Botulinum Facial Treatments

Botulinum Toxin A - the more commonly known Botulinum products are Botox®, Xeomin and Dysport - all are registered medicines with New Zealand Ministry of Health and have been used in our clinics for over 19 years.  They are all absolutely brilliant, if you have a preference for the American product, German product or the British product please let us know as we can offer them all.  They are most frequently used for diminishing facial expression lines, such as crow's-feet and in particular the vertical line between the eyebrows that makes a person look worried. The treatment is best done subtley and our aim is to please rather than over-do, our clients are able to enter the public arena without looking "botoxed".  More recent years other uses for beautification have become apparent- for example the use of Botox to the lower pole of the masseters creates a slimmer more feminine shaped face- very popular with our asian clients.  Small amounts (microbotox) are often used for a pan-facial treatment to achieve smoother skin all over.  This doesn't cost the earth but works very well with some stunning results following repeat treatments and is nearly risk free. More men are using this treatment, recovery is quick and the effects are youth enhancing without being noticable. (Bro-Tox!)

Botox TreatmentsThe positive feedback from clients having had this treatment is overwhelming and there has been very good coverage by the glossy magazines. The vertical frown line is caused by the repetitive creasing of the skin when the muscle running along the eyebrow contracts during the facial express of a squint or frown. This wrinkling in the glabellar area is associated with anger, anxiety and sadness, all negative emotions. This is certainly one muscle and emotional expression that anyone can do without. The objective of this treatment is to weaken or relax this tiny muscle and hence reduce the crease making you look serene and relaxed. A tiny injection of the medicine is placed in the belly of the muscle and within the following week and for the next 3-4 months, the ability to crease the skin at the frown line is diminished.

"We guarantee our Botulinum products- we use only the freshest product and would offer any client further treatment if they have not achieved the desired result within 2 weeks of their treatment."

After four or more treatments the length of time between treatments increases as each session appears to be cumulative. It may be that this treatment allows you to lose or unlearn the urge to frown as after several treatments there appears to be some permanent effect.

Discomfort from the injections is really neglible and has now been lessened by the use of preserved saline in the administered mixture. The preservation contains Benzyl alcohol which prevents the sting.

This product has been used safely for years in New Zealand, by ophthalmologists for belpharospasm (a nervous eye tick) and by neurology specialists for neck muscle spasms. This new indication use was researched favourably in Canada and the USA and is now being used successfully for cosmetic enhancement worldwide. No allergy test is necessary so treatment can begin immediately. It is so simple. The use of Botulinum Toxin A for successful cosmetic treatmentscontinues to increase; over the past 15 years or more we have given well over 20,000 treatment sessions with Botox or Dysport. The areas treated and uses for Botulinum products continues to expand, our clinicians are now treating the lower face and even using larger doses to thin the jowls to slim down the lower law.

These are unregistered uses of this medicine and need further evaluation but for your interest please read on. The main area treated cosmetically has been the upper third of the face.

Botox and Mental depression.

Botulinum toxin, also known as Botox, is commonly used to remove wrinkles by temporarily paralysing facial muscles. But according to some studies, Botox can also be used to treat depression.  Charles Darwin said: “The free expression by outward signs of an emotion intensifies it. On the other hand, the repression, as far as is this is possible, of all outward signs, softens our emotions.”  In other words, facial activity can have an effect on emotions. Darwin argued that smiling makes a person feel better, rather than smiling being simply the result of feeling good. On the other hand, frowning will make you feel sad. Some studies have tested the hypothesis that Botox can help with these aspects of emotional processing. The first study was published in 2006 in the Journal of Dermatological Surgery by Eric Finzi, a dermatologist and face expert who first came up with the idea of using Botox to treat depression. His own mother suffered from depression and whilst painting portraits of women who were institutionalised in France, he saw the resemblance between the unhappy faces of these women and that of his mother. As a result, Finzi wondered about the connection between expression and feeling – particularly between expression and depression. He considered whether medically preventing sad expressions will in fact prevent sad feelings. He also thought about Darwin’s facial feedback hypothesis concerning emotions not being as strong or not persisting for long if you’re not expressing those feelings on your face. In 2003, Finzi tested the facial feedback hypothesis together with depression treatment. He treated several people suffering from depression with Botox, paralysing their eyebrow muscles that create expressions of sadness, anger and fear. The result was that 9 out of the 10 patients studied reported a complete remission of their depression, providing proof for Finzi’s theory that paralysing the eyebrows would help eliminate or decrease depression.

In a second study, researchers from the Hannover Medical School in Germany found that using Botox to treat facial muscles involved in emotion helps to alleviate depressive symptoms. For patients who received Botox treatment for glabellar frown lines, their mood became more positive.

Another study, published in the Journal of Psychiatric Research in May 2014, was randomised, double-blind and placebo-controlled. The 30 patients studied had major depression and were resistant to antidepressant medications. Those in the treatment group were given a dose (which consisted of five injections) of Botox in their eyebrow area, while members of the control group were given saline placebo injections. For the treatment group, depressive symptoms decreased by 47.1% (according to the 17-item Hamilton Depression Rating Scale) after six weeks, and it stayed this way for the rest of the 16-week study period. For the placebo group, there was only a 9.2% reduction in symptoms.

The study showed that treating facial muscles with Botox interrupts the facial feedback to the brain, which in turn prevents the facial muscles from registering negative emotions. It supports the idea that facial muscles not only express mood states, but they also regulate them. This is a good thing for people who are resistant to antidepressants, making Botox an effective and economical tool for the treatment of major depression.

Fortunately, these studies have supported Darwin’s facial feedback hypothesis, meaning that there is now a new, much-needed and welcomed treatment for depression.

Warning: Botox® and Dysport are Prescription Medicines containing clostridium botulinum Type A toxin complex for injection. The registered use is for the treatment of severe frown lines and associated "crows feet" around the eyes. It should be administered only by trained medical professionals. Cautions: people with defective neuro-muscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea. If you have side effects or concerns speak to us, or your own doctor. Note: Botox® or Dysport treatment lasts pharmacologically for about four months and after this time further courses of treatment may be necessary. Speak to us about your own situation and full explanation of risks need to be understood prior to treatment.

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