Mr Tare`s Mission Statement:`Many clinics are offering this service at a cut-price rates and luring the patients by offering complimentary packages. Mr Mak Tare strongly believes that face has the most delicate and complex anatomy in human body. Numerous small muscles of expression are attached on either side of face and they work in different directions and independently maintaining the symmetry and beauty. In order to understand the subtleties and consequences, every practitioner should have a thorough knowledge of facial anatomy before undertaking Botulinum Toxoid injections. A fine balance has to be established by altering the dose of Botulinum Toxoid in opposing group of muscles’. I would urge all patients looking for treatment of wrinkles and creases to be extremely careful in choosing the person and place offering these services.
Mr Tare has over sixteen years of experience in performing facial surgical procedures for a wide range of conditions and problems. He is very well acquainted with the nuances of working with the delicate nerves, vessels and muscle structures of the face. Mr Tare has successfully completed the advanced course in Botulinum toxin injection therapy from the DBK Training Institute of London to achieve perfection in skills.
A typical consultation with Mr Tare involves detail history with questionnaire, a brief description about Botulinum toxin; its action, duration, and side effects. This is followed by a thorough examination of your face for lines of expression, dynamic and static balance and symmetry. Mr Tare will proceed with the injection only when patient has understood the contents of consultation. Patients get an ample opportunity to ask questions before the procedure.
Botox™/Dysport/Azzalure/Vistabel are the trademarked names for the naturally occurring substance botulinum toxin which stops normal contraction of muscles. It is used in plastic surgery to treat wrinkles on the face by preventing contraction of the underlying muscles. It is also used by plastic surgeons for the treatment of hyperhidrosis (excessive sweating) of the armpits, palms and groins.
Why do patients ask for botulinum toxin injections?
As we all get older, the contraction of the muscles of the face causes the overlying skin to wrinkle, resulting in the characteristic appearance of ageing . It is natural for patients to want to try and reverse some of this ageing process by reducing frown lines, “crows feet” and wrinkles.
Patients who suffer from excessive sweating (hyperhidrosis) that does not respond to antiperspirant treatment, may be very embarrassed by their condition. They are unable to wear light coloured clothes, as rings of perspiration show up in a very short period of time. They may feel obliged to carry spare sets of clothes to work and have to shower two to three times a day because they are self-conscious about body odour. They are uncomfortable shaking hands, and find their handwriting may smudge easily, due to excessive sweating.
What are the reasons for patients not to have Botulinum toxin injections?
Patients who are 1. pregnant 2. taking blood thinning medications such as Warfarin or Aspirin 3. suffering from myasthenia gravis 4. allergic to toxin.
What does the treatment involve?
The injections are carried out as a simple outpatient procedure: the surgeon marks the areas to be injected, and the drug is injected with a very fine needle in carefully regulated doses into the muscles that are responsible for the formation of creases and wrinkles.
Patients with hyperhidrosis of the armpits can also be injected in the outpatient department. Occasionally a white anaesthetic cream is applied to the skin one to two hours before the injection to decrease the discomfort of the injection. Patients with hyperhidrosis of the palms and soles of the feet usually have these injected under general anaesthetic.
What happens after the injection?
The areas that have been injected may be slightly bruised or swollen; which usually fades within a week.
The effect is not apparent until one to three weeks following the injection, and lasts for approximately four to six months. To sustain the improvement, patients will need to have a repeat injection when the effect of Botox wears off.
How long will I need off work?
Most patients are able to return to work within a day. On rare occasions there maybe some significant swelling or bruising at the site of injection, which may be distracting during meetings with clients or attending important social occasions.
What are the complications of Botulinum toxin injections?
Patients may have an allergic reaction on rare occasions – or the effect of drug maybe visible across a wider area than intended. This can result in an exaggerated result was relative immobility of the forehead or slight drooping of the brow or of the upper eyelid. However, this effect is completely reversible within some weeks of the injection. Some patients may feel mild flu like symptoms for a day or two following the injection; these symptoms subside on their own with only minor disruption to the daily routine.
In patients with excessive sweating from the armpits: It is not uncommon to have additonal top up injections after two weeks to achieve significant dryness. In some patients the residual sweat glands ( between the zones of injections) may start compensatory over secretion of sweat . The top up doses are injected to neutralise this overcompensation.