"I was amazed how the wrinkles just seemed to disappear after just 5 days. I looked in the mirror and my forehead was completely smooth!" -W. Brewster, Tampa

 

 

Botox works by blocking the release of Acetylcholine (a chemical neurotransmitter) from nerve endings. The muscles where BOTOX is injected become "relaxed", thus reducing wrinkles. These wrinkles are termed 'dynamic wrinkles' because they come on with muscle action. 'Static wrinkles' are those already etched onto the skin, even without any muscle action. Treatment options for static wrinkles include Botox, Fillers and IPL or either of these in combination with BOTOX.

BOTOX is primarily used to eliminate the wrinkles on the forehead, brow area and around the eyes BUT is not limited to those areas. (lips, mouth, nose, neck) Botox Calculator.
 

Our Techniques

At CFAA, we use BOTOX to enhance one's features. Already beautiful patients will look even more beautiful in our hands. We can lift (yes, lift by relaxing muscles) various parts of the face and neck, lessen shadows along the jaw and chin as well as to reshape faces with BOTOX alone!

Another common approach is to use BOTOX in synergy with collagen building treatments like Total Skin Metamorphosis. Skin is able to produce 2-5 times more collagen than if such procedures were done alone.

BOTOX usually begins working in 2-3 days, peaking at 10 days and lasts up to 3-4 months.

Are the effects of BOTOX lasting?

It has been shown that when BOTOX is done back to back for 2-3 years, the target muscles become weakened because they atrophe. Thereafter, less BOTOX may be needed each time.

Are the wrinkles going to come back with a vengeance once BOTOX has faded?

Absolutely NOT! Wrinkles go back to the original state or

perhaps slightly improved after 3 months when the BOTOX has worn off.

There is evidence to suggest long term improvements even after one BOTOX treatment. There are long term improvements to fine lines and skin texture that cannot be explained by the muscle blocking action alone. It seems without the background muscle pulling on the face, healing takes place.

Complications

Complications are very rare. The reported complication rates vary from 0.1 to 1% in published medical literature. Ptosis (drooping brow) being the commonest, makes up 50%-75% of complications. However, CFAA finds this complication easily correctable. No doctor in his/her right mind injects in the wrong position.

Contraindications

BOTOX is unsuitable for those suffering from myasthenia gravis, certain motor neuron conditions and those who are allergic to Botulinum Toxins (obviously!) previously used.

While aspirin usage and mild hypertension or diabetes are not absolute contraindications, those with serious bleeding conditions should not have any kind of injections (BOTOX included) unless in life-saving circumstance.


The BOTOX Lift

"Lifting by selectively weakening some muscles"

BOTOX within the Skin (not into muscles)

INTRADERMAL BOTOX literally means injections are into and within the skin, whereas in "conventional" BOTOX, the injections are slightly deeper beyond the skin into the facial muscles just beneath it.

The (Intradermal) BOTOX Lift as such is not targeted at muscles of facial expression but on the platysmus muscle at the jaw line and the fine muscles that control pore size. The BOTOX Lift not only creates a tighter, firmer and lifted face, it also gives a smooth, pore-less, whole-day-powdered looking face for months...

Here's how The BOTOX Lift works...

  • Smaller Pores means Smaller Skin Area

    The effect of BOTOX injected in this manner contracts an area of the skin's pores. Smaller pores result in a smaller skin surface area hence making skin more stretched out over the face. A "face-lift" and "stretching-out of wrinkled skin" is as such achieved.
     

  • Platysmus Muscle

    The "lifting effect" of Intradermal BOTOX is also attributed to injections over lower part of the face close to the jaw-line canceling some of the downward pull of the platysmus muscle and thus giving the cheeks and jowls a "lift".

Other Beneficial Effects


Accompanying this "facelift", BOTOX also reduces oil production, blocks sweat production as well as reverse the inflammatory process that cause acne.

The effect of Intradermal BOTOX is therefore that of a matt, poreless and powdered look anytime of the day for 3-4 months. Acne outbreaks are significantly less such that there will be less PIH (brown marks) over time. Skin takes on a very refined texture.
Uncommon Side-effects



A slightly unbalanced smile is a possible but rare side-effect with Intradermal BOTOX. The Zygomaticus major or the Levator labii superioris alaque nasi may be affected by BOTOX diffusing downward into them. They lie just beneath areas of skin where treatment is unfortunately most necessary. The side-effect can be consciously avoided in expert hands.

Background to The BOTOX Lift

Coinciding with the popularity of mesotherapy, its techniques have also been used with BOTOX in skin rejuvenation. The idea was first mooted by Korean doctors who gave diluted doses of BOTOX in multiple epidermal blebs. This was then claimed to have skin rejuvenation and a lifting effect that far surpassed conventional BOTOX.
Skeptics

Read about Intradermal BOTOX in Skin Rejuvenation, particularly about its open-pores minimization properties.

Skeptics, us included, initially attributed this "lifting and firming" effect to the multiple punctures causing a certain degree of healing injury and hence more collagen regeneration.

Skeptics were proven wrong with Intradermal-BOTOX. There are very sound scientific bases on its mode of action. The technique is now acknowledged by Allergan Inc.

The BOTOX Lift on its own costs $600 to $1,000 depending on the size of the face.
We highly recommend that The BOTOX Lift be done in synergistic combination with IPL, Mesotherapy, or other treatments.

Of course, we know that seeing is believing. So check out before and after photos of men and women who have had Botox® Cosmetic treatments and see for yourself!

 

Botox and Restylane, Juvaderm, Evolution, Redexis, Revanesse, and other dermal fillers work well together creating great results.

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