Botulinum toxin is used for the treatment of dynamic lines, wrinkles and furrows. It has been used for the treatment of axillary, palmoplantar and facial hyperhidrosis. Botulinum toxin has been used widely for several years, in the treatment of lines and wrinkles in the upper face. However, lately it is also being used in the correction of wrinkles and bands in the lower face and neck, as well as for jaw line recontouring. Highly diluted Botox has also been used to perform ‘medical’ facelifts for patients who are unfit or unwilling to undergo surgery or anesthesia. This is a temporary treatment and needs to be repeated every 3-6 months. Indications include frown lines, crows feet, forehead wrinkles, popply chin, neck bands, hyperhidrosis, brow lifts, nasal scrunching etc.
Dermal fillers are a safe and non-toxic treatment for the amelioration of wrinkles and improvement of facial contours. Although filler materials are versatile and range from autofat, collagen, fascia, hyaluronic acid, synthetic and combination fillers, the use of temporary hyaluronic acid fillers are widely consider as the safest option, especially for new users. The results are instant and gratifying. The ideal dermal filler must be safe, inexpensive, hypoallergenic, easy to inject, easy to store, does not require prior skin testing and provides consistent and predictable results. Indications include static wrinkles, nasolabial and melolabial lines, cheek and temple augmentation, nasal reconstruction, HIV lipoatrophy, acne scar remodeling etc.