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From the time Botox was introduced into the market, the number of patients requesting Botox injections has rapidly increased. The popularity of the Botox injection reflects not just its effectiveness, but its versatility and safety in treating several aesthetic and medical conditions. Botox is a protein mostly known for its ability to minimize the appearance of wrinkles, but Botox injections are commonly used to treat hyperhidrosis, a condition that causes excessive sweating in the palms, feet and underarms, strabismus, eyelid spasms, and to reduce neck pain and stiffness. Botulinum neurotoxin, known to the public as Botox, is produced solely by the pharmaceutical company Allergan, and although its name includes the word toxin, there are no toxic side effects from using Botox.

Misconception: Botox injections are highly toxic

A common misconception about Botox is that it is toxic. In fact, Botox has no none permanent side effects. All side effects related to Botox injections are minimal and temporary, and are confined to swelling, headaches and short-term allergic reactions. However, these side effects are common for a majority of drugs, including aspirin and cough syrups. Drugs that contain toxins are commonly used in medicine to treat several medical conditions. Digoxin is a toxin based drug derived from plants and it is commonly used to treat several arrhythmia inducing heart conditions. Drugs such as Lignocaine uses toxins derived from sea anemones to stop the acceleration of multiple sclerosis. It is also used to treat heart irregularities and is widely used as an effective topical drug for treating multiple forms of skin inflammation. The term toxin does not on its own imply a dangerous ingredient. It is the form and amount of toxicity in a specific drug that produces poisoning. Botox is derived from botulinum toxin which can be poisoning, but the amount used in a Botox injection is extremely low and thus does not have the ability to produce poisoning. This is very similar to the administration of vaccines. Vaccines carry an extremely low amount of pathogens or protein toxins to prevent or treat several medical infections. The injection of Botox is confined to a specific muscle and does not leak into the surrounding area. Although all drugs carry some risk, Botox has proven to be very safe. Ultimately, just like any medical treatment, Botox must be performed by a trained medical professional to ensure proper administration.

As a person gets older, wrinkles, age marks, and other skin blemishes become prevalent. Older scars obtained in a person’s younger years become more noticeable, such as acne scars. Volume loss in the skin, photo damage, and hyperactive muscles are other common sources of wrinkles and age lines. Women aren’t the only people looking for a way to get their younger appearance back Men are also interested in looking and feeling younger. More and more men are looking into dermal wrinkle fillers and Botox injections to get their skin looking young and fresh as it once was.

As a person ages, the natural moisture in the skin and the rate that cells renew themselves slows down. This results in skin that is dry and scaly. Wrinkles can occur when emotions reach their extremes. Emotions such as anger can cause wrinkles and furrows over time. This is due to a certain expression being held for a long time, for instance an angry scowl or frown. The muscles between the eyebrows contract during certain emotional states, and can cause furrows and creases that get deeper over time.

Botox, otherwise known as botulinum toxin A, was approved by the FDA in 2002 as a treatment for wrinkles and frown lines. This cosmetic treatment is comprised of purified protein that diminishes a certain muscle’s ability to contract. The Botox is injected directly into the muscle and prevents over-activity of that particular muscle. When first injected, the Botox relaxes the muscle temporarily, cutting off the formation of wrinkles. The skin over the muscle relaxes and softens, lessening the look of wrinkles.

Another option for younger and smoother looking skin are dermal wrinkle fillers. Dermal wrinkle fillers are injected into the deep lines of the face, such as smile lines, “crows feet” beside the eyes, and other areas where wrinkles form. Dermal wrinkle fillers can restore volume to hollow skin or an area of the face that has lost natural fat. Collagen, for example, can be injected into the lips to give them a plumper and fuller look.

Cosmetic fillers can be injected to worry lines in the forehead, and hollow areas in the cheeks or under the eyes to bring back some of the volume that was lost. Skin cosmetic fillers restore the facial skin so they look fresh and young again. Many FDA approved dermal fillers are available on the market these days to treat a man’s wrinkles and age lines.

Botox and Microdermabraison are both said to combat the signs of aging, we delve into this frther to see the benefits of each and the suitable candidates.

