Archive for the ‘Injectables’ Category

Migraine Headaches May Be Treated With Botox: New Study

Sunday, February 21st, 2010 by editor

In the future, Botox could be approved as a treatment for migraine headaches.  New research published in Archives of Dermatology documents the recent clinical studies of Botox as a headache treatment, finding that certain patients experienced less frequent migraine attacks: “patients who responded to Botox reported their migraines were reduced to fewer than 1 day a month from almost 7,” said Bloomberg news.

Botox manufacturer Allergan Inc has applied for FDA clearance to market Botox as a headache treatment.  However, researchers say they cannot fully explain how Botox works to relieve headaches. One co-author of the study, Rami Burstein says, “it may block the signals in sensory nerves located on the outside of the head.”

New Juvederm XC Touts Benefits of Anesthetic

Monday, February 8th, 2010 by editor

Just a week after we posted about the benefits of using of lidocaine during cosmetic juvederm_bay_areainjections, the FDA granted clearance to the new Juvederm XC – a  filler with 0.3 % lidocaine. The new formula is the most recent addition to the list of “more comfortable” hyaluronic acid fillers.

Manufacturer Allergan Inc posted data about patient comfort obtained during clinical trials, reporting that over 90 percent of the 72 participating subjects said they experienced less pain with Juvederm XC.

That data is crucial, because some people have questioned the value of anesthetic contained in a dermal filler: Is it just for the sake of marketing? When Prevelle Silk came out in 2008, Dr. Joe Niamtu said this to Cosmetic Surgery Times:

“The issue with a hyaluronic acid filler with lidocaine is that it doesn’t work until you actually start injecting patients, and these injections are so quick, by the time the lidocaine takes effect, you’re almost finished”

I wouldn’t expect plastic surgeons to abandon the already effective methods of pain management, but if the Juvederm XC formula acts quickly enough and you get a more comfortable treatment, that can’t be a bad thing.  We’ll know more when the filler comes to San Francisco.

Cosmetic Injections: Can They Be Comfortable?

Monday, January 25th, 2010 by editor

If you’ve considered getting a little cosmetic work done, but find yourself hesitating botox_stratbecause of needles and potential pain, you’re not alone. Prevelle, Juvederm, Hydrelle, and Restylane are just a few of the products out there designed to restore facial volume and correct wrinkles. Many people are interested in the benefits but have to ask, “Just how much is this going to hurt?”

Lidocaine helps control discomfort and swelling

Today, a number of non-surgical facial procedures can be done with little or no discomfort, thanks to local anesthetics that numb one or more areas of the face beforehand. Lidocaine is the one most frequently used by plastic surgeons, and there’s no doubt it makes an injectable procedure more comfortable for the patient.

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20/20 Explores Scary World of DIY Cosmetics

Monday, December 7th, 2009 by newseditor

According to this segment from ABC news and 20/20, chemical peels, diy_cosm2botulinum toxin and cosmetic wrinkle fillers are being illegally purchased online – without a prescription or a visit to a physician.

20/20 documents some of the scary experiences of a few women who purchased cosmetic products from a Texas-based website and tried to use them.

The products purchased from “discount medspa”  came in generic packaging and the contents remain somewhat mysterious.  An employee of the site had been marketing the products by posting instructional videos on how to perform do-it-yourself cosmetic procedures.

While it seems like an obvious violation of common sense to attempt these things, stories like this continue to surface in the news.  If you do any reading on RealSelf.com or on the websites of plastic surgeons, you’ll constantly be told to “see a board-certified plastic surgeon” for your treatment.  It may seem redundant, but it appears that people still need to be reminded.

Get or Give Botox for Christmas This Year

Thursday, December 3rd, 2009 by newseditor

botoxforchristmasDr. Maddali is one of two San Francisco plastic surgeons offering “Botox for Christmas” this year. The idea is to reduce those wrinkles now, early in December, so you look your best when Christmas comes around.

Or… if you want to give your loved on Botox as a gift, you can purchases a Botox for Christmas Gift Certificate.

