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

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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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Wrinkle Treatments Cape Town Somerset West

 

What causes the skin to age?

External factors such as increased sun exposure, wind exposure and pollution can all result in wrinkles and discolorations. Wrinkle Treatments by Dr Wade can be done in Somerset West and Cape Town. Diet and poor lifestyle habits such as smoking and not exercising also play a role. A lifetime of stress (in some cases only half a lifetime!) results in the repetitive muscular movements of facial expression – these cause wrinkles. Sudden weight loss, although great, can also cause the skin to age as you lose fat within the facial fat pads – and your face droops and sags.

 

Wrinkle Treatments Cape Town Somerset West

Wrinkle Treatments Cape Town Somerset West

When we are born we have the most beautiful young, supple skin – the reason being as our skin is full of a substance called Hyaluronic Acid which acts to hydrate the skin. As we age, we lose Hyaluronic acid and our skin loses the soft supple nature that it once had. This is an internal factor as to why we look older. This process accelerates from the age of 30 – our skin produces less and the rate of destruction is higher.

Wrinkle Treatments Cape Town Somerset West

Wrinkle Treatments Cape Town Somerset West

The above factors cause lines, wrinkles and folds to develop. Your skin loses volume and your face changes shape. How fast all of this happens is dependent on what we have already mentioned. Living a healthy life today and protecting your skin from the sun can help to reduce the speed to which you age. In anti-aging medicine it is never to late to change your life and see results.

What are wrinkles?

Wrinkles are folds in the skin and there are two types. Dynamic wrinkles occur over time from repeated muscle use like frowning and smiling – if present for long enough they can develop into static wrinkles. Static wrinkles are always visible and are due to a lack of skin elasticity. They are caused by sun damage, smoking, genetics and prolonged dynamic wrinkling.

Frown Wrinkle Treatments Cape Town Somerset West

Frown Wrinkle Treatments Cape Town Somerset West

Forehead Wrinkle Treatments Cape Town Somerset West

Forehead Wrinkle Treatments Cape Town Somerset West

Wrinkle Treatments Cape Town Somerset West

Static Wrinkles – notice the Tear Troughs, Naso-Labial Lines and Marionette Lines

 

Injectable Treatment Options

Botox

Botulinum Toxin (Botox) is a purified protein derived from Clostridium Botulinum that is used to reduce unwanted dynamic facial wrinkles. It acts by blocking the signal from the nerve to the muscle and in so doing prevents muscular contraction. Botox only works on dynamic wrinkles – static wrinkles will need different treatment options. The effects of Botox last anywhere from 3 to 6 months – it really just depends on the dose, your metabolism and if you have had Botox before. The more often you have Botox, you will need less amount of treatments per year.

Wrinkle Treatments Cape Town Somerset West Wrinkle Treatments Cape Town Somerset West

Hyaluronic Fillers

Hyaluronic acid is a naturally occurring substance found in our skin. As we age we lose this substance and our skin loses its once youthful tone and appearance. Aging also results in loss of fat from our facial fat pads. A young-looking face has round contours, high cheekbones and a well-defined jawline. The reason we look the way we do is partly because of the bones in our face but partly due to these fat pads beneath the skin. As they lose fat the skin above them begins to sag and as a result our cheek bones move down our face and we get static lines around our nose and mouth. The pulling of the sagging skin then also creates depressions and bags under our eye.

Wrinkle Treatments Cape Town Somerset West

Juvederm Filler Range

The treatment of facial sagging and static lines is Fillers. These fillers are injected with a very fine needle into the area overlying the cheek bone. Once injected the results are immediate and a gentle lift occurs whereby a new cheek is pulling up the skin from the lower face and as a result the lines around the mouth and nose are visibly reduced.

Wrinkle Treatments Cape Town Somerset West

Wrinkle Treatments Cape Town Somerset West

Before and After Cheek Fillers

Fillers generally last from 9 to 18 months depending on where they are placed. Over time they are naturally reabsorbed by our body. The old way of injecting fillers was to inject only in the facial wrinkles of the lower face – this would remove the wrinkles but leave the client with an unnatural result. Current science and thinking points towards the cheek injections as the most effective method to give the most natural results.

Wrinkle Treatments Cape Town Somerset West

 

Below is a video explaining cheek fillers for rejuvenation:

– Dr Wade

For Bookings in Somerset West, Camps Bay and Green Point, Cape Town:

bookings@naturalcape.com

081 301 3277


Cape Town| Green Point | Camps Bay | Somerset West

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

 

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