Archive for the ‘wrinkle fillers’ Category

New Study Compares Dysport & Botox for Crow’s Feet

Wednesday, December 28th, 2011

Dysport for crow’s feetA new study compared botulinum toxins Botox and Dysport for treating crow’s feet and found Dysport may be more effective.

Researchers at the Maas Clinic in San Francisco treated crow’s feet on 90 patients with Botox on one side of the face and Dysport on the other. Patients were seen two, four and six days after injections. Patients and doctors rated Dysport as more effective at reducing crow’s feet, when patients were smiling.

Researchers concluded that Dysport had a trend toward greater improvements at day two compared to Botox and “statistically significant greater improvement at days four and six.”

However, though Dysport resulted in greater improvement, both showed statistically significant changes two days after injection.

ABC News spoke with doctors about the results of the study. Physicians agreed that both Botox and Dysport have positive results, and that the skill and experience of the doctor administering the injection is more important than which botulinum toxin is used.

Botox Maker Questions Study

Allergan, maker of Botox, responded to the study by saying that is was funded by Dysport’s maker Medicis. A spokesperson for Allergan, Kellie Lao, pointed out that the study, published in the Archives of Facial Plastic Surgery, only reported data out to 30 days after the injections, so “the long-term comparative efficacy is unknown.”

Medicis spokesperson Kara Stancell wrote Cosmetic Surgery Times, “These findings resulted from an independent, physician-initiated study that was funded by a grant from Medicis, but not designed or conducted by Medicis. The study investigators are well-regarded, and the study speaks for itself.”

Dr. Corey Maas, lead author of the study, said, “It’s good for us to know that we have good, quality options out there for patients. When we have choices and there is good competition, it helps both the doctor and the patient.”

Dr. Heffernan offers both Botox and Dysport at his Seattle practice.

Restylane for Lip Augmentation Approved by FDA

Monday, October 17th, 2011

Restylane for lip augmentationThe FDA has approved popular dermal filler Restylane for lip augmentation.

The filler is already approved to treat facial wrinkles and folds, like the smile lines that go from the nose to the corners of the mouth.

Many cosmetic surgeons are already skilled at using Restylane for lip augmentation because they had been using it as an off-label treatment for enhancing the lips prior to FDA approval.

According to a release from Medicis, maker of Restylane, a clinical study showed that the results last up to six months.

The study to evaluate the safety and effectiveness of Restylane for lip augmentation had 180 patients. Some received Restylane injections at the beginning and then were retreated at six months. Participants who did not get treatment at the start of the study received their first Restylane treatment at six months. Patients kept diaries for two weeks after treatment.

The study found that Restylane was well tolerated and effective for lip augmentation; side effects included pain, swelling, tenderness and bruising, and none were serious.

Patients in the study were clearly happy with the results, as 80 percent chose to get Restylane treatment again after six months.

Restylane was the first hyaluronic acid dermal filler approved in the U.S. It launched here in January 2004, and according to Medicis, it has been used in over 10 million treatments worldwide.

Hyaluronic acid is a substance naturally found in the body, and over time, Restylane is resorbed by the body as the treatment results wear off.

Results can be seen immediately after your Restylane treatment, and there is no downtime or recovery period after the procedure.

Learn more about Restylane for lip augmentation.

Couples Increasingly Choosing Non-Invasive Plastic Surgery

Monday, June 27th, 2011

non invasive plastic surgeryAs many couples age together, more of them are slowing down the visible effects of aging with non-invasive plastic surgery, according to the Pittsburgh Tribune.

Why Are Couples Choosing Non-Invasive Plastic Surgery?

The trend is likely because people are not only living longer than before, but also because they are working harder, which puts added stress on the skin, according to Dr. Leo R. McCafferty, vice president of the American Society for Aesthetic Plastic Surgery. The uptick in non-invasive plastic surgery may also be attributed to improvements in the economy, which has seen consumers with more spending money.

