Forehead Wrinkles

A brief summary of the article written by Dr Riekie Smit in the Summer Issue of the Aesthetic and AntiAging Magazine: found here.

The forehead is one of the most common areas that patients request to be treated. More often than not, there are unrealistic expectations placed on the doctor to take away all of the wrinkles or to make their foreheads completely smooth. The face of the matter is that if you take away all the wrinkles and create a completely smooth forehead, you also take away 100% of the function of the forehead muscle.

So what exactly does the forehead muscle do? Simply put, it lifts up the eyebrows. That said, every face is completely different. Some forehead muscles are strong and some are week, some are asymmetrical and some are symmetrical and finally some serve a purpose (like keeping the eyebrows lifted in people with saggy skin on the upper eyelid) and some have no purpose at all (some males can get away with almost freezing their foreheads – although it is not recommended).

So it is important to keep this all in mind deciding how to treat and how much to treat the forehead wrinkles. so in a nutshell, there are several options:

  1. Botulinum Toxin Type A – This is a good place to start as most of the time people are happy with the amount of wrinkle reduction. If there are still some bothersome wrinkles – a small amount of a thin filler can be used to fill the gaps.
  2. Facial Fillers – the thinnest type of fillers need to be used here – if anything else is used there is the chance that lumps and bumps can develop. Fillers treatments to the forehead and frown must be done with great care – there are complications and patients must be made aware of this. That said, a product like Restylane Vital is great for this area when used correctly.
  3. Peels, Needling, laser and mesotherapy all help to improve the texture of the skin and soften fine lines and wrinkles.
  4. PDO threads increase the collagen content in skin and in so doing help with tightening and fine lines.

APPOINTMENTS

Contact us today if you would like to know more about treating wrinkles or if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point and Somerset West, Cape Town. To book an appointment please contact:

Telephone: 087 135 3017
Email: bookings@naturalcape.com


NATURAL AESTHETICS – BOTOX

Cape Town| Green Point | Somerset West

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Forehead Botox

Forehead Botox treatments aim to reduce the amount of wrinkles found on your forehead. The forehead muscle is unique in the sense that it is the only muscle in the upper face that lifts the eyebrows. So, without its action, the eyebrows will be droopy. Therefore, when treating this muscle we need to be very careful so as not to over-treat the area as this would risk lowering the eyebrows, which can actually make you look older.

It is for this reason that Dr Wade has created a treatment system whereby the risk for droopy eyebrows is reduced. As we are all different, and our muscles are all different, there is no clear way of estimating how much forehead Botox will be required. Rather than over-estimating and creating an unnatural result, we place a set dose of Botox into the forehead and then review the results in 2 weeks. If there is inadequate relaxation we inject a micro-dose of forehead Botox in order to get the desired effect.

forehead botox

Botox Forehead: 5 Injection sites on the forehead.

Botox is FDA approved for frown and eye wrinkles. It has yet to be approved for the forehead – so we use it as an off-label medication. That is, it works to relax the forehead muscles, but it has yet to be approved by the FDA for that area. Clients must understand this fact – it is also the reason why we take a much more conservative approach to avoid any complications. That said, when done correctly, forehead botox works really well to reduce forehead lines and wrinkles.

– Dr Wade

Appointments

Contact us today if you would like to know more about Forehead Botox in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Forehead Botox | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Botox Injections

Some people tell me that they are afraid of needles and that they are scared of getting Botox injections because of this. Yes, some needles can be scary, but Botox injections definitely are not those!

Botox is injected using a very small needle – it is only 8mm long. It is also extremely fine and thin. These two facts make Botox injections the least scary injections out there. What we actually use is an insulin syringe. Diabetics that require insulin to keep their blood sugar normal use insulin syringes sometimes 3 times a day. Now you can imagine that if they are using it 3 times a day without fail, these Botox injections are most likely pretty painless.

Botox injections

Insulin Syringes – for painless injections.

The choice of the syringe and needle are very important when it comes to painless Botox injections – but even more important is the injectors technique. Having a steady hand and injecting the Botox slowly ensures that the injections remain painless. Avoiding blood vessels and veins when injecting is also important as busing and swelling can make create pain in the client. As much as technique is important, feeling comfortable with your doctor releases endorphins which are the bodies natural pain-killers – so choose a doctor that you feel comfortable with!