Many people fear the inevitable sagging and wrinkling of the skin that comes with aging. Not only does the appearance suffer, but it’s a daily reminder that the body is no longer improving. Suddenly, after all the hard work of becoming the fully mature body we were meant to be, the body does a complete reversal and decides to decline instead. Add in the fact that the end of the slow decline is death and aging becomes less about appearance and more about terror.

It’s no surprise that many people choose to undergo cosmetic procedures to hide the hints of aging that remind us of our unpleasant decline. It makes good sense. Other excellent reasons to have procedures such as botox or Microdermabrasion include stress reduction, improved appearance, and a return to youth, if only in the mirror.

Botox

This decade old treatment lasts about six weeks and costs about £350 for one treatment. They’re considered to be safe and effective, though there are some nasty side effects that can accompany the treatment: Bruising, headaches, muscle weakness, and nausea, to name a few. Few people suffer from these side effects and there is an up side: Botox is often cited as a treatment for migraines.

Microdermabrasion

During this procedure, the top layer of dead skin is removed. This paves the way for new cells to be produced in the deeper layers of the skin. It’s not considered surgery and though treatments can be performed in a doctor’s office, they can also be performed in a salon or spa. The result is a rejuvenation of the skin and a happier person.

To describe the procedure a little further:

It takes about 20 to 30 minutes for the face to receive a microdermabrasion treatment. The face, chest, or neck can take as long as one hour. Four to eight treatments are performed, with one to three weeks between each treatment. People can pay at much as £200 for a treatment or as little as £50. It all depends on where you choose to go.

The good news is that you won’t have to go under anesthesia and you’re not going to suffer any pain during the treatments. Microdermabrasion is so harmless that it’s sometimes called a lunch-time peel. It won’t disrupt your routines or cause you to suffer for weeks. The most it will do is turn your skin pink for one to three days.

Botox injections, once a shameful secret among celebrities, is now becoming commonplace. In fact, it’s not just the elite or mega-wealthy who opt for specialty beauty treatments these days. In an article for the Yorkshire Post, Dr Paul Charlson, who works as the medical director of a specialist clinic near Brough, in Elloughton, was quoted as saying “Over the past year I’ve seen a marked increase in the number of people asking for this treatment. ” He goes on to say that “it’s not just image-conscious women who want to enhance their looks and turn back the clock by appearing younger in this way, men are keen to do the same.”

According to Charlson, clients who seek these treatments have high profile careers, or work in the public eye. These everyday celebrities are people like judges, members of the clergy, reporters, comics, public speakers and even people who give a lot of presentations at work. What began as a medical treatment to help puff up droopy eyelids that interfered with a patient’s vision, to stop abnormal muscle twitches or spasms or to prevent excessive sweating is now a common way to hide from mother nature and turn the clock back a few years.

One apprehensive patient was pleased that the procedure involved no bruising and that she left the office with nothing but teeny pinprick marks where the needles entered her skin. Thanks to a topical anaesthesia, however, she didn’t feel the injections at all. The Botox works slowly in the body, full effects are visible 3-5 days after the procedure. The results generally last a few months, but can last longer since clients may be able to retrain themselves to not use facial expressions that are making them wrinkle.

Some people are concerned about the safety of the procedure. Be sure to select a practitioner who is a member in good standing of the BACD. The British Association of Cosmetic Doctors ensures that its members are all registered with the General Medical Council and that they maintain ongoing education, to be sure they’re always working with the latest safety standards and scientific discoveries.

In addition to hiring a professional practitioner, patients should be sure that their caregiver discusses the procedure with them ahead of time and that they know what to expect every step of the way. Understanding what’s going to happen can prevent unhappy results down the line.

Professional beauty experts contend that the key to a youthful appearance is the lips. If your lips are full and young-looking, other age-related flaws such as crows’ feet and frown lines become less noticeable in your overall appearance.

While such environmental factors as sun exposure adversely affect your facial features, the aging and thinning of your lips as you advance in years depends largely on your genes. You can prevent looking older than you feel by being proactive and correcting the demise of the thickness and plumpness of your lips. Additionally, if you are young but want more volume to achieve that ideal look of “kissability,” there are both temporary and permanent cosmetic fixes to give you the lips you desire.

