Non-surgical and minimally-invasive cosmetic procedures are quickly becoming the anti-aging treatment of choice to achieve and maintain a youthful glow and fresh-looking skin.
But with the overwhelming range of treatment options available today, the question is: how can you choose the best non-surgical treatment for wrinkles that works for you?
In this post, we are going to focus on a specific aesthetic treatment for facial rejuvenation that is becoming increasingly popular: the combination of fillers and botulinum toxin type A.
Both botulinum toxin and dermal fillers provide benefit in a number of aspects of facial rejuvenation, but they do that in different ways that we are going to explain below.
What Causes Wrinkles to Form?
Facial expressions, such as smiling, frowning, or squinting, lead to the development of fine lines and wrinkles at a young age. These lines deepen as the person gets older and the production of collagen decreases, causing the skin to become thinner, drier, and less elastic. This leads to deep wrinkles, creases, and facial lines.
Genetics play a role in the ageing process, but many external factors can also affect the development of wrinkles. These include:
- sun exposure
- some medications
Wrinkle treatments combining fillers and botulinum toxin type A can help by relaxing the facial muscles and blocking the chemical signals that cause muscles to contract, while simultaneously targeting the loss of volume and replenishing the contours of the face.
The Growing Popularity of Non-Surgical Wrinkle Treatments
Non-surgical wrinkle treatments can help mask or even delay the passage of time. They are designed to soften expression lines and define facial contours, which rejuvenates and refreshes your natural skin, giving the face – and the person’s confidence – a boost.
By targeting the areas most affected by the aging process – the forehead, lips, cheeks, and nose/mouth areas – facial aesthetic treatments for wrinkles can help create an overall more pleasing face.
Thanks to the latest advancements in technology, minimally invasive treatments for wrinkles have become more accessible to both women and men.
According to the latest report released by the American Society of Plastic Surgeons (ASPS), in 2018 there were almost 18 million cosmetic procedures performed in the United States (including invasive and non-invasive procedures).
Keeping in mind that everyone’s aesthetics goals are different, as well as everyone’s facial anatomy and lifestyle circumstances, consulting with rigorously trained medical professionals certified in aesthetic treatments is the first step to determine a treatment plan to achieve the best outcome.
At Facial Sculpting, Dr. Nina Bal always recommends her patients book an initial 1:1 consultation with her so that she can tailor their treatments to meet their unique needs.
Dr. Nina is a Cosmetic Dental Surgeon and Facial Aesthetics Doctor who, in 2008, graduated at the top of her year with distinction (BDS magna cum laude), and gained a highly respected diploma after completing a one-year Postgraduate in Cosmetic Dentistry and Aesthetic Restorative Dentistry in London.
A member of the General Dental Council, she is also a member of SaveFace (the National Register of Accredited Practitioners who provide non-surgical cosmetic treatments), IAFFA (The International Academy of Advanced Facial Aesthetics ), and JCCP (Joint Council for Cosmetic Practitioners, the body that registers practitioners and approved education and training providers with the key remit of ensuring patient safety).
Dr. Nina not only has years of experience in aesthetic treatments, but she’s also constantly learning and gaining knowledge in her field to make sure her patients have access to the newest procedures.
Non-Surgical Wrinkle Treatment Options
Today, the best non-surgical treatment to target facial wrinkles involves a combination of injectables. The most popular ones can be broken down into two major categories:
- Wrinkle Treatments With Botulinum Toxin Type A
- Injectable Dermal Fillers
Combining fillers with botulinum is an increasingly popular treatment, not only because it yields impressive results without requiring surgery, but also because of the simplicity of the appointments.
With no preparation or downtime required, you can squeeze a treatment in your lunch break and go back to your daily activities almost immediately after.
Keep reading to find out more about the non-surgical wrinkle treatment options that Dr. Nina offers at her Facial Sculpting clinics in London.
Wrinkle Treatments With Botulinum Toxin Type A
The wrinkle treatment with botulinum toxin type A has become one of the most popular cosmetic treatments used to combat the most outward signs of aging.
Botulinum toxin is an injectable neurotoxin that works by blocking nerve impulses to the muscles, causing them to relax. Used as a cosmetic ingredient, it can be injected into your facial muscles to temporarily block signals from your nervous system that tell certain muscles to move.
As a result, your expressions soften and those wrinkles that form from facial movements we tend to make every day – like frowning, squinting, smiling etc. – are greatly reduced. Botulinum toxin injections can also slow the formation of new lines by preventing the contraction of facial muscles.
Treating wrinkles with botulinum toxin is a minimally invasive procedure, simple and straightforward. It does not involve incisions or general anesthesia and has minimal downtime.
How Does the Treatment Work?
Before your treatment, you will have a consultation with Dr. Nina to discuss your concerning areas, ideal results, side effects and to disclose any medications or medical history.
On the day of the procedure, a thin, sterilized needle is used to inject the neurotoxin into the targeted areas. The toxin will then diffuse down gradually into the muscle.
This type of procedure will typically require multiple injections, but it should not take long (typically less than an hour). If you are concerned about pain or discomfort, a topical anaesthetic or ice can numb the treatment area.
