Botox for Face Wrinkles
What can this treatment possibly do?
Btx injection can treat and reduce the appearance of dynamic wrinkles (meaning wrinkles which can be seen when the face muscles move & contract) of (1) Brow (Glabella) frown lines; (2) Forehead Wrinkles; (3) Periorbital lines (crow’s feet); (4) Gummy smile; (5) Bunny lines (laugh lines); (6) Dimpled chin; (7) Marionette line; (8) Perioral wrinkle lines (lipstick lines); and (9) Neck wrinkle lines.
With aging, changes become apparent through the face. Following loss of volume and elasticity in the facial skin, tissues follow gravity in a downward movement. This leads to the formation of wrinkles and fine lines around the eyes and mouth.
This is due to hyperdynamic contraction of the underlying muscles in these areas. When a muscle contracts, the overlying skin folds perpendicular to the direction of the muscle. This creates a dynamic wrinkle that can be treated with Btx. When age advances, the jaw line begins to sag and static wrinkles form due to underlying fat displacement and long term skin folding.
Factors that are responsible for facial aging include soft tissue maturation, muscular facial activity, smoking habits and solar changes.
At first, facial wrinkles appear to be dynamic lines (meaning wrinkle lines that appear when the facial muscles move), but as age progresses, static wrinkle lines and fold form (meaning wrinkle lines that can be seen on the face even though facial muscles have not moved).
Btx injection has shown very good results in softening, and hence reducing the appearance of dynamic wrinkles.
What medical technology or device does this treatment utilise and how it is done?
Btx is a type of neuromodulator drug which inhibits muscle contraction and leads to reversible muscle weakening (atrophy). Generally, cessation of muscle function occurs after 2–3 days, and the maximum effect occurs after approximately 2 weeks.
Brow (Glabella) frown lines
Using Btx to treat brow (glabella) frown lines is a very common cosmetic use of Btx, and its efficacy has been confirmed in numerous clinical trials. A clear improvement can be usually seen for individuals with moderate to severe brow (glabellar) frown lines.
Horizontal forehead lines occur when the frontalis muscle contracts to raise the eyebrows upward. Btx injection can be used safely and effectively to treat forehead wrinkles.
In a case series reporting on a man and a woman with forehead, brow (glabellar), and periorbital lines injected with Btx at 4-month intervals over a 7-year period64 showed continued improvement in skin smoothening and effacement of non-reducible horizontal forehead lines. It was concluded that this showed evidence of ongoing dermal and epidermal remodelling, and that forehead lines can show long-term reduction when treated with Btx injections. An assessment of wrinkle depth using silicone masks and multiphoton microscopy 3 weeks after injection with Btx showed an objective improvement compared with baseline.
Periorbital (area around the eye) Wrinkle lines
Periorbital (area around the eye) wrinkle lines or crow’s feet are among the popular treatment sites for Btx. These dynamic lateral canthal (corner of the eye) lines appear when smiling, and are not to be confused with the static lateral canthal (corner of the eye) lines that are caused by photoaging. Static lines are resistant to Btx treatments and require additional procedure to be corrected, including laser resurfacing.
Dynamic lines are wrinkle lines that appear when the facial muscles move. As age progresses, static lines and fold form, which are wrinkle lines that can be seen on the face even though facial muscles have not moved.
It is shown that wrinkles in the periorbital eye area showed significant improvement for up to 6 months after injection of the crow’s feet with Btx.
Bunny line (laugh lines)
Bunny lines (laugh lines) are multiple dynamic wrinkles located on the upper nose (nasal dorsum) that result from the contraction of the transverse nasalis muscle which comes with smiling. Btx injection are known to be effective and can help to reduce the appearance of laugh lines.
The dimpling of the chin, or peau d’orange (orange peel skin) appearance, is caused by a combination of loss of volume and contraction of the mentalis Muscle. A combination of both Btx and dermal fillers is recommended to achieve optimal results.
The marionette lines, or melomental folds, are also treated with a combination approach of Btx and dermal fillers. The depressor anguli oris contributes to depressing the mouth and draw it laterally, causing a sad face appearance.
