Botox for Fine Lines New Westminster

Botox for Fine Lines New Westminster

Botox consultation advice

It's not permanent, lasting about 3 to 6 months, which means we can adjust treatments as our clients' needs change over time. At Manhas Health Co., we're dedicated to providing our clients with the highest level of care and expertise in cosmetic Botox treatments. We're here to answer any questions you may have and to ensure your recovery is as smooth and swift as possible. Learn more about Botox for Fine Lines New Westminster here Lastly, we're proud to offer a new Botox service focused on the jawline. We understand that your time is valuable, so we've streamlined our booking process to minimize wait times and get you in for your treatment as quickly as possible.
This commitment to ongoing education means we're not just keeping pace with industry standards; we're setting them. Learn more about Manhas Health Co. here. This means you're always getting the best, most innovative care available. When considering Botox treatments, it's crucial to understand their safety profile and effectiveness, ensuring you're making a well-informed decision. We understand the importance of looking and feeling your best.
This diversity ensures that everyone can find a story they relate to, making the decision to proceed with Botox treatments a bit easier. We're committed to educating our clients on how Botox can offer more than just cosmetic improvements. We'll work with you to create a maintenance plan that suits your lifestyle and keeps you looking your best. We've seen firsthand how this mechanism can smooth out fine lines and give our clients a more youthful look.
Lastly, questions about the longevity and maintenance of Botox results are common. Booking your appointment at Manhas Health Co. is the first step. We understand the importance of maintaining a fresh and natural look without the constant need for reapplication or retreatment. We're proud to say that every member of our team isn't just highly trained in their field, but also passionately committed to providing the best possible care and results for our clients. New Westminster cosmetic experts Personalized Botox treatments

Unlike surgical procedures, Botox treatments don't require significant downtime. Our goal is to refresh your look, making you feel revitalized and confident. We understand that each individual's skin is unique, which is why we tailor our Botox treatments to match your specific needs. Understanding how Botox works is crucial to setting realistic expectations.
After your treatment, we can't stress enough the importance of following our aftercare advice to ensure the best results. Botox for lip lines Let's embark on this beautiful journey together, where every step forward is a step towards feeling and looking your absolute best. We're experts at achieving a natural, refreshed look, avoiding the 'frozen' appearance some fear.

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Read more about Botox for Fine Lines New Westminster here We ensure everyone's safety and satisfaction by using only FDA-approved Botox and having our treatments performed by highly trained professionals. It's like I've found a piece of myself I thought was lost.'Another said, 'I was skeptical about getting Botox, worried about looking 'unnatural.' But the team at Manhas Health Co. listened to my concerns, crafted a personalized plan, and the results are astonishing.
This innovative treatment can help reduce the appearance of a strong jaw, creating a softer, more balanced profile. Our team consists of highly trained professionals who not only have a deep understanding of facial aesthetics but also stay updated with the latest techniques and products. Initially, we'll have a consultation to discuss your concerns and desired outcomes.

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Entity Name Description Source
Botulinum toxin Description for Botulinum toxin Source
Skeletal muscle Description for Skeletal muscle Source
Eyelid Description for Eyelid Source
Eye drop Description for Eye drop Source
Injectable filler Description for Injectable filler Source
Marionette lines Description for Marionette lines Source
Lip Description for Lip Source
Dermatology Description for Dermatology Source
Mohs surgery Description for Mohs surgery Source
Skin cancer Description for Skin cancer Source
Varicose veins Description for Varicose veins Source
Melanocytic nevus Description for Melanocytic nevus Source
Collagen induction therapy Description for Collagen induction therapy Source
Platelet-rich plasma Description for Platelet-rich plasma Source
Pattern hair loss Description for Pattern hair loss Source
Skin care Description for Skin care Source
New Westminster Description for New Westminster Source
British Columbia Description for British Columbia Source
Rhinoplasty Description for Rhinoplasty Source
Masseter muscle Description for Masseter muscle Source
Submental triangle Description for Submental triangle Source
Hair loss Description for Hair loss Source
Scalp Description for Scalp Source
Hair follicle Description for Hair follicle Source
Hyperhidrosis Description for Hyperhidrosis Source
Restylane Description for Restylane Source
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The entrance to the Fraser is very striking—Extending miles to the right & left are low marsh lands (apparently of very rich qualities) & yet fr [sic] the Background of Superb Mountains—Swiss in outline, dark in woods, grandly towering into the clouds there is a sublimity that deeply impresses you. Everything is large and magnificent, worthy of the entrance to the Queen of England's dominions on the Pacific mainland. My imagination converted the silent marshes into Cuyp-like pictures of horses and cattle lazily fattening in rich meadows in a glowing sunset. The water of the deep clear Frazer was of a glassy stillness, not a ripple before us, except when a fish rose to the surface or broods of wild ducks fluttered away.

