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Neurotoxins
Neurotoxins are toxins that are derived from the bacteria Clostridium botulinum which block the release of acetylcholine at the neuromuscular junction. This causes an inhibition of muscle contraction allowing for improvement in fine lines and wrinkles. There are 3 most commonly used and FDA approved which are Botox, Xeomin, Dysport. Here at Dr. Flanagan Aesthetics we prefer to use Xeomin and dysport due to its similarity and better price points.
It has been shown however to not work in about 20% of the population. Side effects can include pain/bruising at injection site, headaches or flu like symptoms which resolves within a couple hours.
Xeomin
Xeomin is a “naked injectable,” meaning that it does not contain any additives. A benefit of a pure-form injectable is that the human body is less likely to become resistant to it. Some patients have developed antibodies to Botox and Dysport.
Its onset of action is around 4-5 days usually slower than the others however it usually lasts around the same time typically 3-4 months but can be up to 6months for some people.
Dysport
Dysport is attached to a protein which contains lactose thus patients who are allergic to milk can theoretically have an allergic reaction. However this has not been seen clinically. Its units are different than botox and xeomin in that 1u botox is about the same as 2.5u dysport.
Dysport has been shown to “drift” or diffuse more than Botox, increasing the chances of an accidental droopy eyelid or unintentional relaxation of a neighboring muscle due to diffusion of the product. However this may also be beneficial when done appropriately as it can cause a more natural affect especially in larger areas like the forehead.
The onset of action is quicker usually within 2-3 days and can last up to 6months.
Fillers
Hyaluronic acid
As we age we lose collagen and elastin and loss fat and the fat pads get redistributed. Our bones also reabsorb and the ligaments become laxed. This causes areas of hollowing which can be filled with hyaluronic acid fillers in order to augment these changes.
Hyaluronic acid is naturally occurring polymer in our skin which retains water and maintains volume and viscoelasticity of the shin. HA concentrations within the skin also decrease with age. These hyaluronic fillers have the same chemical structure in our tissues thus is non-immunogenic. The difference is the cross linking which allows it to be more difficult to degrade. It can be degraded with hyaluronidases in case a desired look is not achieved.
Platelet Rich Plasma
Liquid gold
We now realize the healing properties of platelet from wounds to aesthetics and even hair. PRP contains many growth factors which signals cells to do their job. We take your blood and run it through a centrifuge in order to separate only the platelet rich plasma. We then use this to either place it on face/neck, decollate, hands and even hair follicles.
For Facial Rejuvenation
PRP has been proven to rejuvenate the skin by increasing its collagen and elastin production to help to slow down the aging process. It can be either injected into the derma or microneedled in.
For Hair Restoration
PRP can wake up dormant hair follicles to bring it into the growth phase again. This is great for male pattern baldness, female pattern baldness and even alopecia. Post chemo patients also benefit from this due to the side effects of chemo therapy on the hair follicles. Men usually require multiple treatments to get a desired effects while woman usually require less. Maintenance is required every 6months to a year to keep up the effects.
Medical grade chemical peels
Chemical peels are topically applied formulas that revitalize the skin surface by creating an even and controlled shedding of the skin cells. This allows new layers to be exposed, creating a fresh appearance and smoother texture to the skin surface. Peels are great first line treatments for many conditions and great maintenance in between other treatments. They can be performed on their own or in conjunction with a facial. A chemical peel can improve sun damage, acne scarring, blotchy pigmentation, fine wrinkling and early pre-cancerous skin lesions. A peel can also improve acne-prone skin and clogged pores.
Chemical peeling agents resurface the skin by inducing a controlled wound and thus removing superficial layers of the skin. As a result, chemical peels promote the growth of a new healthy top skin layer and improve skin problems like hyperpigmentation, fine lines and wrinkles, uneven texture and skin impurities.
Skinceuticals Advance Corrective
It’s a light blend of alpha and beta hydroxy acids with an added boost of phenyl-ethyl resorcinol. These three clinical grade chemicals create the perfect trifecta that target pigmentation, effectively renewing the skin’s surface texture and unveiling an overall brighter, more clarified even skin tone! For best results, the peel is offered in a series of four treatments, with each treatment one month apart.
Sculptra
What is Sculptra? Sculptra is an FDA approved biostimulator aesthetic injectable that helps stimulate your own natural collagen production to smooth facial wrinkles and improve skin tightness, revealing your naturally refreshed look.
Collagen is an important fibrous protein that helps maintain your skin's shape and structure. The skin needs collagen to resist signs of aging, such as fine lines, wrinkles and sagging. By age 40, most of us have lost up to 20% of our natural collagen. Sculptra is made of poly-L-lactic acid microparticles (biodegradable and biocompatible) which are mixed with sterile water and then injected just like filler. These microparticles activate fibroblasts to lay down more collagen within your skins matrix.
The typical treatment regimen is 3 injections over the course of 3 to 4 months, each one building on the prior treatments. You can start seeing the "sculptra glow" in about one month. By 3 months, 66.5% of patients showed an increase of type 1 collagen. Full results occur after 6 months and can last up to 2 years. 95% of patients had continued improvement in skin glow at 2 years after treatment.
Sculptra treatment is best for patients with global volume loss who want a very naturally enhancing and long-lasting result that improves over time. Sometimes the best things come to those who wait.....