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    Botox and Dysport for an edge in the Dallas workplace – Dr. Sam Jejurikar, Dallas plastic surgeon

    Tag Archives: Botox

    With the economic recession in the United States, more people are working longer and are seeking an advantage for maintaining a youthful appearance in the work place.  Although this may not improve one’s job performance, many times, particularly when looking for new employment, a competitive advantage can be obtained by looking more refreshed and more youthful.  In the last year, it has become apparent that Botox and its competitor, Dysport, are being performed with more and more frequency for precisely this purpose.  These treatments help eliminate dynamic wrinkles, particularly crow’s feet around the eyes, frown lines between the eyebrows, and lines across the forehead.  With relatively simple and quick office injection of Botox or Dysport, wrinkles can disappear within just a matter of days.

    The cost of Botox and Dysport varies, depending on the amount of product used and the areas treated.  In general, patients can expect to pay between $350-$700 per treatment. Results generally last from 3 to 6 months.

    Should you have questions about this procedure or other noninvasive procedures to gain a competitive advantage in the workplace, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.  Dr. Jejurikar is a board certified plastic surgeon with convenient office locations in Dallas and Plano.

    I’ve seen many patients in their late 30s and early 40s who are interested in treating early facial aging. Most are familiar with Botox and fillers such as Juvederm, Restylane and Radiesse, but they want to learn about options with longer lasting results.

    A facelift consists of repositioning deep facial soft tissue and tightening of the skin. Although it remains the gold standard for treating signs of facial aging, it is an invasive surgical procedure and requires 2-3 weeks of recovery. Some patients don’t have the time for this, or feel that they are too young for this option.

    There are other options for signs of early facial aging in Dallas. The first is a new treatment called Ulthera, which is offered at EpiCentre Dallas and EpiCentre Legacy (Plano). This involves deep ultrasound treatment to reposition and tighten the deeper facial fat and soft tissue. Although the results are not as dramatic as those seen with a facelift, Ulthera offers proven clinical results with minimal downtime. Another treatment, which is effective for skin tightening, is Thermage. Thermage uses radiofrequency, or heat, to tighten the skin. This can effectively tighten the skin of the lower face and neck with virtually no downtime.

    If you would like to learn more about surgery for facial aging in Dallas, as well as noninvasive treatments, including Ulthera, Thermage, Botox, Juvéderm, Restylane, and Radiesse, don’t hesitate to contact Dr. Jejurikar’s office at (214)827-2814.

    Botox has recently been approved by the Food and Drug Administration for the treatment of migraine headaches. The specific patients approved by the FDA suffer from severe headaches at least 15 days per month. Many patients have been using Botox for treatment of headaches for several years as an off-label use, and have found tremendous benefit.

    Botox works by blocking nerve signals to muscles, paralyzing muscles that can cause headaches. Often times 20-30 injections are required in the forehead, temples, and neck. The treatments can provide up to 3-4 months of relief from nagging and painful headaches.

    If you would like additional information, please contact Dr. Jejurikar at the Dallas Plastic Surgery Institute.

    Brow lifts can be a very rewarding procedure for many patients. Not only can the brow position be reshaped, but prominent furrows of the central forehead (frown lines) can be improved for many patients. Although the final results can be quite pleasing, the operation does have significant down time associated with it, and many patients simply do not have the time to recover from it.

    Treatment with either Botox or Dysport can be used as a chemical brow lift in many cases. Not only can this be used to reduce wrinkles of the central forehead, as well as frown lines, but the outer portion of the brow can also be elevated mildly with Botox. This can lead to a more youthful appearance around the brows and eyes, and avoid the need for aggressive surgery.

    The only real downside to these treatments is that they must be repeated every 3-4 months. However, the procedure can generally be performed relatively quickly, in 10-15 minutes.

    Should you have any questions regarding brow lift, Botox, or Dysport treatment at the Dallas Plastic Surgery Institute, do not hesitate to contact Dr. Jejurikar at 214-827-2814.

    Facial injections with Botox and Dysport are becoming increasingly popular with patients because they can be administered in as few as 15 minutes, there is virtually no downtime, and results are apparent within just a few days. So are there significant differences?