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Citations and other links

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For those struggling with bruxism or TMJ disorders, our Botox injections can provide relief by relaxing the jaw muscles, reducing pain and preventing teeth grinding. Another advantage is the non-invasive nature of Botox. Cosmetic Botox, a popular non-surgical treatment, temporarily smooths facial wrinkles by relaxing the underlying muscles. Botox for men After my treatment at Manhas Health Co., I not only look refreshed but feel a surge of confidence.

It's crucial to avoid rubbing or massaging the treated areas for at least 24 hours.

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Our team takes the time to explain the process, answer your questions, and provide aftercare advice to maintain your rejuvenated appearance. It's not just about looking younger; it's about feeling revitalized and more confident in one's skin. Youthful skin solutions

We're here to guide you through every step, from the initial consultation to the post-treatment care, making adjustments as necessary to ensure your complete satisfaction. Botox, a wonder drug for many, effectively smooths wrinkles by temporarily paralyzing facial muscles. Why choose Manhas Health Co., you might ask?

What sets us apart is our commitment to creating a welcoming and supportive environment. By incorporating these treatments into your care routine, we're not just turning back the clock; we're slowing its ticking, ensuring that your skin remains vibrant and youthful for as long as possible. They're not just seeing changes in the mirror; they're experiencing a transformation in how they present themselves to the world.

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We're here to help you feel and look your best, providing personalized consultations to discuss your specific concerns and desired outcomes. We've come to appreciate the fine balance between embracing our inherent features and seeking professional assistance to refine them. We're not just providing a service; we're enhancing well-being and self-esteem. After your treatment, we'll provide comprehensive aftercare instructions and support. At Manhas Health Co., we're not just about achieving stunning results; we're about doing it safely.

Following the initial consultation, we craft a personalized treatment plan that directly addresses your specific beauty goals and health considerations. At Manhas Health Co., we're here to support you every step of the way. On the day of the treatment, we'll start by cleansing the targeted areas to ensure a sterile environment, minimizing any risk of infection. Our priority is to accommodate your needs while ensuring you feel confident and informed every step of the way.

Our experienced professionals use precise techniques to ensure that each treatment is tailored to meet the unique needs of our clients, maximizing the longevity of the results. Generally, Botox is considered safe when administered by a qualified professional. At Manhas Health Co., we're committed to ensuring that your cosmetic Botox experience not only meets but also exceeds your expectations. We opt for products with soothing ingredients like aloe vera and hyaluronic acid to keep our skin hydrated and to support its natural healing process.

Moreover, we pride in our transparent communication.

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We'll remind you to skip any activities that involve heavy sweating, like high-intensity workouts or visits to saunas, for the first 24 to 48 hours. Side effects, though rare, can occur and include temporary bruising, swelling, or redness at the injection site. One of our clients, Sarah, shared, 'After my sessions at Manhas Health Co., I noticed a significant reduction in my forehead lines.

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Building on our new services, it's crucial to understand the transformative impact Cosmetic Botox can have on one's appearance and confidence. We believe that communication is key to achieving the best outcomes. Whether you're looking to reduce the appearance of fine lines and wrinkles or seeking preventive measures to maintain your youthful look, we've got you covered. These treatments provide a dual benefit: improving quality of life while addressing specific health issues.