One plastic surgery practice near Pittsburgh saw about six couples for non-invasive plastic surgery five years ago and now sees almost 30 couples per year.

Not only are couples undergoing similar non-invasive plastic surgery treatments to maintain a youthful look for their spouses, but they may also be doing so to stay competitive in the workplace.

What Non-Invasive Plastic Surgery Options Are Couples Choosing?

Though surgical procedures are still popular among a range of patients, young and mature, non-invasive plastic surgery is only gaining traction. Most popular among women and men looking to shave a few years off is Botox, an injectable that smooths out many types of facial wrinkles.

Though one woman had undergone non-invasive plastic surgery treatments like chemical peels, she had not pressured her aging husband to do so. However, when he began to notice wrinkles creeping across his cheeks, he chose to have injectable fillers, like Juvederm or Restylane, to fill in the deep lines.

When you visit your plastic surgeon’s office for a consultation, make sure to inquire about non-invasive plastic surgery as well as traditional plastic surgeries to reduce the signs of aging and refresh your skin, at any age.

Dysport for Crow’s Feet Favored by Patients in Study

Monday, June 27th, 2011

dysport crows feetIn a new study, a majority of patients preferred the correction of Dysport for crow’s feet over that of a similar wrinkle-fighting injectable, according to HealthDay News.

Dysport for Crow’s Feet: How Does It Fare?

The study, which was conducted at the University of California and published in the Archives of Facial Plastic Surgery, used 90 adults, mostly women, to compare their preference for Dysport or similar injectable Botox. Each patient was injected with 10 units of Botox on one side of their face at their crow’s feet, while the other side was injected with 30 units of Dysport for crow’s feet. None of the participants had ever undergone facial surgery, nor had they used a botulinum-based injectable in the previous six months.

One month after they had been treated, the patients were asked to compare their appearance with their facial muscles contracted to photos taken before being treated. According to the study, two-thirds of the patients said they preferred the wrinkle protection provided by Dysport for crow’s feet. With their faces relaxed, the patients generally noted no difference between the treatments.

How Does Dysport for Crow’s Feet Compare to Botox?

While for treating crow’s feet, Dysport may have garnered more patient preference, the authors of the study are quick to note that other injection sites on the face were not tested. For example, botulinum injectables are often used to treat forehead wrinkles, lines around the mouth and sometimes those signs of aging on the neck. Additionally, Dysport and Botox are not interchangeable and contain different formulations of botulinum, which should be considered when contemplating treatment.

When you visit your plastic surgeon for non-surgical wrinkle treatments, be sure to share your aesthetic goals so your plastic surgeon can suggest the best treatment for your needs.

FDA Panel Backs Approval of Restylane for Lip Enhancement

Wednesday, May 4th, 2011

Restylane as lip enhancerAn FDA panel has recommended that Restylane uses be expanded to include lip augmentation. The filler is already approved to treat facial wrinkles and folds, such as the nasolabial folds on the sides of the mouth.

The FDA will make the final decision on Restylane for lip augmentation, but it usually follows the advice of its advisory panels. If the FDA does expand its use, then Restylane can be marketed for the lip procedure.

Jonah Shacknai, Chairman and Chief Executive Officer of Medicis, Restylane’s maker, said in a statement that the panel’s recommendation reflects its “confidence in the robust clinical data provided by Medicis.”

Restylane was the first hyaluronic acid dermal filler approved by the FDA for use in the United States (in 2003), and if granted the new FDA approval, it would make Restylane the first hyaluronic acid dermal filler in the U.S. indicated for use in the lips.

Restylane is injected into the tissue and over time is resorbed by the body as the treatment results gradually wear off; results typically last about six months.

Common Off-Label Uses of Restylane

Many doctors are already using Restylane for the lips. Doctors can use drugs for off-label uses — meaning, uses that aren’t approved by the FDA — but for a drug maker to market it for a certain purpose, it must have FDA approval.

