If you are interested in limiting the development of wrinkles in problem areas (forehead, crow's feet region, between the brows), then you may be a candidate for BOTOX® (Botulinum Toxin) injections. This medicine is introduced into the muscles that lie beneath the skin surface. When a muscle is injected, it is unable to contract.
The skin overlying the muscle tends to smooth, and finer wrinkles disappear. The effects of the injection last for 3-4 months. At the end of that time, the BOTOX® wears off and muscle activity returns. Some patients choose to undergo a series of 2 to 4 injections, after which, muscle activity remains reduced. This provides a much longer-lasting result.
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This injectable material is composed of Hyaluron, a naturally occurring substance present in skin and connective tissue. It is responsible for the elastic quality that allows skin to "bounce back" when compressed. Diminished amounts of Hyaluron are present as we age, resulting in flattening and loss of elasticity. The product has been used in Europe and Canada for almost 15 years. It's been available in the USA since 2004.
When injected into lips, lines or creases, Restylane will enhance fullness and diminish the appearance of wrinkles. The enhancement lasts for 4-6 months, which is usually longer than Collagen. It is well tolerated by patients and no allergy testing is required before use.
Dr. Wall first used Restylane when training in Toronto in 2000-01, where it was preferred by most Canadians and Europeans. Dr. Wall was particularly pleased when the Restylane was approved for use here in the USA, because it allows him to apply the expertise he developed years earlier.