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Last Updated: Oct 23, 2019
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Botox & Fillers - How They Work?

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Dr. S. K ChawlaCosmetic/Plastic Surgeon • 29 Years Exp.MBBS, MS- Surgery, MCh - Plastic and Reconstructive Surgery
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One thing most people do every day is to look in the mirror and analyze their looks. The face is needless to say the most analyzed part, and most people would want some or the other feature changed. This need increases with age, when fine lines, wrinkles, dark spots, crow’s feet, etc., begin to make an appearance.

The skin has multiple layers, with the inner dermal layer having collagen and fibrous tissue which is covered by the topmost layer, epidermis. Though the epidermis is visible, the underlying layers give skin all its features from firmness to color to tone. Most skincare products work at improving these underlying layers, be it hyaluronic acid or vitamin A/E, or retinol, or benzoyl peroxide. These products can be used to improve skin tone, texture, glow or color. In addition to all the products that are available, Botox too made an entry into the market.

How they work?
With age, all tissues degenerate, and so do the skin’s underlying layers. Also, with poor food habits, the skin may not be getting the required nutrition to regenerate itself adequately. Therefore, these products are used directly on the skin to act as “fillers.” All the chemicals used as fillers contain essential skin ingredients such as hyaluronic acid, retinol, benzoyl peroxide, vitamin C, vitamin A, salicylic acid, etc. Injected directly into the skin, they have a higher impact than when taken as a food or applied on the skin. The skin is able to regenerate better, and therefore improve appearance. The result is a glowing skin which is radiant and youthful.

How is it done?

  • Most treatments are in-office, walk-in procedures wherein each sitting takes about 20 minutes.
  • In a relaxed environment, the filler is injected into the skin, and the patient rests for about 10 minutes before walking out.
  • These injections are useful in improving tone, firming up the skin, and reducing sagginess and droopiness.
  • Repeat sittings are required once in 3 to 4 months to maintain the appearance.

Botox: Initially, this neurotoxin was used to treat diseases such as paralysis, but then its cosmetic use was gradually established. It is used when fine lines and wrinkles begin to appear. It acts on the nerve endings and paralyzes them, thereby preventing wrinkles and reducing sagging.

How is it done?
This is again done as an outpatient procedure, and will take about 20 to 30 minutes. Not just wrinkles, even fine lines especially on the forehead can be eliminated with Botox. Production of skin proteins such as collagen and elastin are improved after Botox treatment, giving skin a youthful, radiant appearance.

While ageing is still inevitable, a youthful appearance can be prolonged and managed with options such as fillers and Botox.

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