Injections and Fillers Information provided by Board Certified Plastic Surgeon serving San Diego and Riverside County.

One of the most popular forms of treatment for reducing the appearance of fine lines and wrinkles and create smoother, younger skin is injections. In an office-based procedure, the physician uses fine needles to insert a filler into the skin to add volume, replace collagen and/or stimulate natural collagen and new skin cell growth. A host of different types of fillers are available. You will need to talk to your doctor about the advantages and disadvantages of each for your desired results, the area being treated and how deeply the problem occurs in the layers of the skin.

BOTOX® Injections (Botulinum Toxin)

Botulinum toxin injections (BTX), often referred to by the product names BOTOX® Cosmetic or Myobloc®, are biological toxins (botulinum toxin) transformed into a therapeutic agent. Work with BTX began in the late 1960s to treat neurological disorders. Today, BTX is used for the treatment of frown lines, forehead furrows, "crow's feet," lines and wrinkles of the lower face, and even nasal muscles (to decrease nostril flaring). BTX injections have proven to be a very popular nonsurgical cosmetic procedure; see current American Society for Aesthetic Plastic Surgery (ASAPS) statistics. Aesthetic plastic surgeons have found that the type of lines and wrinkles that respond to BTX injections are those caused by the muscles-specifically those muscles that contract during facial expressions such as frowning or squinting.

Technique
The patient is asked to contract the muscles in the area being treated so the surgeon can determine the proper location for injection. In most cases, BTX is injected directly into the muscle with a tiny needle. It takes a few days to realize the effect of BTX injections.

Benefits

• No downtime. Patients can immediately resume normal activities.
• Long experience has proven BTX to be safe. To date, no systemic complications associated with BTX injections have been documented.
• Treatment is reversible within several months.
• May be beneficial for treatment of migraine headaches.

Other Considerations

• BTX injections are a temporary solution for the treatment of wrinkles. The effects last from 3-4 months and require repeat treatments.
• Possible side effects include local numbness, swelling, bruising, or a burning sensation during injection. Some patients have reported temporary headache and nausea. Most complications are of short duration and can be avoided with proper injection techniques.
• A small percentage of patients are reported to experience no improvement at all.

ASAPS Position:
The American Society for Aesthetic Plastic Surgery (ASAPS) maintains that BTX injections for aesthetic purposes appear to be safe and effective. Patients who show early signs of aging, as well as those who may not be suitable candidates for more extensive aesthetic facial surgery, may be good candidates for this procedure. Certain medications (some antibiotics, anti-inflammatories, or aspirin) and even some vitamins and herbs may increase the potency of BTX and may increase bleeding and bruising at the time of injection. Therefore, patients should be candid with their surgeon about all medications and supplements. Pregnant or nursing women should postpone undergoing this procedure. It is not known whether injection of BTX has any effect on a fetus or whether it is found in breast milk.

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For Skin Injections in San Diego choose Stuart Kincaid.

Procedure Information Courtesy of The American Society for Aesthetic Plastic Surgery

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