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Hema Sundaram, MA, MD, FAAD
Five Secrets For the Best Botox
Sundaram Dermatology, Cosmetic & Laser Surgery Center
. http://doctorhema.com

Five Secrets For the Best Botox

Botox has now overtaken Viagra to become the most publicly recognized medical treatment. Now there are also three new treatments that work in the same way to safely smooth out your wrinkles. Dysport works like Botox but sometimes a little faster, Xeomin is a purified form of Botox, and Jeuveau (Newtox) is the latest addition. The American Board of Medical Specialties recognizes board certified dermatologists, plastic surgeons, facial plastic surgeons and oculoplastic surgeons as the core four aesthetic specialists that are qualified through their training and knowledge to be performing all cosmetic procedures including Botox, Dysport, Xeomin and Jeuveau.

Here are some key principles from national and international teaching at plastic surgery and dermatology academies that are equally useful for men and women who are considering having treatment.

First, understand the science. As we age, some of our facial muscles become overactive, causing “hyperdynamic wrinkles” between the eyebrows, on the forehead and neck, and around the eyes and mouth. Tiny amounts of Botox, Dysport, Xeomin or Jeauveau can be gently injected just beneath the skin to relax and re-balance overactive muscles, giving a smoother, younger appearance. For the best results, this must be done with in-depth understanding of your facial anatomy and structure.

Botox, Dysport, Xeomin and Jeuveau have been extensively studied. A select group of dermatologists and plastic surgeons have served as FDA principal investigators for these studies. The studies have shown that these treatments are safe and effective, and led to their FDA-approval for treatment of frown lines, forehead lines and crow’s feet. Next-generation scientific publications, research and education are now being done to advance our knowledge. Besides their use for no downtime wrinkle-relaxing, these treatments can be used safely to improve numerous medical conditions, including lazy eye in children, cervical dystonia and excessive sweating.

Second, see the whole picture. When you receive advanced Botox, Dysport, Xeomin of Jeuveau treatment from a true expert, she or he isn’t just smoothing individual lines or wrinkles, but understands how to go beyond this to reshape your whole face and restore your youthful contours, making you look more like you did when you were years or even decades younger.

For instance, if your eyebrows have dropped and flattened, making your eyelids heavier, a little Botox, Dysport, Xeomin or Jeuveau in the right places will make you look and feel much better by lifting and subtly arching your brows, which adds definition and sparkle to your eyes. A drooping mouth or neck can be similarly lifted and lines can be softened to beautifully rejuvenate your appearance.

Expertly performed treatment is the key to making you look better and younger without anyone realizing you have had anything done. Ironically, some celebrities who are criticized for being “over-Botoxed” are really victims of over-zealous surgery, whereas many who are most admired for their beauty, or for aging gracefully, look this good because they are having regular, expert treatments with Botox, fillers and other non-surgical rejuvenation.

Third, remember the power of combining treatments. One of the newest concepts is combining natural fillers such as Voluma, Vollure. Volbella, Restylane, Radiesse, Belotero and Sculptra, and state-of-the-art lasers such as Ulthera, Exilis Ultra, Fraxel or laser resurfacing with Botox, Dysport, Xeomin or Jeuveau. This can achieve a scar-free, more natural-looking, non-surgical facelift that prevents you from ever having to go under the knife.

Advanced techniques give natural lift and rejuvenation, and your skin is stimulated to produce its own collagen, which lifts and tightens it from within to give longer-lasting results.

Fourth, keep in mind that many of these treatments require maintenance. This is a good thing as it allows treatments to be adjusted to fit your face as you age. This allows you to always look completely natural, and you may even be told that you never seem to age. Maintenance treatment not only smooths out your wrinkles, it also prevents them from deepening.

When comparing pricing, make sure you know the concentration or dilution of the treatment. It is a false economy to pay less for more diluted treatment. It may cost less in the short term but will cost more in the long term, because you won’t get as good results, and will need more frequent re-treatments.

Finally, and most importantly of all, select a board certified dermatologist or plastic surgeon with years of experience who can individualize your treatment to address your own unique facial aging pattern. The most expert doctors are actively involved in cutting-edge teaching, research and public education. They are invited to teach and share their knowledge with their colleagues at plastic surgery and dermatology academy meetings. This is the real secret to achieving the best results and looking as good on the outside as you feel inside.

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