– Dr Wade

 Appointments

Contact us today if you would like to know more about Botox injections in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like toschedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town | Green Point | Camps Bay | Somerset West

Botox Injections | Fillers | Chemical Peels | Micro-needling (Dermapen) – Acne Treatments | Filorga Mesotherapy

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Botox Injection Sites

Botox injection sites are found in the frown, on the forehead and around the eyes. When these sites are injected, the muscles are relaxed and the overlying wrinkles are treated. Different muscles have different functions – so one must be aware that if you relax a muscle too much, it will lose its function and the resulting look will be unnatural. That is why the current trend in Aesthetic Medicine is too inject less Botox and create natural results. You can always visit your Doctor for a top-up, but if you have had too much Botox, you would have to wait 4 months for the effect to wear off.

Botox Injection Sites

Men have finally caught on to the benefits of Botox!

Having a standard set of Botox injection sites is important for any practitioner – it allows your doctor to treat 99% of the population effectively. That said, some people are born with muscles that are either bigger or in a slightly different place than those found in the text books. Thus, for Botox, each client should be thoroughly assessed to ensure that the placement of the Botox injection sites is correct for them. This ensures that the best results are achieved.

The following are a general guide as to where your doctor may place your Botox injection sites:

Botox Injection Sites

Frown: 5 injections spread across the frown to relax the procures and corregator muscles.

 

Botox Injection Sites

Botox Eye Wrinkles: 3 sets of injections for both sides – to treat the obicularis oris muscle.

 

Botox Injection Sites

Botox Forehead: 5 Injection sites into the frontalis muscle.

Botox injections are typically pretty pain-less. That said, if you are at all worried ask your doctor for a numbing cream to be applied prior to the treatment.

 

– Dr Wade

 

Appointments

Contact us today if you would like to know more about Botox treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town| Green Point | Camps Bay | Somerset West

Botox Injection Sites | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Does she have Botox Lips?

One common misconception that pops up when talking to people is that they actually don’t know the difference between Botox and Fillers. Recently, one of my friends asked me if I thought that the lady sitting across from us in the restaurant had Botox in her lips. To clear up all of the confusion – there is no such thing as injecting Botox into someones lips. Botox Lips are a fallacy!

Botox is a protein that is used to block muscle movements and in so doing treat the wrinkles that are formed by muscle movements. The following wrinkles can be treated with Botox injections:

  • Frown – Glabellar
  • Forehead – Frontalis
  • Eyes – Crows feet
  • Brow Lift
  • Nose – Bunny lines
  • Gummy Smile
  • Mouth – Smoker’s lines
  • Chin – Dimple reduction
  • Neck – Nefertiti lift and contouring

Botox Lips

Botox has no volumising effect – that is, it can never add volume to the area that it is injected. Fillers on the other hand are the treatment of choice for volumising. When you think of Kylie Jenner and her full, plump lips it is not Botox that has created them. Botox Lips are a fallacy – it is Filler Lips that you want. Fillers volumise lips  – the extent of volumising is determined by how much filler you use. Kylie Jenner may not have a natural result, but she definitely has filler in her lips. Lip Filler treatments can in fact be very natural looking.

Botox Lips

Kylie Jenner – Here too much Lip Filler has been injected into the upper lip – creating a sausage like appearance.

 

Botox Lips

The ideal lips – the natural dimensions have been maintained.

So the answer to the question, Does she have Botox Lips…

Definitely not!

– Dr Wade Merchant

 

Appointments

Contact us today if you would like to know more about treatments in Somerset West, Green Point or Camps Bay, Cape Town. Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town.

For Bookings:

Cape Town| Green Point | Camps Bay | Somerset West

Botox Lips | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Botox and Fillers: The next generation in treatment styles.

Dr Wade Merchant uses Botox and fillers to enhance the facial aesthetics of his patients. The medical name for Botox is Botulinum Toxin Type A (BTX). They are both injectables but they act in different ways:

BTX: Acts by deactivating muscles that cause wrinkles. The wrinkle then cannot form and the line disappears over time.

Fillers: Hyaluronic acid gels that are injected into the face in order to provide volume to  certain areas where it may be lacking or has been lost as a result of the aging process.

Botox and Fillers

BTX lasts around 3 to 4 months if the recommended units are used – if less than recommended units are used, the results will not last as long as they should. This is important to remember when attempting to reduce the amount of units because of cost – if you use less units now you will need more units sooner, and will probably end up spending more money than if you had just received the recommended units. Medical doctors are specially trained to assess and prescribe the amount of units needed – just in the same way that they know which dose of your anti-depressant to give you.

Filler treatments last different amounts of time depending on the filler used as well as your particular metabolism:

Voluma (Cheeks): 18months.

Volift (Lips and nasolabial folds): over 1 year to 15 months.

Volbella (under eyes and lip border) – 9 months to a year.

At the end of the day, each face requires a different approach and normally a combination of both BTX and Fillers are used.

