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Questions and Answers Concerning Botox and Fillers Injections

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If you are considerning these injetions as a prospective patient, as a practitioner or you even wish to self inject Botx or Fillers- you will know all there is to now about the subject and the misconceprions. These are questions we have heard for 16 years in our cosmetic medical practice in Europe and you will safe money or make money from this article- $49.99 yours FREE


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Discover All the Secrets of No-Fail Injecting Techniques of BOTOX and All FILLERS.
Explode Your Revenue and Thrill Your Clients!

Experts Reveal All Their Knowledge in Two Professionally Prepared Clear and Easy Animated Video Tutorials.

Tutorial nr.1 Botox

Tutorial nr. 2 Fillers 

From the desk of Erik A. Rosner MD
Dear Friend,

 

If you'd like to become an expert in  injecting techniques, then this might be the most important letter you'll ever read.  We offer comprehensive 2 Animated Video Training  on how best to administer anti aging “magic injections".

so you can become a rich Wrinkle Wizard

Become a Wrinkle Wizard today!

You will find out all the details here in our Tutorials. You can start using and implementing your knowledge right away, reap financial rewards and expand your practice. 

 

Dear Friend,

If you'd like to become an Expert injecting Wrinkle Removing medical materials right away, or simply know what to expect, here you will find Training For Practitioners On How to Administer Anti Aging “Magic Injections”. During our 16 year practice injecting Botox, Dysport and all types of Fillers,

16 years ago WE were among the first in Europe to Inject Restylane, Perlane, Artecoll, Aquamid, Esthelis, Juvederm, Matrigel, Matrix. We used them all and became world experts in these cosmetic medicine procedures. We learned from our mistakes, so now you will reap the rewards of our knowledge.

Here's why:

  1. We have been constantly monitoring results, applying and testing new techniques. 
  2.  We have been observing our patients, keeping careful records and comparing pictures "before" and "after". Thus we have perfected techniques and 
  3.  have discovered nuances, which consistently produce excellent results. 
  4. Years of practice in our 2 unique Specialised Clinics in Europe, where we do nothing else, made us World Experts in the field of Non Surgical Wrinkle Removal, Prevention and face and neck rejuvenation- the field of Cosmetic Medicine. 
  5. Here you will learn Preparation and Storage Tips which extend Botox potency far beyond Manufacturer's Suggestions. Very profitable. 
  6.  We have also discovered usages for Fillers that nobody thought about before.
  7.  Our patients are loyal to us, because they know that we can offer them corrections that nobody else does. 



 

 

 

 

 

 

Thanks, thanks, thank you! You made me a ‘walking miracle”. I have never been so pretty. I am your patient since several years and will always come back. Heartfelt thanks, Iwonne from Salzburg.2006

Effects are fantastic! I am full of admiration for this place. With great respect, W.M. 15.03, 2006

Whenever I come back to Germany, my friends tell me “You look so rested, so refreshed, you positively look younger! What’s your secret? You know my secret- it is your clinic!
S.Stiller Sept. 2007.

Dear friends, I am writing to you to express my gratitude for amazing results. I could not believe that deep line on my forehead could disappear without a trace! I am coming back for Christmas, please give me an appointment with the same blond lady doctor (pregnant), sorry I don’t remember her name, but I sent her my heartfelt thanks.
E. D’augustine, Cologne.
Dec 12th 2010.

 

I came here the first time in 1997, Until present day I have NO wrinkles nor lines on my face and neck, my lips are full (they were thin before). Thank you that you exist, it is the only place that can really smooth my aging face. I was old, now I am young, will always come running to you! 
Koterb Anna – May 20, 2000

Thank you for making me a “chick without wrinkles” – Seriously, I am grateful for your courtesy, professionalism and skill. Wonderful! And my husband says he married me because of my “luscious lips”. Little does he know…


Many thanks to all personnel of your clinic for the treatments you so skillfully used to get rid of the wrinkles around the mouth of my dearest wife Janina. 

