London Botox doctors
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Alexandra Chambers, MD
London Dermatologist
62 Wimpole Street, London |
2 answers | |
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Wim Danau, MD
Belgium Plastic Surgeon
Brusselsesteenweg 466, Overijse |
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Adam Greenbaum, MD
London Plastic Surgeon
78 Harley Street, London |
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Barbara Jemec, MD
London Plastic Surgeon
204 Fulham Road, London |
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Charles Nduka
London Plastic Surgeon
Chelsea Bridge Road, London |
Recent Answers
I had Botox injections 3 days ago above eyebrows and 11 lines. My outer eyebrows lifted in about 24 hours while my 11 lines seem worse. I was wondering if there is still time for the 11 lines to get better and maybe lift the inner eyebrow? It seems as if under my inner eyebrow is puffy and is lower making the outer brow seem higher. Should I go back in now or wait a week or so?
Effect of Botulotoxin builds up from 24hrs to 2 weeks. After that period most doctors advise to attend for a follow up.
Botulotoxin used in aesthetic medicine to relax some groups of muscles which are responsible for muscle related wrinkles while leaving opposing group of muscles intact. These gives the patient smother skin and an up-lifted look. The latter is because the muscles which have been left intact pull the area upwards, like for example in case of eyebrows. If outer end of brows is too high (spooky eyebrows) it can be slightly relaxed by weakening the muscle on the forehead which pulls it up.
'Frown' area sometimes can llok a bit puffy especially in the mornings during the first few weeks after BTA use, it tends to impove on its own.
Ask your doctor to review you and if necessary to make a few adjustments.
I recently purchased a promotion of 20 units of botox & a syringe of juvederm from a plastic surgeon in chevy chase Md. I have moderate crows feet & they drive me insane. I have had botox in the past but was not satisfied with the results which is why I decided to try juvederm. What is the best to administer these to achieve the best result.
Thank you for your question.
2 distinct group of the muscles play role in the development of the 'craw feet' wrinkles: periorbital (muscle encircling the eye orbit) and zygomatic ( the muscle which pushes up cheeks when we smile). In some people wrinkles will be due to effect of one or another group of these muscles, in others it will be combined action of these muscles causing skin creases.
Botox normally used to switch off periorbital muscle but not the zygomatic, so if your wrinkles mainly due to the action of the zygomatic muscle, then having Botox will make very little effect. To find out which group of the muscles are responsible for your craw feet wrinkles try to restrict the zygomatic muscle's action by holding your cheeks as if trying to stop them to be pushed up. If you still get many lines around the eyes then probably your periorbital muscles mainly causing wrinkles. Botox in this instance very effective. If number of lines significantly reduced when the zygomatic muscle is restricted, then lines are mainly due to zygomatic action -Botox will not be very effective and using other methods like dermal filler, chemical peel or laser resurfacing will be more effective. I still would use a little dose of Botox trying to soften the lines and then use the filler, make sure more liquid form of Juvederm is used to avoid creating ridges due to over correction.
