Botox, Fillers Treatment


More and more people are turning to Cosmetic Doctors for rejuvenation techniques to help their face reflect the way they feel inside.

One such rejuvenation technique is BOTOX®. It can be used to relax the specific facial muscles that cause glabellar frown lines form. The following information details how BOTOX® works and what is involved with treatment.

What is BOTOX®?

BOTOX® is a natural, purified protein that relaxes wrinkle causing muscles creating an improved appearance. The active ingredient in BOTOX® is botulinum toxin type A derived from bacteria in much the same way penicillin is derived from mold. It is manufactured in sterile laboratory conditions.

BOTOX® is a prescription only medicine and as such is only available from your doctor.

How does BOTOX® work?

Many facial wrinkles occur when we use our muscles to make repeated facial expressions. BOTOX® can be used to relax specific facial muscles that cause expression lines. Once the muscles are relaxed, you cannot contract them and continue to make the undesirable facial expressions. Thus the lines gradually smooth and new lines are prevented from forming.

What does treatment with BOTOX® involve?

It is a non-surgical treatment whereby a small amount of BOTOX® is injected into selected facial muscles by your doctor using a very fine needle. Generally BOTOX® treatment for glabellar frown lines take around 10 minutes

Discomfort is typically minimal and brief and no anesthetic is usually required. The injection may sting for a few seconds, but normal activities can be resumed soon after.

After the injection, it takes 2 – 3 days for BOTOX® to begin taking effect and about 7 days to see the full effect.

The dose recommended for the treatment of frown lines will vary depending on your individual situation and the severity of your frown lines. Your doctor will know what the best dose is for you and which muscles to inject to give you the best results.

How long does BOTOX® last?

The effect can last up to 4 months before lines slowly begin to return. If you have repeat BOTOX® treatments, the effect tends to last longer.

Does BOTOX® cause more wrinkles to form?

BOTOX® relaxes the facial muscles that cause expression lines, it does not cause more wrinkles to form. If you choose not to have further BOTOX® treatments your muscles will eventually return to normal activity and your wrinkles will gradually revert to their pretreatment levels.

Will facial expression be affected by BOTOX®?

BOTOX works specifically on the muscles treated. This means that any muscles left untreated, including untreated facial muscles, should not be affected by BOTOX® treatment. Your doctor will determine the best dose for you and which muscles inject to give you the best results.

Are there any side effects?

In addition to its use for cosmetic reasons, BOTOX® is also used to treat patients for axillary hyperhidrosis (excessive underarm sweating).

In the amounts used for the treatment of frown lines, the side effects are usually temporary and localized to the area of injection. Possible side effects include headaches, pain, burning, bruising or redness at the injection site, local muscle weakness, including drooping eyelids, lack of feeling, skin tightness and nausea.

Can BOTOX be combined with other products and procedures?

Many people use a combination of cosmetic products and/or procedures with BOTOX®. Your doctor will advise you as to whether or not you will receive better results if BOTOX® is combined with other products and/or procedures should be administered only by a trained medical professional.

Talk to your specialist about the benefits/risks of this procedure in appearance medicine. BOTOX® is a prescription medicine containing 100 units of botulinum toxin type A for injection.

Cautions: People with defective Neuro – muscular transmission disorders, infection at site of injection, glaucoma, pregnancy and lactation.

Possible side effects: include headaches, pain, burning, bruising, swelling or redness at the injection site, local muscle weakness, including drooping eyelids, skin tightness, tingling sensations and nausea. If you have any side effects or concerns, speak to your doctor.


What causes the skin to age?

With increasing age, the Hyaluronic acid content of our skin decreases, reducing its capacity to stay moist and supple. Oil producing glands reduce their activity and skin becomes dry. Skin loses fat, thus losing its youthful glow and smoothness.

What is Hyaluronic Acid?

Hyaluronic Acid (HA) is a naturally occurring substance found in the body that helps to hydrate and add volume to our skin. Hyaluronic Acid is used for aesthetic treatments, and has been used by doctors for injection into arthritic joints to aid movement as well as eye surgery.

What is Juvederm™ VOLUMA™?

Juvederm™ VOLUMA™ is an inject-able gel containing hyaluronic acid that, restores youthful volume to cheeks, cheekbones, and chin that have became thin due to weight loss or age-related facial fat loss. The results are immediate, soft, and natural looking.

Who will benefit from Juvederm™ VOLUMA™?

Juvederm™ VOLUMA™ is intended for use by adults. It is the ideal solution for re-modeling, facial volume and correcting a receding chin.

How long will the effects of Juvederm™ VOLUMA™ last?

The average effect of Juvederm™ VOLUMA™ lasts up to 18 months. It may sometimes be shorter or longer depending on:

  • Your age
  • Your physiology
  • Your lifestyle (smoking and exposure to sun or UV rays may shorten the effect)
  • The amount injected and the practitioner’s technique

How long will it take to show results?

Results with VOLUMA™ are immediate and instant. Your aesthetic physician can show you the pre treatment and post treatment results soon alter injecting VOLUMA™ for you to appreciate the results. However, best results can be seen in 2-3 days.

How long will the procedure take?

The procedure takes just about 30-45 minutes, depending on the extent and area under consideration for injecting.

Will there be post injection marks on my face?

VOLUMA™ is a technically Superior product. It has been designed to offer natural looks. In fact, the results are so natural that everyone will notice, no one will know. Immediately after the injections, you might experience some redness and bruising that can be concealed with make-up or concealers. However, the redness should settle down in a few hours.