Many thanks to Dr. Rosne. for excellent treatment, patience, thorough advice, fast and painless injections. I am very impressed with my excellent results. 
Zofia Wojcicka 19.08.20010

Dear God, thank you for golden hands of Dr. R, her warm smile which is so soothing and the results, wow! They fill me with joy every time I see myself in the mirror!
Your very grateful patient Margot. 17/02.2011

 

 

 

Grateful husband Marian from Australia, 20-09-2009 

Grateful husband Marian from Australia, 20-09-2009 

Elzbieta Bernacka 23.10.2008  

 

You will learn Preparation and Storage Tips Which Extend Botox Potency Far Beyond Manufacturer's Suggestions.

You can start using and implementing your knowledge right away, reap financial success and expand your practice.

Two Animated Video Tutorials with text:

•  Tutorial 1:
HOW TO PROPERLY PREPARE, HANDLE, STORE AND INJECT BOTULINUM TOXIN TYPE A. BOTOX COSMETIC
Preparation and storage of Botox® is an INVALUABLE information which we have kept secret until now- it increases revenue, ease and safety of your procedures as well as customer satisfaction.

We have invented, tested and implemented the best diluting proportions that increase the volume and viability of Botox far beyond manufacturer’s instructions.

Our secret preparation and storage techniques produce excellent long lasting results that don't require cumbersome “grouping” of customers. You will see your revenues surge dramatically.


• Tutorial 2:
HOW TO PROPERLY INJECT “Fillers” both Temporary and Permanent - such as RESTYLANE®, PERLANE®, JUVEDERM®, ARTECOLL®, AQUAMID®.SURGELIPS, ESTHELIS, MARIGEL, MATRIX, ARTEFILL, OR WHATEVER THEY ARE CALLED-
The techniques we have developed are the same for ALL ABOVE MENTIONED FILLERS!

In order to obtain smooth and beautiful results you do need experience. By ordering these  tutorials you will become a beneficiary of OUR experience.

You will read and SEE a complete disclosure of all our UNIQUE techniques, SECRETS and tips. you will know where to order the medical materials, how to store them and how to use them.
As well known dermatologist Dr. Brandt was quoted by Time magazine: “Any material is as good as the person injecting it. Collagen put in the wrong area could actually accentuate wrinkles. A skilled technician can transform the appearance of a client during lunch break”.

Instantly become that skilled technician!

Now, I know you're probably skeptical. That's normal and healthy. Let me give you three good reasons we can back up what we say:

Reason one: Our patients love what we do and tell their friends- creating more business by word of mouth. (The mouths that WE have made gorgeous, plump and sexy, by the way)

Reason two: We have learned all there is to know and more by doing only this and nothing else for 11 years. We have treated more than 90,000 patients, 95% of whom come back year after year since 1997 and still do until present time.

Reason three: You will have your patients come back again and again because you are the best. You will produce uniform, great results, safely and constantly. You will master fast how to smooth their skin and get rid of lines even on their necks. You will experience no complaints or dissatisfaction at all.

Here is a summary of the benefits you receive

We know not only the beauty but also the pitfalls concerning application of Botuline Toxin (Botox)

- Now you will avoid them and even FIX THEM!

How not to paralyze expressions while getting rid of wrinkles.

- Your patients foreheads will never be immobilized by wrongly administered Botuline Toxin.

How to avoid surprised look and even correct this ridiculous effect as a result of improper application by inexperienced practitioners.

- Your patients will be eternally grateful and will always come back.

How to correct tell-tell signs of Botox application, which usually affects older persons with thin under the eyebrows.

- You will be able not only to fix that, but even smooth and lift the eyelids but also impart youthful appearance to the eyes.

How to completely obliterate stubborn furrows between eyebrows when some remain after Botox applications in individuals with very strong forehead muscles.

- You will be able to get rid of them in two simple procedures at the same time.

How to lift the eyelids without surgery, just with a special technique of Botox injections. We use it in our clinics with excellent results, thus saving our patients from cosmetic surgery. What is more important it produces natural look, does not change the shape of the eyes, they simply return to look of 15 years before.

- This makes application of injections much more practical and economical, thus cheaper for patient and very profitable for  you.

And what is MOST IMPORTANT, we know how to extend the potency of Botuline Toxin far beyond the time stated by manufacturers.

- You will be among a few who know.

We will teach you how to easily correct horizontal lines under the eyes.

- You will master this ingenious way, devised by us, in a minute!

How to smooth neck lines, achieving incredible results of completely smooth and youthful neck with a very short, easy and painless procedure.

Much easier that you might think.

