We’ve had a good run with filling injections such as Juvederm, Restylane, Perline, Artefill, Radiesse, and recently Sculptra, which actually, rather than offering immediate filling, encourages the tissues under the skin surface to thicken and tighten.  New collagen is formed.

We have a large pool of experience with female patients.  The ladies are happy with the results.  Of course, people would like to have longer-lasting products with less risk, and science continues to stay up all night in the laboratory working on that.

Botox and Dysport have proven their value, not only in the area of the horizontal forehead lines but the frown lines between the eyebrows and crow’s feet around the eyes.  Also, a very hyperactive chin muscle that seems to quiver with every facial movement can be controlled with these medications, which essentially lightly paralyze the nerves.

How are men doing with it?  Well certainly there are fewer men who seek the services than women.  One of the things we’ve learned is that, particularly with Botox and Dysport, it takes a larger dose to paralyze the muscle because men’s muscles are thicker.

Another issue that must be dealt with is that bruising must be avoided since men do not have the option of applying makeup as women do.  However, when the techniques are done well, there is very little chance of bruising.  We always favor immediate application of ice as well as encourage patients to stop taking any medication such as aspirin so that there will be less chance of bruising.

We are also currently investigating using arnica as a preventative, just as we use it in face and neck lifting, blepharoplasty, and brow surgery.

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