    To start with, there are more similarities than differences. Both are derivatives of Botulinum Toxin and paralyze muscle to smooth facial wrinkles. The costs are similar between the products.

    In some patients, Dysport does last longer than Botox (4-5 months as compared to 3 months). The results often times are apparent more quickly, often times being seen in 24 hours, as opposed to 2-3 days with Botox. Both products work great on the forehead.  Dysport injections into the glabella (frown lines) must be performed carefully, as the product diffuses more than Botox and theoretically has a higher risk of causing eyelid ptosis (droopiness).

    If you’d like more information, or would like to schedule a consultation, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

    Despite the downturn in the economy and the nationwide drop in invasive cosmetic surgery procedures, an American Society of Plastic Surgeons survey of physicians found that minimally invasive procedures, such as facial injections of Botox, Juvederm, Restylane, Radiesse and Dysport, rose 6 percent this year.  Not only are patients finding these treatments to be less costly options to surgery, but are utilizing these treatments as an effective way to appear youthful in the work place.

    Facial injections can be used to treat marionette lines around the mouth, smooth eyelid wrinkles, treat forehead wrinkles and frown lines, and treat early jowls. Results of treatments with Botox and Dysport generally last from 3-6 months, whereas those with facial fillers such as Juvederm, Restylane and Radiesse can last 9-18 months. These treatments can be performed with minimal to no downtime with results that are visible shortly after the procedure is performed.

    For more information, call Dr. Jejurikar’s office at 214-827-2814 to set up an appointment.

    This story is taken from the Wall Street Journal

    A Johnson & Johnson (JNJ) unit has decided to stop making and selling a product called Evolence, used to fill facial lines in cosmetic procedures.

    Ortho Dermatologics, a division of J&J’s Ortho-McNeil-Janssen Pharmaceuticals, has a note on its Web site regarding the withdrawal, which it said was announced on Tuesday. The company confirmed the move in a statement.

    The Evolence halt is part of an effort “to refine strategic priorities and focus investment on other growth opportunities,” Ortho Dermatologics said.

    Many options for future management were explored before this decision was made, the company said. It added that patients and medical professionals can be assured that Evolence “remains effective for the correction of moderate to deep wrinkles and folds with a favorable safety profile.”

    The facial filler gained approval from the U.S. Food and Drug Administration in June 2008, but it has been available in certain international markets since 2004. The U.S. arrival coincided with a rough time in the market for cosmetic medical products, which usually are not covered by insurers and came under pressure due to the recession.

    J&J announced on Tuesday that it plans to lay off as many as 8,200 workers worldwide as part of a plan to save up to $1.7 billion in 2011.

    -By Jon Kamp, Dow Jones Newswires

    The world of dermal fillers has evolved significantly over the past two decades. Once a leading option for non-surgical facial rejuvenation, collagen fillers have largely been replaced by hyaluronic acid (HA) fillers as the go-to choice for patients and providers alike. But why have collagen fillers fallen out of favor, and what makes HA fillers the superior option today? Let’s explore the key differences, benefits, and limitations that have shaped this shift in aesthetic medicine.

    What Are Collagen Fillers?

    Collagen fillers were among the first widely used dermal fillers, offering a way to restore volume and smooth wrinkles. Derived from bovine (cow) or human sources, collagen fillers work by supplementing the skin’s natural collagen levels, which decrease with age.

    Popular collagen-based fillers in the past included Evolence, Zyderm and Cosmoderm. These products provided temporary results, typically lasting around 2-4 months, before requiring re-treatment.

    What Are Hyaluronic Acid Fillers?

    Hyaluronic acid fillers, introduced in the early 2000s, have become the gold standard in non-surgical facial rejuvenation. Hyaluronic acid is a naturally occurring substance in the skin that helps retain moisture, provide hydration, and add volume. HA fillers like Juvederm, Restylane, and Belotero offer immediate, customizable results that can last from 6 months to 2 years, depending on the product and treatment area.

