Botulinum Toxin Injection (Botox/Dysport/Xeomin)

Dr Dilawar Singh at the Skin Logics Clinic has a special interest in Botulinum toxin treatments and regularly attends meetings and workshops to keep up with the latest techniques. He performs all Cosmetic treatments himself. Each procedure is tailored to the individual client requirements.

What is Botulinum Toxin?

Botulinum toxin is a natural purified protein that relaxes wrinkle-causing muscles creating a smoothed, rejuvenated and more youthful appearance. We use the Dysport brand of Botulinum Toxin at our clinic. Other reliable brands available in the market are Botox and Xeomin. The active ingredient in Dysport is botulinum toxin type A, derived from bacteria in much the same way as penicillin is derived from mould. It is manufactured in sterile laboratory conditions. It is a non-surgical procedure that smoothes the deep, persistent facial lines that develop over time. A single ten-minute treatment relaxes the muscles responsible for those lines to form and keeps them relaxed for about four months.

What does treatment with Botulinum Toxin involve? 

It is a non-surgical procedure in which a small amount of Botulinum toxin is injected into certain selected facial muscles using a fine 30/33 G needle. Generally, Botulinum toxin (Dysport) treatment for the vertical lines that appear between your eyebrows when you frown (glabellar frown lines) takes about 10 minutes. Discomfort is minimal and very short-lived, and no local anaesthetic is usually required. The injection can sting for a few seconds, but usual activities can be resumed soon after. Following the injection, it takes about 2-3 days for Botulinum toxin to begin taking effect and it takes about seven days to see the full effect.

How does Botulinum Toxin work?

The Botulinum toxin blocks signal from the nerves to the muscles. The muscle that is injected can no longer contract, which results in relaxation and softening of the wrinkles the wrinkles. It is most often used on, crow’s feet (lines around the eye), forehead lines and frown lines. It can be used to treat Axillary Hyperhidrosis (problem underarm sweating).

How long does Botulinum Toxin last?

Normally, if the right amount of Botulinum toxin is injected by a trained doctor in the right muscles, the results could last 3-4 months. BOTULINUM TOXIN should last longer than a few weeks, but the duration varies. First time Botox users, might experience that the toxin is wearing off in < 3 months.

Are there any side effects?

The side effects are usually localised and temporary to the area of injection. These include mild bruising or soreness, which can easily be covered with makeup. There can be a headache, and less commonly, you may develop a heavy eyelid (ptosis) which may last 1-4 weeks which we may be able to treat with some eyedrops. No permanent side effects because of Botulinum toxin have been reported. The toxin should not be used during pregnancy or breastfeeding or for patients with a neuromuscular disease.

Who should administer Botbotulinum Toxin?

Botulinum Toxin prescription can only be obtained from a Registered Doctor with the MCNZ. It should only be injected under the supervision of a registered medical practitioner. Dr Dilawar Singh at Skin Logics and Hamilton Lake Clinic has taken specialized training in these cosmetic procedures and performs all injections himself – no treatments are delegated to a nurse.

Please beware of “bargain Botox” offers. If the cost seems too cheap, it is likely that the product is diluted or may not be a registered Allergan Botox or Galderma Dysport. Recently, some Chinese and Korean products are being imported into New Zealand. These products do not have a proven safety record.

Botox Hamilton

Skin Logics specializes in Botox treatment.

BOTOX® is a prescription medicine containing 100 units of clostridium botulinium type A toxin complex for injection. It is used for the treatment of severe frown lines associated ‘crow’s feet’ around the eyes and wrinkle removal. It should be administered only by trained medical professionals. Talk to your specialists about the benefits/risks of this procedure in appearance medicine. Caution people with neuromuscular transmission disorders, presence of infection at site of injection, pregnancy and lactation. Possible side effects include headaches, pain, burning sensation or redness at injection site, temporary local muscle weakness including eyelid droop, decreased sensation and nausea. If you have side effects or concerns, talk to your doctor. A charge applies. Allergan New Zealand Pty Ltd, Auckland. Note: Botox® treatment lasts about four months and after this time further courses of Botox treatment may be necessary. Talk to your Auckland Botox specialist about the benefits/risks of this procedure.

DYSPORT® (Clostridium botulinum type A toxin-haemagglutinin complex, 500 IPSEN units) is a Prescription Medicine for the treatment of vertical frown lines between the eyebrows. It should be administered onlyby trained medical professionals. DYSPORT® has risks and benefits. For more information, talk to your healthcare professional or read the Consumer Medicine Information available at www.medsafe.govt.nz. Ask your specialist if DYSPORT® is right for you. Always follow your specialist’s instructions. If you experience side effects and they concern you, see your healthcare professional. You will need to pay for DYSPORT®and for the administration and consultation charges. Galderma c/o Healthcare Logistics 58 Richard Pearse Drive Airport Oaks, Auckland, New Zealand. 0800 174 104

XEOMIN® is a Prescription Medicine containing 50, 100 LD50 Units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of frown lines on the forehead in adults. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Xeomin treatment lasts about four months and further courses of treatment may be necessary. Cautions: Generalised disorders of muscle activity; Infection or inflammation at the proposed injection sites, pregnancy and lactation. Possible side effects: headache, pain, swelling or infection at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea. You will need to pay for this medicine. Discuss with your specialist if Xeomin is right for you. For more information or for a copy of CMI please contact the NZ distributor: NZMS Ltd: 2a Fisher Crescent, Mt Wellington, Auckland, Ph 09 259 4062.TAPS NA7621.