How to beautifully fill out and form the lips for that sought after sensual look, according to your patient’s wishes and latest fashion. Our original and very easy to learn technique is shown in animation.

- Instantly you will be able to shape lips and plump them up according to your client wishes.

How to use temporary and PERMANENT implants that are on the market in Canada, Europe and Asia and  also approved in the United States.

- So simple you will never be afraid to inject Permanent Fillers- impossible to fail.

- How NOT to give your patients protruding contour of the upper lip, so called “duck lip” so often seen after improper Filler injections.

- You will know exactly where NOT to inject the Filler.

13. Fill out “laugh lines”, lift drooping corners of the mouth and fill out sad “marionette’s folds, (downward lines from corners of the mouth to the chin).

- Yes, all this is simple for those who know how.

Our excellent way to smooth out wrinkles over upper lip as well as under lower lip.

- You will be surprised in what way you will be injecting Fillers, amazing results!

We also give you the information of where to buy, how to prepare and how to store medical materials

- You will never waste any of those valuable substances.

 

After you download your Tutorials, you can use them again and again. You can also train your employees. The knowledge is yours to keep forever.

 

 

The price of this offer is actually amazing, considering how much experience, hours of work, documented experimentation, research and practice it took us to be able to offer you the results of our expertise. You are saving years to arrive at the level we are at right now, for a small fraction of its enormous value.


In summary, here's what you get:

Besides the Tutorials on BOTOX you get our new techniques and sites of injecting with information about new trends in wrinkle elimination without surgery. You master every injection technique you'll ever need to turn your practice into an explosive moneymaking success story.

Contact us at support@wrinklewizard.com and we will answer any question you might have.

If you respond right away, you pay only $299.99 $189.99!. for each Animated Video Tutorial.

 

  • You will no need to attend expensive courses on how to inject, from people who do not even know new trends and sites that can be rejuvenated or beautified with our unique techniques. 
  • In many countries you do not need to be a medical doctor. You can be a nurse to inject Boyox and Fillers or  a beautician to inject Fillers. WIth our tutorials it is easy to do.
  • You can even self inject those materials to yourself or your friends and save a lot of money.
Product Image
When you think about it, it is obvious that you cannot lose with this unusual opportunity to learn how to properly inject these excellent proven medical materials. In no time our Tutorials will bring you hundreds and thousands of dollars. If you are already perfoming these procedures, you will benefit enormously from money saving ways of preparing and storing Botox, and many other secrets and tips we offer you here for a limited time.

Questions and answers

Considering anti-wrinkle injections?


So you are considering injections to smooth out your wrinkles, expression lines, or in general you wish to rejuvenate your appearance without invasive surgery?


GO FOR IT, YOU WILL BE THRILLED!


Do not deny yourself these miraculous results which can never be achieved by any creams, no matter how expensive or how diligently applied! Two types of injections are usually used for different groups of wrinkles and lines. Botulinum Toxin Type A ( Botox® - USA, Dysport® – France) and Fillers such as Restylane®, Perlane®, Juvederm® Aquamid® or Artecoll® (or any other trade name they use. Trade names change from country to country but Fillers or Implants are basically the same and are injected in the same way- to fill the wrinkles and folds under the skin). All of these injections are safe and virtually painless.

1. Botulinum Toxin Type A.

(Botulinum Toxin Type A® BOTOX-US and DYSPORT® France) is a miracle drug, amazingly effective and completely safe. It not only lifts the forehead and eyelids but, opens the eyes, smoothes the skin with a youthful glow, and most importantly prevents the formation of new lines!

Botulinum Toxin Type A is injected into the muscles responsible for facial expressions. The muscles that lift eyebrows up (surprise, question, etc,) or those which move eyebrows closer together, or those that lift cheeks to create a smile, are responsible for horizontal and perpendicular lines above the nose (frown lines), or “crows feet”. Botulinum Toxin Type A, when injected into those muscles, weakens them, allowing for a larger muscle in the forehead to more effectively “pull” the forehead up. This effect is called the “Botox Lift” which essentially reverses the effects of gravity. Your skin is not being constantly creased by unconscious mobility and heals itself. The effect is phenomenal and usually gives us a lot of joy- since the face does not change as may happen with surgery, just goes back in time- we really see ourselves as we remember from 10-15 years ago!


