BOTOX® & Dermal Fillers
There is no better complement to a beautiful smile than great looking skin. At Sindledecker Dentistry in Boca Raton, patients can benefit from the most popular and effective FDA approved wrinkle fighters to improve and prevent the noticeable signs of aging: Botox, Dysport, Dermal Fillers, and Microneedling.
What is Botox®?
Botox is the most well-known brand name of the neuromodulator Clostridium botulinum. If you’ve heard of Botox, you have heard that this is the same toxin associated with botulism. Clostridium botulinum is a protein that has been widely studied for its therapeutic value. Long before the cosmetic use of this substance, doctors used Clostridium botulinum to reduce muscle contractions in patients with muscular disorders. When dosed and administered correctly, Botox does not cause botulism type symptoms. Additionally, it does not spread from the area in which it is injected.
Benefits of Cosmetic Injections
Botox and dermal fillers can treat a wide range of areas and come with many benefits including:
- No Downtime
- Long-lasting Results
- More youthful appearance
- Prevent the signs of aging
- FDA Approved
What can Botox Treat?
To understand the numerous uses of Botox Cosmetic, we need to become familiar with how the product works. When the dermis is injected with Clostridium botulinum in the form of Botox, the product gets absorbed by muscles in the immediate area. This inhibits the reception of synapses from the brain. So the brain may signal for treated muscles to move, but the neurotransmitters involved in that request are blocked from reaching their end target. The benefit of this is muscle relaxation and subsequent wrinkle-reduction.The most common usage of Botox is wrinkle-reduction. However, Botox isn’t appropriate for all wrinkles. This product is primarily used to soften dynamic wrinkles, the lines that form when we frown, squint, or make other facial expressions. In addition to diminishing frown lines, Botox is also used for:
- Crow’s feet at the outer edges of the eye
- Horizontal forehead lines
- Drooping eyebrows
- Downward drooping of the corners of the mouth
- Excessive sweating
- Migraines and chronic headaches
- Blepharospasm (chronic eyelid twitching)
- Some bladder-control problems
How can Botox help with TMJ?
Botox has revealed itself as a viable therapy for temporomandibular joint disorder, or TMJ. This common problem can cause ongoing symptoms such as facial pain and tension, difficulty opening the mouth, and even chronic headaches. When we inject Botox into the muscles that have tightened around the temporomandibular joints, discomfort can be temporarily relieved. Botox has been credited with the reduction of lock-jaw, an extreme symptom of TMJ disorder. The muscle relaxation that occurs after Botox treatment has also been said to minimize bruxism or the teeth-grinding that often causes or exacerbates symptoms of TMJ disorder.
To treat TMJ disorder, Dr. Sindledecker will inject Botox injections into the temporalis, frontalis and masseter muscles, each of which has specific involvement in the movement of the jaw. Depending on the frequency and severity of headaches, injections may extend into other areas of the face. The way in which Botox works does not change when used for TMJ disorder. The protein attaches to nerve receptors in the treated muscle to block synapses that cause them to contract. As the overactive muscles absorb the protein they relax for months at a time.
In addition to reducing the symptoms of TMJ disorder, Botox injections have also resulted in positive facial slimming due to the atrophy of overused muscles that occurs with repeat treatments.
It typically takes three to seven days for the results of Botox to become apparent. These results may continue to strengthen for up to two weeks. The longevity of improvement is different for everyone but generally lasts up to six months. After that time, patients can come to Sindledecker Dentistry for more treatments!
Dermal fillers work in a completely different manner than Botox®. Rather than relaxing a muscle that creates a wrinkle, fillers simply “fill” in areas of decreased volume, such as the cheeks, areas around the mouth, and the lips. At Sindledecker Dentistry, we offer the complete family of Restylane® dermal fillers for our patients.
“Everything is about comfort and professionalism. The office is so clean and cozy and the staff is just incredible. I highly recommended this and am so pleased with all the services and procedures that me and my family have needed and received.” -Deborah
What are dermal fillers?
Dermal fillers are classified as either natural or synthetic. Natural fillers are formulated primarily with hyaluronic acid, a naturally occurring molecule in the body whose job is to plump and firm the skin. It does this because it has an incredible ability to bind with water. In fact, hyaluronic acid is able to bind to over 1,000 times its weight in water within the skin. But, like collagen, our body produces less and less hyaluronic acid as we age.
That’s where natural dermal fillers come in. When injected beneath a wrinkle, crease, or area of volume loss, the hyaluronic acid binds with nearby water molecules and instantly adds volume, pushing the skin back up and erasing or thoroughly decreasing the wrinkle or depressed area.
“Synthetic” fillers use man-made materials to add volume, things such as calcium microspheres.
What are the benefits of dermal fillers?
Dermal fillers add instant volume. This is different than Botox®, which temporarily stops muscles from contracting. Dermal fillers are great for adding volume to areas that have sunken with decreased collagen production. They are very effective for the cheeks, which sag with age. Plump cheeks are a tenet of a youthful face. They also are great for the entire area around the mouth, where volume loss has allowed wrinkles and creases to form. Smile lines, parentheses lines, marionette lines, barcode lines on the lips — these all are targets of dermal fillers. Plus, they are great for adding volume and shape to the lips.