We've seen firsthand how it transforms not just appearances but also boosts confidence and self-esteem.

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We're here to guide you through the simple process of booking your appointment, ensuring a seamless journey towards achieving your cosmetic goals. It's not just about looking younger; it's about feeling more vibrant and self-assured.

While we've highlighted how Botox effectively reduces existing wrinkles, it's also crucial to mention its role in preventing new ones from forming. We're excited to unveil three new Cosmetic Botox services, designed to cater to our clients' diverse needs with precision and care. Results aren't instant but develop over the following week, with the full effect visible in about two weeks.

It's been a game-changer for my self-esteem.” It's feedback like this that drives us to continue offering expert cosmetic solutions tailored to each individual's needs.

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Our approach to safety isn't a one-size-fits-all; it's as unique as you are. Without these signals, the muscles can't contract, leading to a smoother, softer complexion.

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It's not just about looking younger; it's about feeling more confident in our skin. Our Before and After Gallery showcases the dramatic transformations our clients have experienced, further illustrating the remarkable impact of our Botox treatments. It's our belief that informed clients are empowered clients, and your peace of mind is as important to us as your physical well-being. It's relatively painless, with most clients describing it as a slight pinch.

We've discovered that by understanding how Botox works, our clients can make informed decisions about their beauty treatments.

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When we inject Botox into specific muscles, it binds to the nerve endings, stopping the release of acetylcholine, a neurotransmitter responsible for muscle movement. Once we've established a treatment plan tailored just for you, we'll schedule your first session.

Our team's extensive knowledge in cosmetic Botox treatments guarantees you receive the most effective solutions tailored to your unique needs and desires.

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Our goal is to ensure everyone leaves feeling informed and excited about their Botox journey. At Manhas Health Co., we're dedicated to making your cosmetic Botox experience positive and rewarding.

Let's help you achieve the results you're looking for with the care and expertise you deserve. One client shared, 'Before Botox, I constantly looked tired, no matter how rested I was. It's essential to let our skin settle naturally.

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At Manhas Health Co., it's all about celebrating your individuality while helping you look and feel your best. We're here to guide our clients through this journey, ensuring they feel supported and excited about the possibilities Cosmetic Botox brings. While discussing the benefits of Botox, it's crucial to address the safety and potential side effects associated with the treatment. This commitment to quality means you'll see better, longer-lasting results. Our team is composed of highly skilled professionals who specialize in cosmetic treatments, ensuring you're in the safest hands.
Whether it's crow's feet, forehead lines, or frown lines that bother you, we've got the expertise to address those concerns. Many share stories of newfound confidence and joy in their appearance, praising not just the results but the care and professionalism they encountered at Manhas Health Co. Once you've booked your appointment, we'll send you a confirmation email with all the details you'll need, including any prep instructions for your Botox treatment. We're not just about providing a service; we're about creating an experience.

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At our clinic, we believe that enhancing your natural beauty starts with personalized Botox treatments designed to complement your unique features. We understand that each individual comes with their own set of expectations and questions about the procedure.

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You can book your appointment directly through our website, where you'll find an easy-to-use booking system. I didn't think such a quick procedure could make me feel so refreshed and youthful.” Botox for nose lines This kind of testimonial is exactly what we aim for - real results that you can see and feel.
We're committed to not just meeting but exceeding your expectations with our state-of-the-art services. We start by conducting a detailed consultation, where we listen to your desires and assess your facial anatomy. But the advantages don't stop at aesthetics. We've handpicked each member for their expertise, dedication, and passion for wellness and beauty.

