Botox - Patients ask Dr. Ringpfeil answers
Please feel free to use the blog below to share information about Botox or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.
Botox & Xeomin are among of the most popular cosmetic treatments. They works. They are safe. They are predictable and provides noticeable results with virtually no downtime. To learn more about our Botox & Xeomin treatments in Philadelphia, contact Ringpfeil Dermatology and book a consultation today.
Please note - the estimates above may vary by patient.
Calculator is based on $15/unit. Enjoy a 20% discount if booked on Botox or Xeomin Day.
Botox is best for dynamic lines and mild static lines on the upper face. It can also decrease a pebbly chin, vertical lip lines, as well as vertical bands that form on some aging necks. It lasts between 3-6 months and the number of units needed is determined by the strength of the targeted muscle.
A bacteria-derived toxin is injected into specific muscle groups to specifically relax them and restore a worry-free, youthful appearance. Only Botox, the US approved grade of botulinum toxin A, is used in our office. Moderate and severe static lines need several sequential botox treatments to melt away.
Relaxation of the dynamic face and neck rhytids (wrinkles), which results in a more youthful appearance and smooth, firmer skin.
Xeomin® is the only pure wrinkle relaxer on the neuromodulator market and has been FDA-approved since 2010.
Its active molecule, botulinum toxin type A, is same as the one in Botox®, yet Xeomin® does not contain protein additives, which are responsible for partial or full resistance to all other neuromodulators over time. In other words, these proteins might prevent the desired effect of Botox®, Dysport®, Jeuveau® and other neuromodulators in 6-7% of individuals, or reduce the desired effect in a subset that is estimated to be far greater than 7%.
Study results published in March 2020 show that there is no risk of developing antibodies against Xeomin®. Furthermore, Xeomin® will be able to achieve desired effects in those who have become resistant to other neuromodulators latest by 10-14 months after last injection. The effects of Xeomin® occur within 3-14 days and the results last from 3 to 6 months, making it comparable to Botox for both onset and duration of action.
The final results will be visible after 1 to 2 weeks and typically last 3-6 months. Most people who like the effects will repeat injections every 4 months to maintain their results.
Myasthenia gravis, allergies to egg white and kanamycin, pregnancy and breastfeeding are contraindications.
A basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox includes the shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. Botox can treat the following areas and in some cases, it can be combined with fillers such as Radiesse, Belotaro, and Juvéderm:
Note: Sculptra and Artefill can be used in place of Radiesse. Usually, several treatments are necessary to achieve desired volume correction. Their upfront cost is substantially higher, yet, fewer treatments are needed in the long run.
To address volume and wrinkles in areas indicated by 7,8,9,10, and 11 see similar illustration on the Dermal Filler Page.
|price / syringe||lasts (months)||# treatments|
|Botox||$15 / unit||4-6||1|
|Botox Special||$12 / unit||4-6||1|
Purchase of a full syringe is required. When only a partial syringe is needed, the remainder can be injected to another area.
Dr. Ringpfeil: "Botox is so much more than a wrinkle chaser. It allows me to enhance the attractive features of a face and restore youthfulness."
Dr. Bird: "Looking carefully at the facial features, I mix art, knowledge, and experience to magically erase these lines and facial depressions that hide your younger look."
Unlike fillers, which treat areas of the face where aging causes loss of skin volume, Botox targets facial wrinkles that are created by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents lines from forming. Many times, it even reverses wrinkles that have already settled.
Many people are self-conscious about smiling because over time it can increase wrinkles. However, with every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile for fear of facial lines. Yet, with the help of Botox, we can now have a guilt-free smile without fearing that we deepen the dreaded crow’s feet. With Botox treatments, we can untrain the forehead muscles and those between the brows to no longer look constantly strained or angry.
Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need extra help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.
The most common areas for wrinkle relaxation are the frown lines between the brows, crow's feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lipstick may bleed.
In addition to wrinkle relaxation, advanced use of Botox allows the shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile and turn a square face into a more triangular one.
Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of the eyes that occur with smiling and squinting. The use in all other areas is off label, similar to the use of aspirin for the prevention of heart attack or stroke.
Botox was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.
Dysport differs from the Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox but it is a bit purer, which reduces the risk of tolerance formation.
Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with neuromuscular disorders or with a first degree relative with a neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.
At Ringpfeil Advanced Dermatology, our team of skincare experts takes the time to understand our patients’ goals in order to produce the best results. Furthermore, our Botox treatments and other therapies are performed by our expertly trained, in-house dermatologists, ensuring the highest quality of service for our patients.
If you want to learn more about our Botox treatments, contact us and book a consultation today.
Botox is an FDA-approved treatment to help combat wrinkles in the face, neck, and other areas. This compound is regarded as generally safe and carries very little risk, as long as the treatment is performed by a certified specialist.
The results obtained through Botox can last anywhere between 3 to 6 months, after which a patient may require a touch-up session. With this in mind, touch-up sessions will not require as much Botox as the initial treatment.
Botox is derived from a neurotoxic compound produced by a microorganism called clostridium botulinum. However, as long as it’s administered by a board-certified dermatologist, Botox is completely safe and has a minimal chance of producing adverse side-effects.
After the effects of Botox have completely worn off, patients will return to their prior state. Many patients feel like the treatment results in increased signs of aging, however, there is no evidence to support this idea. Keep in mind that the skin continues to age even while under the effects of Botox, so it’s normal to see a few more wrinkles than before if you have been receiving treatment for a long time.
There is no minimum age to get Botox, but patients in their mid-30s to mid-50s tend to see the best results.