There’s this popular saying that the nose may “drop” 6 months or a year after any nose surgery. How true is this? Why do you think this has been said widespreadly?
It may take up to a year or more for the swelling to completely subside and see the end result of the nose surgery. While it feels like a “drop”, it is actually reduced swelling. 6 months after a rhinoplasty is not enough to assess your final outcome. Communicate with your surgeon whenever you’re in doubt.
Injectables such as Botox and dermal fillers are a great way to maintain a youthful look for a fraction of what a traditional facelift surgery cost. The procedure usually takes less than 30 minutes and can last between 4 months to 2 years. That being said it’s vital to understand the differences to ensure your expectations are met on what they can and cannot do.
Botox and dermal fillers are part of aesthetic treatments given through injections by doctors in medical centres or clinics. They are considered minimally invasive procedures meaning they do not involve any surgical incisions.
Botox and dermal fillers are quite common procedure and have gained popularity in the recent years. Botox contains a type of toxin that relaxes muscles, in doing so it can minimize the appearance of lines and wrinkles caused by facial expressions. It can also be used to treat migraines and other medical conditions.
Dermal fillers on the other hand contain ingredients that add volume to areas that have depleted collagen due to aging. Areas that are commonly lacking collagen are: cheeks, lips and around the mouth (marionette lines).
There are different types of wrinkles that need to be addressed by different injectables. The least risks and best results come from using the right one. That’s why it is important to have Botox or dermal fillers injected only by a certified aesthetic doctor or plastic surgeon.
Before we proceed further, it is important to know the difference between Botox and Botulinum toxin. Botulinum toxin is a neurotoxic protein produced by the bacterium Clostridium botulinum, manufactured by a variety of companies, for both therapeutic and cosmetic use. Botulinum toxin A is marketed under the brand names Botox and Xeomin. Botulinum toxin B is marketed under the brand name Myobloc.
Therefore, the phenomenon where people are more inclined to say “Botox” instead of Botulinum toxin A is much like how we are used to say “Panadol” instead of paracetamol.
Botox is used to reduce fine lines and wrinkles by paralyzing the underlying muscles. When injected, Botox works by blocking nerve signals in the muscles. When the signals have been disrupted, the affected muscle becomes temporarily paralyzed. Without the movement of these muscles in the face, wrinkles can be softened, reduced or completely disappear.
People also use Botox to treat excessive sweating, migraines, muscular disorders, and some bladder and bowel disorders.
Botox can be dangerous is large quantities, however, it is approved by the US Food and Drug Administration (FDA) and safe to use in small regulated amounts.
Botox only works on wrinkles that are caused by muscle movements, these are known as dynamic wrinkles or expression lines. Botox will not work on fine lines and wrinkles that are caused by sagging or loss of
collagen in the face, these are known as static wrinkles, in which, dermal fillers are recommended. It should also be stated that Botox is not a permanent treatment, it needs to be repeated as necessary for the continued effects. Depending on the area that Botox is injected it can last between 3-4 months.
Botox works best on these dynamic wrinkles:
As Botox wears off over time, most side effects are only temporary. Possible side effects include but not limited to:
Dermal fillers are sometimes called soft tissue fillers, they are designed to be injected beneath the surface of the skin to add volume and fullness.
Types of dermal fillers:
Hyaluronic Acid Fillers
Juvederm, Restylane or Belotero contains Hyaluronic Acid, which is found some fluids and tissues in the body that add plumpness into the skin
Each of the ingredients are designed to treat different signs of aging and other cosmetic issues. Patients should discuss their expectations with a certified aesthetic doctor to determine on which fillers is suitable for the areas you would like to improve.
As we mentioned previously, different types of dermal fillers are designed to treat varying signs of aging. Depending on which filler is selected they can correct:
Fillers can last for varying lengths of time depending on where it is injected and what filler is used. Some fillers last up to 6 months whilst others can last up to 2 years.
Dermal fillers are considered a safe procedure but side effects can occur. Some of the most common problems include:
In summary, the difference between Botox and Fillers are:
Botox: Relaxes the muscles to stop creases and wrinkles caused by facial muscles. They are typically found on the upper face such as forehead and eyes. Botox usually last 3 – 4 months.
Dermal Fillers: Used to fill in or plump areas that has lost volume due to collagen and elasticity loss. They are typically injected around the lower face such as around the mouth, thin lips and cheeks. They may also be injected on forehead wrinkles, scars and other areas that need volume. Filler usually last around 6 months to 2 years depending on the type of filler used.
Dermal fillers might produce more long-term results however these injections also carry more side-effects compared to Botox. You should also keep in mind that since Botox and dermal fillers are made from different substances, they are used to treat different areas of the face. Doctors may suggest that they be combined during one treatment. For example, Botox can be used to correct the wrinkles around the forehead and a filler be used to correct marionette lines (around the mouth).
To minimize the risk and increase a good outcome, there are some things that you can do:
In addition to having injectables, you can add in some laser therapy to improve collagen production and improve skin elasticity. RF therapies such as Exilis and Thermage go far in maintaining a youthful appearance. It’s important to avoid things that cause collagen depletion such as being outdoors in the sun and maintaining a healthy lifestyle (avoid the usual culprits like smoking and drinking). Once, you have started on the injectable journey, it is best to continue and maintain Botox and dermal fillers on a regular basis. Talk to your Doctor about how often you should come back for maintenance.