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      Botulinum toxin injections

      Botulinum toxin injections (Vistabel, Dysport) for correction of mimic wrinkles

      Botulinum toxin injectionsVarious aesthetic medicine techniques are applied for elimination of face skin involutional and structure changes, hyperdynamic and static wrinkles, skin excess. Botulinum toxin A is most widely used preparation for non-surgical correction of mimic wrinkles.

      Mimic wrinkles

      The first mimic wrinkles usually start forming at a young age due to constantly repeated emotional expression as well as due to inherent tendency to start emerging in case of increased activity of certain muscles. The nature of these wrinkles is determined during the adolescence period and they become persistent gradually.

      Wrinkles are always characterized by individual picture. Barely visible at first, these wrinkles become more visible and deeper in time. Their kinetic types are distinguished.

      Kinetic – formed by the movement of face muscles directly related to emotional expressions and completely even up during the rest period.

      Hyperkinetic wrinkles are usually more expressive in the forehead, bridge and periorbital area (around eyes), causing mostly occurring aesthetical discomfort. Constant, repetitive and too intensive activity of face muscles is one of the provocative factors of the development of mimic wrinkles accelerating the involutional processes. These wrinkles are mostly visible with the movement of muscles that move more frequently and are not always related to expressed emotions, and during longer rest period they even up, e.g., during sleep, wrinkles usually leave soft “path” at the beginning that becomes more deep in time.

      Hypertonic wrinkles. Even during the rest period the muscles are intense, therefore, they cannot become fully loose and do not depend on human will.

      Static wrinkles are formed due to degenerative changes in face skin and muscle apparatus that are related to ageing tissue changes are also stimulated by environmental factors (UV rays exposure, gravitation, harmful habits, etc.). These are mostly visible during the rest period when no movements are made.

      How botulinum toxin works?

      Injected botulinum toxin A inhibits the neuromediators acetylcholine in neuromuscular connection and anatomic cholinergic ganglia. Without the effect of nervous impulse muscles do not contract. In this way, botulinum toxin A temporarily relaxes face muscles by softening or completely eliminating the formed folds or wrinkles composed due to specific interaction of contraction of muscles or their groups.

      Botulinum toxin injections Is that safe?

      1987 – a significant push in aesthetic medicine. It was the first time, when A. and J. Carruthers used botulinum toxin A for cosmetic purposes. Since then, the discovered influence of botulinum toxin has launched the era of non-surgical correction of mimic wrinkles. Once known to be a poison, Botulinum toxin has started to be widely used in aesthetic medicine for safe and effective correction of ageing skin changes.

      There has been various myths lingering in the air.

      One of them – whether botulinum toxin is poisonous? It is not possible to be poisoned with botulinum toxin as only small doses of preparation are used. Injections are made to specific muscles responsible for formation of mimic wrinkles.

      Is muscle atrophy possible? Muscle atrophy is impossible since denervation is only temporary and is fully restored within 3-12 months. Normal metabolism processes remain in muscles during the whole time.

      Botulinum toxin A is extracted from bacterium Clostridium botullinum. Preparation (Vistabel) Allergan Pharmaceuticals (Irvine, California, USA) – botulinum toxin A contained in a complex the molecular mass of which conditions the lower diffusion of preparation ant that means exact, predictable result, longer lasting effect and more natural face expression.

      At what age the botulinum injections could be used?

      Botulinum toxin is used for aesthetic purposes for persons of the age of 18-65. Everyone chooses the time for the first injection subject on the self situation and introspection.

      For some, the perfect time can be at the age of 20-25, for others – at the age of 50. Botuline injections acting on the etiological factor of mimic wrinkles are used not only for correction of wrinkles but also for their prophylaxis.

      Injections started to be used at the age of 30-35 or earlier block involuntary mimic and are applied for prophylaxis of first wrinkles. Wrinkle prophylaxis is also recommended in case of very intensive muscle activity.

      Quite often, injections are started at the age of 30-45 when the mimic wrinkles began to intensify due to reduction of skin elasticity.

      Third stage – the menopause at the age of 45-55. With intensive reduction of estrogens and progesterone the synthesis of collagen and elastin is reduced and skin cannot retain moisture, becomes dry, starts to get thinner and various wrinkles included the mimic wrinkles become more visible.

      The course of procedure

      In clinic, the procedures are performed by aesthetic medicine doctor. Usually, before the procedure, the area of injection is not anaesthetized due to inconsiderable pain. In case of hypersensitivity, you will be provided with the proper technique of anaesthesia. Subject to age, gender, deepness of wrinkles, localization and all accompanying individual factors s small dose of preparation is injected by special thin needle in the respective points. Microinjections block hyperactive muscles responsible for formation of mimic wrinkles. After stopping the contraction of muscles, the wrinkles become more even. The procedure itself lasts for several minutes. After the injection, the ice is placed on the injected area.

