| BOTOX OR XEOMIN
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Botox® is a purified protein derived from a naturally occurring bacteria called Clostridium Botulinum. Xeomin is also Botulinum but has the protein removed that can cause antibody formation. They both work by blocking the nerve signal to the targeted muscle which decreases muscle contractibility, causing the treated muscle to relax. If the muscles are not able to fully contract, it will prevent lines from becoming as deep in the first place. It will also soften lines that are already present, providing a refreshed and more youthful appearance. As your treatment wears off, the function of the muscle slowly returns over a 3-4 month period. It’s at this time your next treatment is required to maintain your results.
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| IS IT SAFE?
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Yes, it is considered to be a relatively safe treatment. It does come with some risks as do all medical treatments and these will be discussed with you at your consultation to ensure you are a suitable candidate. Botox® has been around for about 30 years and has been through all of the rigorous testing of the FDA. It was first used for treating blepharospasm (eye twitches) and spasticity to help relax muscles, treat migraines etc and is approved for use in toddlers with cerebral palsy in much higher doses than what is required for cosmetic purposes.
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| WHO CAN BE TREATED WITH BOTOX® OR XEOMIN
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There are some rare neurological conditions that are contraindicated so to ensure you are a suitable candidate, a full medical history is taken at every consultation and prior to any treatment. BOTOX/XEOMIN is suitable for anyone with dynamic wrinkles (wrinkles that appear upon movement of the muscle – such as forehead lines from raising your eyebrows). You must be at least 18 years old. It is not suitable for women who are pregnant, breastfeeding or anyone that has previously had an allergic reaction to the product
Exsisting lines that are visible when the face is at rest may soften but not completely disappear. Prevention is the key!I and this will be discussed at time of consultation. Sometimes a combination of dermal fillers and Botox or Xeomin produce the best result.
| WHAT AREAS CAN BE TREATED?
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• Forehead
• Frown
• Eyes
• Brow lift
• Opening the eyes
• Nose creases ‘bunny lines’
• Gummy smile
• Lip lines
• Jaw slimming/facial shaping
• Neck lines and protruding neck bands
• Hyperhydrosis – Excessive axillary sweating
• Micro botox
| WHAT ARE THE SIDE EFFECTS?
Common:
Redness and swelling are the most common side effects and occur directly post treatment, lasting up to 20 minutes or so.
Less common:
Bruising is always a possibility whenever needles are involved however it is not very common with this treatment. I recommend all clients have any treatment at least 2 weeks prior to any event to give their results time to settle in and for any healing required to take place.
Rare:
Allergic reaction
Infection
Headache
Ptosis (which is a slight asymmetry close to where you’ve had your treatment). This is temporary and will resolve. It is often more noticeable to you as opposed to others.
To prevent this happening, it is important to not rub the treated areas afterwards as this may move the product into other muscles. Washing your face gently is fine. Mineral makeup can be brushed lightly on but for other make up, please wait at least 4 hours afterwards.
Please avoid facials or massages for 3 days and hard exercise for 24 hours.
All risks will be discussed with you at your consultation prior to any treatment.
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| HOW LONG DOES IT LAST?
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On average the effects can last between 3-4 months, with most people noticing lines reappearing after approximately 3 months. The treatment wears off gradually during this time. The longevity of your treatment will depend on your muscle type and activity, your lifestyle, which product was used and how much was administered.
In some cases, the continued use will result in the need for less frequent treatments due to the fact that the nerve endings may eventually start to regrow at a slower pace. For this to happen, regular 3 monthly treatments are required initially and although this is the case for most people, this can vary between individuals.
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| ONCE YOU START DO YOU HAVE TO KEEP GOING?
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No. If you decide you don’t want to continue having treatments, your results will wear off gradually and the treated area will go back to how it was prior. The time this takes depends on how long you have ben having treatment.
| WILL I LOOK WORSE ONCE IT’S WORN OFF?
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No, as it wears off, it simply goes to back to what it was.
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| I WANT TO LOOK NATURAL AND NOT OVERDONE
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Your face is my reputation! I want to get it right just as much as you do. With many years experience as a Nurse Injector, I pride myself on achieving natural looking results. Frozen, overfilled lips and faces are not my thing. My aim with facial aesthetics is to help you look and feel refreshed and healthy without being obvious.
| DOES IT HURT?
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Most people tolerate the treatment really well. Each injection is very quick and the needles that are used are very fine and short. Some areas can be more sensitive than others and pain levels will vary from person to person however I will do my best to make you as comfortable as possible. First time clients are understandably the most nervous about having their treatment but are usually quite surprised at how quick and easy it was.
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| IS “DOWNTIME” REQUIRED FOLLOWING TREATMENT
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There may be some minor swelling and redness immediately following treatment which should start to diminish after approximately 20 minutes or so. Most people go back to their normal activities straight away.
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| WHAT DO I NEED TO DO FOLLOWING THE TREATMENT?
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For the rest of the day it is recommended that:
• Any treated areas are not to be touched.
• Make up should not be applied for at least 4 hours (unless medical make up is used).