2. Fillers Temporary or Permanent.



Botulinum Toxin Type A is recommended for the upper part of the face and neck.

Fillers are recommended for the lower part of the face creased which need to be filled out.

Temporary Fillers are either Collagen or Hyaluronic Acid Gel. In Europe, Restylane, Perlane (Sweden) or Juvederm (France) are used. Permanent Filler Artecoll (Holland) or Aquamid (Switzerland) have been used for many years. Permanent Fillers are used mainly for correcting and shaping the lips.





HERE ARE THE ANSWERS:



  1. Is it safe?

Yes, these materials have been used in medicine for a long time for other conditions. During its use, it was discovered that wrinkles vanish in the sites of injections.

(This is the case with Botulinum Toxin Type A- It was originally used around the eyes in patients suffering from blepharospasms- incontrollable “winking”. A desirable side effect was discovered that “crow’s feet” disappeared completely as a result of the injections.

Only Collagen requires an allergy test a month in advance of an injection, therefore other Fillers are more popular now.


2. What about the drooping eye lid, which I have heard may happen?


First of all it is not the eyelid- it is the eyebrow.

In reality, dropping “eyelids’ are usually caused by the patients themselves who either bend down, lie down or massage the area within 4 hours after the injections into the forehead.

Regardless, this condition is easily corrected by injecting horizontally high under the hairline above the affected brow.

If the doctor has not warned you, don’t pay for correction.

If he did, you pay.


3. I hear that injections (apart of Permanent Fillers) should be repeated periodically. Will my skin become worse if I don’t?

Botulinum Toxin Type A works from 3 to 8 months depending on the individual. Mobility to the area slowly returns, but the wrinkles and creases do not reappear for another 2 to 4 months. Therefore your skin never becomes worse, even after Botulinum Toxin Type A stopped working (meaning muscles slowly regained their initial strength), your skin still looks smother and younger than before!

4. How often should I repeat the injections?


Some more good news, you don’t hear this often from doctors who inject it- either they do not know it, or they want you to come and pay more often. Yes, it is good to repeat injections 6 months after the first procedure, but Botulinum Toxin Type A ACCUMULATES. Afterwards, your next injection should be after about 8 months, and afterwards, once a year is sufficient and the amounts used will be smaller. Gauge it for yourself- YOU decide when you need to repeat the procedure. Don’t worry, Botulinum Toxin Type A produces uniform excellent results always. However, TRY NOT TO INJECT BOTULINUM TOXIN TYPE A TOO OFTEN. Overindulgence and many repeated procedures within short time periods can result in a type of “resistance” to the injections with the result of a weaker muscle response to the injections and with effects lasting shorter.

In conclusion, try to space your treatments out - with the second procedure 6 months after the initial injections and the third procedure 8 months after the second. From then on, yearly procedures should suffice. Wrinkles start to become etched in. Botulinum Toxin Type A will reverse it anyway.

5. Am I too young?

Our patients range in age from 16 to 86 years old. If someone wants to get rid of an imperfection why not, there are no medical indications of not having these procedures done. During pregnancy no procedures should be done.

6. Am I too old?

Botulinum Toxin Type A produces especially good results in older people. The reason is that weaker muscles and thinner skin react even more favorable to the injections.


7. I am pregnant, can I have these procedures done?

No. Please stay away from all elective procedures!



8. Do the injections hurt?

Botulinum Toxin Type A is almost painless. Ice is applied just before the procedure to numb the surface of the skin. Surprise- injections around the eyes are often completely painless- due to the minimal amount of nerve endings in this area.

Needles should be 30G- the thinnest available- Fillers do hurt somewhat. Procedures of implantation take longer, medical materials injected have a gel like consistency, and therefore thicker needles are used. Temporary Fillers used Hyaluronic acid which stings. We use not only numbing gel, but also “top off” the syringe with a small amount of local anesthetic. Permanent Fillers also hurt because they add volume pushing on the nerve endings inside. Do ask for an injection of a tiny bit of local anesthetic. Good news is that pain is felt only while the filler is coming out of the syringe under the skin. It stops immediately after the needle is withdrawn and there is no pain after the procedure.