 


 

APPOINTMENTS

Contact us today if you would like to know more about treating wrinkles or if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point and Somerset West, Cape Town.To book an appointment please contact:

Green Point Practice (Based at Legs 11 Aesthetic Centre):

Telephonic: 086 132 4752
Email: greenpoint@legs11.co.za

Somerset West Practice:

Telephonic: 081 301 3277
Email: bookings@naturalcape.com


NATURAL AESTHETICS – Botox and Fillers

Cape Town| Green Point | Somerset West

Botox | Fillers | Silhouette Soft | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

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Botox Cape Town

Botox Cape Town: Dr Wade is an aesthetic doctor with practices in both Cape Town and Somerset West. He is able to offer discreet high quality aesthetics procedures like Botox and Fillers to Cape Town clients who really want a top quality experience at a price that is competitive. Botox Cape Town treatments are safe and professional.

Dr Wade has extensive experience and uses the latest technology to ensure that all of his Cape Town clients look their best when completing a Botox or injectable treatment. Dr Wade enjoys keeping his clientele updated with the latest trends and developments within the world of aesthetic medicine. This article deals with Botox and how it can be of use to improve the look and feel of skin.

Botox Cape Town - For Botox in Cape Town

Botox Cape Town – Dr Wade

Botox is a highly purified toxin produced by a particular strain of bacteria. Botox has a number of medical applications, including the treatment of facial spasms, migraines, squints, neck spasms, and spastic muscles in cerebral palsy children. Dr Wade aims to give his Cape Town clients the best service possible.

Botox Cape Town – Wrinkle Reduction.

In aesthetic medicine, Botox has found application in the treatment of facial wrinkles (mimetic or hyperkinetic lines) which are due to the underlying muscles of facial expression acting on the overlying skin to create a wrinkle. Botox can easily treat the lines and wrinkles between the eyebrows (glabellar frown lines), at the sides of the eyes (crow’s feet), and across the forehead. Cape Town clients often describe the “11’s”  – these are the frown wrinkles that in some people form an “11” pattern.

Botox Cape Town

Frown Before and After: Botox Cape Town | Dr Wade

Small amounts of Botox are injected into the offending muscles, causing temporary weakness of the muscle, and flattening of the overlying wrinkle. The onset of action of Botox takes 3-7 days, and lasts for about 4-6 months, at which time the Botox treatment can be repeated. In order to get the best out of Botox, Dr Wade urges his Cape Town clients to follow up before the wrinkles return.

More recently, Botox has been used in order to shape the eyebrows, allowing a slight lift of the outer one third of the eyebrow, without the need for surgery. This is also a temporary phenomenon, lasting some 4-6 months. Botox has also found a role in assisting scar revision surgery, by limiting tension on the wound.

Botox Cape Town

Botox Frown Treatment – Cape Town | Dr Wade

Cape Town doctor, Dr Wade uses cosmetic Botox and most of his cases focus on the upper 1/3 of the face. We typically use 20 units  of Botox per pair of muscles (10 units per muscle) and there are 3 possible muscle groups that are routinely injected:

  1. Frown lines (corrigator muscle and occasionally procerus muscle).
  2. Transverse forehead lines (Frontalis muscle).
  3. Crow’s feet lines (orbicularis oculi muscle)
Botox Cape Town

Injection Points for Botox Treatment | Cape Town | Dr Wade

The most common site for Botox in Cape Town is the Frown. Each site typically uses 20 units of Botox, so a maximum of 60 units can be used – all 3 areas. That said, the total amount of Botox used these days to ensure natural results is about 4o units. We also occasionally inject small volumes of Botox into other related sites, eg so-called bunny lines (sides of nose), vertical upper lip lines (smoker’s lines), and sub-brow region (for outer eyebrow lift).

Botox is also useful to minimise sweating in the armpits, and is injected in to the armpit skin at a dose of 50 units of Botox per side (100 units total). Botox is very effective to lessen sweating in this region and the effects may last up to 8 months.

If you would like to know more about Botox treatments in Cape Town or would like to schedule a consultation to discuss the various aesthetic treatments we can offer. Please do not hesitate to contact us today!

APPOINTMENTS

Contact us today if you would like to know more about Botox Cape Town treatments.  Let us know if you would like to schedule a consultation to discuss the various aesthetic treatments we offer. Dr Wade practices in Green Point, Camps Bay and Somerset West, Cape Town. Botox Cape Town – Soften wrinkles today!

For Bookings:

bookings@naturalcape.com

081 301 3277

 


Botox Cape Town

Cape Town| Green Point | Camps Bay | Somerset West

Botox Cape Town | Fillers | Chemical Peels | Micro-needling (Dermapen) | Filorga Mesotherapy

 

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