Plastic surgeon Dr. Farhad Rafizadeh uses Restylane for lip enhancement and said he often recommends it because it stays put and doesn’t seep into other areas of the face as other dermal fillers do. “Restylane allows me to define the shape of the lip in a more precise manner,” he added.

In addition to the lips, common off-label uses for Restylane include treating the tear trough (the saggy skin under the eyes), marionette lines and sunken cheeks.

New Study Examines Botox’s Effects on Reading Emotions

Wednesday, April 27th, 2011

Does Botox affect ability to read emotionsBotox injections may actually inhibit the ability to read others’ facial emotions, according to a new study published in Social Psychological and Personality Science. The study found that people who had Botox injections were significantly less accurate at reading others’ emotions in photos compared to those who had Restylane injections.

Study researcher David R. Neal, PhD, a psychology professor at the University of Southern California, said, “If you have a poker face because your facial muscles are paralyzed, you can’t read others emotions as well.”

Why would Botox have this effect and not other fillers? According to Neal, evidence suggests that people use mimicry to register and label the emotional states of others, so something that limits one’s ability to reproduce another person’s expression of emotions, such as Botox — which has a paralyzing effect on facial muscles in the immediate vicinity of the injection site — would likely impair one’s ability to register or label those emotions.

Women who had their facial folds treated with Restylane were able to read others’ emotional states with about 77% accuracy, while those who had Botox had 70% accuracy.

Neal admits that it’s a “fairly subtle” effect. “People are not becoming automatons. It’s just a matter of weighing whether the aesthetic and self-esteem boost outweighs any subtle impact on your ability to perceive others emotions,” he added.

Andrew Jacono, MD, a facial plastic surgeon in New York City, who reviewed the study, said that the findings likely only apply to those who use excessive amounts of Botox.

“When Botox is overdone, it doesn’t look right and people aren’t perceived in the right way,” Jacono said. “The goal is to try to make sure when you get Botox, it is done in a subtle way so you can look better and maintain your ability to emote and read others.”

New Technology Zaps Wrinkles by Freezing Nerves

Wednesday, April 6th, 2011

Botox alternative to freeze wrinklesBotox and Dysport are famous for their ability to smooth wrinkles by paralyzing facial muscles — now a new alternative that zaps away forehead wrinkles by freezing nerves shows promise, according to U.S. News & World Report.

“It’s a toxin-free alternative to treating unwanted lines and wrinkles, similar to what is being done with Botox and Dysport,” said study co-author Francis Palmer, director of facial plastic surgery at the University of Southern California School of Medicine in Los Angeles. “From the early clinical trials, this procedure — which its maker calls cryoneuromodulation — appears to have the same clinical efficacy and safety comparable to the existing techniques.”

To perform the procedure, doctors use small needles that deliver cold to nerves running through the forehead. The cold freezes the nerve, interrupting the nerve signal and relaxing the muscle that causes forehead lines. The technique does not permanently damage the nerve, Palmer said.

The technique is still being refined, but the results last about the same amount of time as Botox, which works for about three to four months. However, unlike Botox, which takes a few days to kick in, the effects of the cryotechnology are seen immediately, according to the researchers.

The current study had 31 people, all of whom had fewer wrinkles after two to eight injections, and the level of discomfort was comparable to that from Botox or fillers, Palmer said.

If this new technique is eventually approved by the FDA, it would offer consumers an alternative to a neurotoxin injection for getting rid of forehead wrinkles. Statistics from both the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery for 2010 showed that Botulinum Toxin Type A, which includes Botox and Dysport, was the number one non-surgical cosmetic procedure.

The company plans to seek FDA approval, but it might seek approval in Europe first.

Cosmetic Surgery Trends: Predictions for 2011

Friday, December 24th, 2010

cosmetic surgery trends for 2011Looking ahead to the New Year, cosmetic plastic surgeons around the country weighed in on upcoming trends in cosmetic surgery to the American Society for Aesthetic Plastic Surgery (ASAPS), who came up with a list of “predictions” for 2011.

Two areas where they anticipate growth are face lift surgery and injectables.

