Botox or Dermal Fillers – What should you choose?

Botox or Dermal Fillers? What should you choose? – Guest Post from Dr Michel Lauzel

Dermal fillers

How the ageing process affects our skin

As we age skin loses its smoothness, fullness and elasticity which leads to the appearance of lines, wrinkles or folds. The natural ageing process results in a:

– Loss of volume (fat)

– Loss of hyaluronic acid

– Loss of hydration

– Loss of collagen

– Laxity of muscles

The effects of the ageing process on the skin are increased by a number of environmental factors such as the sun (UV damage), gravity, smoking, alcohol, poor diet and hydration and sun beds.

Modern society is less accepting of signs of ageing – particularly the face we present to the world.

Due to a culture of youth, in the media and in the workplace, there is increasing pressure on women in particular to look younger for longer.  Are there things we can do to improve the signs of ageing and hold back time?

What are the treatment options?

Amongst the different rejuvenation treatments available to counter the ageing process, cosmetic creams mostly don’t live up to their promises mainly because they can’t penetrate far enough to reach the deeper levels of the skin. And for most people surgery seems like a step too far.

There is however an effective middle route with anti-wrinkle injections and dermal fillers. These treatments are injected directly into the skin and offer the best option to restore a firmer, toned, healthy looking skin and smooth out lines and wrinkles.

Anti-wrinkle injections

Better known as ‘Botox’ these injections temporarily block the contraction of the muscles below the skin and by relaxing these muscles they effectively iron out and soften the lines and wrinkles caused by smiling, frowning and other facial expressions.

Anti-wrinkle injections are mainly used in the upper face to treat three areas where expression lines appear and typically provide a fresher look:

1. Crow’s feet

2. Frown lines

3. Horizontal forehead lines

They can also be used to treat other lines and wrinkles including bunny lines, smoker’s lines and to create a brow lift.

These injections have been used safely for medical treatments for over forty years, and can also be used to treat excessive underarm sweating. The treatment is relatively painless and the effect typically lasts between 3 to 6 months.

Dermal fillers

Dermal fillers consist of a smooth gel which is injected to replace the loss of volume in the face resulting from the ageing process and they lift the skin, improving the wrinkles and sagging.

The latest generation of fillers (such as Restylane or Juvederm) contain Hyaluronic acid, a natural substance present in the skin which bonds with water molecules to increase deep hydration and add to the plumpness.

Dermal fillers are mainly used for:

  1. Smoothing out and softening lines and wrinkles mainly in the lower face, ie. nose to mouth wrinkles/folds, smokers lines, marionette lines etc.
  2. Enhancing the lips and their contour
  3. Restoring volume to areas of the face such as the cheeks.
  4. Revitalising and improving skin elasticity, hydration and smoothness for the face, hands and decolletage area.

These hyaluronic based fillers have proven to be very safe, based on the experience of millions of patients treated worldwide.  Generally the effect lasts between six and nine months.

Working closely with your practitioner, treatments can be used to create a natural, more youthful look.  The aim is to look better not ‘done’ and retain your own facial expressions and personality.  We can’t avoid ageing but we can soften its effects and the face we present to the world.

What should you expect during the treatment itself?

1.    Make you sure you have a detailed discussion with your practitioner and you are clear about the effects you can expect from your treatment. A visual examination of your face, its movement and lines should be conducted by the practitioner and prescriber of the botulinum toxin.

2.    Make sure your medical history is discussed in full, and that you have no underlying conditions which could make you unsuitable for treatment. You may find that your practitioner will always ask you to sign a consent form and take photos before (and after) treatments. This is completely normal.

3.    Don’t be afraid to ask questions, and remember it is a medical consultation and don’t feel pressured into having the treatment if you’re not sure about it.

4.    No topical anaesthetic will be used for anti-wrinkle injections such as botox, although sometimes you may be given an icepack to place on the area prior to treatment.  The area to be injected will be wiped with antiseptic and then using micro needles, tiny amounts of the botulinum toxin, will be injected into several points in the areas to be treated. For most people this is entirely painless and just feels like a ‘pinprick’.

