For people looking to reduce the look of crow’s feet on their face, it is a minefield trying to decide which beauty treatment to go for. Two of the more popular treatments are Botox and Dysport. Both Dysport and Botox are botulinium toxins, with Botox having been around for longer. In a study published in the Archives of Facial Plastic Surgery, the two injectables were compared to discover which was better overall.

90 people were selected to take part in a 30 day trial where both medications were used – one was injected into the right side of the face, and the other into the left side.

The study showed that when the facial muscles were at rest there was no discernable difference between the two products. However Dysport was found to be more effective at reducing crow’s feet wrinkles when the subject was smiling than Botox.

Doctors overseeing the study said that the injection sites were deliberately placed far away enough from each other to ensure that the agents could not affect each other’s results. By injecting both substances into every person, it also ensured that all variables such as age, gender and ethnicity were removed.

Although the results are mildly in favour of Dysport, it should be noted that the results are not definitive. The study was only of a small handful of people and to determine absolutely which substance is better, a much larger, well-controlled, double blind head-to-head trial would need to be done. The study also did not take into account the long-term efficacy of the substances – both are purported to last for several months before top-up injections are required therefore a longer-term trial may show different results. A study on different wrinkles other than just crow’s feet may also have produced different results.

Although the study provides an interesting comparison between Dysport and Botox, the results are by no mean final and more research is required to determine which product really is better. At this stage, it is probably less important for a patient to worry about whether to choose Dysport or Botox and instead focus on finding a reputable surgeon as how well the injections are administered can make a massive difference to the results of the treatment.

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Botox is now such a popular procedure that some people are using it in their twenties (and, more shockingly, some women are giving their children Botox) to help prevent wrinkles from appearing. However Dr Darren McKeown believes that if Botox injections are started too young, they could actually help speed up the ageing process rather than slow it down.

“There is no evidence that in the long term Botox works as a preventative, nor is there any licence to use it as such,” he writes in the Daily Telegraph. “The drug works on wrinkles by relaxing the muscles responsible for expression lines and is licensed only for the treatment of moderate to severe frown lines.

“Starting Botox treatments at an early age ultimately could do more harm to your looks than good. While [Elizabeth] Taylor was clearly always a beautiful woman from her teens onwards, arguably her looks did not reach their peak until she was in her mid-thirties. Had Botox been available to Taylor in her early twenties, would she ever reached that same level of mature beauty for which she will now always be remembered? I suspect probably not.”

It is not the first time that queries have been raised about the long-term efficacy of Botox – last year, we reported that some cosmetic surgeons were starting to note that devotees of the injections were giving themselves extra wrinkles. By freezing certain muscles, others will often start to be used as the body starts to compensate and this will often cause new wrinkles. The most common set of ‘new’ wrinkles are ‘bunny lines’ on the face, so called because if you wrinkle your nose like a bunny, this area of the nose scrunches up.

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In the past, women looking to enhance the look of the breasts generally only had one option – a mastoplexy, more commonly known as a boob job. However Botox may now be a non-surgical option to help womens’ breasts look more pert.

The ‘Botox breast lift’ is said to be much cheaper than a it’s surgical alternative, and promises instant results, no recovery time required and is said to have no side effects.

Botox is most commonly known for its use in combatting wrinkles on the face. However because the toxin is injected into the muscle, paralyzing it, there are common side effects such as a ‘droopy’ look to the face. The Botox breast lift is slightly different in that the Botox injections are into the skin rather than the muscle. As the muscles around the breast area are not frozen, there is no loss os sensation in the area.

The Botox Breast Lift Procedure
Patients should expect a local anaesthetic cream to be applied to the breasts and the surrounding area. Botox is then administered via injection in and around all the breasts. It is important that the Doctor injects Botox all around the breast itself, including the front of the chest all the way to the armpits, to achieve the best effect.

Small injections of Botox are also applied to the areola (the coloured part of the nipple).

It is claimed that the injections will leave no bruising and will not cause any pain. The lack of surgical incisions means that the injections can be done over a lunch-time so no down-time is required.

Results from the Botox breast lift should be instantly visible, however it may take a few days for the full lifting and smoothing effect to become visible. A top-up treatment three weeks after the initial treatment is advised however it is not mandatory.

Initial results have shown that patients can expect breasts to be lifted by up to two centimetres with the volume of the breast increasing by up to 10 percent.

The longevity of the results will vary from person to person however repeat treatments are expected to be required every 6 months.

Women with larger cup sizes are cautioned that the technique is probably not for them – larger breasts may be too heavy for the treatment to have any effect. Therefore anyone who has a cup size larger than a ‘C’ may find this Botox treatment ineffective.

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Canadian scientists researched Botox injections in rabbits over an 18 month period. Their study, which has been published in the Journal of Biomechanics, found that limbs injected with Botox suffered from muscle wastage of up to 50%. The research also found that some limbs that had not been injected with Botox were also suffering from some muscle wastage. Until now, it has widely been assumed that Botox side effects were limited to around the injection side however this new research indicates that there may be more widespread effects than previously thought.

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Cosmetic practitioners have long noted that by freezing certain muscles, others will often start to be used more as your body starts to compensate. Dr David Becker has now published in the Journal of Cosmetic Dermatology showing that by using Botox, you may in fact be giving yourself extra wrinkles.

“Paralysis of a set of muscles might lead to recruitment of other muscle groups in an attempt to reproduce the conditioned activity being blocked – resulting in more prominent muscle activity in adjacent regions,” Becker explains. In short, by freezing some muscles, others will compensate and this might mean you end up with a new, different set of lines and wrinkles on your face.

