آرشیو دسته: Non Surgical Treatments


Botox injections

توسط | Botox injections, Non Surgical Treatments, دسته‌بندی نشده | بدون نظر

What is Botox?

The cosmetic form of botulinum toxin, known as Botox, is a purified protein injectable filler that is FDA-approved for the temporary treatment of frown lines. This simple, non-surgical injection is also commonly used to temporarily reduce or eliminate forehead creases, crow’s feet near the eyes and thick bands in the neck.

The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles, while giving the skin a smoother, more refreshed appearance. Studies have suggested that botulinum toxin can also be effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.

Am I a candidate for Botox?

Young to middle-aged men and women or those between the ages of 18 and 70 who would like to temporarily improve the appearance of frown lines, crow’s feet or forehead lines may be good candidates for Botox treatment. A consultation with a cosmetic surgeon from Cleveland Clinic Cosmetic & Plastic Surgery Center will help determine if Botox is right for you.

How do I prepare for a Botox treatment?

To prepare for a Botox treatment at Cleveland Clinic Cosmetic & Plastic Surgery Center, your physician will answer any questions you have and ask you about your expectations and desired outcome. He or she will discuss your options, likely outcomes, and any risks or potential complications before recommending a course of treatment.

In addition, your physician may evaluate your general health status and any pre-existing health conditions or risk factors. This includes review of medical conditions and treatments, drug allergies, current medications, vitamins, herbal supplements, alcohol, tobacco and drugs.

If applicable, he or she will discuss any past treatment with injectable fillers, facial shaping, Botox therapy, or other facial rejuvenation procedures.

Your cosmetic surgeon may also:

Discuss options for facial rejuvenation

Examine and measure your face

Take photographs for your medical record.

 How is a Botox treatment performed?

Botox is injected directly into the muscle that causes dynamic wrinkles (wrinkles that appear temporarily when a muscle contracts, such as smiling or frowning). A very small needle is used to minimize discomfort causing the injection to feel like a small prick with a little stinging. The entire procedure takes about 10 minutes. Since the procedure is non-surgical, no recovery time is needed, and patients can return to work or other activities immediately. Typically, Botox injections need to be repeated every three to four months.

Cleveland Clinic Cosmetic & Plastic Surgery Center specialists offer Botox injections to treat:


Frown lines

Crow’s feet

Forehead creases

Brow shaping (Botox injections can be used to alter the shape of the eyebrows to create a more 

aesthetically pleasing appearance)

Brow elevation (lift)

Correction of eyebrow asymmetry (to elevate the lower eyebrow to the same level as the higher eyebrow)

Elevation of the corners of the mouth

Upper/lower lip creases

Marionette lines, “drool grooves”

Lip lengthening to correct gummy smile

Chin softening (peach pit chin and excessive cleft)

To improve the appearance of new and old facial scars


Horizontal “necklace” creases

Vertical neckbands (turkey neck)


Wrinkling of the central mid chest (décolleté).

Are there different types of Botox treatments?

Yes. Botox Cosmetic (Allergan), Botox (Allergan) and Dysport (Ipsen) are both derived from botulinum toxin Type A. Myobloc (Solstice Neurosciences) is derived from botulinum Type B. The Botox product is the only one of its type with over 10 years of success in treating patients with a variety of conditions. Botox Cosmetic has a dosing specific for the treatment of frown lines.

What results can I expect?

Botox injections offer dramatic results that are fully apparent within five to seven days. In clinical trials, nearly 90 percent of the men and women surveyed rated the improvement in their brow lines as moderate to better. For many, Botox virtually “erases” these lines.

Results may vary for each person, depending on the severity of wrinkles and the strength of muscles treated. Your Botox treatment’s results typically last from three to six months, with most people gradually returning to their former state. Normally, your cosmetic surgeon will recommend that Botox Injections be repeated every three to four months.  With repeated treatments, some patients may notice that the effect of  the Botox is longer lasting.

What is involved in recovery?

Unlike surgery, Botox injections are fast, simple and minimally invasive, with no downtime or recovery. Botoxprocedures are performed on an outpatient basis at Cleveland Clinic Cosmetic & Plastic Surgery Center, and most people return directly to work or normal activities following treatment.

Is Botox safe?

Yes. Very. According to both the American Society for Aesthetic Plastic Surgery (ASAPS) and its sister organization, the American Society of Plastic Surgeons (ASPS), Botox is extremely safe. More than one million people have received Botox injections. Year after year, Botox ranks number one among nonsurgical cosmetic procedures among both men and women.

Complications from Botox are rare; the most common side effects include:


Bruising and numbness at the injection site

Temporary eyelid droop (“ptosis”)


Dysport injections have been used safely and effectively for over 15 years to treat many ophthalmologic and neurologic disorders.

The most common side effects of Dysport include:

Temporary soreness or mild bruising around the injection site

Slight headache that lasts for several hours after treatment

Temporary eyelid droop (“ptosis”).

Why Choose Us

If you’re considering Botox, look for a board-certified cosmetic surgeon with specialized training and significant experience performing this procedure. While any pe_textfield


chemical peel

توسط | Chemical peeling skin, Non Surgical Treatments | بدون نظر

What is a chemical peel ?

Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck and hands.

A chemical peel is one of the least invasive ways to improve the appearance of your skin. Sun exposure, acne, or just getting older can leave your skin tone uneven, wrinkled, spotted or scarred.

