Posts Tagged ‘Xeomin’

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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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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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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liquid facelift in Chattanooga, TennesseeAlthough the skin appears tighter after facelifts, balance and youthfulness can be lacking due to volume loss. The goal of volume replacement is to help patients look more like they did 10-15 years ago, not to make them look like someone else. The term “liquid facelift” refers to treatments that can be performed using injectable therapies that require little or no downtime.

Neuromodulators work on the underlying muscles by relaxing them [Botox, Dysport, Xeomin], softening wrinkles [facial fillers] or appearing to lift a certain area of the face. Other therapies add volume [facial fillers, fat transfer].

As the face ages, it loses volume. This causes shifts in the youthful contours and prominent landmarks of the face. Loss of facial fat, muscle, bone and reduced skin elascity leads to folds, lines, jowls and wrinkles – the dreaded signs of age. Facelifts work to return facial structures to the original positions by shifting muscular structures, removing excess skin and re-drape of the skin to carry a more youthful contoured position. However, facelifts carry increased cost, downtime and surgical interventions. Many 40-50 year olds are looking for facial rejuvenation to tide them over until their facial aging mandates a formal surgical procedure.

Tissue Filler Injectables

Tissue fillers are another group of injectables used for liquid facelifts. The most commonly used are Restylane, Perlane, Juvederm and Radiesse. Not all products can be used just anywhere on the face. Depending on the patient’s appearance and the treatment location, one or a combination of these products can be used to reduce the appearance of wrinkles and provide plumping of various facial structures. Hollowing under the eyes, mid face droop, hollow temples and chin sag can dramatically improve with volume. Cheeks can be enhanced to return that heart-shaped, youthful face and to lift the nasolabial folds. Nasolabial folds and marionette lines can be treated with tissue fillers as an adjunct to mid face surgical lift procedures.

Sculptra and Selphyl exist in a category called collagen stimulators. They can be used to add volume to most areas of the face. Each work by stimulating the body’s natural collagen, which helps smooth out the lines and wrinkles. Selphyl uses platelet-rich plasma to trick the body to generate more collagen.


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 elongate the appearance of the chin and 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. Xeomin has now entered the market with lower unit price than that of Botox and Dysport.

Facial balance can be returned using a combination of the products discussed- with little downtime and without major, invasive surgery. 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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