5. Dermal fillers requite a topical anaesthetic, which is normally applied to the area to be treated 15 to 20 minutes beforehand. To make the patient experience  even more comfortable, some fillers also have anaesthetic mixed with the filler inside the  syringe.

6.    Less is often more, and a good practitioner would prefer to see how you react to the treatment on your first visit, and offer a follow-up visit two weeks later with a ‘top-up’ if necessary.

7.    Repeat treatments are normally needed around every 3 – 6 months to maintain the effects of the treatment.

8.    The treatment and consultation usually takes no longer than 30 minutes and you are usually able to drive immediately afterwards and carry on with your day. It is not recommended that you lie down within 4 hours of the treatment, or embark in strenuous exercise on the day of treatment.

9. Following your anti-wrinkle injections (botox) you will not see any change for 2-4 days, with the treatment taking full effect between 7-14 days . The results last on average for 4 months. With fillers, the results are immediate, although it is advisable for the initial swelling at the injection site to go down to see the final result. It is not advisable to have treatment too close to a special event as some patients may experience bruising.

10.  Anti-wrinkle injections such as botox are normally priced per number of areas  treated. Eg  Forehead lines classed as one area, crow’s feet (both eyes) a second area etc. Dermal fillers are priced per syringe  which vary in size.  To give an accurate cost of your treatment for dermal fillers- your practitioner will need  to assess  in person how much filler will be required for your  specific treatment, and therefore the price.

Important questions to ask your practitioner

1.    Are you a healthcare professional registered with the General Medical Council, General Dental Council or Nursing and Midwifery Council?

IMPORTANT: Always, always, always visit a reputable trained aesthetic healthcare practitioner who is experienced in facial injectable treatments. Ask ‘How long have you been trained in this area and do you have a certificate of accreditation?’

IMPORTANT: It is vital that the aesthetic healthcare practitioner has been trained to administer facial injectable treatments. Great results achieved with wrinkle relaxing injections are dependent on the technique of the practitioner – training and precision are essential when carrying out such delicate procedures. Don’t be afraid to ask for proof of their experience and training in facial injectables.

2.    What products are you recommending to me and why?

IMPORTANT: If you want a specific product, ask for it by name. If you don’t have a particular brand in mind, then your practitioner should always provide an explanation for the brand of treatment they intend using.

3.    Can I see the original packaging so I am assured of receiving the genuine product?

IMPORTANT: You may see the original packaging of the injectable treatment you are receiving. However, if it’s not visible to you, just ask to see the packaging so you know you are receiving the authentic product you have either asked for or been advised you will be receiving.  Ask for the patient information for the products as well.

4.    What are the possible risks or complications with these treatments?

IMPORTANT: Your practitioner should talk you about the risks of the non-surgical treatments in detail prior to treatment.

5.    What level of aftercare will I be entitled to following my treatment?

IMPORTANT: Most professional aesthetic healthcare practitioner should offer a complimentary follow-up appointment, particularly on your first treatment.  This will be a good opportunity to highlight any concerns you may have.

BIO:

Dr Michel Lauzel is a French fully qualified medical doctor specialising in non-surgical aesthetic treatments (Harley Street trained). He is registered with the GMC in the UK. He runs a number of successful clinics at salons/spas in Berkshire, Bedfordshire, Dorset, Hampshire, Hertfordshire and Middlesex.

For more details you can contact Michel at Rejuvenate Your Skin  Call : 0845 095 7033

 

Guest Post – Ellie Sanderson Bridal Boutique

Guest Post 

ELLIE SANDERSON the multi award winning bridal Boutique owner talks about choosing the right dress!