A chemical peel can help improve :

Acne or acne scars

Age and liver spots

Fine lines and wrinkles


Irregular skin pigmentation

Rough skin and scaly patches


Sun-damaged skin

What a chemical peel won’t do

Treat deep facial lines

Tighten loose or sagging skin

Remove broken capillaries

Change pore size

Remove deep scars

Chemical peel candidates 

You may not be a good candidate for chemical peeling if you have:

A history of abnormal skin scarring

Abnormal pigmentation

Afro-Caribbean or Asian skin

Facial warts

Red hair and pale freckled skin

Used certain acne treatments within the last year

How a chemical peel works

The chemicals used are phenol, trichloroacetic acid, and alphahydroxy acids. The formula used by your doctor will be adjusted to meet your particular needs.

There are three types of chemical peels :

Light chemical peel – Subtle improvements at first, but that healthy glow will increase with more treatments

Medium chemical peel – Your skin will be noticeably smoother and fresher looking

Deep chemical peel – Results are dramatic, but recovery takes the longest

Light chemical peel

A light chemical peel might be the right choice if you have uneven pigment, dryness, acne or fine wrinkling.

This kind of peel removes just the outer layer of skin (epidermis) in a light exfoliation and results in a healthier glow.

Your health care provider will use a combination of alphahydroxy acids and beta hydroxy acids, such as glycolic acid, lactic acid, salicylic acid and maleic acid. All of these chemicals are the mildest choices. You can repeat these treatments to achieve your desired results.

Light chemical peel procedure steps

Your face will be cleansed.

The chemical solution is brushed onto your skin and left on for a few minutes. You may feel some mild stinging.

The chemical peel is then washed off and neutralized.

Light chemical peel risks and recovery

You are likely to experience some redness, stinging, skin flaking, and irritation from a light chemical peel.

After repeated treatments, these side effects will likely subside.

Other light chemical peel risks include:

Hyperpigmentation (when too much pigment occurs, causing brown blotches). Avoid this by always using a high-factor sunscreen.


Medium chemical peel

Acne scars, deeper wrinkles and uneven skin color can all be treated with a medium chemical peel.

The chemicals used for this type of peel will remove skin cells from both the outer layer of skin (epidermis) and upper part of your middle layer of skin (dermis).

Your health care provider will use trichloroacetic acid, sometimes used in combination with glycolic acid.

Medium chemical peel procedure steps

Your face will be cleansed.

The chemical solution is brushed onto your skin and left for just a few minutes. You may feel some burning or stinging.

The treated area may turn a whitish grey color.

The chemicals are neutralized with a cool saline compress.

Your skin may turn red or brown in the days just after the peel. It may take up to six weeks for your skin to look normal.

You may repeat a medium chemical peel every few months to maintain your new glowing skin.

Medium chemical peel risks and recovery

When trichloroacetic acid is used in a medium chemical peel, you’ll experience some redness, stinging and skin crusting just like a light chemical peel.

Although these chemicals won’t bleach your skin, you may see some color changes. You’re advised to avoid the sun for several months to protect that fresh new layer of skin.

Other medium chemical peel risks include:

Hyperpigmentation (when too much pigment occurs, causing brown blotches) may result even if you use sunscreen.

Permanent scarring is another infrequent risk.

Redness, which occurs in everyone after the peel, may last longer than a few months for some people.

Deep chemical peel

If you have deeper facial wrinkles, skin that’s damaged by the sun, scars, areas that appear blotchy, or even pre-cancerous growths, deep facial chemical peels might be the right choice for you.

Your physician will use the strongest chemical called phenol to penetrate down to the lower dermal layer of your skin. For this type of peel, you may need a local anesthetic and a sedative to manage any discomfort.

A deep chemical peel usually involves some sort of pretreatment for up to eight weeks. This will prepare your skin for the peel and speed the healing process.

Pretreatment may include use of a retinoic acid cream or gel – a prescription medication that’s derived from vitamin A. This works to thin out the skin’s surface layer, allowing the chemical solution to penetrate more evenly and deeply.

Deep chemical peel procedure steps

You will be given a sedative to relax along with a local anesthetic to numb your face.

Your face will be cleansed.

Phenol is brushed onto the area after an appropriate time interval.

The chemical is neutralized with water.

A thick coat of ointment is smoothed over your skin, to prevent dryness and pain. The ointment must stay in place. Sometimes your surgeon will cover your skin with strips of tape or medicated gauze rather than ointment.

Deep chemical peel risks

The chemical used in a deep chemical peel, phenol, can lighten the skin that’s treated. With this kind of peel, your new skin often loses its ability to make pigment, meaning to tan. You will always need to protect your skin from the sun.

Phenol also can pose a special risk for people with heart disease. Be sure to tell your surgeon about any heart problems and include it in your medical history.

Deep chemical peel recovery 

A deep chemical peel requires that you have an adequate recovery time.

You may return to work and some of your normal activities two weeks after treatment. At that point, your skin will be healed enough for you to wear makeup.

Deep chemical facial peels will result in peeling, crusting, skin redness and discomfort for several days.

Your doctor will provide painkillers to keep you comfortable. Although the swelling is likely to disappear in about two weeks, your skin may remain red for up to three months.

One treatment with a deep chemical peel will produce long-lasting and dramatic results that can last up to 10 years .