9. How should I prepare for the procedure?

You cannot be taking antibiotics if you are going to have Botulinum Toxin Type A injected. It will not work. Antibiotics kill Botulinum Toxin Type A. It is OK to have Botulinum Toxin Type A done a minimum of 3 days after taking antibiotics. Important – do not drink alcohol within 4 hours before and after injections, even if your doctor does not warn you. Botulinum Toxin Type A results will not be as good as they should be.

If you are going to have Restylane®, Juvederm® Aquamid® or Artecoll® injected, do not take aspirin or any blood thinners. Do take Vitamin C for a week before your scheduled procedure to minimize bruising.


10. How long does the procedure take?

Botulinum Toxin Type A injections take only a few minutes. That is all it takes for a needle to be in and out 5-8 times. An experienced MD does it very fast.

Implants take about 20 minutes to perform. Shaping of the lips takes about 15 minutes for each lip.


11. How will I look after the procedure?

After Botulinum Toxin Type A there might be redness in the points of injection. It disappears after about 15 minutes. Small bruises might appear the next day, but can be concealed with makeup. You can resume your activities right away.

Fillers will show immediate improvement in the appearance of the skin. The shape of the lips will be corrected. There may be swelling that will disappear in a day or two. Bruising might appear, but not necessarily. Nothing should prevent you from your daily activities.




12. How should I behave after the procedure?

After Botulinum Toxin Type A, do not lie down, bend down or massage places where procedures were performed. Also, do not drink any alcoholic beverages for 4 hours after the procedure.

After Fillers there are special instructions outside of not applying anything to the injection site for the rest of the day to avoid infection.


13. When is the best effect visible?

Botulinum Toxin Type A effects are visible after 4 days to 2 weeks. Some people respond faster, some longer.

Effects of Fillers are immediate. For example a laugh line which was there is simply not there anymore. It is very satisfying.


14. How long will the improvement last?

Botulinum Toxin Type A from 4-8 months, Restylane up to a year, Juvederm up to 2 years, Artecoll and Aquamid forever.


15. What imperfections can you correct?

With Botulinum Toxin Type A:

  • “frown lines”- (perpendicular lines and folds between the eyebrows),

  • horizontal forehead lines and folds,

  • “Crow’s feet” around the eyes,

  • drooping eyelids (horizontal forehead lines and folds and “Crow’s feet” together will effectively lift eyelids)

  • horizontal neck lines

With Fillers

  • Laugh lines around the mouth (naso-labial folds)

  • wrinkles above the upper lip

  • wrinkles under lower lip

  • lines on the cheek,

  • lines under the chin

  • lips

  • any indented scars and marks (but not acne scars)

  • earlobe wrinkles

  • any creases that may remain 3 weeks after Botulinum Toxin Type A procedures.


16. Botulinum Toxin Type A does not work for me. Why?

Typical reasons for the procedures to not work are:


-Antibiotics,

-alcohol use by patient before or after the time of the procedure (4 hour --abstinence is indicated).

-inadequate portions were utilized;

Botuline Toxin Solution was improperly prepared (it is diluted with saline solution).

Improperly stored,

  • Lost its potency – stored too long after being diluted.


17. There is a good effect but some wrinkles still remain, why and what could be done?

Potentially an inadequate amount of material was used and/or very deep creases required additional material. These creases can be filled out with Temporary Filler. Note: NEVER use permanent filler for forehead lines.


Please our e-commerce site www.wrinklewizard.com


If 


So you are considering injections to smooth out your wrinkles, expression lines, or in general you wish to rejuvenate your appearance without invasive surgery?


GO FOR IT, YOU WILL BE THRILLED!


Do not deny yourself these miraculous results which can never be achieved by any creams, no matter how expensive or how diligently applied! Two types of injections are usually used for different groups of wrinkles and lines. Botulinum Toxin Type A ( Botox® - USA, Dysport® – France) and Fillers such as Restylane®, Perlane®, Juvederm® Aquamid® or Artecoll® (or any other trade name they use. Trade names change from country to country but Fillers or Implants are basically the same and are injected in the same way- to fill the wrinkles and folds under the skin). All of these injections are safe and virtually painless.

1. Botulinum Toxin Type A.

(Botulinum Toxin Type A® BOTOX-US and DYSPORT® France) is a miracle drug, amazingly effective and completely safe. It not only lifts the forehead and eyelids but, opens the eyes, smoothes the skin with a youthful glow, and most importantly prevents the formation of new lines!