    Why Collagen Fillers Lost Popularity

    Collagen fillers were groundbreaking in their time, but several limitations led to their decline:

    1. Shorter Duration:
      • Collagen fillers typically last only 2-4 months, requiring frequent re-treatments.
      • HA fillers offer significantly longer-lasting results, reducing patient downtime and expense over time.
    2. Allergy Testing Requirement:
      • Bovine-derived collagen fillers required allergy testing weeks before treatment, adding inconvenience for patients.
      • HA fillers are biocompatible, meaning they rarely cause allergic reactions and do not require pre-treatment testing.
    3. Less Versatility:
      • Collagen fillers were primarily used for fine lines and wrinkles.
      • HA fillers are much more versatile, effectively addressing wrinkles, folds, volume loss, and even contouring areas like the cheeks, jawline, and lips.
    4. Advancements in Technology:
      • HA fillers incorporate advanced technology, such as cross-linking, to improve their durability and effectiveness.
      • Collagen fillers lacked these advancements, making them less competitive as newer options emerged.
    5. Safety and Reversibility:
      • HA fillers can be dissolved with an enzyme called hyaluronidase, offering a safety net if patients are unhappy with results or experience complications.
      • Collagen fillers do not have this reversibility feature, making corrections more difficult.

    Why Hyaluronic Acid Fillers Dominate Today

    Hyaluronic acid fillers have set the standard for non-surgical facial rejuvenation thanks to their many advantages:

    1. Natural-Looking Results:
      HA fillers integrate seamlessly into the skin, providing a soft, natural appearance.
    2. Hydration Benefits:
      Unlike collagen fillers, HA fillers attract and retain water, enhancing skin hydration and improving texture.
    3. Customizable Treatments:
      HA fillers come in a variety of consistencies, allowing providers to customize treatments for different areas of the face, from delicate lines around the mouth to deeper folds and volume restoration.
    4. Improved Patient Experience:
      With no allergy testing required, minimal downtime, and long-lasting results, HA fillers offer a more convenient and patient-friendly experience.
    5. Ongoing Innovation:
      Manufacturers continue to improve HA fillers, introducing products with more natural integration, longer-lasting effects, and targeted uses (e.g., Juvederm Volux for jawline contouring).

    Are There Any Benefits to Collagen Fillers?

    While collagen fillers have become less popular, they still have a place in aesthetic medicine. For patients who are specifically looking for subtle, temporary enhancements, collagen fillers may be an option. Additionally, advancements in bioengineered collagen products, such as Sculptra (a poly-L-lactic acid injectable that stimulates collagen production), have renewed some interest in collagen-stimulating treatments rather than collagen as a filler material.

    The Bottom Line

    The rise of hyaluronic acid fillers over collagen fillers is a testament to the progress and innovation in aesthetic medicine. While collagen fillers paved the way for modern injectables, HA fillers offer superior longevity, versatility, safety, and results, making them the clear choice for patients and providers today.

    If you’re considering injectable treatments to rejuvenate your appearance, schedule a consultation with a board-certified plastic surgeon or experienced injector. They can guide you through your options and recommend the best product to help you achieve your aesthetic goals.

    Neurotoxins, including Botox, Dysport, and others, are some of the most popular and effective treatments for reducing wrinkles, fine lines, and other signs of aging. These injectables work by temporarily relaxing targeted muscles, giving the skin a smoother, more youthful appearance. Let’s explore the key neurotoxins used in the U.S., their FDA-approved indications, off-label uses, and the pros and cons of each.

    How Neurotoxins Work

    Neurotoxins are derived from botulinum toxin, a purified protein that blocks nerve signals to muscles. By inhibiting muscle contractions, neurotoxins effectively reduce dynamic wrinkles—lines that form due to repetitive facial movements.

    FDA-Approved Neurotoxins in the U.S.