Who is a good candidate for dermal filler injections?
This is dependent upon the type of wrinkle you are seeking to erase. If your wrinkles are caused by muscle contractions when you form expressions such as frowning or showing surprise those are the domain of Botox®. Think of the upper third of the face, the expressive area. You can feel the muscles engage when you squint, frown, or make other expressions. These are known as “dynamic” wrinkles.
But if your wrinkles are on display at all times, they are called “static” wrinkles. Unlike dynamic wrinkles, static wrinkles have nothing to do with muscle contractions: they are caused by sun damage, declining collagen in the skin, personal habits, and simple aging. These are the wrinkles that are erased by dermal fillers.
What is Restylane®?
Restylane® is the original dermal filler. It was the first dermal filler approved by the FDA for use in the United States in 2006. Restylane® is a natural filler made primarily of hyaluronic acid. It has been one of the world’s most popular cosmetic treatments for over a decade. With that popularity has come expansion. What started with a single filler, the Restylane® family now consists of five different fillers, each targeted to a different area of the face. Dr. Sindledecker offers the entire Restylane® line at her practice.
What are the different Restylane® fillers and where are they used?
Each Restylane® filler targets a different area of the face where volume loss has either allowed creases to form or where the area has sunken. Dr. Sindledecker has extensive training in the use of each of these fillers. She can help you decide the options that best suit your unique needs.
- Restylane® — This was the flagship product, the first dermal filler. It remains very popular around the world. It targets marionette lines, nasolabial folds, and other wrinkles by adding volume beneath the wrinkle or crease and pushing the surface skin upward. Its results last from 6-9 months.
- Restylane® Silk — Restylane® Silk is FDA approved specifically for the lips. It is used for subtle lip enhancement and for the correction of vertical lip lines. It provides results for around six months.
- Restylane® Lyft — Restylane® Lyft adds volume to the cheeks and corrects smile lines. Lyft also can be used to replace volume loss on the hands. Results last from one year to 18 months.
- Restylane® Refyne —Restylane® Refyne was approved by the FDA in December 2016. This addition to the Restylane® line (along with Defyne, see below) is used to correct smile (marionette) lines and nasolabial folds. Refyne is specifically formulated to treat mild to moderate lines and wrinkles. Galderma has cross-linked the gel in Restylane® Refyne and Defyne to help support the patient’s natural expressions — for real-life results that help maintain natural movement when smiling, frowning, or otherwise moving your mouth.
- Restylane® Defyne —Restylane® Defyne also specifically targets nasolabial folds and marionette lines. The difference is that Defyne is designed for use on moderate to severe creases and lines. Both Refyne and Defyne provide results that last up to one year.
What is Juvéderm?
Juvéderm® is an FDA-approved dermal filler designed to treat moderate to severe facial wrinkles and folds temporarily. Juvéderm, like Restylane, is comprised of the naturally occurring substance, hyaluronic acid. Dr. Sindledecker injects Juvéderm under the skin in the target area and it fills in wrinkles and folds. Patients can expect immediate results from treatment but many come for supplemental treatments. Results last about 6 – 9 months.
What are the risks with these dermal fillers?
Hyaluronic acid is a naturally occurring substance in the human body, so when these fillers are injected allergic reactions are incredibly rare. The typical side effects are swelling, redness, slight pain, bruising, tenderness, and itching at the injection sites. These side effects usually resolve quickly, but they can last for up to a week when treating smile and marionette lines. On the lips, they can last for 10-14 days.
Occasionally, lumps may form at or near the injection sites. This is rare, but if it happens the problem can be quickly resolved by injection of an enzyme called hyaluronidase. This instantly degrades the hyaluronic acid and eliminates the lump. Otherwise, there is no downtime with Restylane® and Juvéderm injections.
Dr. Sindledecker’s BOTOX® Experience
Being a certified dentist, Dr. Amanda Sindledecker has had a lot of experience when it comes to BOTOX® and dermal fillers. Some of her experience includes:
- Smile Makeover Expert
- Extensive training and knowledge of oral and oral-facial areas
- Comprehensive knowledge of facial muscle expression dynamics
- Highly experienced with BOTOX® injections and anesthetic options for comfortable treatments
- Consideration of dental and facial proportions before augmentation for optimal results
- Trained and accredited to augment with Botox and Dermal Fillers with the best techniques
- Can offer quick and convenient treatments during routine dental visits
Clinical Training and Accreditation
- Certified Member of the International Academy of Facial Aesthetics
- 2015 Annual IAFA Aesthetics Symposium
- IAFA Facial Anatomy and Cadaver Dissection
- Denta-Spa Seminar Advanced BOTOX® and Dermal Fillers
- Denta-Spa Seminar Lip Augmentation and Platelet Rich Plasma / Micro-Needling
- Phlebotomy Certification