Botox is injected in very small quantities wherever one finds wrinkles and fine lines. Injection of Botox causes short term paralysis of these muscles. This results in flattening of the wrinkles. As the formation of wrinkles is paused, it helps to get rid of the wrinkles and fine lines present and give a youthful appearance to the face.

Botox can be used to treat mainly the following issues:

• Frown lines
• Crow’s feet
• Forehead lines
• Laugh lines
• Treatment of bands on the neck and lips.

Although Botox is primarily used for wrinkles and fine lines, it can also be used to treat other medical issues like lazy eye, cervical dystonia, reducing muscle spasticity, hyperhidrosis, etc.

Dr. Krishi Mandaliya explains about botox treatment and its various benefits.

At NVYA Aesthetics, Vadodara consultation is of utmost importance before diving into any procedure. During a consultation, Dr. Krishi Mandaliya makes sure that she understands the needs and requirements of the patients.

She guides them through the entire procedure and explains everything in detail. This helps the patients in making an informed decision regarding the procedure.

She also urges her patients to ask as many questions as they want to achieve complete clarity. NVYA Aesthetics, Vadodara strongly believes in transparency and hence we explain everything related to the procedure including the achievable result.

A consultation can be a vital moment before any procedure as the patient can analyze his or her comfort level with the doctor and understand all the aspects which entail the procedure.

Before beginning the treatment, Dr. Krishi Mandaliya will make sure that she knows your entire medical history. This is necessary to have a smooth procedure.

Also, any pertaining allergies must be told to the doctor before the procedure itself. Some pictures might be taken in order to analyze the result after the procedure.

As the administration of Botox is quite simple, it is often done right after the consultation.

• Markings are first made wherever Botox needs to be injected.
• The area to be treated is cleansed first.
• Botox injection is an easy, simple, quick procedure. Injections are giving with very fine needles in the muscles of the area to be treated.
• Most patients find the injections tolerable. They find the injections less painful than injections taken on the arms or buttocks.
• If someone is very apprehensive, the doctor may advise the use of local anaesthetic cream like PRILOX.

Generally, one might observe slight redness or swelling in the sight of injections. This is quite common and in order to control this, Dr. Krishi Mandaliya suggests application of ice.

The patients are strictly advised against massaging the injected area as this might move the botox and hamper the results.

Patients can resume their daily activities after a few hours of the treatment.

The effect of the injection can be seen from 4th – 5th day. The effect continues to improve till 3rd week. However, some patients may require an additional minor booster dose at the end of 2 weeks.

On average, the results of Botox last for about 5 – 6 months. The procedure needs to be repeated thereafter. The duration of the result may increase with repeated injections in some patients. It has also been observed that male patients may need injections more frequently.

Most of the patients do not develop any side effects. The incidence of side effects is very rare. They may be like, flu-like syndrome, respiratory infection, and temporary weakness of eyelid muscles. All these are reversible.

What are Fillers?

Fillers are an excellent anti-ageing treatment that helps patients to acquire their previous youthful looks.

They are a type of minimally invasive aesthetic medicine used to add volume, alter the contours of the face, and fill in wrinkles. This helps to add a youthful appearance to the skin. The use of fillers is not just restricted to the face as it can be used in the neck, the hands, and even feet.

There are three types of fillers commonly used:

• Temporary fillers
• Semi-permanent fillers
• Permanent fillers

Temporary Fillers

Collagen-Based Fillers:

Collagen is a naturally occurring protein that adds strength and structure to the skin.

Hyaluronic Acid-Based Fillers:

Like collagen, hyaluronic acid is a naturally occurring substance and primarily used to promote fullness and volume.

Calcium Hydroxylapatite:

This is heavier and denser than hyaluronic acid. This filler is injected deeper, underneath the skin, and does not usually cause immune or allergic responses because the material is usually found in bones.

Semi-Permanent Fillers

Longer-lasting dermal fillers typically contain thicker substances, such as the biodegradable synthetic filler known as poly-L-lactic acid. These types of soft tissue fillers are used to treat deep facial lines and they offer semi-permanent results.

Permanent Fillers

Permanent fillers are made of polymethylmethacrylate (PMMA), which are microspheres that are not absorbed by the body. The filler also contains collagen and is only recommended for thick-skin areas such as the nasolabial folds.

The type of fillers that a person requires greatly depends on the analysis of their skin type, structure, and issue.

Fillers such as Juvederm and Restylane contain Hyaluronic Acid. When injected under the skin, they help to regain the glow and beauty and take care of hollows and wrinkles. Hyaluronic acid fillers are the safest fillers with minimal or no side effects.

When you approach Dr. Krishi Mandaliya for Fillers injection, you will be consulted about the need, type of the fillers to be used, and other details. On the day of treatment, you will sign a consent form. Before beginning the treatment, Dr. Krishi Mandaliya will make sure that she knows your entire medical history. This is necessary to have a smooth procedure.

Also, any pertaining allergies must be told to the doctor before the procedure itself. Some pictures might be taken in order to analyze the result after the procedure.

• Smoothening nasolabial fold for a youthful look.
• Shaping the lips and making them look voluminous
• Getting rid of fine lines around lips
• Smoothening of skin under eyes to get rid of the sunken hollow looks
• Plump up the hollow cheeks
• Take care of marionette lines (The line extending from lip to chin)

• The procedure for the administration of fillers is pretty similar to that of Botox. It involves the marking of the sites where fillers are injected and cleansing the area for the administration of the same.
• Anaesthesia is not required for the administration of fillers. However, some fillers contain a local anaesthetic like lidocaine to enhance comfort during injection. A topical anaesthetic may also be used in certain cases.
• The procedure takes about 30-45 minutesThe results of fillers treatment are almost immediate. The best will be visible after 48 hours
• The needles used for injecting are thin and short, thus the pain is minimal.
• Utmost care is taken to inject the filler properly so as to avoid any damage to the underlying structure and to prevent any nerve damage.
• The amount of the injections highly depends upon the facial structure and the number of wrinkles that need to be treated. It can take anywhere from 15 to 45 minutes to complete the procedure.

On average the results of fillers lasts for 18-24 months. However, Dr. Krishi Mandaliya explains that the results may last longer or shorter depending on:

• Your age
• Your physiology
• Your lifestyle (Smoking and exposure to sun reduces the duration)
• Amount injected and injection technique.

• The results of your injections can be seen immediately following the procedure
• Swelling and Bruising can be observed at the site of the injections.
• The doctor may give you an ice pack or cold compress to help stem swelling.
• The period of swelling will depend largely on the type of soft tissue filler you received, though most swelling, bruising, and redness should dissipate within one week to ten days.

One of the most enticing features of soft tissue fillers is their minimal recovery time. Swelling and bruising disappear within a week approximately. Your doctor may advise you to avoid wearing hats or other headgear and only use small amounts of makeup.

Some risks associated with Fillers are as follows:

• There is slight bruising and redness at the site that dissipates over time.
• Muscle sensation may change for some time.
• Chances of infection
• Undesirable results

Dr. Krishi Mandaliya ensures that none of these risks turns into a reality for his patients. She prioritizes the safety of the patient above everything else.