INJECTABLES

Would you like to turn back time? In office procedures today can help turn back the clock on wrinkles, fine lines and aging skin. Although damage occurs gradually over time, science and medicine has evolved to often allow immediate improvement. Botox and dermal fillers are wonderful non-surgical alternatives to rejuvenate, revitalize and restore a more youthful appearance. Permanent makeup is the “icing on the cake” giving busy women today more time and freedom. Don’t you deserve to rediscover a younger you?

Procedures

-Botox®
-DYSPORT™
-Injectable Fillers
    *Radiesse®
    *Juvaderm®
    *PREVELLE® Silk
    *Restylane®
    *Perlane®
    *EVOLENCE®
    *Collagen
    *Sculptra®
    *ArteFill®
-Permanent Makeup

Pre & Post Care Instructions

Botox®

Botox® is one of the most commonly used injectable treatments for facial enhancement. Dr. Stefanacci and clinical injection specialist Maureen Barrett, RN, bring over 37 years of combined medical experience to achieve maximum results for each patient. Treatment plans are individualized to help maintain high patient satisfaction. Both women take great care to avoid the “frozen” or artificial look that concerns many prospective patients.

Botox®, (botulinum toxin type A) is a purified protein derived from the bacterium Clostridium botulinum. It works by blocking nerve impulses that trigger wrinkle-causing muscle contractions to create a smooth and relaxed appearance. It was approved by the FDA 20 years ago for strabismus (crossed eyes) and blepharospasm (uncontrollable blinking). In 2000 the FDA approved its use to treat the abnormal head position and neck pain associated with cervical dystonia. It works to temporarily paralyze the affected muscle, and thereby soften the facial imbalance or release the spasm.

In recent years Botox® has been used successfully for various cosmetic indications. The same principles that make Botox® effective as a medical treatment make it effective as a cosmetic treatment. It is commonly used to relax the active facial muscles that over time create almost indelible creases between the eyebrows, (glabellar complex), across the forehead, (frontalis muscle) and the “crow’s feet” around the eyes, (orbicularis oculi).
The muscles of the glabellar complex, responsible for vertical frown lines, is the most common site for Botox® injections. The exact number of injections and amount used is tailored for each individual patient with men generally requiring more injection points and a higher dose as men have larger muscle masses on average. A general starting point is 5 injections for women using 20 to 30u (standard units of Botox®) and 7 injections for men using 30 to 40u. An adequate dose is necessary to achieve effective correction.

The frontalis muscle of the forehead elevates the brow and is associated with the formation of horizontal wrinkles. The goal in treating the forehead is to maintain some movement of the muscle for a more natural look while smoothing the lines for a more rested appearance. This area presents significant challenges for the inexperienced clinician. The most common problem is ptosis or “droopy” eyebrows. Care must be taken to avoid over-treating and producing a “frozen” expression. Another common problem is the creation of a “quizzical” or “Mr. Spock” look. Guidelines from the American Society of Plastic Surgeons suggest 4 to 8 injections using 10 to 20u for women and 20 to 30u for men.

Lateral orbital wrinkles, commonly termed “crow’s feet”, result from muscle activity in combination with photo-aging. The goal is to soften wrinkles and to provide a relaxed look, not to cause immobility. The usual number of injection points is 3 to 5 per side using 2 to 3u per injection for a total of 12 to 30u per treatment. Injection in this area should be superficial to minimize bruising and applying ice before and after the injection can be helpful.Botox® relaxes muscle movement which eases the strength of the muscle. A simple way to understand the mechanism of Botox® is to think of gym workouts. The more strength exercising an individual applies to a muscle group, the stronger it gets. Add 2 pounds every week to a biceps curl and the arm muscle will get bigger and stronger. The opposite applies, stop working out and the arm muscle gets weaker and smaller. Botox® works effectively by weakening specific muscles of the face to give a smoother facial surface.

The use of Botox® for facial rejuvenation is the most commonly performed in-office cosmetic procedure at Stefanacci Medical. The treatment takes about 15 minutes and the effects last 3 to 4 months. Most patients see results in 3 to 5 days. No anesthesia is required and discomfort is minimal and brief with many patients comparing the sensation to a bug bite.

In the office of Dr. Stefanacci patient satisfaction with Botox® treatment is extremely high as both she, and Maureen Barrett, RN, bring years of experience and sensitivity to the individual needs of each patient.

Related Links: www.botox.com

Consent For Botox