September 29, 2011
The buzz in cosmetic surgery is all about Revance, the new “Botox” that does not require an injection.
As you know Botox is an amazing treatments that soften wrinkles. Botox works by temporarily relaxing muscles. By relaxing the right muscles, Botox can help you get rid of wrinkles that come with facial expression. A great example of this is the vertical lines that form between your brows when you squint, or the crows feet you get when you smile. Botox also can help with a lot of other things, from raising your brows to getting rid of the little bumps you get on your chin when you frown Botox is temporary. It last, for most people about 3-4 months and then wears off. If you like the results, you’ll probably want to do it again. Most people who are really in to it get Botox about 3 times a year.
Botox for crowsfeet
Nothing is perfect. The one issue with Botox is that it requires injections. The truth is that the injections are given very gently, with a tiny needle, so you hardly feel it at all. People who try Botox, quickly learn that it is certainly worth the injections. However, we can all agree that it would be nice if you could get the same results without injections.
Enter Revance. Revance is a gel that is made to deliver a medication similar to Botox without any injections. The gel is applied to the skin, by your cosmetic surgeon, and then removed at just the right time a few minutes later. The idea is that you can get rid of some of your lines without an injection.
So whats that catch? Well the main catch is that Revance is still being tested to be sure that it works as well as it claims, and to be sure that it is completely safe. For that reason it is not yet FDA approved, and it is not available at this time. Most doctors think that Revance will get FDA approval in the next year or so. The second catch is that early reports claim that Revance works well for crowsfeet where the skin is thin, but not as well in areas of thicker skin, like between your brows. Time will tell, and we’ll know the answer about how well it works, and where it works, by the time it has completed testing.
For the time being we have Botox (Dysport & Xeomin) all of which work incredibly well. Stay tuned to hear more about Revance as information becomes available.
February 25, 2011
So which do you prefer, Skippy of Jif? What’s better, a Mercedes or a BMW? You know the answer, the one you like is better. But we can all agree that the world is a better place with choices. For about twenty years, Botox was the only choice for patients in the USA. But in May, 2009 the FDA approved a second choice- Dysport. Botox and Dysport are very similar medications. They both work by temporarily weakening muscles, which allows cosmetic surgeons to use them to reduce wrinkles and give you a more relaxed, pleasant expression. (as promised in my last post…in the future I’ll talk about other neat things that these amazing medications can do).
First some background. Dysport is certainly the new kid on the block, but it is no beginner. It has been used around the world for about the same length of time as Botox. Even though patients have been treated with Botox and Dysport for about 20 years, there are no really good research studies comparing the two. As doctors we like to rely on science. We just don’t have the answers yet when it comes to comparing the two medications side by side.
However, I am pretty comfortable telling you the following “facts” about these two great treatments.
- Both Botox and Dysport seem to be safe medications. I believe that the majority of doctors who have experience with both feel they are equally safe. I can tell you that my wife and I use both and we would recommend either to a family member.
- Clearly, both medications are effective at weakening muscles, and if administered correctly, both give very good results.
- Botox takes effect in anywhere from one to fourteen days. Dysport seems to work a little faster for most people.
- Most doctors that I know feel that Dysport and Botox last about the same length of time in most patients. Usually 3-4 months, but sometimes a little longer.
- About half of my patients who have tried both, feel that they can not tell the difference between Botox and Dysport.
- About 25% prefer Dysport and 25% prefer Botox.
So how do you decide? There is no great answer. Some people switch from one to the other because they have not been totally satisfied with their results (this is pretty rare). Others choose one or the other because one of the companies is offering a rebate. Some people are just adventurous and like to try something new. Bottom line, as long as you see an experienced cosmetic surgeon, you are pretty likely to like either…. but you may prefer one over the other.
Choosy mothers choose Jif. Personally I like Skippy.
If you would like to read more about Botox and Dysport, please visit our website here.
If you would like to read the FDA approved medication guides for these treatments….. Botox or Dysport