Perioral lines, or lipstick lines, are vertical wrinkles projecting in a perpendicular fashion from the vermillion border of the lips. Movements of the orbicularisoris muscle, such as puckering, and smoking, photoaging, and hereditary factors contribute to the formation of these wrinkles.
Depending on the situation, in addition to Btx injection, other treatment modalities, including laser resurfacing (co2 laser) and injectable dermal fillers may be required for full correction.
Neck Wrinkle line
Contraction of the platysma (neck) muscle can result in prominent vertical bands in patients who are thin. Horizontal neck lines can also be caused by muscle activity or skin laxity. Btx can be a safe and effective treatment to reduce both the platysmal (neck line) bands and the horizontal wrinkle lines caused by muscle activity.
What are the likely results? Any side effects or downtime?
Generally, treatment of dynamic facial skin wrinkles and age-related lines with Btx is effective and produces high rates of improvement with rapid onset and long duration of action (longer than 4 months for some patients).
Btx has a very good safety record. Common patient complaints about Btx are injection site pain and bruising.
This treatment has synergy and can be combined with?
Apart from treating dynamic lines (meaning wrinkle lines that appear when the facial muscles move), you can also consider treating dynamic wrinkle lines (meaning wrinkle lines that can be seen on the face even though facial muscles are not moved).
You can also try to iron out and reduce the appearance of static wrinkles with our radiofrequency treatment with Thermage.
In addition, certain facial wrinkles are also treated with a combination approach of Btx and dermal fillers
Why Tiffiny Yang Clinic?
We focus on three things: Safety, Efficacy, and Personalisation.
Tiffiny Yang Aesthetics have been in the medical aesthetics market for a long time, and have performed many very good aesthetics procedures throughout the years. Our doctors are qualified medical doctors, and we use good quality HSA approved medical devices and products as your safety is of utmost importance to us.
All our Lasers, Radiofrequency Systems, IPL devices, Ultrasound Energy Machines are good and proven systems which had been used for some time in the market on many patients. They are all either HSA approved, CE Marked, or FDA approved systems. Since many people have used them – by sheer numbers, the behaviour and treatment outcome of the devices are generally known. The unexpected is unlikely to occur.
Our treatments are all clinically proven and are generally effective. Apart from effective treatments, our lady doctors are also known for being very gentle and caring. we want to get to know you personally so that we can tailor-make and customise the treatments to achieve your intended desires. It is for this reason that majority of our equipment and products are not “box-standard” but customisable.
Indeed, we have been known to go to great lengths to curate and customize the beauty treatments you desire to ensure that it is personally suitable for you.
We also want to get to know you so that you to feel comfortable and confident that you are in good hands when undergoing treatments at our clinic.
As all aesthetics treatment are part medicine and part art, one should choose an aesthetics professional or doctor whom is both a competent and qualified medical doctor, and whom also possesses a keen eye for beauty. More importantly, a keen eye for beauty which you agree with. In other words, you must trust your aesthetics doctor’s taste and sense of beauty.
Dr Tiffiny Yang is a doctor and a beauty queen. She was crowned Ms Singapore Universe, and is also a fashion model with some repute in her free time. She had been featured in fashion and glamour magazines which are household names and are published Asia wide. Our clinic treatments bear her eye, direction, believe and hallmark of beauty.
Note on Information
It is important to note that individual variation in responsiveness to the above treatment(s) may vary significantly. the above information is for general information purposes only, and is expressly subject to the specific facts and circumstances, the peculiar physiology and constitution of a patient, the intensity of a treatment, amount of product used, and frequency of treatment (as applicable). Outcomes may therefore differ from the information provided above. Click HERE to see the medical literature and references wherein the above information is based on.
*Note: Results & outcomes are not guaranteed and may vary from person to person as every individual is unique, and therefore have inherently different physiology and physical make up. Consequently, outcome, response & reaction to treatment may therefore defer from person to person. Information provided are general and educational in nature, and prices provided serves only as a guide & do not indicate that the item is in fact being offered or is offered exactly with the stated price. Quantity, quality, type & treatment frequency may vary after consultation which constitutes pricing differential & differing outcomes from what is being stated.