Aftercare and Results
Right after the procedure, you may notice a stinging or numbness in the area of your injections. These side effects should wear off within a day or so.
The wrinkle treatment requires minimal recovery and downtime. The procedure itself is a quick one, and you may even be able to return to work immediately afterward. You should avoid working out for at least a few hours after the injections. But after 24 hours, you should be able to resume all your normal activities.
While you may feel some lack of response from your muscles right away, botulinum takes several days to take full effect. Within 3 to 4 days, you will start to see results, but it may take up to 14 days to see the best results.
On average, anti-wrinkle injections last for three to four months, but results can last up to six months, depending on the dose administered, the individual’s metabolism and the strength of the muscle injected. After this time, you may decide to go for maintenance appointments twice a year or more.
Side Effects and Contraindications
Botulinum toxin injections are considered safe for most people, but there are possible side effects risks. Common side effects include swelling, bruising, bleeding, mild burning or discomfort.
Other, more serious side effects can indicate complications from the treatment but are extremely rare.
Women that are pregnant or breastfeeding should not have botulinum injections. Also, patients that have a previous allergic reaction to it should avoid this type of treatment.
Injectable Dermal Fillers
Some of the most common signs of aging can be traced back to volume loss, due to the fact that our faces naturally lose subcutaneous fat and collagen as we age. As facial tissues thin out, smile lines and crow’s feet become more visible and cheeks may look a little hollow. Sun exposure, heredity and lifestyle can also add and accelerate this process.
Dermal fillers are gel-like substances (the most popular being Hyaluronic acid) that are injected beneath the skin to restore lost volume, smooth lines, or enhance facial contours. There are many different types of filler treatments. The most popular one’s at Nina’s clinic are:
This is one of the top facial aesthetics treatments performed annually by thousands of men and women, who choose fillers as a cost-effective way to look younger without surgery or downtime.
What Dermal Fillers Can do
Injectable dermal fillers can not only smooth out fine lines and prevent the forming of deeper wrinkles, but they are also effective in redefining the symmetry of the face by balancing volumes and making the face aesthetically more attractive.
Here are a few examples of what they can do:
- Smooth out lines around nose and mouth
- Plump and enhance the lips and/or diminish vertical lip lines
- Enhance and restore volume to sunken cheeks
- Redefining chin’s volume
- Improve general facial symmetry
- Reduce fine lines and dark circles under your eyes
What Are Fillers Made Of?
In general, fillers are categorized by the substance they are made from.
- Hyaluronic Acid (HA)
Hyaluronic acid is a naturally occurring substance found in our skin, which helps keep skin plump and hydrated. HA fillers include Juvéderm and Restylane products (also known as skin boosters).
- Calcium Hydroxylapatite (CaHA)
Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. It is typically used in fillers to target deeper lines and wrinkles, and it is also reported to help stimulate natural collagen production. CaHA fillers include Radiesse.
- Poly-Caprolactone (PCL)
Poly-Caprolactone is a well-known totally bioresorbable soft medical polymer. One of Dr Nina’s most used fillers, Ellanse, is made of Poly-Caprolactone microspheres suspended in a gel carrier consists of mainly water and glycerine. When injected into the skin, it acts as an instant filler giving instant results. Ellanse also stimulates the production of new collagen in and around the treated area.
Dermal Fillers FAQs
Fillers are not recommended if:
– you are suffering from skin infections
– you have experienced any reactions to local anaesthetic
– you’re taking any medicines which affect bleeding
– you have an autoimmune disease
– you are pregnant
– you are under 18
Effective topical anaesthetic cream is used prior to the treatment to numb the area to make the procedure as painless as possible.
You may experience at times slight swelling after the treatment so therefore ice packs can be applied or ibuprofen if you are uncomfortable. Make up should be avoided for the first 12 hours after the treatment.
The results of the treatment can last up to 6-12 months sometimes longer depending on how fast your metabolism works. Every person’s individual metabolism is different to the next, the longevity of filler will also vary greatly from one person to another. For those with a very fast metabolic rate, filler will break down more rapidly than in those with a slower metabolic rate.
All treatments carry a degree of risk. All risks and complications will be discussed with Dr. Nina at the consultation. Side effects can include swelling, bruising tenderness, itching.
Wrinkles, fine lines, and sagging skin are natural parts of the aging process that can be made worse by external factors, such as sun exposure. Luckily, with the latest advancements in cosmetic research and technology, today it is possible to achieve and maintain a youthful look for longer without the need to ‘go under the knife’.
At Facial Sculpting, Dr. Nina offers a variety of non-surgical wrinkle treatments based on your specific needs and desired outcomes.
In general, the best cosmetic procedures for your face include non-surgical wrinkle treatments combining injections of botulinum toxin and dermal fillers.
While botulinum works by temporarily paralyzing muscles, creating less movement that typically causes lines of expression mostly in your forehead or around your eyes, fillers, on the other hand, are best for deep lines that are present even when facial muscles are not contracting. They help restore plumpness that tends to diminish with aging.
The best thing to do when it comes to choosing which treatment option is best for you is to first book a consultation with Dr. Nina. She will be able to evaluate your skin and help you select the best treatment to achieve your desired outcome.
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