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BOTOX
- DYSPORT |
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Facial
lines are caused by the repeated use of the facial
muscles in a particular manner. Just as a freshly
ironed shirt becomes severely creased at, for
example, the elbow, as a result of the bending
arm, so likewise our facial lines from wherever
we frown, squint or smile.
Some people have a distinctive facial habit -
grimacing, raising eyebrows, using one side of
the face more than the other - and they will in
time see a set of facial lines appear which reflect
this individual habit.
Lines can be softened, or in some cases, erased
by means of `filler injections' or surgical peeling
treatment. These processes vary in how effective
they are and how long they last; however, they
all have one common characteristic - the EFFECT
is being treated, rather than the CAUSE. The damage
has already been done and continues to be done.
The Hibernation Treatment is different in that
it is a PREVENTIVE treatment. Injections are given,
usually to the forehead frown area, which temporarily
put the frown muscles to sleep for a period of
3-4 months. This freezing of the muscle is always
temporary and can never be permanent, but after
every treatment, the muscle does weaken slightly;
this is why the treatment is called `The Hibernation
Treatment' the muscle temporarily `hibernates'.
The aim is to break the habit of frowning, and
educate the patient in his or her facial movement
so that one 'forgets' how to frown. Usually patients
have several of these injections over a year or
two until the frowning habit is broken.
Apart from the 'habit breaking' aim, other positive
benefits are:
a. While the muscle is temporarily immobilised,
the forehead is 'at peace', and the frown line
is not being created or reinforced.
b. Most patients notice that their existing frown
lines do soften out because the forehead is completed
relaxed.
c. Many would agree that frowning is an unpleasant
habit, which tends to spoil the serenity and beauty
of the face. After the treatment, although all
the many other facial muscles can still be used
normally, the forehead is still and calm and thus
the face appears more serene. Patients have even
commented that they feel the calmness within themselves.
d. Some people have a markedly lopsided face due
to an overactive muscle on one side. This treatment
can be used to weaken an overactive muscle thereby
balancing the resting tone on the two sides of
the face.
The injection takes around 5-10 minutes. The surgeon/nurse
will ask you to frown hard; this is so that he
can see the exact pattern of forehead and frown
movement in the individual patient. The injections
are slightly uncomfortable, but brief.
Afterwards you will have some tiny red marks for
approximately one hour, where the needle was inserted.
The injection starts to take effect after 3 or
4 days, you may notice that it is becoming more
difficult to frown. After 1 or 2 weeks the muscle
will be complete asleep.
Very occasionally you may require more than the
usual injection amount; if the muscle does not
go to sleep you may have to pop back for a top
up injection. Also some patients who have well
exercised and developed frown muscles (more common
in men) may need a second injection. It is better
to inject a conservative amount of the substance
and add more if required.
It must be emphasised that the injection is intended
to make it difficult to frown; we all frown subconsciously,
this treatment prevents inadvertent frowning.
Some patients will 'test' the injection by standing
in front of their mirror at home and trying very
hard to frown! In some cases the patient may indeed
to be able to use some of the frowning muscles
a little if they force the muscles very hard.
This does not of course mean that the injection
has not worked.
The substance that is injected is botulinium toxin.
It has been used for many years as an accepted
form of treatment for squints and nervous ticks.
The substance does not cause any permanent damage.
The action on the muscle is never permanent, that
is why the treatment is called 'The Hibernation
Treatment' the patient's frown is frozen into
'hibernation' for a few months. It is very unusual
for the toxin to be absorbed into the blood stream
and cause widespread effects, because the dose
is very small. However, some people do notice
some twitching - therefore it is not to be injected
in people with neurological problems, pregnant
or those having general anaesthesia.
In 2% of the cases, it may cause upper eye lazyness,
which is temporary.
In some older patients because of the poor tone
of their muscle they feel heaviness over the eyebrows,
this last 2-3 weeks. Usually in older patients
a lower dose is injected to prevent this from
happening.
In a tiny minority of patients, the botox injection
will not work effectively.
After several treatments, very rarely, some patients
become resistant to the drug i.e. it no longer
works effectively.
Aftercare Information
Do not massage the area as this may cause the
toxin to spread to the wrong muscle groups.
Do not lie down for 4 hours for the same reason.
Do exercise the muscles of facial expression for
2 hours after to encourage take up of the toxin. |
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