As many of you know, I attended several Aesthetic Conferences in the past few months and I would like to share with you the latest news in the world of injectables.
NO BRUISE FILLERS. The most valuable advancement I encountered is the blunt cannula, which allows one to inject filler without causing bruising. It is available in a variety of widths and lengths, which gives me tremendous versatility. I am now using them with all the HA fillers, such as Restylane, Perlane, Juvederm, Radiesse or Sculptra. This technique requires fewer punctures into the skin, making it less traumatic. Only 2-4 entry points are usually necessary to treat a whole face. The procedure is painless and permits injections not only in the face but also the décolletage, and hands.
Adding to the armamentarium of botulin toxins is Xeomin, recently approved by the FDA for use in the glabellar area. The new product contains the same chains of amino acids but without the complex proteins. Its purity makes it easier to conserve, while having the same therapeutic effects as Botox. Like Botox, it requires the same doses to achieve optimal results.
NEW TOPICAL TOXIN TYPE A
For those who shy away from needles, there will be a topical botulin toxin on the horizon. This product, Revance, is now in the latest stages of Phase 2 Trials. 11 studies involving over 500 patients, showed excellent efficacy in the crow’s feet area with no undesirable effects.
I would like to take the opportunity to once again remind everybody who is undergoing Botox to this particular area that studies show disappearance of lines at rest with this treatment. Even at the age of 20, when you smile, there will be wrinkling of the skin around your eyes, but, they will disappear at rest which is what we are hoping to achieve
with Botox to this area. The end goal of all our treatments is to allow our clients to continue to have a natural appearance and not to look like they’ve had “something done.”
As many have said before, the technique of injection is not particularly difficult to learn, what is challenging is knowing where and how to utilize the technique to create a natural, aesthetically pleasing outcome.
In choosing a cosmetic doctor, I have learned, it is crucial to look for someone who is not only knowledgeable, but who truly understands aesthetics and facial anatomy. It is also extremely important to seek out someone who devotes his or her time exclusively to cosmetic medicine, whether surgical or nonsurgical. It is rare to find a first class injector who also devotes time to other specialties like gynecology, dentistry or even general dermatology.
Lastly, Revance shows promising results for those suffering from hyperhydrosis or extreme axillary sweating, simply by applying a gel.
NEW USE FOR BOTOX
Botox used in a technique called MesoBotox shows promising results in conditions like Rosacea, Acne, fine lines or crappie skin.
It is has added benefit to the mesolift and can be used together with the injections of hyaluronic acid or by itself to improve texture and tone.
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