Botulinum Toxin Type A is injected into the muscles responsible for facial expressions. The muscles that lift eyebrows up (surprise, question, etc,) or those which move eyebrows closer together, or those that lift cheeks to create a smile, are responsible for horizontal and perpendicular lines above the nose (frown lines), or “crows feet”. Botulinum Toxin Type A, when injected into those muscles, weakens them, allowing for a larger muscle in the forehead to more effectively “pull” the forehead up. This effect is called the “Botox Lift” which essentially reverses the effects of gravity. Your skin is not being constantly creased by unconscious mobility and heals itself. The effect is phenomenal and usually gives us a lot of joy- since the face does not change as may happen with surgery, just goes back in time- we really see ourselves as we remember from 10-15 years ago!


2. Fillers Temporary or Permanent.



Botulinum Toxin Type A is recommended for the upper part of the face and neck.

Fillers are recommended for the lower part of the face creased which need to be filled out.

Temporary Fillers are either Collagen or Hyaluronic Acid Gel. In Europe, Restylane, Perlane (Sweden) or Juvederm (France) are used. Permanent Filler Artecoll (Holland) or Aquamid (Switzerland) have been used for many years. Permanent Fillers are used mainly for correcting and shaping the lips.





HERE ARE THE ANSWERS:



  1. Is it safe?

Yes, these materials have been used in medicine for a long time for other conditions. During its use, it was discovered that wrinkles vanish in the sites of injections.

(This is the case with Botulinum Toxin Type A- It was originally used around the eyes in patients suffering from blepharospasms- incontrollable “winking”. A desirable side effect was discovered that “crow’s feet” disappeared completely as a result of the injections.

Only Collagen requires an allergy test a month in advance of an injection, therefore other Fillers are more popular now.


2. What about the drooping eye lid, which I have heard may happen?


First of all it is not the eyelid- it is the eyebrow.

In reality, dropping “eyelids’ are usually caused by the patients themselves who either bend down, lie down or massage the area within 4 hours after the injections into the forehead.

Regardless, this condition is easily corrected by injecting horizontally high under the hairline above the affected brow.

If the doctor has not warned you, don’t pay for correction.

If he did, you pay.


3. I hear that injections (apart of Permanent Fillers) should be repeated periodically. Will my skin become worse if I don’t?

Botulinum Toxin Type A works from 3 to 8 months depending on the individual. Mobility to the area slowly returns, but the wrinkles and creases do not reappear for another 2 to 4 months. Therefore your skin never becomes worse, even after Botulinum Toxin Type A stopped working (meaning muscles slowly regained their initial strength), your skin still looks smother and younger than before!

4. How often should I repeat the injections?


Some more good news, you don’t hear this often from doctors who inject it- either they do not know it, or they want you to come and pay more often. Yes, it is good to repeat injections 6 months after the first procedure, but Botulinum Toxin Type A ACCUMULATES. Afterwards, your next injection should be after about 8 months, and afterwards, once a year is sufficient and the amounts used will be smaller. Gauge it for yourself- YOU decide when you need to repeat the procedure. Don’t worry, Botulinum Toxin Type A produces uniform excellent results always. However, TRY NOT TO INJECT BOTULINUM TOXIN TYPE A TOO OFTEN. Overindulgence and many repeated procedures within short time periods can result in a type of “resistance” to the injections with the result of a weaker muscle response to the injections and with effects lasting shorter.

In conclusion, try to space your treatments out - with the second procedure 6 months after the initial injections and the third procedure 8 months after the second. From then on, yearly procedures should suffice. Wrinkles start to become etched in. Botulinum Toxin Type A will reverse it anyway.

5. Am I too young?

Our patients range in age from 16 to 86 years old. If someone wants to get rid of an imperfection why not, there are no medical indications of not having these procedures done. During pregnancy no procedures should be done.

6. Am I too old?

Botulinum Toxin Type A produces especially good results in older people. The reason is that weaker muscles and thinner skin react even more favorable to the injections.


7. I am pregnant, can I have these procedures done?

No. Please stay away from all elective procedures!