• Anything that can make bruising more likely, such as; alcohol, exercise, and extreme heat should be avoided.
| HOW LONG UNTIL I CAN SEE THE RESULTS?
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The results are not instant and everyone is different. You will probably start to notice a reduction in the lines upon movement after 5 – 7 days, with full effects being visible at approximately 2 weeks post treatment. Complimentary post treatment check ups are done for your first treatment and whenever deemed necessary for you and I to make sure all is well and that we are both happy. Occasionally adjustments are required and are only done after the 2 week mark as it may still be taking effect before then.
If you have any further questions regarding your treatment please get in touch with me
ANTI - WRINKLE
INJECTIONS
Please take the time to read our Botulinum Toxin Type A page as this informs you of the contraindications and side-effects of these treatments. Botulinum Toxin is a medicine and must be treated as such, only to be injected by a Registered Medical Professional.
BOTOX® is a prescription medicine containing 100 units of Clostridium Botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines and associated ‘crow’s feet’ around the eyes. It should be administered only by trained medical professionals. Talk to your specialists about the benefits/risks of this procedure in appearance medicine. Cautions: people with neuro-muscular transmission disorders, presence of infection at site of injection, pregnancy and lactation. Possible side effects include headaches, pain, burning sensation or redness at injection site, temporary local muscle weakness including eyelid droop, decreased sensation and nausea. If you have side effects or concerns, talk to your doctor. A charge applies. Allergan Pharmaceutical, Auckland.
XEOMIN® is a prescription medicine containing 50, 100 LD50 Units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of frown lines on the forehead in adults. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Xeomin® treatment lasts about four months and further courses of treatment may be necessary. Cautions: Generalised disorders of muscle activity; Infection or inflammation at the proposed injection sites, pregnancy and lactation. Possible side effects: headache, pain, swelling or infection at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea. You will need to pay for this medicine. Discuss with your specialist if Xeomin is right for you.
For more information or for a copy of CMI please contact the NZ distributor: NZMS Ltd: 2a Fisher Crescent, Mt Wellington, Auckland, Ph 09 259 4062. TAPS NA7621.
All before and after photos on the Clinic Eleven website are genuine untouched photographs of our patients. Because results may vary from patient to patient the photos provide guidance only to the possible results. Your individual results may vary from those seen in the photographs for a variety of reasons.
Hyperhydrosis is a condition characterised by excessive axillary sweating. Although primarily a physical burden, hyperhydrosis can deteriorate a persons quality of life from a psychological, emotional, and social perspective. Patients are often self conscious of their odour, they can’t wear certain types of clothing and are usually quite embarrassed by their sweating. It can truly have a negative impact on their daily lives. Botox/Xeomin injections can help significantly and patients often report a reduction in sweating for up to 6 -9 months. This procedure is quick, effective and has no downtime. Anaesthetic cream is used for comfort we ask that deodorant not be worn on the day of treatment
HYPERHYDROSIS
HYALURONIC DERMAL FILLERS
Dermal filler can be used to volumise and contour the face and correct asymmetry. The following areas are examples of the possible treatment options with dermal filler. Results are immediate with little downtime and last anywhere from 6 months to 2 years. Recent studies have shown that they have been shown under ultrasound to sometimes last many years longer than expected.
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Temples
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Tear troughs
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Dark eye circles
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Cheeks
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Nasolabial lines (folds from the nose to the corners of the mouth)
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Lip lines and enhancement
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Chin crease
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Chin augmentation
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Oral commissures (creases from the corners of the mouth to the lower face)
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Mouth frown
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Jowls
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Jawline rejuvenation and enhancement
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Neck
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Volume replacement
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Total face rejuvenation – usually requires a minimum of 3-4 syringes.
| CLIENT INFORMATION
Dermal Fillers are a gel containing hyalauronic acid that is injected by a healthcare professional into or below the skin. This helps to smooth facial wrinkles and enhance lips by restoring volume and fullness. There are contraindications to dermal fillers and your nurse will take a thorough medical record from you at the time of consultation .Some of these include but are not limited to non-resorbable implants, irritated or infected skin, allergy to hyaluronic acid or other severe allergies, autoimmune disorders or hypersensitivity to local anaesthetic, pregnancy or breastfeeding and some blood thinning medications Caution is exercised if you have a bleeding disorder, have had poor results with previous similar injections, have unstable autoimmune disease or keloid scarring Dermal Filler treatments may result in some redness, swelling, pain or tenderness, itching and/or bruising which may last a few days. Inflammatory reactions can last up to two weeks in rare cases. Dermal fillers have the ability to cause arterial occlusion and your nurse will discuss with you the methods for optimal safety along with protocols for managing if this should arise. It is important to follow your nurses advice on pre ad post procedure.
SKIN TAG
REMOVAL
Causes: It is not clear exactly what causes skin tags, but it may happen when clusters of collagen and blood vessels become trapped inside thicker pieces of skin. As they are more common in skin creases or folds, they may be mainly caused by skin rubbing against skin. Non-cancerous skin tags can be safely removed using cauterisation and will be discussed at time of consultation.
common sites are:
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eyelids
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armpits
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under breasts
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groin
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upper chest
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neck