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Wrinkles on the face and hands are a typical sign of aging

A wrinkle, also known as a rhytid, is a fold, ridge or crease in an otherwise smooth surface, such as on skin or fabric. Skin wrinkles typically appear as a result of ageing processes such as glycation,[1] habitual sleeping positions,[2] loss of body mass, sun damage,[3] or temporarily, as the result of prolonged immersion in water. Age wrinkling in the skin is promoted by habitual facial expressions, aging, sun damage, smoking, poor hydration, and various other factors.[4] In humans, it can also be prevented to some degree by avoiding excessive solar exposure and through diet (in particular through consumption of carotenoids, tocopherols and flavonoids, vitamins (A, C, D and E), essential omega-3-fatty acids, certain proteins and lactobacilli).[5]

Skin

[edit]

Causes for aging wrinkles

[edit]
A woman of European origin with facial wrinkles

Development of facial wrinkles is a kind of fibrosis of the skin. Misrepair-accumulation aging theory suggests that wrinkles develop from incorrect repairs of injured elastic fibers and collagen fibers.[6][7][8] Repeated extensions and compressions of the skin cause repeated injuries of extracellular fibers in derma. During the repairing process, some of the broken elastic fibers and collagen fibers are not regenerated and restored but replaced by altered fibers. When an elastic fiber is broken in an extended state, it may be replaced by a "long" collagen fiber. Accumulation of "long" collagen fibers makes part of the skin looser and stiffer, and as a consequence, a big fold of skin appears. When a "long" collagen is broken in a compressed state, it may be replaced by a "short" collagen fiber. The "shorter" collagen fibers will restrict the extension of "longer" fibers, and make the “long" fibers in a folding state permanently. A small fold, namely a permanent wrinkle, then appears.

Sleep wrinkles

[edit]

Sleep wrinkles are created and reinforced when the face is compressed against a pillow or bed surface in side or stomach sleeping positions during sleep.[9] They appear in predictable locations due to the underlying superficial musculoaponeurotic system (SMAS), and are usually distinct from wrinkles of facial expression.[10] As with wrinkles of facial expression, sleep wrinkles can deepen and become permanent over time, unless the habitual sleeping positions which cause the wrinkles are altered.[11]

Water-immersion wrinkling

[edit]
A wrinkled finger after a warm bath

The wrinkles that occur in skin over prolonged exposure to water are sometimes referred to as pruney fingers or water aging. This is a temporary skin condition where the skin on the palms of the hand or feet becomes wrinkly. This wrinkling response may have imparted an evolutionary benefit by providing improved traction in wet conditions,[12] and a better grasp of wet objects.[13] These results were called into question by a 2014 study that failed to reproduce any improvement of handling wet objects with wrinkled fingertips.[14] However, a 2020 study of gripping efficiency found that wrinkles decreased the force required to grip wet objects by 20%, supporting the traction hypothesis.[15]

Prior to a 1935 study, the common explanation was based on water absorption in the keratin-laden epithelial skin when immersed in water,[16] causing the skin to expand and resulting in a larger surface area, forcing it to wrinkle. Usually the tips of the fingers and toes are the first to wrinkle because of a thicker layer of keratin and an absence of hairs which secrete the protective oil called sebum.

Adult sole showing water immersion wrinkling

In the 1935 study, however, Lewis and Pickering were studying patients with palsy of the median nerve when they discovered that skin wrinkling did not occur in the areas of the patients' skin normally innervated by the damaged nerve. This suggested that the nervous system plays an essential role in wrinkling, so the phenomenon could not be entirely explained simply by water absorption. Recent research shows that wrinkling is related to vasoconstriction.[17][18] Water probably initiates the wrinkling process by altering the balance of electrolytes in the skin as it diffuses into the hands and soles via their many sweat ducts. This could alter the stability of the membranes of the many neurons that synapse on the many blood vessels underneath skin, causing them to fire more rapidly. Increased neuronal firing causes blood vessels to constrict, decreasing the amount of fluid underneath the skin. This decrease in fluid would cause a decrease in tension, causing the skin to become wrinkly.[19]

This insight resulted in bedside tests for nerve damage and vasoconstriction. Wrinkling is often scored with immersion of the hands for 30 minutes in water or EMLA cream with measurements steps of 5 minutes, and counting the number of visible wrinkles in time. Not all healthy persons have finger wrinkling after immersion, so it would be safe to say that sympathetic function is preserved if finger wrinkling after immersion in water is observed, but if the fingers emerge smooth it cannot be assumed that there is a lesion to the autonomic supply or to the peripheral nerves of the hand.[20]

