neuromodulators like Botox and Dysport are a class of injectables that work by temporarily reducing the muscle activity responsible for the appearance of unsightly crow’s feet, forehead wrinkles and “11” lines. Basically, “preventative Botox” is based on creating a certain degree of muscle atrophy before the fine lines and wrinkles evolve into a more permanent condition. The fear of many preventative patients is, essentially, that waiting until the lines have been etched into the skin, will result in a more costly and extensive treatment plan.

Although the majority of our Botox patients are over 35 years of age, we have treated some preventative patients in their 20s who report satisfaction. It is important to note, however, that this treatment is only temporary-lasting anywhere from 3 to 4 months. For optimal results, patients must routinely maintain their treatment.

If you are troubled by the early signs of fine line or wrinkle formation, neuromodulators may be a perfectly viable option. For the rest of you “20 somethings”, preventative, anti-aging measures can include habits as simple as consuming more nutritious food sources, getting a good night’s rest, refraining from tobacco use and limiting UV exposure in addition to wearing sunscreen. While it is wise to take preventative measures while you can, don’t let the fear of aging overwhelm your life…enjoy your youth!

If you are interested in preventative Botox, call 423-648-4011 to schedule a complimentary consultation.

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Like Botox, Dysport is an injectable botulinum toxin type A protein used to treat the appearance of “11 lines”, forehead wrinkles and crow’s feet by temporarily relaxing the muscles responsible for fine lines and wrinkles. Although Botox and Dysport are essentially the same product, subtle differences have been reported.

Botox vs. Dysport

Manufactured by different companies, Botox was approved for cosmetic use by the FDA in 2002 while Dysport was introduced to the market later and FDA approved in 2009. Although Botox is the better known brand, Dysport has been reported to work within 1 to 2 days versus 3 to 5 days reported with Botox. Even more, Dysport may last a little longer than Botox.

Resistant to Botox?

Although extremely rare, some patients have exhibited a “resistance” to Botox . Dysport may be an effective alternative for patients whose wrinkles and fine lines seem unresponsive to Botox.

If you are looking for a non-surgical treatment to reduce fine lines, crow’s feet or forehead furrows and are between 18 and 65 years of age, you may be a candidate for Dysport. To schedule a complimentary consultation, call 423-648-4011. If you have never tried Dysport, we are currently offering it at 50 percent off usual price while supplies last and if booked before 12-31-2012.

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Have you been looking for a way to rejuvenate or enhance your natural beauty? Perhaps you are seeking better results than those achieved through yet another “miracle cream” backed by outlandish claims, however, you are still not ready to commit to the cost and recovery time associated with cosmetic surgery. Whether you wish to smooth away fine lines and wrinkles, gently lift sagging brows or plump aged lips, many patients have found a happy medium with non-surgical alternatives offered at our cosmetic surgery practice. Here are a few of the most effective, non-invasive solutions.

Fractional Laser Skin Resurfacing

While some laser treatments are highly invasive and require significant downtime, not all laser treatments are created equally. Fractional, non-ablative skin resurfacing is the only laser rejuvenation method which offers both excellent results and no downtime. Wrinkles, sun damage(pigmentation defects) and superficial scars are conditions treated by fractional methods.

Fractional skin treatments deliver laser light in an array of narrow, focused “microbeams” to create columns of heat within the skin. These “microbeams” penetrate deep into the dermis for the most effective, long-term results obtainable. The heated tissue within the columns starts a natural healing process that forms new, healthy tissue and, ultimately alters the collagen and elastin below your skin’s surface which gradually decrease the appearance of sunspots, fine lines, wrinkles and acne scarring. A series of treatments may be required to achieve the desired results.

Facial Fillers

Erase Marionette lines and Plump Lips

Hoping to erase lines or folds around your mouth?Perlane and Juvederm are dermal fillers composed of Hyaluronic acid which are often used for deeper facial lines such as the Nasolabial folds (lines from the nose to the lip sometimes called smile lines) and marionette lines near the corners of the mouth. They are also used to plump lips in a nonsurgical lip augmentation.

Hyaluronic acid is a naturally occurring substance found in the human body. When we age, however, our hyaluronic acid (HA)supply depletes. This lack of HA can cause our tissues to appear deflated and wrinkled. Perlane and Juvederm injections restore lost hyaluronic acid to rejuvenate aged skin or plump lips. The effects of such fillers typically last 6 to 12 months.

