Botox, Fillers, that’s not for me, is it?

There are a lot of myths out there about Botox and Fillers and their accessibility. The truth is, most of them are WRONG, so here goes….

1. Botox is lethal!
Botox or botulinum toxin was introduced of 30 years ago for treatment of spastic muscles, initially in the eye. It was then further expanded into other neurological conditions involving spastic muscles and eventually adapted to decrease facial wrinkles. Botulinum toxin works by acting on the nerves in your face, and when used in the appropriate areas is safe and effects are temporary. After two months of injection, the ends of the nerve terminals sprout and the nerve is back in business. When used in the face results can last from 3-5 months.

Of course there are neuromuscular conditions (Eaton-Lambert syndrome, Myasthenia gravis) in which Botulinum toxin should not be used. Effects are unknown during pregnancy and breastfeeding, so use should be avoided at that time.

Different areas of the face have an amount of FDA approved units recommend. When used within these specifications by an experienced injector, you can safely reap everything this service has to offer!

2. I’m too young, or it’s not going to help me.
Look in the mirror. Are you able to make 11’s in-between your eyebrows? Do you notice wrinkles in your forehead? If so, then it might be a good time to start. Botox can relax these wrinkles before you make deep furrows along wrinkle lines. If you already have these furrows, then Botox will likely decrease the intensity and the furrow may be able to be filled to soften the wrinkles impact on your face.

3. What are fillers anyway?
There are many different fillers out there with different properties, depending on the kind of effect the product was intended for. Fillers are made of hyaluronic acid which is a naturally occurring polysaccharide that is found throughout body tissues. It can be injected or used topically to improve elasticity of skin and reduce inflammation. Fillers can be used all over the face to add volume or decrease lines, wrinkles (i.e. nose to mouth lines, wrinkles around the lip and of the chin). Each kind has a different hyaluronic acid concentration with different cohesivity allowing it to lift, spread, or form.

We offer Allergan products at our clinic including Juvederm, Juvederm Ultra XC, Juvederm Ultra Plus XC, Voluma and Volbella. Each one is great for something different, like Volbella for fine lip lines and subtle volume to the lips or volume to decrease nose to mouth lines and volume to the cheek.

4. It’s so expensive! How much will I need!?!?!
In regard to Botox, this depends on the look that you want. At our clinic we focus on a more subtle look to help you naturally age. You may need as little as 9 units for the 11’s in-between your eyebrows or 9-16 units for a brow lift.

In regards to filler, you can start off with one syringe and gradually build towards the look that you want in layers. This is the best way to go, so you end up with a subtle look that you’ve been working towards and are happy with.

Each of these products usually last three months or more, so in the long run it’s the cost of any spa treatment – mani, pedi, massage, BUT it’s in your face, something you look at every day and want to be happy with. The reality is that these products are not just for celebrities, they are for everyone and very accessible.

5. What’s next?

Next time you look in the mirror ask yourself, “How much time do I spend worrying about my wrinkles or my lips. Is this something that I think about daily, weekly? Am I ready to do something about it?”

If the answers to the questions above involve even a few minutes of your day and you are ready, then give us a call.

Having a positive body image will decrease the amount of time you worry and increase your self-esteem. This can make you more productive and happy in all aspects of your life.

Katie McDonald, PA-C and myself, Uzma Porché MD are here to help you age naturally, gracefully without breaking the bank. We’ll work with you to get to your goals in a safe, professional environment. Give us a call or shoot an email for a free consultation today! 

Exercise During Pregnancy

My patients often ask me about exercise during pregnancy. Exercise is important through all stages of life; it improves fitness, reduces obesity, and results in longevity.
Women who start their pregnancies with a healthy lifestyle are encouraged to maintain their healthy habits. On the other hand, if you haven’t reached your fitness and diet goals, pre-pregnancy is the best time to start.

The US Department of Health and Human Services issued physical activity
guidelines which say:

  1. Healthy pregnant and postpartum women, at least 150 minutes per week of moderate intensity aerobic activity (i.e. brisk walking)
  2. Women who are already engaging in vigorous intensity aerobic activity (i.e. running or jogging) can continue physical activity during pregnancy and the postpartum period.

Bear in mind, this activity should by monitored by your physician and should be consistent. Throughout your pregnancy your physician will monitor and adjust your activity.  As your baby grows your lower back slopes inward. This leads to increased forces across the joint and spine during weight bearing exercise. Blood volume, heart rate, respiratory rate and cardiac output increase to support blood flow and oxygenation to baby and mom at once. The most dramatic change occurs from 28-32 weeks. Around this time, it’s important to monitor symptoms and avoid exercises that will decrease venous return, like certain yoga postures. So maybe you can’t touch your toes for very long, but the elliptical is just fine.

Healthy pregnancies in which physical activity is continued have not been linked to poor fetal growth, miscarriage or premature delivery. However, there are a few relative contraindications to aerobic exercise including: anemia, cardiac arrhythmia, chronic bronchitis, poorly controlled type I diabetes, extreme obesity, extremely underweight, poorly controlled hypertension, intrauterine growth restriction and history of heavy smoking.

Bottom line, exercise is good for you. But as pregnancy progresses it’s important to understand how your body is changing and make sure you aren’t doing too much. Also, hydration is key. Pregnant women need to keep a water bottle on hand, wear loose clothing, and avoid high heat.

You may be wondering about exercise in the postpartum period. This is another important time to start as this is the time in a woman’s life they are most likely to abandon their workout. If you’re breastfeeding, no need to worry it shouldn’t affect your milk production, composition or your little one’s growth. I hope this helps you on your journey!