Anti-wrinkle injections

All treatments are indicated for all skin types unless otherwise specified.

Why Botox?

When used correctly, Botox has the ability to:

  • REDUCE wrinkles in the face, especially the area of the frown and around the eyes, but also around the mouth and other areas
  • PREVENT new line formation
  • Give a refreshed, rested look
  • Assist in making you look less grumpy
  • Lift the jawline
  • Assist with Migraines and Hyperhidrosis (Excessive sweating) in the armpits, hands or feet
  • Help treat jaw clenching/grinding (Bruxism)

"Botox" is one of the most searched for terms with regards to medical aesthetic treatments.
According to the American Society of Plastic surgeons, Among the 14.2 million cosmetic minimally-invasive procedures performed in 2015, the top 5 were:

  1. Botulinum Toxin Type A (6.7 million procedures, up 1 percent from 2014 and 759 percent since 2000)
  2. Soft Tissue Fillers (2.4 million procedures, up 6 percent from 2014 and 274 percent since 2000)
  3. Chemical Peel (1.3 million procedures, up 5 percent from 2014 and 14 percent since 2000)
  4. Laser hair removal (1.1 million procedures, unchanged from 2014, but up 52 percent since 2000)
  5. Microdermabrasion (800,340 procedures, down 9 percent from 2014 and 8 percent since 2000)

Reference: American society of plastic surgeons https://www.plasticsurgery.org/news/press-releases/new-statistics-reflect-the-changing-face-of-plastic-surgery Retrieved September 2018

This means that, if a person had one treatment per year, 2% of the American population did a Botulinum treatment in 2017. However, most people do 2-4 sessions per year. So it’s probably closer to 0.5-1% of the population. However, it is still gaining popularity due to its minimally invasive nature. You can literally have Botox in 10 minutes and go back to work. According to Allergan SA (the producer of Botox and Juvederm fillers, amongst other products) approximately the same percentage of South Africans at least consider Botox treatments.

However, what IS Botox?

Botox is a purified Botulism Toxin produced by specific bacteria. That's a mouth full and sounds scary but essentially, what it means is that the portion of the Toxin that inhibits muscle movement, is isolated, purified and put into injection form. This allows it to work only where it is intended to work when injected by a qualified and experienced injector.

In layman's terms, it subdues muscles movement. Its initial indications and registration in 1979 were for Blepharospasm (jumping eyelid) and spasticity in muscles (in Cerebral palsy and other injuries, as examples). So it's been around for the last 40 years and its safety is well documented. When it is used for muscles spasticity, amounts of 300 units and more are used but for a full Botox treatment in the face for aesthetic purposes, we use approximately 50 units. Dr Xen has been using Botox on his frown line for more than 10 years with no side effects proving it effective and safe when done by a professional injector.

What issues can occur:

The following is very important. Factors that influence results and potential adverse effects are:

  • Is it truly Botox/Dysport or is it some unregistered product?
  • Is it reconstituted/mixed correctly? Not over diluted to save money
  • Is it stored correctly? Botox belongs in the fridge.
  • Has it been sourced from the supplier/manufacturer Allergan? Dr Xen is a faculty member of the Allergan Medical Institute and only uses the best, as does Dr Burt.
  • HOW is it injected? Ensure your doctor IS a doctor, has the necessary qualifications and has TONS of experience. Drs Xen and Burt have more than 20 years' worth of experience between them. Ask your doctor directly: "How long have you been doing this for?" and "do you practice aesthetics exclusively?". Aesthetic treatments must form the basis of their day-to-day practice. It shouldn't be a side-line. Would you go to a hairdresser that does it every second Tuesday only?
  • How MUCH is injected? As Botox limits muscle movement, it has to be done correctly to ensure the natural movement of the facial muscles with natural expression. Botox must enhance the appearance, not produce a fake look. Ask the doctor how many units are injected. FDA approval suggests 20 units in a frown and 24 around the eyes (12 each). If the doctor is recommending amounts far from this, ask why.

What to expect:

Botox is minimally invasive, and most people don't require any form of local anaesthetic (a numbing product). However, a numbing cream is made available should you require it. A tiny needle (insulin needle size) is used to do the treatment. It takes 5-10 minutes which means you can literally have Botox in minutes and go back to work. Small "mosquito bites" can sometimes be visible for 10-20 minutes afterwards. The results take 7-14 days to show and last approximately 3-6 months. The result should leave you looking REFRESHED when performed correctly. Most treatments last 4 months.

Botox is a lunchtime procedure.