How DO all those wrinkles get there??!!

We develop wrinkles over time—we start off as smooth little babies, then toddlers, adolescents, …it is during those early years when we are defying our parents that we start scrunching our noses, raising our eyebrows to roll our eyes, and laughing to ourselves as our parents tell us to be in the house by 9 pm that our skin starts to develop microscopic changes that eventually lead to seeing the wrinkles when we make faces (dynamic wrinkles).

By the time we have slaved through school, work, and having children of our own, our dynamic wrinkles start to become etched into our skin, causing wrinkles at rest (I call it nature’s little “payback” for our younger years…). Oh the frustrating irony of aging! BUT WAIT! Modern science has found a way to combat the effects of those years with a protein called “botulinum type A”. This is widely known as Botox Cosmetic®, but is also manufactured by 2 other companies under the trade names of  Dysport®, and Xeomin®.

Botox Revolution Medical
Dysport Revolution Medical
Xeomin Revolution Medical
What is

Botulinum Toxin A?

Most people refer to it as botox, like tissue is kleenex. It is a molecule used that is injected into the muscles that cause the wrinkles to temporarily decrease muscle movement so that your dynamic wrinkles (the ones you have only when moving) are erased and your static wrinkles (those wrinkles there when you are not moving) are softened. It has been used since the 1970s for medical treatment of strabismus (lazy eye), then over the years is now being used for medical and aesthetics (cosmetic) purposes with a high safety profile for the treatment of:

  • Crow’s Feet
  • Frown lines
  • Forehead wrinkle
  • Eyebrow Lift
  • Bunny lines/wrinkles on the bridge of your nose
  • Orange peel/wrinkles on the chin
  • Neck/platysmal bands of muscle that show when you strain your neck
  • Gummy smile/too much gum showing on your upper teeth when you smile
  • Sad Face/downturned corners of your mouth
  • Upper lip enhancement/Lip Flip
  • Hyperhidrosis/excessive sweating in the underarms

The results can be remarkable and last about 3-4 months, depending on the individual.

Dr Buono perfoms Botox Procedure

Frequently asked Questions

What Can I Expect During My Treatment?
  • You will have a consultation with us to determine your areas of concern and make recommendations for treatment.
  • We will take photos of you making the wrinkles of concern more prominent and then perform facial mapping to determine how much product you will need and where. The exact dosing is based on drug manufacturer and FDA recommended doses as well as an assessment of your individual muscle mass by your practitioner in order to achieve the optimal results for you.
  • Botox®/Xeomin®/Dysport® is injected into the muscles in specific amounts with a very thin needle, making it almost painless.
  • Ice can be applied just prior to the injection to minimize the discomfort.
  • Clients may feel a slight burning sensation during injection.
  • The procedure takes about 15-20 minutes and the results typically last 3-4 months. For some people results can last longer or shorter amounts of time, depending on the individual.
  • More muscle mass requires larger doses, so men usually require more units than women.
  • With repeated treatments, the results may last longer.
How Much Do I Need?

Typical doses for Females (F) and Males (M) by procedure:

  • Crow’s Feet (F 8-24 units, M 16-32 units)
  • Frown lines (F 16-20 units, M 24-40 units)
  • Forehead wrinkle (W 10-30 units, M 24-50 units)
  • Eyebrow Lift (2-5 units)
  • Bunny lines/wrinkles on the bridge of your nose (F 4-5 units, M 10-13 units)
  • Orange peel/wrinkles on the chin (F 3-10 units, M 5-24 units)
  • Neck/platysmal bands of muscle that show when you strain your neck (varies: 2-4 units are placed every 2 cm on each band for F/M)
  • Gummy smile/too much gum showing on your upper teeth when you smile (F/M 4-6 units)
  • Sad Face/downturned corners of your mouth (F 2-4 units, M 4-8 units)
  • Upper lip enhancement/Lip Flip (F 4-8 units, M 6-10 units)
  • Hyperhidrosis/excessive sweating in the underarms (F/M 100 units)
What are the Results of Treatment?

When small amounts of purified botulinum toxin (Botox®/Xeomin®/Dysport®) are injected into a muscle it causes weakness or paralysis of the muscle. This results in temporary smoothing or elimination of wrinkles in that area. This appears in 3-10 days and usually last 3-4 months but can be shorter or longer depending on the individual. We recommend a recheck in 2 weeks when the toxin has fully taken effect. If touch ups are needed, they can be done at that time.

What are the Risks and Complications?