      Effectiveness

      Usually, the impact starts to be visible on the 2nd-7th day, however, sometimes the effect fully manifests within 14 days. Mimic muscles are relaxed and the skin becomes even in problematic areas. The effect lasts for 4 to 6 or even 8 months. Sometimes – up to 1 year. Emotions can be expressed like before, however, they are not accompanies with increased wrinkles of face skin.

      How often can botulinum toxin be injected?

      In the length of time, innervation is restored and injections can be repeated. In order to maintain constant effect, the course of injections is performed every other 4, 6 or 8 months. With repetition of injections, the impact of botulinum lengthens up to 6 to 9 or even 10 months, the habit to wince conditioning the formation of mimic wrinkles is sometimes lost, therefore, mimic wrinkles can be less intensive. It is not recommended to repeat botulinum toxin injections more frequently than every 3 or 4 months.

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      Recommendations before the procedure

      In order to avoid the increased bleeding, the usage of non-steroid anti-inflammatory medication shall be avoided before the procedure.

      Recommendations after the procedure

      • You can return to normal everyday routine immediately.
      • The massaging of injected areas shall be avoided for 12 hours after the procedure.
      • The vertical position shall be assumed for 4-5 hours after procedure.
      • During the first days after the injection any sports activities, alcohol consumption and sunbathing shall be avoided.
      • Overheating (hot tubs, saunas) shall be avoided for 7-10 days after the injections.
      • The usage of aminoglicozides, tranquilizers shall be avoided for two weeks after the procedure (the application of these preparations can reduce the effect of botulinum toxin).

      When the procedure shall be avoided?

      Absolute contraindications:

      1. Illnesses with disorder of transmission of nervous impulses (myasthenia, etc.);
      2. Pregnancy;
      3. Lactation;
      4. Local inflammatory processes;
      5. Haemophilia;
      6. Increased sensitivity to preparation components.

      Relative contraindications:

      1. Kidney disorders in anamnesis;
      2. Usage of anticoagulants;
      3. Exacerbation of somatic disorders;
      4. Usage of medication acting on the activity of botuline toxin: some kinds of antibiotics, myorelaxants.

      Interaction of aesthetic procedures

      Botulinum toxin injections are well combined with hyaluronic acid contour and volume plastic injections, biorevitalization, mesotherapy, peeling, laser rejuvenation procedures, photorejuvenation, rejuvenation by using light diodes. All of them have their own important roles in prophylaxis and restoration of skin involutional changes. Complex, properly coordinated procedures allow for achieving long-term results. During the initial cost-free consultation the aesthetic medicine doctor will evaliate skin condition, ageing skin changes and will recommend you the best procedures, their schedule and, upon demand, will compose short-term (from 6 months to 1 year) or long-term (1-2 years) antiaging programme.


      This article is an intellectual property of Era Esthetic laser dermatology clinic. It is not allowed to copy and/or distribute or use  the text and other information of this website in any way.
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      Asta Valentaitė, model
      Vilnius

      I do not have skin-related problems because I take care of my skin and protect it. If you do not neglect it, then you will not have problems. Sometimes, after long working days or sleepless nights, I feel that I want to pamper myself, so I go to the clinic to have Intraceuticals and HydraFacial procedures. The latter process cleans and moisturises the skin and during the first procedure various serums are used which saturate and moisturise the skin. These procedures are loved by…

      I do not have skin-related problems because I take care of my skin and protect it. If you do not neglect it, then you will not have problems. Sometimes, after long working days or sleepless nights, I feel that I want to pamper myself, so I go to the clinic to have Intraceuticals and HydraFacial procedures. The latter process cleans and moisturises the skin and during the first procedure various serums are used which saturate and moisturise the skin. These procedures are loved by Hollywood stars. The skin becomes smooth and clear and the results are visible immediately!

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      Viktorija Macijauskienė, jurist
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      I am not a frequent visitor of beauty and aesthetics clinics but I think carefully about where to go if the need arises.

      Their qualified professionals and very pleasant atmosphere is why I always go to Era Esthetic clinic when any problems arise in relation to my body or skin.