Temporary Cosmetic Enhancement

Temporary treatments to replace the youthful lip fullness that time begins to take away include such injection programmes as Botox and collagen. While Botox works beneath the skin to immobilize the muscles that govern your facial expressions, thus smoothing those wrinkles that become apparent when you frown or smile, collagen injections actually plump up your lips, filling in the lines just beneath your skin surface. The downside of injection treatments is that their positive effects last only 3-9 months, and then the treatments must be repeated.

A Permanent Solution

Permalip® is a new advance in the field of cosmetic surgery that offers a permanent solution to the problem of aging lips. The ground-breaking procedure utilizes a unique silicone implant to fill and plump your lips for a lifelong, beautiful smile.

The Permalip® implant, developed by U.S. cosmetic surgeons, is composed of a soft, pliable silicone solid. A proven procedure that developers have extensively tested, Permalip® has attained CE Marked approval for use in Europe. This permanent lip enhancement that will keep your appearance youthful without repeated treatments.

Unlike older implant treatments, the Permalip® implant is rupture-proof, will not bond with surrounding tissue, and will not harden or deteriorate throughout years of use.

The Procedure

It takes less than one hour under local anesthetic for your cosmetic surgeon to place your implant. You will retain no visible scarring, and you can feel confident knowing that the procedure is fully reversible and can be adjusted for size upon your request.

You will enjoy full recovery from the procedure within two weeks, and the beautiful results will keep you looking as young as you feel. Permalip® is truly revolutionary.

For over 5 years, the Expert Working Group on Cosmetic Surgery has been recommending to the Healthcare Commission that Botox use be more closely monitored. As Botox procedures become increasingly popular, greater numbers of patients are exposed to health risks by accepting shoddy, low-cost treatments from fly-by-night operations that don’t care what happens once the money is in their pockets and patient is out the door.

The government doesn’t accept that patient risk should be any of their concern. They have continued to decline the recommendation and instead ask cosmetic surgeons to regulate themselves. Under the current system, absolutely anyone can set up an office and administer the injections of Botox. Botox is a diluted form of deadly toxin produced by botulism-causing bacteria. The toxin tightens muscles under the face, paralyzing them. This has the side effect of reducing wrinkles.

Dr. Andrew Vallance-Owen, chairman of the Independent Healthcare Advisory Services’ Wirjung Group on Cosmetic Surgery and medical director of BUPA confirmed that cosmetic surgeons urged Parliament to bring regulation to the Botox industry.

Vallence-Owen stressed the importance of regulation. “We are talking about invasive procedures,” he said. “Botox is a prescription-only medicine and patient safety should be paramount.” He continued, “If things go wrong, some patients could be left scarred physically or psychologically for life.”

Vallence-Owen, for one, isn’t going to step back and let the procedure go unregulated. “Self-reulation is better than no regulation,” he said. “If we want the sector to maintain its success, we must retain patient confidence.” He maintains that if the industry doesn’t step up, then “these procedures will be less-regulated than ear-piercing.”

Health Minister Lord Hunt announced the UK plan for self-regulation of the Botox industry. “Cosmetic surgery providers have shown real commitment to improving levels of quality and safety in this area, and so, I have decided to ask the industry to take the lead in further improving standards.” Lord Hunt admits that the most the British government intends to do is keep open the possibility introducing “statutory regulation should it become necessary in the future.”

The Independent Healthcare Advisory Services have been given the responsibility in producing a set of standards for the industry. Sally Taber, speaking for the group, said they were ready for the task, but not willing, as nothing they could do compares to statutory regulation.

Jenny Driscoll, a health campaigner, concurs with the popular sentiment. “The government needs to step in now because, left to regulate itself, it’d be all too easy for the industry to focus on introducing multiple codes that will just end up confusing people.”

President of the British Association of Aesthetic Plastic Surgeons, when asked for a statement, said that the self-regulation mandate was “total nonsense.”

