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Botox® and Filler for Stubborn Frownline

Botox® and Filler for Stubborn Frownline

Here’s a before and after picture of our lovely receptionist Lorraine, showing her in March 2012 and November 2013.

Her longstanding frown line has never been improved much by Botox® treatment, probably due to bone and soft tissue loss (“volume loss”). It was time to bring in the Juvederm. Lorraine kindly agreed to treatment with Juvederm Ultraplus under the frown and brow area to advance the whole area forwards.

Treatment was performed with a special rounded needle called a cannula which runs under the skin. We also placed some Juvederm Ultraplus at the corners of her mouth to reduce shadowing, and lift the corners of her mouth. The final touch was Juvederm Voluma placed in her lateral cheek to restore a more youthful oval shape to her face, reducing the appearance of the jowls. Lorraine’s husband has been complimenting her on her ‘bright, open eyes’ and she is very happy with her gentle, natural rejuvenation.

Botox® and Dysport are Prescription Medicines containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines of the face. It should be administered only by trained medical professionals. Arrange a consultation to discuss the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuromuscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have side effects or concerns speak to a doctor. A charge applies. Note: Botox® and Dysport treatment lasts about 4 months and after this time further courses of treatment could be necessary. Arrange a consultation to discuss your own situation.

1 Benedetto A. The Cosmetic Uses of Botulinum toxin type A. Int J Dermatol 1999, 38:6641.655

Consulatation at Palm Clinic with Dr Sam Dunn

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Botox®  is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox® is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz. Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals.(Contains botulinum toxin A 50,100 & 200 units). Allergan (NZ) Limited, Auckland.

Juvederm Ultra™ & Juvederm Ultra Plus™ are medical devices Class III for the filling of medium size and deep facial wrinkles by injection into the skin and for creating definition and volume in the lips. Contains 24mg/mL. cross-linked hyaluronic acid. Juvederm has risks and benefits. Cautions: Use in an area that has been treated with another dermal filler, people with autoimmune disease, or who are pregnant, breastfeeding, under 18 years of age or have an increased susceptibility to keloid formation and hypertrophic scarring. People on blood thinning medicines. Possible side effects: injection site inflammatory reactions (redness/swelling, itching/pain on pressure) induration or nodules; discolouration; weak filling effect. If you have side effects or concerns speak to your doctor. Product and treatment costs will apply. Note: Juvederm treatment lasts about 12-24 months. For product information check with your doctor or product information at Allergan (NZ) Limited, Auckland.