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Should You Choose BOTOX__174; or Dermal Fillers-

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Should You Choose BOTOX__174; or Dermal Fillers- Powered By Docstoc
					Non-surgical cosmetic procedures are becoming very commonplace as the baby boom
generation ages. Among the top ten most popular procedures, dermal fillers and
BOTOX® injections are desirable as long-lasting although temporary fixes for
the visible signs of aging. As a dermatology or medical spa professional, knowing
how to counsel patients about the benefits and contraindications of both procedures
will help produce the best outcome.

Most Common Cosmetic Uses for BOTOX®

There are a host of areas where the application of BOTOX® can improve
appearance by smoothing fine lines and wrinkles. The most common areas of
treatment are horizontal forehead and neck lines, glabellar frown lines (between the
eyes), crow's feet around the corners of the eyes, bunny lines on the sides of the nose,
and turkey neck.

Most important to remember is that everyone's skin is different, and not all wrinkles
are created equal. Different forces cause wrinkles, some internal, some external.

For the best results with BOTOX®, the ideal patient has thin skin, fine wrinkles,
lines exacerbated by muscular action, and hyper-functional lines that can be spread
out with their fingers. If this describes your client, you will want to use
BOTOX®. However, be aware that patients who depend on emotive expression,
such as actors, on-air personalities, and politicians should be counseled about the
potential for BOTOX® to cause a reduction in expression, especially when used
on the upper lid or brow area.

For patients with thicker skin or deep dermal scarring, who've had previous surgery
near the treated areas, and those who fail a finger spread test are more likely to
receive minimal benefit from BOTOX®. These clients are better candidates for
dermal fillers.

Expected Duration of Treatment

Of course, all patients want the procedure used to have long-lasting effects. But the
first choice is made based on their skin type. So what can they expect in terms of how
long their new look will last?

With BOTOX®, the injection's effects can last three to six months. Patient who
have ongoing treatments have the best success with treatment effects lasting longer,
due to the way BOTOX® paralyzes the muscles.

With dermal fillers, patients can expect the effects to last between six months and a
year.
Contraindications Patients who shouldn't be treated with BOTOX® include
those with the following contraindications:

- Pregnancy

- Breastfeeding

- Prior allergic reaction to toxin or albumin

- Neuromuscular disorders, such as myasthenia gravis, ALS, or Lambert-Eaton
syndrome

- Medications that decrease neuromuscular transmission, including aminoglycosides,
penicillamine, quinine, and calcium channel blockers

- Antibiotics used to treat infections, such as gentamicin, tobramycin, clindamycin,
and lincomycin

- Medications to treat heart rhythm problems, such as quinidine

Women who have been inadvertently injected during pregnancy have thus far had
uneventful deliveries, and to date no congenital anomalies has been attributed to
botulinum toxin. Nonetheless, it is a category C medication, and delay of injections is
recommended until pregnancy is complete and breastfeeding has ended.

Always keep in mind that both BOTOX® injections and dermal filler treatments
are medical procedures. These treatments should only be administered by experienced,
well-trained doctors, nurses, and staff.

				
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