In today’s world, there are so many ways to fight the lines of time. But by far, one of the most popular is Botox.

Botox is basically a neurotoxic protein produced by the bacterium Clostridium Botulinum.  It was originally used to treat muscle spasms — but in 1997 it earned FDA approval for cosmetic treatment.  The American Society of Plastic Surgeons (ASPS) reported that there were more than 2.8 million procedures performed with Botox in 2008.  (Just more proof about how wildly popular this anti-wrinkle treatment is.)

A Botox Cosmetic injection can do a few things. It can help soften the overall look of your face and reduce the animation in some of the muscles in the upper part of the face. (This results in a younger, more youthful appearance.) It can also treat facial lines caused by repetitive muscle movement, which we frequently do in my practice. We also use Botox to help prevent new lines from forming. Common injection sites for erasing wrinkles and lines include:

• Glabella (region between eyebrows)
• Forehead
• Outer corners of eyes (crow’s feet)
• Either side of mid-chin, for down-turned mouth
• Neck, for neck bands or visible chords

We also use Botox to treat:

• Facial asymmetry or other facial conditions that result from muscle action; this is called “facial shaping”
• Hyperhidrosis (excessive perspiration); common injection sites are underarms, palms, scalp and soles of feet

Remember — An experienced injector makes all the difference

Today, people often take the wrong shortcuts when seeking facial rejuvenation with Botox and other injectables. If the injector administers too little Botox Cosmetic, the results will not be fully visible. However if the injector injects too much, the appearance can be a frozen or stunned look. On occasion there may be some unevenness, meaning that one brow is higher or lower than the other. This is easily corrected with a touch-up or the patient can wait for the toxin to lose its effect. Usually the patient will look better within a few weeks.

Keys to successful Botox Cosmetic treatment include going to a doctor that injects regularly.  Also, it is important to articulate to the physician your exact goals. For example, if you want your eyes to be more open, to look less tired or to raise your brows, be specific. It is always my advice to seek a more natural look and have some animation.

Alternatives?

In the battle against aging, there are several alternatives to Botox Cosmetic.  One such option is GFX, a radiofrequency procedure that lasts approximately 1 year or more. This is due to ablation of the nerves which cause muscular contraction of the glabella — more commonly known as the region between the eyebrows.  Other options include Reloxin and Puretox — neither of which is FDA approved.

http://www.fda.gov/WOMENS/getthefacts/botox.html

Dr. Neil Sadick is one of the most renowned dermatologists and researchers whose multiple discoveries have strongly influenced and transformed the future of dermatology. He is a Professor of Dermatology at Weill Cornell Medical College and President of the Cosmetic Surgery Foundation. Dr. Sadick is author, or co-author, of more than 500 articles in peer-reviewed scientific journals and has contributed more than 75 chapters of medical books. Read more at www.sadickdermatology.com.

Flip through any fashion magazine and you’ll see models donning long, dark, full eye lashes. So, how can ordinary women get the same glamorous look?

Well, there are always reusable false eyelashes, layers of thick mascara or a trip to the salon for individual lash extensions.  But, these are temporary solutions, which may come with some risk.

With the application of false eyelashes, patients often come in to my practice with complications.  They may have an allergic reaction to the glue, an eye infection due to reusing strips of false lashes, or skin allergies from the false lashes, which can collect and accumulate dust and germs. 

At the other extreme, we also help patients who come in because they have cut their own lashes in an effort make the false lashes look better.  Patients ask us if natural lashes grow back after they’ve been plucked or cut.  Sometimes they do – and sometimes they don’t.

The good news is — these ‘long lash’ problems could become a thing of the past with the help of a new treatment. In December 2008, Allergan, Inc., the company behind Botox, announced FDA approval for LATISSE™, a new treatment for growing longer lashes. Today, with help from a doctor with prescribing rights, consumers may be able to grow long, striking lashes. 

Latisse is a product with the same formula as a solution used to treat glaucoma patients.  A side effect of the treatment is that it tends to make the lashes longer and fuller.  Some experts are already worried about the side effects of Latisse which may include: red, itchy eyes and changes in eye pigmentation (especially on lighter eyes). 

However with that said, many women are overjoyed by its arrival and hope to lose dependency on other temporary eyelash solutions. 

So far, my patients are seeing very positive results from the use of this new product.

Dr. Neil Sadick is one of the most renowned dermatologists and researchers whose multiple discoveries have strongly influenced and transformed the future of dermatology. He is a Professor of Dermatology at Weill Cornell Medical College and President of the Cosmetic Surgery Foundation. Dr. Sadick is author, or co-author, of more than 500 articles in peer-reviewed scientific journals and has contributed more than 75 chapters of medical books. Read more at www.sadickdermatology.com.

With Thanksgiving behind us, we are quickly approaching the holiday season!  There are several skin and body care tips that can help keep you looking your best, while at the same time, keeping your skin healthy and young.

Whether you go on vacation this year or stay near home, you are always exposed to ultraviolet rays when outdoors.  With innovation and advanced technology, we have changed the paradigm to protect your skin against harmful sun damage, free radicals and environmental toxins.  I believe that the best protection is achieved by using a broad-spectrum sunblock (that protects against shortwave UVA and longwave UVB light) along with a high-potency antioxidant cream (containing active agents such as resveratrol, idebenone and vitamin C, and coffeeberry).

Whether you are skiing with your family or on the beach enjoying the sunshine, do not forget that the strongest sun exposure occurs between the hours of 12 noon and 4 pm.  These are the times you should minimize your sun exposure.  If you get sunburned, new red light LED sources are available from your dermatologist that can accelerate healing, reduce redness and decrease the potential for damage to your skin. 

During the winter holiday season, especially in colder climates, our skin gets drier.  So it’s important to stay away from hot showers which dry the skin and to be sure to apply generous amounts of moisturizer to your entire body while your skin is still damp. Moisturizers with SPF are always a good bet because they automatically protect your skin.

There are also several procedures that can make your skin look better with no downtime.  It may be a Botox treatment, filler treatment with Restylane, Juvederm, Radiesse or new generation collagen fillers such as Evolence that can get rid of those unwanted folds and lines.  These will all give immediate results and give you a refreshed, youthful appearance.

To make your skin look fresher, consider a light chemical peel, laser peel, microdermabrasion or an Intense Pulsed Light (IPL) photo rejuvenation treatment.  These are all easy, virtually painless, and have little to no downtime.  But remember; you should do such treatments at least two weeks before a big event or celebration. 

Dr. Neil Sadick is one of the most renowned dermatologists and researchers whose multiple discoveries have strongly influenced and transformed the future of dermatology. He is a Professor of Dermatology at Weill Cornell Medical College and President of the Cosmetic Surgery Foundation. Dr. Sadick is author, or co-author, of more than 500 articles in peer-reviewed scientific journals and has contributed more than 75 chapters of medical books. Read more at www.sadickdermatology.com.