Will the treatment hurt?

Depending on the injection technique used, your practitioner will be able to offer you a local anesthetic so as to reduce the discomfort that you may go through.

Why Juvederm™ VOLUMA™ and not a wrinkle filler?

Juvederm™ VOLUMA™ has been specifically developed to restore lost facial volume, e.g. in the cheeks, cheekbones, and chin. While wrinkle fillers like Juvederm® ULTRA offer excellent results when applied to fine lines and wrinkles around the mouth, nose, and eyes, Juvederm™ VOLUMA™ is often better suited to larger scale facial Volumizing.

When can I return to work and resume my social life?

The aesthetic results are immediate and very natural looking. You might experience some redness and bruising after the injection that can be concealed with make-up or concealers. You can return to work and resume your social life almost immediately.


  • Long lasting restoration with results lasting up to 18 months
  • Smooth and natural look
  • Immediate results & predictable outcomes

Are there any side effects?

Following the injection, you may experience redness, slight swelling, or bruising at the injected area. Your aesthetic physician will inform you about this, These side effects will not last and can easily be covered up with your usual makeup. However, do not hesitate to inform your doctor if these reactions persist (beyond a week) or if any other side effects are observed.

What about contraindications?

These do exist. They are not specifically related to Juvederm™ VOLUMA™, but to this type of treatment. Therefore, discuss with your aesthetic physician who will help you. However, the points below should be kept in mind

  • Juvederm™ VOLUMA™ should not be injected on the eyelids.
  • The application of Juvederm™ VOLUMA™ should be performed only by specialists specifically trained in this technique.
  • Juvederm™ VOLUMA™ should not be injected into the blood vessels (intra vascular).
  • Juvederm™ VOLUMA™ must not be used by:
    • Patients suffering from untreated epilepsy.
    • Patients who tend to develop hypertrophic scarring.
    • Patients with hypersensitivity to hyaluronic acid.
    • Patients suffering from porphyria.
    • Women who are pregnant or breastfeeding.
    • Children.
  •  Juvederm™ VOLUMA™ must not be used in areas presenting cutaneous inflammatory and/or infectious processes (acne, herpes, etc.).
  •  Juvederm™ VOLUMA™ should not be used simultaneously with laser treatment, deep chemical peels or dermabrasion. For surface peels, it is recommended not to be injected if the inflammatory reaction is significant.

Are there any recommendations I should follow after treatment?

You are advised not to apply pressure to or massage the injection site during the first days following the injection session. In the two weeks following treatment, we advise against prolonged exposure to temperatures under 0°C, and to sun or strong heat (UV rays, saunas, steam baths, etc.).

How much does the treatment cost?

This entirely depends on what treatment you are getting done, who is doing it, and how much of the product is required. It is best to discuss this with your aesthetic physician.

Who should I see if I am interested in treatment with  Juvederm® ULTRA or Juvederm™ VOLUMA™?

VOLUMA™can be administered by a trained medical practitioner only. The final decision to inject VOLUMA™ rests with the aesthetic physician.


JUVEDERM™ XC Contains Hyaluronic acid (HA) which is a form of natural sugar that our body produces routinely. In fact, HA fillers are the most preferred form of dermal fillers due to their efficacy and safety reasons.

What is JUVEDERM™ XC used for?

JUVEDERM™ XC is dermal filler used to enhance the facial beauty of a person.

Some of the possibilities are:

  1. Smoothing nasolabial folds for a youthful look.
  2. Shaping your lips and making them look luscious and beautiful.
  3. Shaping your cheeks and knocking off years from your face.
  4. Shaping Your nose to make you look more beautiful
  5. Shaping your jaw line and looking more beautiful
  6. Shaping your cheek bones higher for a chiseled look
  7. Smoothing the skin under your eyes to enhance your beauty.

With improved comfort and reduced pain..

JUVEDERM™ XC is the only dermal filler in India formulated with lidocaine, a common anesthetic,to provide a more comfortable experience during and after treatment. It provides smooth and natural-looking results that you expect with the improved comfort you want.

How Does it Work ?

When injected into the skin layers, JUVEDERM™ XC fills up the space and does away with the imperfections of the skin.

How long does the procedure take ?

The injecting process lasts for about 15-30 minutes. You will need some time to consult your doctor before the procedure

Is it Painful?

JUVEDERM™ XC is the only dermal filler in India that is formulated with lidocaine, a local anesthetic, to provide you a more comfortable dermal filler experience during and after the treatment.

Will I notice the results right away?

The difference can be seen immediately. You will see the natural results right after your appointment and no one else would know!

How long do the results last?

JUVEDERM™ XC ‘s results last up to 12 months.

Is it expensive?

The requirement of each individual varies from another. Your aesthetic consultant will make a customized plan for you after the assessment. Therefore, the cost is not fixed.

What are the possible side effects?

The reactions are generally injection related, and mild to moderate in impact. They resolve quickly in 7 days or lesser. The temporary reactions may include:

  • Bruising
  • Redness
  • Pain
  • Bumpiness, lumpiness
  • Allergy
  • Acneform eruptions
  • Swelling

Other reactions are seen to occur in rare cases.

How is JUVEDERM™ XC different from other fillers?

JUVEDERM™ XC is the only dermal filler in India formulated with an anesthetic to reduce pain during and after the procedure. With JUVEDERM™ XC, the number of injection pricks is reduced considerably, thus offering a comfortable injection experience that delivers a smooth, long-lasting effect.

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