For Youthful Cheeks

Unlike Juvederm and Perlane which are comprised of HA, Radiesse is an injectable filler made of tiny calcium-based microspheres which are suspended in a natural, water-based gel. These calcium based microspheres are similar to minerals that are found naturally in your body . Over time, your body absorbs these tiny microspheres and the gel and leaves behind only your own natural collagen. Radiesse is typically used to treat the cheek region of the face and lasts a year or more.

Under Eye Restoration

If you wish to restore youth under your eyes, Selphyl may be a good choice. Utilizing the platelets found in the patient’s own blood, Selphyl stimulates the body’s natural process of tissue regeneration and collagen production.

Neuromodulators: Lift Droopy Brows & Correct Frown Lines

Neuromodulators relax dynamic muscles that create wrinkles as they contract. Areas that can be treated with Botox include crow’s feet. frown lines, forehead lines, neck lines and chin dimpling. Botox can gently lift drooping brows, elongate the appearance of the chin or elevate the corners of the lips, enhancing the patient’s smile. A small amount injected in the lip border reduces the appearance of lip lines and can help the lips appear more plump.

Botox injection is the most popular nonsurgical cosmetic procedure today. Improvement of the wrinkles may last up to four to six months. Until recently, Botox was the only botulinum toxin A preparation with a cosmetic indication. Dysport, the first competitor with similar indications was approved in April 2009.

Regardless of the non-surgical procedure you wish to undergo, be sure to choose your provider wisely. Facial injection is an art form and you must choose your artist well. Review before and after photographs and make sure you have appropriate expectations for non-surgical facial enhancement before you present for facial review. Make sure that your aesthetic ideal matches that of your cosmetic surgeon injection artist.

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Zytaze Chattanooga, Tennessee
If you are like many of our Botox patients, you probably love the results associated with the botulinum toxin treatment but wish the effects lasted longer than a mere three months. Luckily, there is a new, nutritional supplement ,known as ZYTAZE®, which is intended to improve the effects of Botox and extend the duration of its results.

How Does ZYTAZE® work?

Botulinum toxins like Botox work by reducing the muscle activity responsible for fine lines and wrinkles like those present when we frown. In order for these toxins to be effective, however, each toxin molecule must bind with a zinc molecule. Without the presence of zinc, the otherwise powerful botulinum toxins are ineffective. Unfortunately, during the manufacturing process, the application of zinc molecules to the botulinum toxin solution are not feasible as this would decrease the potency of the solution. Therefore, the botulinum toxins must bind to zinc molecules found in human tissue during injection. Ultimately, if the patient is deficient in zinc, the effectiveness of the botulinum toxin injection will have only a moderate to small effect.

ZYTAZE® provides the zinc molecules necessary to optimize the effects of Botox. So, why not simply take an over-the-counter zinc supplement? Unfortunately, not all zinc is created equally. As a matter of fact, taking a low quality, hard to absorb form of zinc can compromise the absorption of higher quality zinc found in whole foods. This can actually be worse than taking no zinc at all. Formulated with a unique patent-pending combination of organic zinc and phytase to maximize zinc absorption ,ZYTAZE® enhances the effectiveness of botulinum toxin injections.

Recommended Dosage and Price

It is recommended that patients take two capsules daily for four days prior to and on the day of receiving botulinum toxin injections(Botox). A pack of ZYTAZE®, which contains10 tablets, can cost anywhere from $60-$80 and is available in the US by prescription only.

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Cosmetic surgery is a sub-specialty that uniquely restricts itself to the enhancement of appearance through surgical and medical techniques. It is specifically concerned with maintaining normal appearance, restoring it, or enhancing it toward some aesthetic ideal for all areas of the body. Cosmetic surgery involves a multidisciplinary and comprehensive approach from a variety of disciplines including board-certified dermatologists, general surgeons, maxillofacial surgeons, ophthalmologists, ENT’s, plastic surgeons and physicians from other fields. All of these disciplines have contributed to the vital growth of cosmetic surgery.