Quick fix dermal filler products include such widely recognized products as Botox, Juvederm, and Restylane. These substances, when properly injected by an experienced clinician, can eliminate obvious signs of aging such as wrinkles, crows’ feet beside the eyes, and forehead creasing.

How Do They Work?

While Botox works beneath the dermal layer to relax those muscles that when contracting, form expressive lines on the face, Juvederm and Restylane work within the skin layer to immediately fill and voluminize the flesh on the face and then provide nutritive revitalization for the longer term. They are especially effective in smoothing areas around the mouth and nose.

Application

Because all three of these dermal fillers require application via injection into facial tissues, they call for the services of a licensed clinician. Only the experienced expert can judge the correct quantity of filler and the proper areas for application. A professional office venue is the safest, most sterile and quality-controlled environment for treatments of this kind.

Industry Concerns

In recent years, especially since sales of Botox, Juvederm and Restylane no longer require a physician’s prescription, more sources are making these dermal fillers available to the general public. People have the option to buy the products directly or online. Incredibly, people are actually giving themselves a do-it-yourself quick facial fix by self-injecting dermal fill substances.

This practice is raising considerable concern among the medical community. Some clinicians point out that medical supplies from unproven sources can easily be counterfeit or substandard products that may cause unwanted side effects. Others focus on the fact that an untrained individual is hardly qualified to judge quantities and injection sites. Amateur applications of Botox, Restylane, or Juvederm can produce some surprising and sometimes alarming results.

Self-injection of dermal fillers can cause redness and infection, excessive swelling, scarring, bleeding, and migration of fillers to undesirable areas of the face. When you inject fillers around your eyes and forehead, you can create droopy eyelids or areas of swelling that a physician may find hard to reverse.

Conclusions

The majority of individuals self-injecting dermal fillers do so to save professional fees. Yet when you consider the potential health problems and side effects that often require a doctor’s intervention later, these do-it-yourselfers rarely save much, and often manage to make themselves look worse rather than better. An initial investment in professional injection of dermal fillers undeniably produces the best results.

Surgeons across the UK are lining up to criticise a new government initiative, backed by medical regulators and the cosmetic industry, which seeks to clampdown on cosmetic surgeries such as Botox. The government is seeking to ensure that consumers have access to credible facilities to receive cosmetic procedures by listing clinics with qualified staff and appropriate facilities. Critics however have said that the measure does not do enough to stamp out “rogue” providers of cosmetic procedures.

Currently the Care Quality Commission, which oversees medical treatment in the UK, has no control over procedures like Botox injections. Roughly 5,000 facilities across the UK provide these cosmetic procedures to over 200,000 patients a year. As a result, the procedures can be provided in places like beauty salons where the staff have no formal training in medicine, dentistry, or nursing. If the procedures are wrongly-applied they can cause health problems and good hygiene is needed to reduce the risk of infection.

The new initiative seeks to provide qualified clinics and professionals with a “Quality Assurance Mark” that will be backed up by a timetable of regular inspections. The initiative would establish a list of clinics that have qualified staff and clean facilities for consumers to choose from to ensure they receive proper treatment.

Cosmetic injections are designed to reduce the appearance of wrinkles and the industry has experienced a 25% growth in the last year alone, making now the perfect time in the minds of many to tighten the regulation of the industry. Due to the growth of the industry, the government has recognised the need to regulate the procedures to safeguard patients. The programme has received an initial investment of 200,000 from the government to help launch the initiative.

Critics have slammed the new initiative though calling the plan an easy out for the government to wash its hands of industry regulation. A representative from Safer Cosmetic Surgery criticised the scheme stating that the only clinics likely to sign up for the programme are those that already meet the high safety requirements.

Supporters fired back though, believing that other measures contained within the initiative will serve to further prevent irresponsible providers from conducting cosmetic procedures. Supporters have said the “Quality Assurance Mark” will serve as an additional weapon for consumers against poor facilities and unqualified providers. The measure also seeks to make it harder for unqualified providers to get insurance coverage in hopes it will prevent places like nail bars and beauty salons from providing cosmetic injections.

