Botox and Fillers Applications - Dr. Göksel

Botox and Fillers Applications

Botox and Fillers Applications

Botox and Filler applications are non-surgical methods which are used to eliminate aging problems such as facial wrinkles and deep grooves. Botox and Fillers can be used alone, but they are more effective together.

What is Botox?

Contrary to common belief, Botox is not made of snake venom.  It is made of a spasmolytic neurotoxin called “ Clostridium Botulinismis” produced by the bacteria which is formed in anaerobic environments and responsible for food poisoning. In the 1980s, it received it’s drug ID as Botox. It is the most commonly performed aesthetic interventions in the world and the FDA and the Ministry of Health approved. Botox is specially used in the wrinkle/line treatment and sweating treatment. Our facial expressions have a significant share of reflecting our emotions and feelings. Wrinkles are mostly caused by mimicking muscle, which we use in our every emotion and expression. As a result of aging, visible lines and wrinkles are formed on the skin over the muscle. In particular, wrinkle forms are more visible in early times, in active use of mimic muscles when there is no tissue sagging yet. Applying Botox during this period, temporarily paralyzes the facial muscles, corrects wrinkles, smooth appearance and prevents the formation of new wrinkles.

How to Apply?

An effective local anesthetic cream is applied to the face before the application and the application area is anesthetized. And then Botox is administered by using smaller needles. The tip of the application needle is so thin that you feel very little pain. There might be little bruises and swelling which is barely seen and disappear completely in 1-2 days. Immediately after the procedure, patients can continue their daily activities without any problem.

Which areas is it applied?

Botox is often applied to the mimic muscles between eyes to remove fine wrinkles and frown lines between the eyebrows and eyes.  It is also effective in the forehead lines. It can be applied to lip edge and neck wrinkles, but it is not going to be as effective as other regions.

How long will it last?

The effect starts to emerge 48 hours after the injection, but fully manifests at the end of a week. 1 week is required in order to drug to be effective in the muscle. Duration of effect is 4-5 months. Therefore, it is recommended to repeat it every 6 months. In long term use, repeated injections will weaken the muscle and decrease the power of creating new wrinkles. So it will extend the time required for the reapplication of the drug. Furthermore, because there is no muscle activity, wrinkle production will stop and skin aging will slow down significantly.

Who can make the application?

Botox is effective only when it is given intramuscularly.  So it requires  a good knowledge of facial structure, muscle depth which a plastic surgeon knows very well from his previous surgery experiences.  Today this practice is also done in a lot of aesthetic centers. But you should be careful. With non-expert hands there might be dangerous risks such as eyelid impairment, abnormal muscle lifting, muscle impairment. But even the worst view will resolve spontaneously 4-6 months after Botox loses its effect.

Are there any side effects of Botox?

No side effect of Botox was detected. It has been around for more than 40 years and been used safely.

What is the filler injection?

The filler injection is one of the minimally invasive aesthetic applications. It is generally applied around age 30  for the purpose of correcting wrinkles and mid years of the 20’s for the purpose of fixing the contour.

Which fillers do we use?

We prefer temporary filling material in order to prevent allergic reactions and provide safety.  We use hyaluronic acid and calcium hydroxyapatite-containing fillings. They don’t contain animal ingredients. They contain hyaluronic acid derivatives, which are already occurring substance in the body and provide fullness by pulling water more than 100 times weight of its own. The product is degradable so it leaves the body in time and leaves no harm/side effect behind.

How long do temporary fillers last?

Depending on the person and the area we apply, they vary and usually last up to 1 year.  Effects may be permanent after regular practices.

Which area are fillers applied?

We use fillers to eliminate deep wrinkles or deep grooves that cause ghosting so often. Forehead, nose, lip groove, lip edges, the groove between the chin and between the eyebrows are the most common applications. They thicken the lips and make them appear fuller. They are applied to the areas with fine lines and deep wrinkles on the face. They eliminate neck wrinkles. They are also applied to the chest wall as well as the upper side of the neck to eliminate neck and low-cut line wrinkles.  If you want to have younger hands, the fillers may be applied to the back of the hands.

How about after the application?

After filler injection you may prevent bruises by applying an ice pack to the area. In particular, for fillers containing hyaluronic acid, which show a better effect by pulling water in, you need to drink plenty of water for the first 2 days.  You should avoid of excessive massage to the treated area.

What are the advantages of temporary fillers?

No need to go to the operating room. The application is extremely easy and can be completed in a short time. There is no permanent risk because the effect is temporary.  Little or no side effects. Patients continue their daily activities immediately after application.


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