Aesthetics

Botulinum Toxin Type A

Botulinum Toxin Type A treatments are the most popular anti-aging procedure for millions of patients worldwide. In fact, over 4 million Botulinum Toxin Type A treatments were done in the US in 2012 alone.

Botox….officially known as Botulinum Toxin Type A (BTXA) is a purified protein derived from the bacteria clostridium botulinum and was originally identified in the 1895.
There are 3 different Botulinum Toxin Type A products currently on the market, manufactured by different companies.

BOTOX (technically known as Onabotulinum Toxin Type A) is manufactured by Allergan, Xeomin ( technically known as IncoBotulinum Toxin A is manufactured by Merz) and Dysport (technically known as Abobotulinum toxin A, ismanufactured by Valeant) and are all derived from the same bacteria.

Different manufacturing processes mean subtle differences within the products and none of the products are interchangeable with relation to dosing. However, all the products have the same mechanism of action- that is, they block a chemical your muscles need to contract – without that chemical they cannot contract and they relax. The effect is temporary and generally expected to last 3-4 months.Your body is not permanently changed by having a treatment – after 3-4 months, your muscles will move again and it will not look worse than before you had treament. BTXA preparation therefore are best utilized on dynamic muscle movements.  The areas typically treated with a BTX A treatment include:

  • frown lines
  • crows feet
  • Forehead lines
  • Brow lift

We also treat areas in the lower face such as:

  • Peri oral line
  • Corners of the mouth

In addition, Botulinum Toxin Type A can be used to treat excessive sweating – especially in the underarm ( axilla0 …and these treatments can last up to 10 months.

BTXA, especially BOTOX has been extensively studied over the past 100 years. A first impression, as we all know, lasts only a few seconds and people respond better to others when they present with an easy relaxed expression.

However, it requires an experienced injector to correctly identify which of the over 40 muscles in your face are responsible for the individual expressions. Injections into the wrong muscle can create unwanted expressions and/or undesirable functional outcomes. At  Madonna ObGyn we aim for a more “ natural look”.

What are the risks if the treatment?
Serious risks of BTXA treatments are rare. You may experience some swelling, redness or bruising at the injection sites. These effects are temporary and in general disappear within a few minutes to days.

Very occasionally patients may experience a lid ptosis-a hanging of the eyelid. Although unlikely this can be treated with drops and is also temporary.

How fast will I see results?
Depending on the formulations used (Dysport, Botox,Xeomin) results can be seen in as early as 2 days, but may take up to 14 days for full effect. Results are typically expected to last 3-4 months. However it has been shown that repeated injections can lead to longer duration.

What can I expect during the treatment?
Total treatment time including consultation usually takes less than 30 minutes – the injections themselves only take a few minutes. No special preparations are required. The product is administered with very fine insulin needles and is practically painless.

What can I expect after the treatment?
You can expect some mild redness slight swelling at the injection sites. It is possible you may have a small bruise. Typically though, within 30 minutes, no one will know you have received treatment. You are welcome to use make up on the injection sites if needed. You will be asked to exercise your muscles that have been injected for approximately 10 minutes post injections. It allows the BTXA to be picked up faster, last longer and takes effect faster. You will be asked to not touch or rub the area for 4 hours post injection. It is best to not exercise post injection on the same day.

Dermal Fillers

Just as BTX-A treatments are considered the treatment of choice for the upper face, dermal fillers are considered treatment of choice from the cheek bones down. In the lower face, assymmetries and volume loss are a result of;

  • gravitational pull
  • hormonal changes
  • photo damage and smoking

Dermal fillers, whether temporary or semi-permanent provide an instant and immediate correction. The amount of filler required is dependent on your individual characteristics and the look you are trying to achieve.  Keep in mind that not all fillers are appropriate for all areas of your face.

Temporary Dermal Fillers (Hyluronic Acid Fillers)

These fillers are typically made of stabilized Hyaluronic Acid. Hyaluronic Acid is a naturally occurring polysaccharide found in soft connective tissue and skin it is what gives it form. These products produced from bacteria in a lab have been stabilized to last longer in your body.  Hyaluronic acid attracts 1000x its weight in water and therefore adds volume and fullness to your skin.

As we age, we do not produce as much Hyaluronic Acid, collagen and elastins in our skin and our face is subject to deflation, volume loss and descent.

Dermal fillers are broken down over time by muscle activity and an enzyme (hyaluronidase) naturally found in the human body. The length of time a filler lasts depends on both the filler and the area it is injected into and the specific individual.

In general, fillers last about 6 months in the lips, 9 months in the cheeks and perhaps a year or more in the tear troughs.

Just as there are different types of BTXA products, so are there many brands of Hyaluronic Acid fillers.

At APT we carry both the Juvederm Line and the Medicis Line of products. Manufactured differently and thus having slight different performance characteristics, they are both outstanding products with a volume of research supporting their safety and efficacy.

