Question 1

What are anti wrinkle injections (Botox, Xeomin and Dysport)?

Accepted Answer

Anti-wrinkle injections, commonly known by brand names like Botox, Xeomin, and Dysport, are a popular cosmetic treatment used to reduce the appearance of wrinkles and fine lines on the face. They are non-surgical procedures that involve injecting a neurotoxin into specific muscles to temporarily paralyze or weaken them. The most common neurotoxin used in these injections is botulinum toxin type A.

Here's a brief overview of the three mentioned brands:

1. Botox: Botox is one of the most well-known and widely used brands of anti-wrinkle injections. It contains botulinum toxin type A and is manufactured by Allergan. Botox injections work by blocking nerve signals in the muscles, preventing them from contracting and causing wrinkles. It is commonly used to treat frown lines between the eyebrows, crow's feet around the eyes, and forehead lines. 
2. Xeomin: Xeomin is another brand of anti-wrinkle injections containing botulinum toxin type A. It is produced by Merz Pharmaceuticals. Like Botox, Xeomin works by relaxing targeted muscles to reduce the appearance of wrinkles. The primary difference between Xeomin and Botox is that Xeomin is a "naked" neurotoxin, meaning it does not contain the additional proteins found in Botox. Some patients prefer Xeomin because of it's reduced risk of resistance to the treatment over time. Xeomin is the preferred brand at Cocoa Skin Company. 
3. Dysport: Dysport is a brand of anti-wrinkle injections produced by Ipsen Biopharmaceuticals. It also uses botulinum toxin type A to achieve its effects. Dysport is similar to Botox and Xeomin in its mechanism of action and the types of wrinkles it is commonly used to treat.

The effects of anti-wrinkle injections are not permanent and typically last for several months, after which a repeat treatment is needed to maintain the results. Side effects are usually mild and temporary, including possible redness, bruising, or swelling at the injection site, headache, or fatigue after injection.

It's essential to schedule a consult before considering anti-wrinkle injections to discuss your specific concerns, potential risks, and expected outcomes. These injections should only be administered by trained healthcare providers to ensure safety and effectiveness.

Question 2

How does it work?

Accepted Answer

Botulinum toxin type A, commonly used in products like Botox, Xeomin, and Dysport, works by temporarily blocking the nerve signals that cause muscle contractions. It is a powerful neurotoxin produced by the bacterium Clostridium botulinum. When used in small, controlled doses for cosmetic or medical purposes, it can safely and effectively reduce muscle activity, leading to various therapeutic and cosmetic benefits.

Here's how botulinum toxin type A works:

1. Nerve-Muscle Communication: When you want to move a muscle, your brain sends signals through nerves to the targeted muscle. These signals release a neurotransmitter called acetylcholine at the neuromuscular junction, which is the point where the nerve meets the muscle. 
2. Acetylcholine Release: Acetylcholine is responsible for transmitting the nerve signal to the muscle, causing the muscle to contract and move. This communication between nerves and muscles is essential for various bodily functions, including facial expressions. 
3. Botulinum Toxin Intervention: When botulinum toxin type A is injected into specific muscles, it blocks the release of acetylcholine from the nerve endings. It does this by preventing the fusion of vesicles (small sacs) that contain acetylcholine with the nerve cell membrane. Without acetylcholine, the nerve signal cannot be transmitted to the muscle. 
4. Muscle Relaxation: With the acetylcholine release blocked, the targeted muscle is temporarily paralyzed or weakened. As a result, the muscle cannot contract as forcefully or even relaxes entirely, reducing its activity. 
5. Wrinkle Reduction: In the context of cosmetic applications, reducing muscle activity in certain facial areas leads to the smoothing of wrinkles and fine lines. Common treatment areas include frown lines between the eyebrows, crow's feet around the eyes, and forehead lines.

It's important to note that the effects of botulinum toxin type A are temporary. Over time, the nerve endings regenerate, and muscle activity returns, typically after several months. As a result, repeat treatments are necessary to maintain the desired effects.

Question 3

Does it hurt?

Accepted Answer

The level of discomfort experienced during anti-wrinkle injections can vary from person to person. Some individuals may find the procedure relatively painless, while others may experience mild discomfort or a slight pinch during the injection. The pain perception can be influenced by factors such as individual pain tolerance, the specific area being treated, and the technique used by the healthcare provider.