Choosing a surgeon for cosmetic procedures

Choosing a doctor for any healthcare need is an important decision. Patients should choose a healthcare provider based on his or her training, education, experience and demonstrated practice history. It is the American Medical Association’s policy that individual character, training, experience and judgment are the criteria for granting privileges for surgical procedures, and that physicians representing several specialties can and should be permitted to perform the same procedures if they meet criteria for the specific procedure.

With an expanding number of consumers anxious to undergo cosmetic surgery, it is imperative that consumers have access to accurate information, the freedom to choose among physicians and that the number of qualified providers is not artificially restricted. Unfortunately, the vast majority of consumers view cosmetic surgery and plastic surgery as one and the same. Consumers’ misapprehension in this regard has them relying on incomplete and false information when choosing a physician to perform cosmetic surgery procedures.

Plastic Surgery is not Cosmetic Surgery

When considering cosmetic surgery, people are almost universally unaware of the difference between cosmetic surgery and plastic surgery. For this reason, they are easily misled to believe that board certification in plastic surgery evidences a physician’s competence to perform cosmetic surgery. It does not.

A recent national cosmetic surgery training survey sent to the 89 active US plastic surgery programs in regard to resident preparedness in aesthetics was quite revealing. The information published in the Journal of Plastic and Reconstructive Surgery revealed significant differences in opinions between program directors and finishing senior plastic surgery residents. Although 51 percent of residents felt prepared to integrate cosmetic surgery into their practices upon graduation, 36 percent felt further cosmetic training was desirable after completion of plastic surgery residency. Confidence levels were specifically low in rhinoplasty, face lifts, endoscopic procedures and body contouring techniques. Experience with skin resurfacing, facial fillers and botulinum toxin type A were listed as other areas of concern.

On a positive note, breast augmentation, breast reduction and abdominoplasty were most frequently performed by plastic surgery residents during training with the highest resident comfort levels. On the basis of these results, Dr. Colin Morrison, et al suggested changes in cosmetic surgery training during plastic surgery residency.

As there are very few dedicated Cosmetic Surgery Fellowships, cosmetic surgery is primarily learned during post residency through ongoing continuing education, training and experience. The most recent advances in cosmetic surgery have appeared in the last seven years- Botox, facial fillers, advanced laser skin resurfacing and body contouring. If your surgeon completed residency more than seven years ago and offers advanced cosmetic surgery procedures, he or she learned these techniques at post graduate training courses offered to physician and surgeons of all specialties.

Ultimately the decision is yours..so only can make the the right choice for your surgical procedures, whether elective for cosmetic reasons or for medical reasons. Choose well!

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Xeomin in Chattanooga, Tennessee

What is XEOMIN?

Approved by the FDA in July 2011 for treatment of moderate to severe glabellar lines (frown lines between the eyebrows), XEOMIN is a BOTOX alternative comprised of the same active ingredient, botulinum toxin type A, as found in BOTOX.

How does XEOMIN reduce the appearance of wrinkles and lines?

Like BOTOX, XEOMIN solution is injected into the muscle at the site of the trouble area. The medication blocks signals from the nerves, resulting in the weakness of the target muscle thus forcing the muscle to become smooth and unable to fully contract.

According to the manufacturer of XEOMIN, also the maker of the popular filler Radiesse, results can be noted within a week from injection and last anywhere from three to six months.

The injection should be performed in a an office setting and typically takes less than an hour to complete. After the procedure, patients may experience mild bleeding, bruising or swelling at the injection site.

XEOMIN vs. BOTOX and Dysport

XEOMIN is distinct from other injectables of its class in that it is void of the additives and proteins found in BOTOX and Dysport. This may allow those who are allergic to BOTOX and Dysport the opportunity to treat their fine lines and wrinkles with pure botulinum toxin type A. Even better, XEOMIN is currently offered at a lower cost than other botulinum injectables.

Possible Risks

As with other botulinum injectables, XEOMIN poses the risk of spreading beyond the site of injection and causing paralysis to other muscles. In rare cases this can cause drooping eyelids, difficulty swallowing or breathing. This is why you should consider injections by an experienced provider in an appropriate physician’s office.

Am I a candidate?

If you are looking for a non-surgical means to reduce wrinkles and fine lines of the face and are between 18 to 65 years old, you may be a candidate for XEOMIN. For more information, call our office at 423-648-4011. Advanced Surgical Concepts is one of the select few cosmetic surgery practices in Chattanooga, Tennessee to offer XEOMIN.

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