      Respectfully,

      Viktorija Macijauskienė

      Simona Burbaitė, model, Miss Universe participant, blogger
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      Our faces are our voiceless business cards. Moreover, every woman seeks a healthy and flawless look of her skin. I’m no exception. In addition, my work requires me to take special care of my face – quite frequent use of decorative cosmetic products requires proper care of the skin. So, in order to achieve the results I wanted, I chose the HydraFacial treatment at ERA ESTHETIC clinic. I think you will be curious to learn more about the process as well as the effects…

      Our faces are our voiceless business cards. Moreover, every woman seeks a healthy and flawless look of her skin. I’m no exception. In addition, my work requires me to take special care of my face – quite frequent use of decorative cosmetic products requires proper care of the skin. So, in order to achieve the results I wanted, I chose the HydraFacial treatment at ERA ESTHETIC clinic. I think you will be curious to learn more about the process as well as the effects that this treatment has. Basically, it is a patented non-invasive skin rejuvenation, deep cleansing and moisturising skin care done by modern aesthetic cosmetology technology – otherwise known as an ‘all-inclusive’ treatment. Today, Hydrafacial is included in the list of the most popular cosmetic treatments performed at prestigious medical clinics and spas all around the world. This procedure has three parts. Firstly, the skin is effectively cleansed; it gets exposed to a vacuum; it’s actively moisturised by different active serums. And all this is done simultaneously, which saves us time. Isn’t that great? The treatment was done by a great cosmetologist and beauty therapist, Alina Mockevičienė, and it lasted for about 45 minutes. You know, the face is quite a sensitive, I would even say intimate, part of our body, so it’s important to choose a specialist you trust; that way you can rest assured that you are in the hands of a professional. I would highly recommend Alina because in her chair I felt super safe and comfortable. I’ll tell you what kind of results I experienced after the first treatment: it restored the elasticity of my skin, as it had been looking rather tired lately. My skin was deep-cleansed. This means the reduced enlarged pores – and, believe me, with my job specifics I’m really not lacking them…The texture and tone of my skin have improved! Before the treatment, I had noticed that my face was somewhat greyish. Another good thing that will become even more important as time goes on is that this treatment slows down the ageing of the skin! And, although I am only 23 years old and the ageing process has not started yet (it usually starts at 25 years), preventive measures are always welcome and the sooner we start taking care of the skin, the more beneficial it will be for us. To tell the truth, if seeking maximum results this kind of treatment should be done once a month or as needed. I can confirm that the treatment did not cause any discomfort; in fact, it stimulated the skin in rather a pleasant way and was relaxing. As Alina would say, it is like being given a small kiss on your face by a kitten – somewhat scratchy, but at the same time very pleasant. I hope that the kitten will kiss you as well, leaving you glowing and even more beautiful!!!

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      I discovered laser dermatology clinic Era Esthetic several years ago and since then I have been a regular customer. The service offered by the clinic – laser hair removal – became my salvation.
      The quality of services offered by this clinic is really great and the results are obvious. The fact that I visit this clinic less and less often proves that the services which I need have been provided professionally and responsibly, to a high standard. I am very grateful to doctors Rita Buivydaitė…

      I discovered laser dermatology clinic Era Esthetic several years ago and since then I have been a regular customer. The service offered by the clinic – laser hair removal – became my salvation.
      The quality of services offered by this clinic is really great and the results are obvious. The fact that I visit this clinic less and less often proves that the services which I need have been provided professionally and responsibly, to a high standard. I am very grateful to doctors Rita Buivydaitė and Ieva Laniauskaitė. They are professional in their fields, give a lot of valuable advice and perform their work sincerely.
      So I wish the clinic successful development and I am sure that it will keep on delighting its customers with excellent results.

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      Vaida Klizaitė-Jasaitienė, winner of beauty contests
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      I am very satisfied and would like to share my feelings about it with you. I found the clinic randomly while in search of a hair removal procedure using the most advanced laser technology. I discovered that Era Esthetic clinic is the only clinic in the Baltic states which uses the Alexandrito laser. This laser ensures very quick and effective results. I am very satisfied with the procedures and really recommend them to everybody. Over time and due to daily stress our skin loses…

      I am very satisfied and would like to share my feelings about it with you. I found the clinic randomly while in search of a hair removal procedure using the most advanced laser technology. I discovered that Era Esthetic clinic is the only clinic in the Baltic states which uses the Alexandrito laser. This laser ensures very quick and effective results. I am very satisfied with the procedures and really recommend them to everybody. Over time and due to daily stress our skin loses its moisture, brightness and firmness, so I had a consultation with doctor Jurgita Stoškienė, who is qualified to the highest level, and who examined the skin very pleasantly and offered especially effective procedures. The results were obvious after the first procedure. The procedure I often have is HydraFacial, performed by Viktorija and Alina, who are masters of the process. I trust in them and give myself completely into their hands. I understand that regardless of what you are searching for,it is always best to come here, as only here can you find everything in one place – the best specialists, and the latest innovative technologies and hardware. All this is proven over time by the results and excellent service you will experience after going through the doors of the amazing clinic Era Esthetic.

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