See the website Botoxforchristmas.com or contact Dr. Maddali’s office for more information.

Pharmaceutical Companies Get a Boost from Botox and Dysport

Thursday, November 5th, 2009 by newseditor

Stock market reports show that Allergan and Medicis, makers of popular wrinkle treatments Botox and Dysport, increased their profits this year beyond projections.

Analysts have partially attributed the growth to sales of the cosmetic treatments.
Wall Street Journal reports that a 3 percent increase in Botox sales helped Allergan’s third quarter profit rise 8.3 percent, with new medical uses of Botox on the horizon that could drive sales even further.

Dysport, the new kid on the block, apparently hasn’t managed to put a dent in Allergan’s sales, but it certainly seems to be helping Medicis make a profit.  Revenues for the Dysport manufacturer last quarter were up 31 percent from the same period last year, according to CNN Money.  Medicis CEO Jonah Shacknai says, “We are encouraged by the positive physician and patient response to DYSPORT.”

There aren’t an overwhelming number of people asking for Dysport in San Francisco, but Botox continues to attract patients to our office.  The brand awareness of Botox is hard to beat, and that probably won’t change anytime soon.

How soon before an important event can I undergo a cosmetic procedure?

Friday, July 3rd, 2009 by newseditor

 

A middle-aged patient asked whether she could receive injections of Juvederm 3 weeks before a wedding.  “Is it too late?” she asked.

I told her that it wasn’t too late, but sooner is better!  Juvederm, like other fillers, can cause some minor bruising. When my patients get treated before a wedding or important social event, I prefer to do it at least 2 to 3 weeks before the date. The more time you have, the better.

I have many wedding packages for brides and their bridal group that involve Botox, dermal fillers, microdermabrasion, etc. I don’t hesitate to inject fillers 2 or more weeks before an important event.

If we have less than 2 weeks, then I would choose to forgo dermal filler injections. 

Evolence is a collagen-based filler that is said to cause little or no bruising. However, I generally prefer Juvederm since the bruising is minimal and the benefits are first-rate.

Who can get Botox for excessive sweating?

Wednesday, July 1st, 2009 by newseditor

 

A patient asks: Can Botox treat my sweating problem if I haven’t been diagnosed with hyperhidrosis?  

I told her that Botox can stop excessive sweating for anyone.  Botox is commonly used on patients diagnosed with hyperhidrosis, as well as those who merely believe their sweating to be excessive.  Some patients have sought this treatment for special occasions.  Prior to a wedding, brides want us to treat their armpits and grooms receive treatment for their palms.

The result lasts for 6 months and almost every single patient is happy with the result.  The downside is, it can get expensive, so people on a tight budget may want to try over the counter treatments like DrySol first.

Does Botox ever fail to work? How long does it take to work?

Wednesday, June 24th, 2009 by newseditor

A patient was concerned about her Botox treatments failing to take effect.  It had been nearly 4 days since she had received injections for frown lines, and she complained that there were no apparent results. So she asks, what’s the problem?  Did I receive counterfeit product or does Botox sometimes fail to work?

I told her to give it more time.  It can take as long as 3-7 days for Botox to become active. Once it begins working, the treated area may continue to improve for up to 2 weeks. To get the optimum aesthetic result, many providers ask their patients to return for a follow up visit 2 weeks after treatment.

Communication is important; give feedback to your doctor and he or she will treat you properly.

Does a patient’s race or gender affect Botox treatment?

Wednesday, June 17th, 2009 by newseditor

The amount of Botox does not depend on race, but there are considerations pertaining to gender.  

Botox treatment is titrated on an individual patient basis. We ascertain the proper amount of solution based on the amount of muscle, not the patient’s race or ethnicity. Males for example, have stronger corrugator muscles in the glabellar region (between the eyebrows) than females. Consequently, males tend to need more Botox than females. It is difficult to make a broad statement about different races and ethnicities in regards to Botox.

The most important point is that if the muscles that control a patient’s facial expression are stronger than usual, that patient will likely need a stronger dose.