Botox: 5 Myths Not To Believe

Botox continues to be one of the most sought after procedures. Patients come to Revalla wanting a refreshed and wrinkle free complexion. With the help of Botox, Dr. Hunsicker can reduce the unsightliness of fine facial lines. Proving its popularity, in 2013 alone, 6.3 million Botox injectable treatments were performed. An ever-popular treatment, Botox tends to get a bad rep. Here, we debunk 5 commonly believed myths. Continue reading Botox: 5 Myths Not To Believe



Denver winters not only mean it’s time for snowy weather, but it also means a time for snuggling up by the fire, drinking Peppermint Mochas, and making plans for huge family feasts. For many of us, it also means wanting to look our best through it all. If you have discovered a few wrinkles around the eyes from all this holiday planning, now is the time to check out what a non-surgical facial treatment can do for you – just in time for all those festivities! Continue reading WHAT MANY DENVER RESIDENTS ARE DOING OVER THEIR HOLIDAY BREAK

Thumbs Up for Cheek Filler

Juvederm could be FDA Approved for cheek augmentation later this year.

Girl in bushesA US Food and Drug Administration (FDA) panel has recommended that the agency approve Juvéderm Voluma XC (Allergen) for cheek augmentation. The product would be the first injectable dermal filler permitted in the US for the mid-face. If approval takes place – and the FDA generally follows advisory committee recommendations — it should be available as soon as late 2013. A gel composed of hyaluronic acid suspended in phosphate buffered saline with 0.3 percent Lidocaine, Juvéderm Voluma helps restore deep volume loss and smooths the mid-face, rejuvenating sunken areas around the cheeks, re-creating youthful contour and fullness. The results are instant, natural looking and can last up to 18 months. There’s little if any downtime – most people resume normal activities immediately. Based on the clinical trial data presented, the FDA’s General and Plastic Surgery Devices Panel agreed that the product is effective and safe and the benefits outweigh the risks. The most frequent common treatment site responses (CTRs) reported in the trial were tenderness, swelling, and firmness. FDA reviewers noted that the incidence of CTRs decreased for subjects receiving touch-up and repeat treatments. More than half (52.8 percent) of subjects received the optional retreatment at the end of the extended follow-up period “suggesting these subjects perceived an acceptable benefit/risk profile for [its] continued use,” the reviewers said. An additional consensus was that Juvéderm Voluma XC fills more than cheeks, meeting the needs of what people want in plastic surgery. According to the American Society for Dermatologic Surgery (ASDS), in 2012 nearly 2 million people had soft tissue filler augmentation, representing a 205 percent increase since 2000. Photo by Alaskan Dude on Flickr

Liquid Facelifts: A Pretty Safe Bet

Side effects are minimal for soft-tissue fillers, according to recent study.

Three injectable soft-tissue fillers designed to reduce facial wrinkles and lines and provide a more youthful, fresher appearance have been deemed to be safe, according to a recent study in JAMA Facial Plastic Surgery. Over a five-year period, researchers reviewed data on 2,089 office-based injections for these so-called liquid facelifts. The study included 1,047 injections of hyaluronic acid (brand names Juvederm, Restylane, Puragen, Captique, Esthélis, Elevess, Hylaform, Perlane and Prevelle), 811 with poly-L-lactic acid (known as Sculptra) and 231 with calcium hydroxylapatite (Radiesse).
are fillers safe?

Before and After Juvederm®. Photo courtesy of Allergan Inc.

Complications were found in only 14 cases, with the lowest number (0.2 percent) occurring in patients treated with hyaluronic acid. The complication rate was intermediate with poly-L-lactic acid (0.7 percent), and highest with calcium hydroxylapatite (2.6 percent). Silicone was excluded because of its potentially devastating consequences in these types of treatments, according to the authors. They also cautioned that, when complications such as infection, fibrotic nodules, granular formations and others do occur, physicians must be thorough in recognizing and managing them. Additionally the authors expressed some concern that patients might not have understood the symptoms of complications, failed to follow up with their physicians or even perhaps sought care with another doctor. Nevertheless, “injectable fillers are a versatile solution for patients seeking facial rejuvenation without the downtime of surgery,” observed co-author Steven M. Daines MD of Newport Beach, California. “When administered by a trained practitioner, filler treatments are extremely safe and most complications are minor and can be managed without long-term side effects.”

At 10 Year Anniversary, Botox Uses Continue to Grow in Popularity

Botox Uses
A recent USA Today article states that Botox has grown in popularity consistently since it was first approved by the FDA ten years ago. In just a short time, it has skyrocketed in popularity, becoming one of the most common cosmetic procedures in the world. In those ten years, Botox has grown from a $97 million per year drug treating muscle spasms to a $1.8 billion per year cosmetic industry standby. And the numbers should keep increasing, as the injections have recently been FDA approved for migraines and urinary incontinence, and are in the process of seeking approval for knee joint pain and other bladder issues.

Botox Uses Growing Along With Popularity

Originally used simply for the treatment of crossed eyes, blinking, and neck or facial muscle disorders, the uses of Botox were dramatically widened in 1987, when a married ophthalmologist and dermatologist heard a patient remark on the benefits of the Botox injections she had had for her facial muscle spasms. Years of testing and research followed before Botox was finally approved by the FDA in 2002 to treat the lines that occur between the eyebrows. Since then, Botox has consistently gained in popularity, acceptance and diverse uses. It is constantly being researched to determine other medical and cosmetic uses for its unique properties. Despite being derived from one of the deadliest known neurotoxins, Botox was injected over 5.6 million times last year without any cases of serious complications. In the face of competition with Dysport and Xeomin, Botox continues to be an incredibly popular procedure, and is often combined with other cosmetic procedures such as neck lifts, dermal fillers, microdermabrasion, and laser procedures. Even though Dr. Jean Carruthers, who discovered the cosmetic uses of Botox with her husband in 1987, has not received any money from Allergen, Botox’s producer, she admits that she has benefited in other ways. In her own words, “I haven’t frowned since 1987.”