Demand for face lifts and other facial rejuvenation surgery will increase as the economy continues to improve. Non-surgical facial rejuvenation procedures will also see growth, but people who have been putting off face lift surgery for the past few years because of the economy will be ready in 2011, the society predicts.

The growth and popularity of injectables, already the most popular non-surgical procedure according to ASAPS’s 2009 statistics, will continue to increase as fillers continue to evolve and new products and brands enter the market. Botox, Dysport, and Restylane are just a few of the many choices for today’s consumer.

One area where they see change ahead is in fat reduction techniques. While liposuction will remain the standard in surgical fat reduction, new non-surgical techniques, such as Velasmooth, will continue to be developed — including freezing, zapping and lasering fat — as alternatives to surgery.

Another area of change in the past decade is the increase in the diversity of the cosmetic surgery patients, and the society predicts this trend will continue to grow stronger than ever.

“Aesthetic surgery and cosmetic medicine will continue to spread across the spectrum of our population, as plastic surgeons further tailor treatments to meet the sometimes unique needs of that expanding population,” the society predicts. One example of this targeted treatment is Asian blepharoplasty, an eyelid surgery technique developed specifically for Asian patients.

The full list of cosmetic surgery predictions is available at surgery.org.

Study Looks at First Impressions after Restylane Injections

Monday, November 15th, 2010

filler injection in laugh linesHyaluronic acid fillers, such as Restylane, are effective at correcting nasolabial folds — commonly known as smile lines — and a new study also shows receiving the treatment can affect the first impression you make on others.

The Chicago Center for Facial Plastic Surgery had 22 participants who received Restylane injections in their nasolabial folds, and then photos were taken of their faces at the baseline, optimal correction visit and four weeks after optimal correction.

Next 304 evaluators rated their first impressions in several categories for each photo; in total, 5,776 first impressions were recorded.

The study’s findings indicated a significant improvement in mean first impression at the optimal correction visit in several categories, including attractiveness, financial success, relationship success and athletic success.

“Full correction of the nasolabial folds with hyaluronic acid filler significantly and positively influences the first impression an individual projects,” the authors concluded.

Dermatologist Dr. Kenneth Beer commented on the study: “When used correctly, they [hyaluronic acid fillers] help restore more youthful proportions. For women, this includes higher cheekbones, fuller temporal areas, and more sculpted facial features. Hyaluronic acids may also be used to camouflage the bone loss associated with menopause and its loss of reproductive capacity. Transforming a postmenopausal face into one that has the features of a premenopausal face will have a profound effect on first impressions.”

The abstract is available online, and the study was published in the November issue of the Dermatologic Surgery journal.

Dysport Gives Patients Quick Results

Saturday, November 6th, 2010

Dysport logoDysport and Botox, which are both offered by Dr. J. Timothy Heffernan in Seattle, are famous for their ability to temporarily reduce glabellar lines— known as frown lines—which appear on the smooth part of a person’s forehead, between and above the eyebrows. While both are effective, a new study indicates that Dysport may work up to two days sooner than Botox.

Cosmetic surgeon Dr. Joel Schlessinger presented his findings at the American Society for Dermatologic Surgery 2010 Annual Meeting; the results were of a subset analysis of a phase 3 clinical trial designed to evaluate the effectiveness of Dysport.

An analysis of the Dysport group (n = 1160) showed that 19.7 percent of the participants responded to Dysport on day one. Three days was the median response time to the Dysport treatment.

Dr. Schlessinger said, “There are many different neurotoxins out there, and they have different types of effects on the injected individual, depending on the physical and molecular makeup of the neurotoxin.” He went on to say that Dysport appears to take effect slightly faster than Botox, by about two days. “That can be very helpful for a person who is looking for a faster onset, especially if [he or she] has a social function coming up,” he added.

The “study … validates what clinicians have observed clinically with the use of [Dysport] with regard to its early onset of action in many patients,” said Dr. Elliot Weiss from the Laser and Skin Surgery Center of New York in New York City.