During the natural aging process, our skin undergoes a number of changes that result in increased lines and wrinkles. Movement of the muscles under your skin cause prominent lines and wrinkles to develop with age.
As one of Toronto’s most experienced BOTOX® and Dysport™ injection specialists, Dr. Pirani uses a combination of products and techniques to help with wrinkle reduction. In most cases, these treatments can help create a smoother facial profile by softening facial wrinkles and lines.
BOTOX® and Dysport™ belong to a class of medications known as neuromodulators. They have been used to treat facial wrinkles, excessive sweating (hyperhidrosis), bruxism, and migraines.
These products are two different brands of botulinum toxin A. BOTOX® has been in use in Canada for many years, whereas Dysport™ is a more recent addition to the Canadian cosmetic market.
These treatments work by temporarily blocking the signals to muscles causing them to contract. This results in fewer noticeable lines and wrinkles.
Botox® has been used to provide wrinkle free skin to many areas of the body including the area around your eyes, your eyebrows and your forehead. At the Toronto Plastic Surgery Center, Dr. Pirani is the only practitioner to inject you – we don’t use nurses for Botox® injections.
Eyes: The areas around your eyes are sensitive to daily facial movements. Smiling, squinting, and laughing can result in the formation of Crows Feet. Botox® can help relax the muscles around your eyes to provide a smoother facial profile so that the wrinkles and crinkles disappear.
Eyebrows: Every facial expression involves the use of your eyebrows and your appearance can change drastically with the help of Botox® as you see those frown lines disappear. When Botox® is injected around the eyes, it raises your eyebrows to create a beautiful arch that makes your eyes look larger.
Forehead: Your facial expressions and emotions can give rise to surprise lines on your forehead that can cause permanent creases if left untreated. Use Botox® to remove these lines that often occur when worried or stressed.
Lips: Remove your smokers’ lines from your lip area. Many women and men want to have fuller looking lips that epitomize youthfulness and desirability. If your mouth has a natural downward curve, Botox® can help you get a more relaxed and smiling visage that will appear more visually attractive.
Look good, feel good! Enhancing your look by subtly removing wrinkles caused by aging and stress will result in a more confident and youthful self. Many patients tell us that using Botox® to reduce their wrinkles results in a boost of confidence, energy, and overall self appreciation.
Simple non-surgical solution to reducing lines: The thought of surgery scares people away, and with good reason. Botox® is a non-surgical procedure that has grown leaps and bounds in terms of popularity as a solution for reducing wrinkles, to lift drooping eyebrows and creating smoother skin.
Migraine Pain Treatment: Botox® can be used to help to reduce migraine pain by relaxing muscles that are causing tension in the head.
Hyperhidrosis Reduction: Excessive sweating can be an embarrassing problem. While prescription anti-perspirants can solve milder cases, people suffering from severe hyperhidrosis can find a solution with Botox® which can mitigate the problem for months at a time.
Prostate Gland Reduction: Frequent urination can be a humiliating experience and Botox® helps to relieve this problem. When Botox® is injected directly into the prostate gland, it improves the flow of urine.
Strabismus: Botox® has been proven to be highly effective in dealing with strabismus (also known as crossed eyes). In this treatment, the doctor injects Botox® into your eyes to relax the muscles. This causes the eyes to refocus which helps to change the eyes’ position. The procedure has to be repeated every 3-4 months, but the effect lasts longer after multiple treatments.
Muscle Spasms: As Botox® is used as a nerve impulse blocker, it is a great solution to muscle spasms, torticollis, cervical dystonia and other movement disorders.
Results usually last approximately 3 to 4 months in most individuals. In some cases such as when used for excessive sweating (hyperhidrosis), results may last up to 6 months.
BOTOX® and Dysport™ are administered via very small injections under the skin. These are usually very well tolerated. Treatment usually takes less than 5-10 minutes. The treatment results usually begin to become evident within a few days; however, it takes a full 2 weeks to see the final results.
If you’ve noticed any of the following, then you may be an excellent candidate for BOTOX® or Dysport™ treatments:
• Vertical lines between your eyebrows (Frown lines)
• Horizontal lines in your forehead (Forehead wrinkles)
• Lines and wrinkles around your eyes (Crow’s Feet)
• A drooping eyebrow or poor eyebrow shape
• Wrinkles and lines around your lips (Marionette lines and Smoker’s Lines)
• Horizontal lines on your nose (Bunny Lines)
• Horizontal lines above your chin
• A widened jaw (often common in Asians and patients with bruxism)
• Hyperhidrosis or excess sweating in your armpits or palms
• Prominent bands in your neck
Although both products contain slightly different versions of the same neuromodulator, they have slightly different characteristics. In Dr. Pirani’s experience, Dysport™ tends to have an effect a few days sooner than BOTOX®. Dysport™ also tends to diffuse more than BOTOX®. This can be a good thing in areas such as the Crow’s feet or neck. In areas where diffusion is not ideal, Dr. Pirani prefers to use BOTOX®. As an expert in this area, Dr. Pirani will often combine both BOTOX® and Dysport™ when treating you in order to take advantage of their unique properties to achieve the best results possible.
There has been much debate regarding the differences between the two products or if there is even much of a difference at all. However, here are the main differences between the products:
• Dysport™ may not last as long (duration of efficacy). This is still being debated and studied however
• Dysport™ has a slightly quicker onset (2-5 days vs. 4-7 days for Botox®
• Dysport™ diffuses more. This may be an advantage in some areas of the face and a disadvantage in other areas
However, it is far more important who is injecting the products, than which of the two products you are actually using. Poor results are the outcome of people’s mistakes and not the products.
You should avoid treatments if:
• You are allergic or sensitive to any of the ingredients
• You are allergic to cow’s milk protein (only an issue with Dysport™)
• You have myasthenia gravis, Eaton Lambert Syndrome, amyotrophic lateral sclerosis or another muscle disorder
• You are allergic or sensitive to any botulinum toxin product
• You have an infection at the proposed injection site
• You are taking aminoglycoside antibiotics
• You are pregnant
• You are nursing
You should avoid using any non-essential medication or herbal remedy that may increase your chance of bruising for 2 weeks before your BOTOX® or Dysport™ treatment session. This includes:
After receiving your BOTOX® and Dysport™ treatments it is important to avoid any strenuous activities for at least 24 hours. This helps avoid bruising. It is also a good idea to avoid any activities that cause your head to be in a dependent position for 24 hours after your treatments.
Some patients report that being injected by either of the products feels like a pinch. Dr. Pirani may use ice to numb the treatment area. If you are concerned about discomfort, he may also apply a topical numbing cream before administering your treatment.
Initially, Dr. Pirani will discuss your treatment goals and perform a facial analysis to determine optimal treatment for you. However, the actual injection process only takes around 10 minutes.
During the initial consultation, Dr. Pirani will discuss your concerns and goals with you. He will then assess your facial lines, musculature, and proportions to determine the best treatment options for you. This will include a discussion of risks, benefits, and potential complications. He will also give you an idea of what you should expect in terms of results and recovery.
Although this initial consultation is quite thorough, the following treatment sessions can take as little as 5 minutes. Many patients come in for treatments during their lunch breaks to maximize efficiency. Dr. Pirani and the Toronto Plastic Surgery Center Team will do everything they can to accommodate your time constraints and busy schedule.
To schedule a consultation with Toronto BOTOX® and Dysport™ treatment specialist, Dr. Pirani, call
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