For women who have had Botox injections to their face the most tell-tale new lines are across the bridge of the nose. These lines are now colloquially known as ‘bunny lines’ because if you wrinkle your nose like a bunny, you’ll tend to see this area of your nose wrinkle up. These wrinkles are so well known that many look for them in celebrities to see if they can work out who has had Botox. Celebrities such as Amanda Holden and Dannii Minogue are said to have these bunny lines across the bridge of their nose when they smile, neatly demonstrating the principle. Although it must be stressed that not everyone with bunny lines has had Botox – there are many people who have bunny lines naturally.

Naturally, you can pre-empt the bunny lines Botox problem by having Botox injected across the bridge of the nose to stop the new wrinkles forming in the first place and many Botox practitioners are now recommending this for their patients. Of course the question then becomes where the wrinkles will appear instead of the nose and some Botox aficionados have revealed that they are now finding some wrinkles under their eyes instead.

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Cosmetic surgery is often seen as a women’s interest however in the UK at least, more and more men are starting to take a greater interest in their appearance.

Almost one in five Botox patients in the UK are now said to be male. The trend is mainly down to two influences – the tough job market where personal appearance can make or break an interview, and the fact that more and more male celebrities (such as Simon Cowell and Gordon Ramsay) are coming clean about their cosmetic treatments.

X-Factor judge and music mogul Cowell has admitted to having had Botox. He was so impressed with the results that he recommended them to his friend chef Gordon Ramsay. Although Ramsay found Botox didn’t help his wrinkles, he soon discovered that facial fillers did help.

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Despite it’s popularity, celebrity Botox regulars are starting to turn their backs on the face freezing injections.

First, Lulu and Amanda Holden announced that they were no longer going to have Botox injections. Then, Dannii Minogue followed suit after some X-Factor viewers commented that in last year’s series, her face was almost immovable and expressionless.

With almost 55,000 women in the UK alone having Botox for cosmetic reasons each year, has Botox reached it’s popularity peak?

Some women find that they have unwanted side effects after their Botox injections such as severe headaches. However cosmetic surgeons are keen to point out that side effects are most often problematic because of poor practice and less-than-reputable clinics.

Botox also tends to leave the patient with a slightly startled look – a tell-tale sign that Botox has been administered. With injections needing to be topped up around four times a year, the current economic climate will also be making some women question whether their regular Botox injections are actually a good use of money or not.

Despite the public revelation that some celebrities are turning their backs on the wrinkle-busting injections, plenty of other celebrities are still rumoured to be having their regular Botox fix. With any cosmetic procedure, there are bound to be a few people who experience problems and here at SimplyCosmeticSurgery, we believe that Botox is firmly here to stay for the next few years at least.

(Photo Credit: Brian Hoskins)

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There is much pressure on women to get back to their pre-pregnancy shape as soon as possible after birth. One of the biggest complaints is a saggy chest area. As women get older, the chest area is one of the giveaways to a woman’s age as the area starts to sag, particularly in sun-worshippers, and wrinkles start to appear.

Botox has many uses however it is most commonly associated with helping to make the face look younger by reducing the look of lines and wrinkles. This technique is now being extended to other areas of the body to help them stay looking youthful for longer.

The ‘Breastox’, as it has been termed, is not cheap at around £1,000 per session however the injections are great for a boost of confidence, particularly in new Mums – although the treatment is not recommended for anyone who has given birth in the last three months.

The Breastox procedure involves an anaesthetic cream being rubbed into the chest area. Around a dozen injections of Botox are made into the pectoralis minor chest muscle. This muscle is then ‘frozen’, leading other muscles to compensate and strengthen thus casuing the bust to lift. This lifting effect ensures that wrinkles are smoothened out and the area perks up.

The best candidates for this Breastox procedure are women in the 20s and 30s with A or B cup breasts. It will take about a fortnight before the full effects of the injections are seen, and the results will last around three or four months before more injections are required.

At around £1,000 per session, Breastox Botox injections are not cheap – and the total costs may end up being £4,000 a year. If a patient likes the results from this cosmetic procedure, it is worth looking into having a full breast lift operation because although the initial outlay is more, in the long-run a breast lift may be the cheaper option.

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Minogue has said that she has taken the comments on board and is going to stop her Botox injections.

“I see the comments,” she commented in an interview with Grazia magazine. “Plastic. All Botox.

“I can see what people see, but I have to say that while I have been open about doing it [Botox], I’m not doing it now.

“For the X Factor is it actually quite useful to be able to have facial expressions!”

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Current migraine drugs do not work for everyone. Botox is one option for migraines but is not a permanent solution and also does not work in all cases. However one cosmetic surgeon has discovered that by combining a forehead lift with Botox can help relieve the pain of migraines in around 90 percent of patients, with few side effects.

Dr Guyuron discovered that by removing the supercilli muscle in the face – the major muscle involved in frowning – seemed to stop or lessen migraines in many of his patients. Dr Guyuron believes that migraine headaches are caused by nerves in the face, neck and/or scalp being irritated by overly tight muscles so by loosening up these muscles, the pain can be cured.

The procedure involves having Botox injected into the supercilli muscle, freezing it and releasing some of the pressure on the surrounding nerves. A small cut is then made into the muscle and a small part is removed. The gap in the muscle is filled in with fat, normally taken from the upper eyelid. This cosmetic procedure not only tends to ease migraine headache pain but also smooths out frown lines giving the patient a more youthful look.

Dr Guyuron has started some tests on the procedure by comparing this surgery against a dummy treatment where patients are operated on but their muscles are left intact. Initial results show that 57 percent of patients who had the full operation have been fully cured after a year compared with just 4 percent on the dummy operation. 83 percent on patients who had the full operation said that after a year, their migraines had fully stopped or the pain was significantly less.

Other doctors have been working on similar procedures and have reported similar results.

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