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BOTOX and Fillers

Botox Treatment 

There are a few different types of wrinkles: dynamic wrinkles and static wrinkles. Dynamic wrinkles are caused by contraction of muscles that are attached to the overlying skin. Each muscle contraction causes the skin to bunch together, forming lines between the bulk of the muscle. The most common locations for dynamic wrinkles are between the eyebrows, forehead wrinkles, and on the cheeks near the outer corners of the eyes, referred to as ‘crow’s feet‘.  Static wrinkles are often due to sagging of the facial structures, which cause deep grooves between the nose and mouth known as the naso-labial groove.

Many people have a some or all the different types of wrinkles. Regardless of your wrinkle type and your desired degree of correction, theses are some of the treatments available at our office

  • Botox may be used as wrinkle treatment to remove wrinkles caused caused by repetitive muscle movement from getting deeper. Botox for wrinkles is commonly used for smoothing of facial wrinkles are the forehead wrinkles , between the eyes (glabellar region), and around the corners of the eyes (crow’s feet) and lips wrinkles.
  • Injectable fillers (Restylane or Juvederm) may be used as a temporary wrinkle filler. Volumizing the face can make a significant difference in making your smile lines disappear in a natural way. Once the face is volumized, a doctor may recommend you improve deeper lines with resurfacing means such as lasers and chemical peels or dermabrasion


Botox Therapy and How it Works

Botox treatment are the most commonly preformed minimally invasive cosmetic procedure in North America. Over the last two decades Botox has been used for the unsightly frown lines between the eyes and smoothing of facial wrinkles.  The safety records of Botox treatment is nearly unparalleled by just about any other delivered medication on the market. There are also many other uses of Botox, which include but are not limited to helping patients with TMJ pains, bruxism, certain types of headaches, as well as reducing high smile lines.  

Botox is a purified protein of the botulinum toxin, which comes in the form of a purified protein. The mechanism of action for botulinum toxin A is really quite simple. It is injected into the facial muscles and, within a few hours, it attaches itself to the nerve endings of the motor muscles, thereby affecting the nerve transmission to these muscles. It takes anywhere from two to ten days to block the nerve transmitters which innervate the muscles where it was injected. There is no loss of sensory feeling at all during the time that botulinum toxin A is effective. Once these motor nerve endings are interrupted, the muscles cannot contract. When the muscle does not contract, the dynamic motion that causes wrinkles in the skin will then cease. The only reason there are wrinkles in the skin in the first place is because the muscle is moving underneath it, thereby these are called dynamic wrinkles.

Approximately three to ten days after treatment, the skin above these motor muscles becomes nice and smooth. The effects of Botox lasts approximately three to four months depending on various factors including the amount of botulinum toxin A injected, metabolic activity of the patient and lifestyle choices, which may cause the Botox treatment not to last as long. When the patient sees the wrinkles reappear, the patient needs re-treatment. This is one of the reasons that Botox has such an incredible safety record. Botulinum toxin A treatment by its nature is a temporary treatment and when the treatment effects are gone, they are gone completely.

Dermal filler and How it Works

Simply put, a dermal filler injection is a material injected underneath the skin in the nasolabial fold, marionette lines, and oral commissures, which plump up these areas and smooth out the wrinkles. Lip augmentation is also done with dermal fillers. Generally, when you look at the world of esthetic injectable treatment, botulinism toxin (Botox Cosmetic) is generally for the top half of the face, and dermal fillers are for the bottom half. The main areas where dermal fillers are used are in the nasolabial folds, the oral commissures, and the marionette lines. These are the areas that frame the teeth and mouth.

There are a few types of dermal fillers on the market. Hyaluronic acid like Restylane dermal fillers are today’s most popular and widely considered best dermal fillersHyaluronic acid is a naturally occurring substance in the body that is lost with aging. Hyaluronic acid dermal fillers add volume to the facial structures, are very hydrophillic, and look very natural. Hyaluronic acid fillers typically last six and can also be used for lip augmentation, which is a big advantage. 

A Beautiful Smile, Not Just Beautiful Teeth

Botox has also been used in other areas of dentistry including retraining muscles during orthodontic therapy. Orthodontically, you can move the teeth all you want but if you have strong to severe muscle movement, teeth will relapse, especially patients with a very strong mentalis muscle. Botox can be used to reduce the intensity of the muscle post treatment and over time, the muscle may be retrained to a more physiological movement. Again, this is adjunctive therapy but is a nice option for patients that have had significant orthodontic relapse due to a hyperactive muscle.

Botox can also be used in patients as they get used to new dentures, especially with patients who have been edentulous for a long time and have old dentures and they are significantly overclosed. The dentures you make for patients may fit perfectly but with strong irregular muscle contractions, the patients will have a hard time getting used to their dentures and keeping in their mouths..

As people get older, the corners of the mouth begin to turn down - botox and dermal fillers can be used in conjunction to help improve the esthetics of this area. 

Botox can also be used to smooth the wrinkles around lips that are very commonly called smokers’ wrinkles. These wrinkles may not have anything to do with smoking, but have everything to do with the strong contractions of the orbicularis oris muscles.

Botox is often used in conjunction with dermal filler therapy as a non-surgical alternative to high lip line cases.

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