Combination treatments
Botox can be used with other therapies to maximize results. Injectable fillers like collagen and Restylane can fill in deep grooves. Laser resurfacing therapies can rejuvenate the skin. Plastic surgery can remove excess tissue and lift sagging areas.
Botox with Fillers
Botox decreases muscle movement and can make filler implants last longer. Fine wrinkles and deeper folds can be treated at once with this combination. Areas include the glabella (area between the eyebrows), the forehead, nasolabial folds, the neck, and other areas around the mouth. Botox is injected about 1 week before filler implants. Freezing the muscle movement prevents trauma and movement of the implant.
Botox and Laser Resurfacing
Botox just before laser resurfacing of the skin holds the area of laser treated skin still, so it can heal and remodel without the folding effects of muscle that created the wrinkle in the first place. The improvements after combination therapy last longer, and Botox can be given every 6-12 months instead of 3-6 months to sustain wrinkle free status. Combination therapy can be good for lipstick lines, drool grooves, forehead lines, and Crow’s feet.
Intense pulsed light (IPL) is a new nonlaser, less damaging light source, that can treat discolored skin lesions, and improve skin texture, pore size, and wrinkles. It burns through the deeper layer of the skin to stimulate new healing. Blood vessel and discolored skin lesions are taken care of along with the wrinkles. Improvement is maintained months longer if done after Botox treatments. There are other devices that heat deeper into the skin to tighten the skin to accomplish a nonsurgical facelift. Botox has bee combined with this treatment as well.
Botox can be combined with surgical procedures too. Surgery can be done cutting some of the brow muscles that make it sag. Botox freezes the area so the brow muscles heal evenly in the right places to give a good symmetrical result. Botox can correct the asymmetry after the surgery too. Botox can be used with blepharoplasty where surgery removes excess skin from around the eye. Keeping the area still helps wound healing. After a face or neck lift, muscles continue to pull the skin down and negate the effects of surgery over time. Botox injections may prolong surgical results.
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