Making the right dress choice.
It’s so important to choose a dress style that makes the most of your figure. Your height and your body shape are the key things that should influence your style of dress. The average British Woman is size 14 and more often than not slightly pear shaped and so when a bride goes shopping for the Dress of her Life it is so very important that she tries on a number of dress shapes until she finds the one that makes her figure look as perfectly in proportioned as possible.
A few golden rules – Choosing the right shape

 

Fishtail bridal dress

 

COLUMN LINE / FISHTAIL
These two styles look terrific on girls that have a figure that is in good proportion all over. They are fairly unforgiving shapes so steer clear if your hips are bigger than your bust size (i.e. 12 bust on 16 hips)

A LINE 
This is probably the most popular dress shape as it’s brilliant on all figure types, fitted bodices are totally flattering on the bust and waist but the A LINE of the skirt falls away over the hips. Repeat after me – A LINE IS MY FRIEND, Trust me they are everyone’s friends. In silk, in Lace and in taffeta we love them.

Bridal dresses

 

BALLGOWN
This shape of gown is great on girls who have slim tops and bigger bottoms; they fit to the waist and have full circular skirts which exaggerate a small waist and hide a problem bottom! Sassi Holford is Queen of the English Ballgown, soft floating silk organza will ensure you float of puff of smoke down the aisle.
A few golden rules – Choosing the right neckline

Wedding dresses

SWEETHEART NECKLINES and SCOOP NECKLINES
These necklines are great on small to medium busts and brilliant on petite girls as it opens up the decolletage making them look taller. All illusion of the eye, they are also so very flattering and terribly feminine.

Bridal Gowns

STRAIGHT NECKLINES
Are perfect for bigger busted girls, without doubt it will help keep your bust contained and prevent you from looking too booby on your big day. They are also great on medium sized busts.

Backless bridal dress
BACKLINES
Backs are the new fronts without question – designers like Claire Pettibone have some incredible dress back detail, no wonder she is tipped to do Jennifer Anistons dress when she finally gets up the aisle !

Shoulder strap bridal dress
SHOULDERS / STRAPS / DETAILS

Shoulders and straps are great on most girls except those with a very broad athletic frame as it can make you look broader. Shoulder straps can also make full busted girls feel more comfortable and supported.

Little jackets can also change the neckline of a dress and hide arms if you feel uncomfortable exposing them, cap sleeves or longer length sleeves are possible for that extra bit of coverage and glamour.
Also think about points of detail on a gown, they will draw people’s attention to that point, girls with a tiny waist and larger bust and hips look amazing with a flower or sparkles at the waist – drawing the eye to the waist and away from the bust and hips.
Girls with a small bust look great in dresses with rushing on the bust and sparkles or flowers to make the bust look bigger and more in proportion.
Petite girls look amazing in dresses with empire lines or sash detail to the waist, making them look taller and longer and pulling the eye to under the bust on the waist.

Once you have chosen your dress there are a few final golden rules.

1. Wear a small heel even if you hate heels, your posture is so much better when you are tilted onto the ball of your foot, if heels are a no go zone, try wedges, trust me you look and feel more glam in a heel.
2. Choose great underwear, most well made dresses have corsets if yours doesn’t buy one. A corset helps you stay in place and look shapely all day, it also helps your posture.
3. And keep your undies nude – white or ivory can show, lots of lace and bows can show. Plain is best and save the fancy glam bits for the honey moon!

Whatever your shape you should make sure you go to a boutique that offers you a one to one consultation. Being told to pick 6 dresses and leaving you with a sea of dresses is not going to help you.
At Ellie Sanderson you will be booked in for a 1 ½ hour consultation with one of my great girls who will guide you through all of the above and help you select the right dresses to try.
You will be styled, spoiled and totally looked after. Finally once you have chosen a dress you will be invited back to a personalised styling appointment with one of our stylist who will help you with shoes, veils and accessories – we are a little bit crazy about the detail and love to make sure your look is perfect from your tiara to your toes!!
We have two shops with some of the UKs top labels like Jenny Packham, Sassi Holford to Suzanne Neville mixed with world famous names like Augusta Jones and Claire Pettibone.

Call us today to book your appointment by visiting our website.
www.elliesanderson.com


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