There are certain inherent and potential risks and side effects in any invasive procedure and in this specific instance such risks include but are not limited to:

  • Post-treatment discomfort, swelling, redness and bruising
  • Unevenness
  • Post-treatment bacterial, viral and/or fungal infection requiring further treatments
  • Allergic reaction
  • Minor temporary drooping of eyelid(s) in approximately 2% of injections, this usually lasts 2-3 weeks
  • Occasional numbness of the forehead lasting up to 2-3 weeks
  • Transient headache
  • Flu-like symptoms

Some people have other risks associated with injections:

  • Bell’s Palsy (injections could stimulate a recurrence)
  • History of cold sores (this can stimulate a cold sore with injections around the mouth—anti-viral medication can be prescribed to treat this)
  • On blood thinners (this can lead to bruising)

You CANNOT receive botulinum toxin injections if you have any of the following:

  • Pregnancy or Breastfeeding
  • Significant neurologic diseases (ALS, Myasthenia Gravis, Guillain Barré)
  • Allergies to the products or components (including albumin)
  • Infection in the area of treatment
How Can I Minimize My Risk?
  • Avoid Aspirin, Ibuprofen/Advil/Motrin, or Naproxen/Aleve, Vitamin E, Fish Oil, Ginko Biloba one week prior to your treatment
  • Take oral Arnica starting 1 days prior to treatment to help decrease the risk of bruising
  • Follow Aftercare instructions closely:
    • Avoid rigorous exercise, hot yoga/head stands, anything that increases the blood flow to the area treated as it could spread the toxin
    • Do not wear hats/headbands, get a massage or facial, or rub the area
    • Avoid make-up for 4-6 hours to minimize the risk of infection
What Type of Follow Up is Recommended?

We recommend a recheck in 2 weeks when the toxin has fully taken effect. If touch ups are needed, they can be done at that time.

Smooth Skin

Dermaplaning

Peach Fuzz sounds cute, doesn’t it?? Like little kittens or baby chicks…But that doesn’t look so good when make-up is caked & swirled around those little hairs, eyebrows blend into your forehead, and you have a fuzzy halo around your face when you are in bright sunlight!

Dermaplaning is a superficial exfoliation procedure that removes excess dead skin and peach fuzz using a sterile surgical scalpel on the surface of the skin. This type of exfoliation allows deeper skin product penetration as well. The procedure takes about 10 minutes on clean skin and has no downtime! The procedure makes skin look and feels like a baby’s…well, you know! Your make up will go on smoother, your skin will glow, and it can reduce the appearance of fine lines and acne scars.

Frequently asked Questions

What is Dermaplaning?

Dermaplaning is a superficial exfoliation procedure that removes excess dead skin and peach fuzz using a sterile surgical scalpel on the surface of the skin. This type of exfoliation allows deeper skin product penetration as well. The procedure takes about 10-20 minutes on clean skin and has no downtime! The procedure makes skin look and feels silky soft and look brighter! Your make up will go on smoother, your skin will glow, and it can reduce the appearance of fine lines and acne scars.

How Often is Dermaplaning Performed?

Dermaplaning is usually performed every three to four weeks. It is good to have the skin complete it's normal rejuvenation cycle, which is thirty days, before going back and having the treatment done. The procedure generally will remove between two to three weeks of dead skin from the facial area.

Who Can Have the Dermaplaning Procedure?

People who suffer from an active acne outbreak should not have Dermaplaning performed. In general we never want to perform a procedure in an area that has an active infection. If your skin is very sensitive, this procedure could also lead to irritation.

What are the Risks of Dermaplaning?

This procedure utilizes a surgical scalpel therefore there is a risk of being cut with the scalpel. If this happens it is typically superficial and should not result in scarring or special treatment aside from general wound care. Please let us know if you are on blood thinners or bleed/bruise easily!

What Can I Expect After the Procedure?

Sometimes after Dermaplaning, the skin can peel slightly. This normally only happens when there is not enough time in between treatments to let the hair’s growth cycle be completed. This is why it is important to leave enough time between visits to get the best results.

There is no need to worry about the hair on your face getting any darker. Since Dermaplaning only targets the vellus hair (peach fuzz) the hair will grow back the same size and color. It is physiologically impossible for the hair to grow back thicker and darker, so no need to worry.

Never do this procedure at home. Leave it to the professionals at Revolution Medical Aesthetics to ensure you have a safe and effective treatment. If you are interested in scheduling an appointment or just learning more about Dermaplaning or any of our other treatments please call today!