All photos of Dr Wong's patients have not been altered in any manner.

Other procedures using Botox by Dr Garsing Wong are:

• Reducing Excessive sweating in the face, forehead, armpits, hands, feet, chest and neck regions (Hyperhidrosis)

• Lifting the tip of your nose

• Shaping your eyebrows

• Widening your eyes

• Balancing facial asymmetry in patients with Bell's Palsy

• Chronic Migraine treatment with Botox

• Bruxism

• Reducing bulging muscles on the side of the head (temporalis hypertrophy)

• Thinning the lower legs (so called turnip shaped calf muscle - benign gastrocnemius hypertrophy)

• Keloid and hypertrophic scar reduction

• Repair of surgical wounds (decreasing wound tension post surgery)

• Skin rejuvenation and hair pore reduction with Botox alone or combined with light based therapies

• Acne treatment using intradermal botox

 

WHAT IS Botox®?

It is a safe, natural purified protein that relaxes muscles and can give dramatic and apparent results within days. The active ingredient is botulinum toxin type A protein also known as OnabotulinumtoxinA is derived from bacteria in much the same way as penicillin is derived from mould. It is manufactured in sterile laboratory conditions by Allergan, Inc., a respected listed American public pharmaceutical company.

Botulinum toxin type A has traditionally been used exclusively for medical procedures, and only in 2006 has the cosmetic use of Botox has exceeded the its traditional medical uses.

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HOW DOES IT WORK?

Many facial wrinkles occur when we use our muscles to make repeated facial expressions. Once the muscles are relaxed, you cannot contract them and continue to make the undesirable facial expressions. Thus, the lines gradually smooth and new lines are prevented from forming.

 

WHAT DOES THE TREATMENT INVOLVE?

When Botox is used for reducing facial lines, a small amount is injected into selected facial muscles by Dr Garsing Wong using a very fine needle. Generally, a treatment for glabellar frown lines takes around 10 minutes.  Discomfort is typically minimal and brief, and no anaesthetic is usually required. The injection DOES NOT sting. Normal activities can be resumed soon after. The Botox takes 2-3 days to begin taking effect and about 7 days to see the full effect on facial lines.  For facial shaping and calf shaping, we need to wait for the muscles to slim down so the effects are not apparent for two months.  For Chronic Migraine, sometimes a rebound headache is induced, however most patients notice some improvement after six weeks.

The dose recommended for the treatment of different areas will vary depending on your individual situation and the severity of your individual requirements. Dr Garsing Wong will assess what the best dose of Botox is for you and which muscles to inject to give you the best results.

 

HOW LONG DOES IT LAST?

The effect can last up to 4 months before lines slowly begin to return. Repeated treatments with Botox tend to make the effect last longer. For facial shaping and treatment of excessive sweating, the effects can last for several months up to one year. The reason that the effects of Botox® can last longer with facial shaping, is because the facial slimming effects of Botox® is due to the reduction in the size of the masseter muscle when Botox® is injected. For more information on this topic, please follow the link on Facial Shaping with Botox®

 

WILL THE TREATMENT CAUSE MORE WRINKLES TO FORM?

The treatment with Botox relaxes the facial muscles that cause expression lines, it does not cause more wrinkles to form. If you choose not to have further treatments with Botox then your muscles will eventually return to normal activity and your wrinkles will gradually revert to their pre-treatment levels.

 

WILL FACIAL EXPRESSION BE AFFECTED?

Botox works specifically on the muscles treated. This means that any muscle left untreated, including untreated facial muscles, should not be affected. Dr Garsing Wong will determine the best dose of Botox for you and which muscles to inject with Botox to give you the best results.

 

ARE THERE ANY SIDE EFFECTS WITH BOTOX®?

In addition to Botox being used for cosmetic reasons, Botox is also used to treat patients of most age groups in a variety of therapeutic indications including cerebral palsy in children, movement disorders, and axillary hyperhidrosis (excessive under arm sweating) as well as the extensive off-label uses that Dr Garsing Wong has a special interest in.

In the amounts used for the treatment of wrinkles and lines, the side effects are rarely seen and are usually temporary and localised to the area of injection. Possible side effects include headaches, pain, burning, bruising or redness at the injection site, local muscle weakness including drooping eyelids (less than 0.4%), lack of feeling, skin tightness and nausea.

 

CAN IT BE COMBINED WITH OTHER PRODUCTS AND PROCEDURES?

Yes, Botox can be safely used in combination with various cosmetic products and/or procedures. Dr Garsing Wong and Margaret (Wen-Pei Chen) will advise you on which is the best products and/or procedure for your skin.  Botox is most frequently combined with dermal fillers to restore volume in your face using such products as Teosyal® and Restylane®.  More recently, Dr Garsing Wong has been combining treatment with Botox with the new innovative Venus Viva Nanofractional Ablative Radiofrequency as well as the Cooltech® Cryolipolisis device and Belkyra® to achieve even better results.

Please click this link to book to see Margaret (Wen-Pei Chen) at Auckland Cosmetic Medicine Clinic Ltd - Sapphire Appearance Medicine Clinic, 26 College Hill, Freemans Bay, Auckland to discuss which procedure is suitable for you.

Sapphire Appearance Medicine Clinic also known as Auckland Cosmetic Medicine Clinic Limited is located at 26 College Hill, Freemans Bay, Auckland which borders on Ponsonby and St Mary's Bay, just up the road from the New World Supermarket at Victoria Park Market.

 

BOTOX®is a Prescription Medicine containing 100 units of botulinum toxin type A for injection (Please note, in America, the generic name for Botox is onabotulinumtoxin A which is exactly the same, refer to the FDA Press Release dated August 3, 2009).

It is used for the treatment of frown lines. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine.

 

Cautions: People with defective neuro-muscular transmission disorders, infection at site of injection, glaucoma, pregnancy and lactation.
Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eyelids, lack of feeling and nausea. If you have any side effects or concerns speak to your doctor.
You will need to pay for this medicine. Normal doctors visits apply. Note: The treatment lasts about four months and after this time further courses of treatment may be necessary. Speak to your doctor about your own situation.

 

BOTOX® is a registered trademark of Allergan Inc.

Teosyal Global Action, Teosyal Ultimate, Teosyal Redensity I and II® are registered trademarks of Teoxane, Geneva, Switzerland.

 

Belkyra® is a Prescription Medicine used to reduce submental fat (double chin region).  Belkyra® is a Prescription Medicine used to reduce submental fat (double chin region) is a registered trademark of Allergan Inc.

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Updated 21 July 2020