The Juvederm line features the following products:

  • Juvederm Refine
  • Juvederm Ultra
  • Juvederm Ultra Plus
  • Juvederm Voluma
  • Juvederm Volbella (especially for lips)

The Medicis line carries the following products:

  • Restylane Fine Lines
  • Restylane
  • Perlane

A thorough assessment will be made prior to the treatment to determine which filler is best for you given your area of concern, your skin tone and texture and the look you wish to create.

Special Instructions Prior to your treatment.
Before your treatment you will be asked to abstain from red wine, Advil (ibuprofen), Vitamin E and Aspirin for 3-4 days prior to treatment. The goal is to reduce the likelihood of bruising from your treatment. If you are prone to bruising, begin taking Arnica supplements. No other special instructions are required. Please contact our office for any concerns.

What areas are most commonly treated?
Dermal fillers are most often used for the following areas :

  • Cheek revolumization
  • Nasolabial folds
  • Lip augmentation
  • Lip lines(smokers lines)
  • Lip borders (provides definition)
  • Fine lines (anywhere on the face)
  • Chin augmentation
  • Jaw line recontouring

What can I expect during my treatment?
All the products have a freezing (anaesthetic) agent included in the product. Therefore the more product is injected the more comfortable the procedure becomes. A topical anesthetic may be applied to your face 20 minutes prior to the treatment to minimize any discomfort. At most, some patients report the feeling of minor pressure as they are being injected.

Dermal fillers can be administered by a regular needle or a special instrument called a micro cannula.  A micro cannula is a blunt ended needle and the advantage to the client is that it causes less bruising and swelling and is a very comfortable treatment.  As well, some studies have indicated that it stimulates the production of new collagen.

What can I expect after my treatment?
You may have some swelling, bruising and tenderness after your treatment. You may apply ice, take arnica and Bromelain supplements and/or eat pineapple (contains bromelain). You may take an antihistamine like Benadryl, Arius or Allegra to help reduce any swelling.

Radiesse™

Longer Lasting ( Semi Permanent Fillers)

Semi permanent or better referred to as “longer lasting” fillers are made with a variety of materials other than Hyaluronic Acid ( which typically represents a temporary filler). The longer lasting filler used by APT Medical Aesthetics is Radiesse™ – a product made of synthetically produced smooth calcium hydroxylapatite (CaHA) microspheres suspended in a gel carrier – basically calcium and phosphate molecules. These are also natural to your body but they take longer to be broken down and therefore the filler lasts longer than its’ Hyaluronic Acid counterparts. This longer lasting filler stimulates the production of your own natural collagen for long- lasting results – so the areas in which you are injected get better in terms of tone and texture over time after injection.

Radiesse™ has more “ lifting” capacity than its Hyaluronic Acid counterparts (Juvederm, Perlane etc) and thus is fantastic is areas of higher volume loss – typically cheeks.  It also does a fantastic job in restructuring jawlines, adding chin volumes and is especially beneficial in filling temporal hollows.

The product is injected into the area of concern where volume has been lost.  Results can be seen instantly although the best results usually are seen about a week after treatment.  The filler has an anaesthetic component to it, so the treatment is quite comfortable.

Special Instructions Prior to your treatment.
Before your treatment you will be asked to abstain from red wine, Advil (ibuprofen), Vitamin E and Aspirin for 3-4 days prior to treatment. The goal is to reduce the likelihood of bruising from your treatment if you are prone to bruising, begin taking Arnica supplements. No other special instructions are required. Please contact our office for any concerns.

What can I expect during my treatment?
All the products have a freezing agent (anaesthetic) included in the product. Therefore the more you are injected the more comfortable the procedure becomes. A topical anaesthetic may be applied to your face 20 minutes prior to the treatment to minimize any discomfort. At most, some patients report the feeling of minor pressure as they are being injected.

One of the advantages in being treated with a micro-cannula is that this technique greatly reduces any pain, swelling and bruising that can typically be seen with regular filler injections.

What can I expect after my treatment?
You may have some swelling, bruising and tenderness after your treatment. You may apply ice, take arnica and Bromelain supplements and eat pineapple (contains bromelain). You may take an antihistamine like Benadryl, Arius or Allegra to help reduce and aid in any swelling you may have.

Contact

Madonna OB/GYN
1882 Winton Rd S Ste 3
Rochester, NY 14618

P: (585) 698-7077
F: (585) 461-4105

Email:
info@madonnaobgyn.com

Non-Discriminatory Language Policy

Hours

Monday: 8am - 4pm
Tuesday: 8am - 4pm
Wednesday: 8am - 4pm
Thursday: 8am - 4pm
Friday: 8am - 3pm
Saturday: Closed
Sunday: Closed

Emergency
(585) 340-1442

New Geneseo Office

Madonna OB/GYN
144 Court Street
Geneseo, NY 14454

Opening 12/5/16!

Location