Question: I’ve had different injectable fillers over the past few years and I’m wondering if fat transfer can be used as an alternative and if the results will last longer.
Answer: It really depends on where the injectable filler has been placed over the past few years as to whether or not I would recommend fat transfer as an alternative for longer lasting results. If you are getting injectable fillers in the cheeks then fat transfer can be an excellent option since portions of the fat will be permanent; however, if you are getting fillers in the lips, I recommend to most patients that they consider continuing the filler since it is highly customizable, extremely safe, and very unlikely to give you any sort of side effects, whereas fat transfer in the lips does have risks of creating lumpiness and irregularities and frequently will require more than one treatment. Ultimately, I think you need to sit down and have a consultation so that the risks and benefits of the fat transfer and the expectations from this can be discussed.
Question : Will I experience more wrinkle reduction from a true facelift or from Botox injections?
Answer : It really depends on what area of the face you are describing as to whether or not a facelift will be better than Botox for wrinkle reduction. When I personally think of a facelift, I really think of a treatment that is improving upon laxity of the face, such as areas of jowling and laxity under the chin. In the case of Botox, I am treating hyperdynamic muscles, or muscles that are overly active, creating deep wrinkles. So, in essence, these two treatments can actually complement one another since one can be used for the treatment of facial laxity while the other is used for hyperdynamic muscles.
Question: I would like Botox injected to reduce age lines around my eyes. How often do most people usually get the injections done?
Answer: Most patients get Botox injected every three to four months though many patients can extend this out to about every six months if they have been getting Botox for an extended period of time.
Question: I read recently that Botox can be used to treat hyperhidrosis. How effective is it as a treatment, and does your office offer these services?
Answer: Botox can be extremely effective at reducing sweating in patients that have hyperhidrosis and it is most commonly injected into the armpits, palms, and/or soles of the feet; however, at Quintessa Aesthetic Center, we provide services for cosmetic reasons and if the patient desires the Botox injection for hyperhidrosis to be paid for by insurance then I would recommend that they see their dermatologist. If they are interested in paying for this treatment as a cosmetic service then we can certainly provide this service for them.
Question: I am a woman in my fifties with small wrinkles in my neck. Could Botox be used to fix this?
Answer: It is very doubtful that Botox is going to be able to help small wrinkles in your neck and more than likely a procedure such as a mini lift or a formal facelift may be the best option for you. If you are more interested in a nonsurgical modality then I would recommend the Ultherapy device, which uses micro focused ultrasound to create new collagen deposition which can tighten and lift the tissues and help reduce laxity and wrinkles.
Question: I have been getting Botox injected into my crow’s feet for the past 2 years. I am thinking about stopping because it is too expensive. Will my wrinkles end up looking worse than before once I stop the injections?
Answer: Your wrinkles will not look worse than before just because you stopped your Botox treatments and in fact your Botox has really essentially preserved the skin from becoming overly wrinkly by allowing relaxation of the muscle that has been contributing to the crow’s feet during the time that you have been getting your Botox injections. The wrinkles, however, will start to come back when the muscle function returns as the Botox wears off, but this should in no way make you worse off than you were before.
Question: I had Botox injected into my forehead last month. I love the results so I’d like to start having injections for my crow’s feet as well. Even though the injection will be in a different area, is it safe to have Botox this close to my last injection?
Answer: It is certainly safe to have Botox in another area of the face one month after you have had it in the forehead. The question really then becomes when would you get your next injection performed so that you can have these coordinate together. More than likely, I would recommend a repeat injection three months after your crow’s feet injection so that both the forehead and the crow’s feel area can be treated; however, if you feel the lines in your forehead are coming back prior to that, you could space them again but this time maybe only two weeks apart and then on your third injection time you can go ahead and treat them together.
Question: What is xeomin? I heard it’s similar to Botox.
Answer: Xeomin is a newer neuromodulator very similar to Botox in the fact that the active molecule is botulinum toxin A, but Xeomin has no associated proteins to protect the molecule. The studies that have been performed thus far seem to show that Xeomin is not quite as potent as Botox on a unit per unit basis but, in the big picture, we really should not be comparing units to units of any of the neuromodulators since they are distinctly different molecules and act in a different way.