A wrinkle is a fold or crease in the skin. As we age, the supportive components of our skin such as elastic fibers, collagen fibers, and hyaluronic acid, a substance that maintains the skin texture get destroyed slowly. As a result our skin becomes thinner, drier, and less elastic and starts to sag. Wrinkles begin to develop in the areas such as the forehead, and around the eyes and lips.
Anti-wrinkle injections are indicated to smoothen and eliminate forehead lines, frown lines, crow’s feet and neck bands. Frown lines are wrinkles which form between the eyebrows and crow’s feet wrinkles form around the eyes. Overactive facial muscles around the eyes and lower forehead may give a person an angry, tired, or displeased appearance – even when they are not experiencing that emotion. These anti-wrinkle injections give you a more relaxed, yet expressive face. Neck bands are visible bands on the neck formed as a result of aging. The cords or bands that protrude from the neck tend to sag with the aging process and pull the neck down. Treatment with anti-wrinkle injection reduces these neck bands and gives you a more natural look. These agents work by relaxing the contracted muscles which cause these wrinkles.
Botox® which is approved by United States Food & Drug Administration (FDA) is used to treat wrinkles.
It is a simple office procedure. The area to be treated is cleansed thoroughly. A topical anesthetic cream is applied to reduce discomfort and the anti-wrinkle agents are injected with a fine needle directly into the muscle beneath the wrinkle. The muscle function becomes weakened, eliminating part or all of its function. Long standing skin creases will soften and may eventually disappear. The final results will be a softer, more relaxed and pleasing appearance.
The procedure may last for 10 minutes. You may return to work immediately. It is a painless procedure, though a mild stinging sensation may be felt.
Adverse Effects: Redness and bruising at the site of injection may be seen which will resolve in a day or two. You may experience mild headaches also. Double vision, drooping or swollen eyelid, dry eyes, and reduced blinking are other side effects.
To reduce bruising after treatment
The outcomes of anti-wrinkle injections usually last from four to six months. If you are dissatisfied with the benefits from a single injection, a second injection can be given after 1 week. Once you get a satisfactory result, the next visit is scheduled after 2-3 months.
Botox® (OnabotulinumtoxinA) is a neurotoxin indicated for severe primary axillary hyperhidrosis, commonly called as severe underarm sweating, when other topical treatments fail.
Hyperhidrosis is a condition of excessive sweating in certain parts of the body. Axillary hyperhidrosis refers to severe sweating under the arms. Excessive sweating without any underlying medical condition is called primary hyperhidrosis. If the cause of excessive sweating is due to a medical condition, this is referred to as secondary hyperhidrosis. Hyperhidrosis is caused by overactive sweat glands where increased release of acetylcholine, a chemical from the central nervous system that directs the sweat glands to produce sweat, causes excessive perspiration. Hyperhidrosis may significantly affect the social and psychological wellbeing of an individual. It may cause physical discomfort, social embarrassment, affect occupational and daily activities, and at times may also cause social isolation.
Botox® may be a better choice for axillary hyperhidrosis. Botox blocks the nerves responsible for sweating in the underarm and prevents excessive sweating. It is recommended by the U.S. Food and Drug Administration (FDA) as well as renowned dermatologists for treatment of severe underarm sweating. The effect of each Botox treatment may last for 6–10 months.
Botox is available in 100- and 200- unit single-use vials. Your dermatologist commonly injects 50 units of Botox in 2 mL saline at 10–15 sites (0.1–0.2 mL in each) under each arm.
Botox is contraindicated in patients with hypersensitivity to any botulinum toxin and in patients with infection at the site of injection.