Dermal fillers present a multitude of options for those who are involved in the practice of aesthetics. The use of dermal fillers has grown tremendously due to the fact that they present a valid alternative to surgical procedures. While originally used as a treatment for lines and wrinkles, dermal fillers are now available for a wide variety of other aesthetic purposes.

Dermal fillers are now available that can help with things like making someone’s face more symmetrical, enhancing people’s lips, correcting tear trough, and much more. The extensive uses now applicable to dermal fillers has flooded the UK market with a variety of these kinds of products. There are now around 160 dermal filler products available throughout the UK, and the majority of these do not even require a prescription as they are classified as “medical devices”.

While there are not even ten of these products approved by the FDA for use in the United States, there is no regulation available in regards to these products in the UK. This means anyone can buy these products and inject themselves with the ingredients without really knowing what is going into their body. Since there are so many unlicensed products now available, this makes the job of anyone practicing aesthetics harder than it already was, because they will have to learn about these products to get an idea of which one may be the best option for their patients.

While various aesthetic injections have actually been available since the late 1800’s, the term ‘dermal filler” did not come along until the introduction of collagen practically a century later. This led to the revolution of non-surgical aesthetic procedures, with Botox and collagen injections leading the way. While collagen is still a very popular choice, the emergence of other dermal fillers, one of the most popular being hyaluronic acid, has made the choice of collagen less popular than it once was.

Due to the high safety profile provided by hyaluronic acid fillers, they have become the most popular dermal filler used in the UK. Because hyaluronic acid is something that is present in every living organism and is a naturally occurring substance, some form of this type of filler has been used by an estimated 30 million patients throughout the world. The versatility of this product is likely why it has become so popular, as it is available in a variety of thicknesses. Other types of dermal fillers include:

* Calcium hydroxlapatite
* Poly-l-lactic acid
* Polymethyl methacrylate
* Porcine collagen
* Polyacrylamide

The Agence Francaise de Securite Sanitaire des Produits de Sante (AFSSAPS) first approved Allergan, Inc.’s Botox® product, botulinum toxin type A, for treatment of glabellar lines in 2003. Allergan, Inc. markets its Botox® product in France under the product name Vistabel®, which was licenced for the same use in the U.K. in March 2006. At the time, France became the nineteenth country to licence Allergan, Inc.’s Botox® product.

Glabellar lines are the vertical frown lines between the eyes, generated by emotions of stress and anger. Over time, the lines can become permanent, giving a perpetual appearance of stress or anger. Botox® / Vistabel® relaxes the muscles causing frown lines, smoothing the skin between the eyebrows. It works by temporarily preventing facial nerve endings, which receive a signal from the brain to display a particular emotion, from releasing acetycholine. The temporary failed release lasts several months, preventing the nerve endings from controlling the facial muscles. The procedure is quick and easy, and minimally invasive, requiring only a few small injections into the skin. Results are nearly instantaneous.

The product has been proven safe and effective in clinical trials. More than eighty per cent of patients involved in the clinical studies saw the maximum effect from the drug. The side effects included headache, respiratory infection, flu syndrome, temporary eyelid droop and nausea. Patients who experience any hypersensitivity to specific ingredients in the product should not receive Botox® / Vistabel® treatments. The product is available by prescription only, and Allergan, Inc. does recommend that Botox® / Vistabel® treatments be administered by a qualified and experienced physician who specializes in cosmetic treatments, and it should be administered in an appropriate medical facility.

Allergan manufactures its Botox® / Vistabel® product, generically called Clostridium botulinum type – A neurotoxin complex, from a naturally occurring protein called purified type – A neurotoxin, which is produced by the bacteria Clostridium botulinum. The drug is now approved in more than seventy countries for a variety of uses beyond treatment of glabellar lines. The United Kingdom in particular has approved the product for treatment of blepharospasm, hemifacial spasm, cervical dystonia, severe hyperhidrosis of the axillae, dynamic equines foot deformity in children with cerebral palsy, and for wrist and hand disability caused by adult stroke.

Allergan, Inc. is headquartered in Irvine, California. The company has successfully marketed its Botox® and Vistabel® products worldwide, advancing its corporate mission of improving patients’ lives.