    1. Botox Cosmetic (OnabotulinumtoxinA)

    • FDA-Approved Indications:
      • Glabellar lines (frown lines between the brows)
      • Crow’s feet (lines around the eyes)
      • Forehead lines
      • Axillary hyperhidrosis (excessive underarm sweating)
      • Chronic migraines
      • Overactive bladder
      • Cervical dystonia (neck muscle spasms)
    • Off-Label Uses:
      • Lip flip (upper lip enhancement)
      • Gummy smile correction
      • Jaw slimming (masseter muscle relaxation)
      • Bunny lines (nose wrinkles)
      • Neck bands (platysmal bands)
      • Perioral lines (smoker’s lines)
    • Pros:
      • Most studied and widely used neurotoxin.
      • Predictable, reliable results.
      • Versatile with a broad range of applications.
    • Cons:
      • Slightly higher cost compared to competitors.
      • Results can take 5-7 days to become noticeable.

    2. Dysport (AbobotulinumtoxinA)

    • FDA-Approved Indications:
      • Glabellar lines (frown lines)
      • Cervical dystonia
    • Off-Label Uses:
      • Similar to Botox, including crow’s feet, forehead lines, and masseter reduction.
    • Pros:
      • Diffuses more readily, making it ideal for treating larger areas.
      • Results may appear faster (within 2-3 days for some patients).
    • Cons:
      • Diffusion can be a disadvantage in small, precise areas, potentially causing unintended muscle relaxation.
      • Requires slightly more units than Botox for equivalent results.

    3. Xeomin (IncobotulinumtoxinA)

    • FDA-Approved Indications:
      • Glabellar lines
      • Cervical dystonia
      • Blepharospasm (eyelid spasms)
    • Off-Label Uses:
      • Crow’s feet, forehead lines, and masseter reduction.
    • Pros:
      • Contains no additives, reducing the risk of developing resistance or immunity over time.
      • Results are comparable to Botox.
    • Cons:
      • Effects may take slightly longer to set in (5-7 days).
      • Some providers find it less versatile than Botox or Dysport.

    4. Jeuveau (PrabotulinumtoxinA-xvfs)

    • FDA-Approved Indications:
      • Glabellar lines
    • Off-Label Uses:
      • Crow’s feet, forehead lines, and other facial wrinkles.
    • Pros:
      • Marketed as a “modern” alternative to Botox with similar efficacy.
      • Competitive pricing compared to Botox.
    • Cons:
      • Limited FDA-approved uses compared to other neurotoxins.
      • Less long-term data compared to Botox and Dysport.

    5. Daxxify (DaxxibotulinumtoxinA-lanm)

    • FDA-Approved Indications:
      • Glabellar lines
    • Off-Label Uses:
      • Similar to Botox but not as widely adopted yet.
    • Pros:
      • Longer duration of results—lasting up to 6 months, which is twice as long as other neurotoxins for many patients.
      • Ideal for patients seeking fewer treatments per year.
    • Cons:
      • Limited availability and higher cost.
      • Newer product with less widespread use and clinical data.

    Comparing Neurotoxins: Choosing the Right Option

    Neurotoxin Onset Duration Best For Price Point
    Botox 5-7 days 3-4 months Precision and versatility $$
    Dysport 2-3 days 3-4 months Larger areas with faster onset $$
    Xeomin 5-7 days 3-4 months Patients prone to resistance $$
    Jeuveau 5-7 days 3-4 months Cost-conscious patients $
    Daxxify 5-7 days 4-6 months Long-lasting results $$$

    Weighing the Pros and Cons of Neurotoxins

    Pros:

    • Quick, Non-Surgical: Minimal downtime and immediate return to daily activities.
    • Customizable Results: Treatments are tailored to each patient’s needs.
    • Preventative Benefits: Early use can prevent deeper wrinkles over time.

    Cons:

    • Temporary Results: Maintenance treatments are required every 3-6 months.
    • Potential Side Effects: Includes bruising, swelling, or asymmetry if improperly administered.
    • Cost: Ongoing treatments can add up over time.

    Conclusion: The Right Neurotoxin for You

    Each neurotoxin offers unique benefits, and the best choice depends on your specific goals, treatment area, and preferences. It’s essential to consult with an experienced provider to determine the ideal option for your needs.

    If you’re ready to explore neurotoxin treatments, schedule a consultation with our office today to learn more about how Botox, Dysport, and other options can help you achieve your aesthetic goals!

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    9101 N. Central Expwy.
    Suite 600, Dallas, TX 75231
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