Here are some factors to consider:

1. Needle Size: The needles used for anti-wrinkle injections are very fine and thin. The size of the needle can affect the level of discomfort during the injection. Healthcare providers often use tiny needles to minimize any pain. 
2. Injection Site: Certain areas of the face may be more sensitive than others. For example, injections around the lips or in areas with thinner skin may cause more discomfort than injections in less sensitive regions. 
3. Technique: An experienced and skilled healthcare provider can make a difference in the level of pain experienced during the procedure. They can use several techniques to minimize discomfort and ensure accurate placement of the injections. 
4. Individual Sensitivity: Everyone's pain tolerance is different, and some individuals may feel more discomfort during injections compared to others.

In general, most people tolerate anti-wrinkle injections quite well and find any discomfort to be minimal and brief. The injections are usually quick, and the entire procedure can be completed in just a few minutes. After the treatment, there may be some mild redness or swelling at the injection sites, but this typically subsides quickly.

Question 4

What are the side effects?

Accepted Answer

Botulinum toxin type A is generally considered safe when administered by a qualified and experienced healthcare professional. However, like any medical treatment, there can be potential side effects. Most side effects are mild and temporary, but some rare complications may occur. It's essential to be aware of potential side effects before undergoing treatment. Here are some common side effects:

1. Bruising: Some people may experience mild bruising at the injection site. This is normal and typically resolves within a few days.
2. Swelling: Temporary swelling at the injection sites can occur, but it usually subsides quickly. 
3. Redness: The injection sites may appear slightly red immediately after the procedure, but this should fade shortly. 
4. Headache: Mild headaches are reported in some individuals, especially within the first 24 to 48 hours after treatment. 
5. Flu-like Symptoms: In rare cases, individuals may experience mild flu-like symptoms after receiving neurotoxin injections. 
6. Drooping Eyelid or Eyebrow: If the neurotoxin spreads to unintended areas, it can cause temporary drooping of the eyelid or eyebrow. This typically resolves over a few weeks to months. 
7. Dry Eyes or Blurred Vision: Injections around the eye area can rarely lead to temporary dry eyes or blurred vision. 
8. Allergic Reactions: While extremely rare, some individuals may experience an allergic reaction to neurotoxin. Symptoms can include itching, rash, difficulty breathing, or swelling of the face and throat. If you experience these symptoms, seek immediate medical attention. 
9. Unintended Effects on Nearby Muscles: Neurotoxin can spread beyond the injection site, potentially affecting nearby muscles. This can lead to temporary weakness or unintended changes in facial expressions. An experienced injector can minimize the risk of such occurrences. 
10. Rare Complications: In very rare cases, severe side effects like difficulty swallowing, speaking, or breathing may occur. These are considered medical emergencies, and immediate medical attention should be sought.

It's essential to choose a qualified and reputable healthcare provider for neurotoxin injections to minimize the risk of complications. During your consultation, discuss your medical history, allergies, and any concerns with us to ensure that this procedure is a safe and suitable option for you.

Question 5

What is the down time?

Accepted Answer

There is typically little to no downtime, allowing individuals to resume normal activities immediately after the procedure. However, we recommend not sweating, working out, or taking a hot shower for 24 hours after your treatment. Massages, facials, hats and sunglasses should also be avoided for 24 hours. Do not lie down for 4 hours after treatment. You may apply makeup and sunscreen 1 hour after your treatment.

Question 6

When will I see results?

Accepted Answer

The results from anti-wrinkle injections, such as Botox, Xeomin, and Dysport, typically begin to become noticeable within a few days to a week after the treatment, with full results usually visible within 1 to 2 weeks.

Question 7

How long will the results last?

Accepted Answer

The duration of the effects of anti-wrinkle injections, such as Botox, Xeomin, and Dysport, can vary from person to person. In general, the results of these injections are temporary and typically last between 3 to 6 months.

However, individual responses may vary, and some people may experience longer-lasting effects, while others may see the effects wear off a little sooner.

As the effects start to fade, muscle activity gradually returns to the treated areas, leading to the reappearance of wrinkles and lines. To maintain the desired results, repeat treatments are usually recommended. Many individuals schedule follow-up appointments every 3 to 4 months to keep their appearance looking smooth and rejuvenated.

Anti Wrinkle Injections