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BOTOX® Cosmetic, or botulinum toxin type A, is a protein commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. BOTOX® injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.
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 Fat injections involve extracting fat from one place in a patient's body (abdomen, thighs, buttocks or elsewhere) and re-injecting it elsewhere on the body. Very often this procedure is used to fill in sunken cheeks or laugh lines that form between the nose and the mouth, to correct various skin depressions and indentations, to minimize forehead wrinkles, or to make lips fuller and more sensuous.
After both the donor and recipient areas are cleansed and treated with local anesthetic, the fat is withdrawn using a syringe attached to a suction device. The extracted fat is then prepared and injected into the recipient area.
Many patients are able to resume normal activity immediately. There may be some swelling, bruising, and redness in both the donor and recipient areas.
The amount of time that new look will last varies greatly. However, there is expected to be some degree of permanent improvement. Most patients are extremely satisfied with the results of fat injection treatments. It's a very quick, cost-effective way to make a dramatic improvement in your appearance.
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RESTYLANE is designed to smooth wrinkles, sculpt lips and shape facial contours. It is a clear gel composed of hyaluronic acid, a natural substance that is found throughout your body. This synthetic acid carries no risk of allergic reaction. The most common areas for treatment are the glabellar lines (between the eyebrows) and the nasolabial folds (from the root of the nose to the angle of your mouth). With its unique ability to bind with water, RESTYLANE remains in your skin for many months.
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Sculptra™ is a new injectable product used to fill in sunken areas of the face in patients who suffer from lipoatrophy or “facial wasting,” the loss of fat beneath the skin. Injected into the deep dermis layer of the skin, Sculptra increases skin thickness over time to improve the appearance of sunken cheeks, hollow eyes, indentations and wrinkles that commonly appear in patients who take anti-retroviral medications to combat immunodeficiency. There is no need for allergy testing, since Sculptra’s main component is poly-L-lactic acid, a synthetic polymer in the alpha-hyrdoxy-acid family that has been used for 20 years in surgical products such as dissolvable sutures and bone screws.
Treatment results lasted up to two years in clinical trials. Possible side effects include those associated with any injection (bleeding, tenderness, redness, bruising or swelling) as well as the appearance of small bumps beneath the skin.
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