What is Botulinum Toxin?

Botox Diagram

Botulinum Toxin is a truly remarkable treatment. It is a chemical produced by the Botulinum bacteria. Botox® is a protein derivative of the toxin, which, when injected into the muscle, causes it to become weakened or inactivated. It stops the muscle from functioning by blocking neuromuscular transmission - i.e. it stops the chemical messages from the nerve to the muscle.

How does it work

As facial muscles are used repeatedly, over time the skin is creased in areas of greatest use. The ageing process causes the slow down of collagen and elastin production in the skin so that as we get older the areas of over-use become damaged and the lines become permanent.

By reducing the movement of muscles in these areas, the skin stops being creased and is allowed to recover, causing the lines to soften or even fade away. In the areas treated, the muscles are temporarily inactivated (always reversible), during which time the patient can break the subconscious habit of overusing these muscles. Depending on each individual and the dose used, the response to the treatment can vary from a relaxation of the muscles to an inability to move the muscles.

After Botox® treatment, normal activities can be resumed straight away, with the exception of exercise, lying down, or touching the treated areas, all for about 4 hours, after which you may continue with all normal activities.

For the first couple of years, frequent treatments (three monthly) are required to 're-educate' the facial muscles. Thereafter, treatments are less frequent until a yearly maintenance treatment is normally all that is required.

How long has Botox® been in use?

As long ago as 1978, Botox® was used as a treatment for patients with eye squints by weakening the overactive eye muscle. Since then, in addition to it's very popular use in medical cosmetics treatments, Botox® has been used in a variety of therapeutic areas such as spasmodic neck, writer's cramp, tics, multiple sclerosis, Parkinson's disease, and cerebral palsy. It has been used cosmetically for more than 15 years and one full treatment dose is now considered as safe as a quarter of an aspirin!

Dermal Fillers

Dermal fillers are used to fill out lines and wrinkles, accentuate the contours of lips, restore sunken cheeks to normal shape, reshape noses, and help with the definition of weak chins.

As an example, one of the most commonly used fillers is Restylane. Restylane is a natural substance, hyaluronic acid, and is present naturally in the skin. The restylane used in the treatments is not from a human or animal source.

During the filler treatment, restylane is injected into the area being treated, with a very fine needle, after the application of pain-relieving cream or, if necessary around the mouth, a stronger anaesthetic.

The treatment will take from 40 to 60 minutes depending on what's being done.

More recently we have introduced Juvederm, a dermal filler very similar to Restylane but it also incorporates a local anaesthetic for enhanced comfort during treatment.

Medical Skin Peels

AGERA® Medical formula


AGERA Rx anti-ageing skin care has been scientifically proven to penetrate and stimulate the skin for rapid and visible results.

Powerful antioxidants protect against free radical damage, while retinols of varying strengths smooth away fine lines and wrinkles.

Growth Factor Peptides, available exclusively in AGERA Rx, help to control the skin's internal ageing process while restoring and maintaining its thickness and resilience.

AGERA Rx skin care is formulated using tiny particles called bioemulsions that encapsulate these powerful anti-ageing ingredients and ensure their penetration into the deepest layers of the skin.

All skin peels are dermatologically researched, have no animal extracts and are free from high levels of perfumes.

The peels are non glycolic and thus have no “down time”

Combinations of Vitamin C, Alpha Hydroxy, Beta Hydroxy and Poly Hydroxy acids are used in a multi layered peeling process.

They are deeply penetrating and have the potential to reach the reticular dermis.

These skin peels may be used for all skin types and at all ages.

The products range from gentle refreshing skin peels to deeper peels that can be beneficial for treating acne and mild facial scaring.

Treatments may be given singularly or, for the very best results, a course of 6 is recommended.

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