Dr Charles Serrurier January 2012 Newsletter

Dermal Fillers and Botox

Welcome back and best wishes for a fruitful 2012. I know I promised some feedback from my Breast Reconstruction Congress in Milan but with time so short to get this out on time I thought I would include it in February. I hope you don’t mind.

This month I decided to talk about Dermal Fillers and Botox. Reason being that we have all, most probably, overdone it through the festive season and this is a quick way to look and feel great for the New Year.

Botox and Fillers are common place procedures now and they go hand in hand with each other. Techniques too have evolved, so much so that we can now treat nearly any facial indication – at least temporarily.

I hope you enjoy.

Dr Charles Serrurier

Botox (Botulinum Toxin Type A)

Botox is without doubt the worlds most popular non-surgical tratment for wrinkles. Botox itself is works as a muscle relaxor – the principle being that if you cannot move the muscle causing the wrinkle then the wrinkle cannot appear.

In essence the substance is a purified protien and it has been FDA approved for Aesthetic use since 2002 – satisfying me to the products safety.

“A common name for a combination treatment of Botox and Fillers is called a Liquid Facelift”

Early indications only treated glabellar lines and crow’s feet but today Plastic Surgeons treat nearly every line or wrinkle on the face and even use Botox to reshape, re-contour or even alter specific facial features.

 The treatment is quick and relatively painless. On average we can use anything from 20 units to 50 units of Botox per patients to achieve the desired result.

The final result will only be visible after a few days and the treatment will last for approximately 4 months – when you will have to return to undergo treatment again.

 I often combine my Botox with Dermal Fillers for a better aesthetic result.

Dermal Fillers

Dermal Fillers like Botox are designed to treat wrinkles and lines, but in this case I inject Hyaluronic Acid (HA) into the skin to plum the wrinkle from the inside out.

The treatment is again very short and immediately after the treatment your skin may be red or a little swollen, this will subside within a few days. Dermal filler treatments are not permanent and the correction lasts approximately 9 months.

Dermal filler technique has advanced too and we can now not only treat nasolabial folds and plum lips, we can these days reshape noses, redefine jaw lines and improve the volume in your cheeks amongst a dozen or so other treatment options.

I only use FDA approved dermal fillers in my practice to ensure peace of mind when it comes to safety.

Also proving popular within the Dermal Filler portfolio is the idea of skin rejuvenation. Studies suggest that micro-droplets of HA injected into the skin greatly improve the quality and texture of the skin – this treatment is called Vital and is perfect for any age.

Needle vs. Micro Cannula

In many cases patients are wary of the needle and having to undergo an injection for treatment.
With regards to Botox injections we use a tiny 32 gauge needle (approximately the width of a human hair) and it is in fact the Botox itself that causes a stining sensation.

When it comes to Dermal Fillers there are different needle options for optimum results but now also a Micro-Cannula. The Micro-Cannula allows a full treatment from one entry point.
The Cannula is not advisable for all indications but where possible it offers a less painful treatment with less risk.

Of course in my practice you will always have everything explained to you in detail and each option will be decided upon to maximise your result both clinically and aesthetically.
I hope this newsletter stimulates some thought but also educates too.