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Botox & Fillers

Botox is a medication produced using a neurotoxin created by the bacterium Clostridium botulinum called botulinum poison. It is utilized medicinally to treat certain muscular conditions and cosmetically evacuate wrinkles by briefly deadening muscles. Botulinum poison is a standout amongst the most toxic substances known to humans. Researchers have assessed that a solitary gram could kill one million individuals and a few kilos could execute each human on earth. In high concentration, botulinum poison can bring about botulism, an extreme, life- life-threatening illness. Botulism, left untreated, might bring about respiratory disappointment and death. Despite botulinum poison being so lethal thus exorbitant, Botox is in enormous interest. It takes 24-72 hours for botulinum toxin to take effect, which reflects the time needed for the toxin to disrupt the synaptosomal process. In very rare circumstances, it may take as long as 5 days for the full effect of botulinum toxin to be observed.

Am I a candidate for Botox?

Yes if you want prevention and amelioration of dynamic wrinkles (wrinkles in motion) such as: crow's feet (lateral ocular canthi rhytides), vertical (glabellar frown) or wrinkles on nose (Bunny nose), upper lip rhytides, angle of the mouth, pebbly chin, nasolabial fold, jaw line, venus rings (horizontal neck rhytides), turkey neck (vertical platysmal bands).

Is Botox safe?

Yes it is generally a safe procedure. Contraindications include neuromuscular disorders eg. myaesthenia gravis. It is of paramount importance to avoid botulinum toxin injections in patients with neuromuscular disorder. Many such disorders are inherited and hence it is mandatory to rule out a family history of the same. Since the teratogenicity of BTX has not yet been established, it is contraindicated during pregnancy as well as breast feeding.

Duration of effect?

It takes three to five days for the effect of botox to begin. The results last anywhere from from 9 to 12 months, when it has to be repeated.


Fillers are the best tool to defy ageing signs of the skin. Fillers can effectively:
  • Restore fullness to cheeks, areas under the eyes, and deep creases.
  • Diminish scars.
  • Erase fine lines.
  • Plump lips.
  • Lifting of brow.
  • Rejuvenated hands.
Am I a candidate for fillers?

The use of dermal fillers depends on the nature of the product, for example some fillers are suited for superficial wrinkles and folds whereas still others are best used for deeper wrinkles or scars. By and large some of the common indications are - depressed scars (post surgical, traumatic, resulting from acne or other diseases), wrinkles and creases caused by facial expression and aging, lip sculpting, dermal atrophy from disease or injection of steroids, angular cheilitis, periocular melanoses and sunken eyes.

Are Fillers safe?

Usually fillers are safe provided done with proper precautions. Contraindications to using fillers include: positive skin testing, patients with autoimmune diseases, active local disease like acne, keloidal tendency and unrealistic expectations.

Is fillers application painful?

It can be made absolutely painless by use of surface anaesthetic agents.

Post procedure precautions?
  • Area should not be touched for 6 hours after treatment.
  • Make-up should be avoided for 12 hours.
  • Patient should avoid extremes of heat, cold or UV radiation.
  • Sauna bath should be avoided for 1 week.
  • Chemical peels, laser treatment etc. should be spaced out for at least 2 weeks to avoid inflammation of injection site.
How much time does the effect of fillers last?

Repeat injections are spaced after 9-12 months or longer depending upon the longevity of the material, site of injection and the technique used.