8. Do the injections hurt?

Botulinum Toxin Type A is almost painless. Ice is applied just before the procedure to numb the surface of the skin. Surprise- injections around the eyes are often completely painless- due to the minimal amount of nerve endings in this area.

Needles should be 30G- the thinnest available- Fillers do hurt somewhat. Procedures of implantation take longer, medical materials injected have a gel like consistency, and therefore thicker needles are used. Temporary Fillers used Hyaluronic acid which stings. We use not only numbing gel, but also “top off” the syringe with a small amount of local anesthetic. Permanent Fillers also hurt because they add volume pushing on the nerve endings inside. Do ask for an injection of a tiny bit of local anesthetic. Good news is that pain is felt only while the filler is coming out of the syringe under the skin. It stops immediately after the needle is withdrawn and there is no pain after the procedure.


9. How should I prepare for the procedure?

You cannot be taking antibiotics if you are going to have Botulinum Toxin Type A injected. It will not work. Antibiotics kill Botulinum Toxin Type A. It is OK to have Botulinum Toxin Type A done a minimum of 3 days after taking antibiotics. Important – do not drink alcohol within 4 hours before and after injections, even if your doctor does not warn you. Botulinum Toxin Type A results will not be as good as they should be.

If you are going to have Restylane®, Juvederm® Aquamid® or Artecoll® injected, do not take aspirin or any blood thinners. Do take Vitamin C for a week before your scheduled procedure to minimize bruising.


10. How long does the procedure take?

Botulinum Toxin Type A injections take only a few minutes. That is all it takes for a needle to be in and out 5-8 times. An experienced MD does it very fast.

Implants take about 20 minutes to perform. Shaping of the lips takes about 15 minutes for each lip.


11. How will I look after the procedure?

After Botulinum Toxin Type A there might be redness in the points of injection. It disappears after about 15 minutes. Small bruises might appear the next day, but can be concealed with makeup. You can resume your activities right away.

Fillers will show immediate improvement in the appearance of the skin. The shape of the lips will be corrected. There may be swelling that will disappear in a day or two. Bruising might appear, but not necessarily. Nothing should prevent you from your daily activities.




12. How should I behave after the procedure?

After Botulinum Toxin Type A, do not lie down, bend down or massage places where procedures were performed. Also, do not drink any alcoholic beverages for 4 hours after the procedure.

After Fillers there are special instructions outside of not applying anything to the injection site for the rest of the day to avoid infection.


13. When is the best effect visible?

Botulinum Toxin Type A effects are visible after 4 days to 2 weeks. Some people respond faster, some longer.

Effects of Fillers are immediate. For example a laugh line which was there is simply not there anymore. It is very satisfying.


14. How long will the improvement last?

Botulinum Toxin Type A from 4-8 months, Restylane up to a year, Juvederm up to 2 years, Artecoll and Aquamid forever.


15. What imperfections can you correct?

With Botulinum Toxin Type A:

  • “frown lines”- (perpendicular lines and folds between the eyebrows),

  • horizontal forehead lines and folds,

  • “Crow’s feet” around the eyes,

  • drooping eyelids (horizontal forehead lines and folds and “Crow’s feet” together will effectively lift eyelids)

  • horizontal neck lines

With Fillers

  • Laugh lines around the mouth (naso-labial folds)

  • wrinkles above the upper lip

  • wrinkles under lower lip

  • lines on the cheek,

  • lines under the chin

  • lips

  • any indented scars and marks (but not acne scars)

  • earlobe wrinkles

  • any creases that may remain 3 weeks after Botulinum Toxin Type A procedures.


16. Botulinum Toxin Type A does not work for me. Why?

Typical reasons for the procedures to not work are:


-Antibiotics,

-alcohol use by patient before or after the time of the procedure (4 hour --abstinence is indicated).

-inadequate portions were utilized;

Botuline Toxin Solution was improperly prepared (it is diluted with saline solution).

Improperly stored,

  • Lost its potency – stored too long after being diluted.


17. There is a good effect but some wrinkles still remain, why and what could be done?

Potentially an inadequate amount of material was used and/or very deep creases required additional material. These creases can be filled out with Temporary Filler. Note: NEVER use permanent filler for forehead lines.


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Would You like ro learn how to Inject Fillers?

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Erik A. Ross MD
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Wrinkle Wizard Team Lead By Erik A. Rosner MD

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