Скачать или смотреть BOTOX & FILLERS: MY FIRST EXPERIENCE. Makeover transformation. Ep 7.

Botox is a drug made from a toxin produced by the bacterium Clostridium botulinum. It's the same toxin that causes a life-threatening type of food poisoning called botulism. Doctors use it in small doses to treat health problems, including

Temporary smoothing of facial wrinkles and improving your appearance
Severe underarm sweating
Cervical dystonia - a neurological disorder that causes severe neck and shoulder muscle contractions
Blepharospasm - uncontrollable blinking
Strabismus - misaligned eyes
Chronic migraine
Overactive bladder
Botox injections work by weakening or paralyzing certain muscles or by blocking certain nerves. The effects last about three to twelve months, depending on what you are treating. The most common side effects are pain, swelling, or bruising at the injection site. You could also have flu-like symptoms, headache, and upset stomach. Injections in the face may also cause temporary drooping eyelids. You should not use Botox if you are pregnant or breastfeeding.
It is often not a good idea to remove nasolabial folds completely, by any method. It is usually better to soften them. If the nasolabial folds are "build up" to the level of the ptotic cheekpad above them, or the lip below them, this can result in an overaugmented appearance, as though the patient had something in their mouth.

If the nasolabial area is augmented, the cheek area (malar, possibly submalar) regions may benefit from volume augmentation as well, in order to prevent a disproportion from occurring.

For mild nasolabial folds, hyaluronic acid fillers are usually adequate.

For deeper lines, the patient may want to address what is causing the folds. Sometimes, this means a volume adjusting facelift, a cheeklift, or both. Volume alone can't overcome drooping plus volume loss.

Large volume augmentation of the face is possible. The" liquid facelift", large amounts of temporary filler, offers a quick recovery, but expensive and temporary, fix.

Fat injection is a popular option as well to multiple areas of the face.

In our practice, we prefer autologous fat fascial grafts for this purpose (LiveFill).

In rare patients, excision of the nasolabial folds is an option.

So in deciding which option to choose, it is nice if your doctor is familiar and skilled with all of the options above, and understands the proportions of the face.