Other animals with wrinkles

[edit]

Examples of wrinkles can be found in various animal species that grow loose, excess skin, particularly when they are young. Several breeds of dog, such as the Pug and the Shar Pei, have been bred to exaggerate this trait. In dogs bred for fighting, this is the result of selection for loose skin, which confers a protective advantage.[21]

Techniques for reducing the appearance of aging wrinkles

[edit]
A man receiving a botox injection

Current evidence suggests that tretinoin decreases cohesiveness of follicular epithelial cells, although the exact mode of action is unknown. Additionally, tretinoin stimulates mitotic activity and increased turnover of follicular epithelial cells.[22] Tretinoin is better known by the brand name Retin-A.

Topical glycosaminoglycans supplements can help to provide temporary restoration of enzyme balance to slow or prevent matrix breakdown and consequent onset of wrinkle formation. Glycosaminoglycans (GAGs) are produced by the body to maintain structural integrity in tissues and to maintain fluid balance. Hyaluronic acid is a type of GAG that promotes collagen synthesis, repair, and hydration. GAGs serve as a natural moisturizer and lubricant between epidermal cells to inhibit the production of matrix metalloproteinases (MMPs).

Dermal fillers are injectable products frequently used to correct wrinkles, and other depressions in the skin. They are often a kind of soft tissue designed to enable injection into the skin for purposes of improving the appearance. The most common products are based on hyaluronic acid and calcium hydroxylapatite.

Botulinum toxin is a neurotoxin protein produced by the bacterium Clostridium botulinum. Botox is a specific form of botulinum toxin manufactured by Allergan for both therapeutic and cosmetic use. Besides its cosmetic application, Botox is used in the treatment of other conditions including migraine headache and cervical dystonia (spasmodic torticollis) (a neuromuscular disorder involving the head and neck).[23]

Dysport, manufactured by Ipsen, received FDA approval and is now used to treat cervical dystonia as well as glabellar lines in adults. In 2010, another form of botulinum toxin, one free of complexing proteins, became available to Americans. Xeomin received FDA approval for medical indications in 2010 and cosmetic indications in 2011.

Botulinum toxin treats wrinkles by immobilizing the muscles which cause wrinkles. It is not appropriate for the treatment of all wrinkles; it is indicated for the treatment of glabellar lines (between the eyebrows) in adults. Any other usage is not approved by the FDA and is considered off-label use.

Laser resurfacing is FDA-cleared skin resurfacing procedure in which lasers are used to improve the condition of the skin.[citation needed] Two types of lasers are used to reduce the appearance of fine lines and wrinkles on the face; laser ablation, which removes thin layers of skin, and nonablative lasers that stimulate collagen production. Nonablative lasers are less effective than ablative ones but they are less invasive and recovery time is short. After the procedure people experience temporary redness, itching and swelling.

See also

[edit]

References

[edit]
  1. ^ Danby, FW (Jul–Aug 2010). "Nutrition and aging skin: sugar and glycation". Clin Dermatol. 4. 28 (4): 409–411. doi:10.1016/j.clindermatol.2010.03.018. PMID 20620757.
  2. ^ American Academy of Dermatology. "Causes of Aging". AgingSkinNet. American Academy of Dermatology. Retrieved 5 March 2013.
  3. ^ Cosmetic Procedures for Wrinkles
  4. ^ Anderson, Laurence. 2006. Looking Good, the Australian guide to skin care, cosmetic medicine and cosmetic surgery. AMPCo. Sydney. ISBN 0-85557-044-X.
  5. ^ Schagen, S. K.; Zampeli, V. A.; Makrantonaki, E.; Zouboulis, C. C. (2012). "Discovering the link between nutrition and skin aging". Dermato-Endocrinology. 4 (3): 298–307. doi:10.4161/derm.22876. PMC 3583891. PMID 23467449.
  6. ^ Wang, Jicun; Michelitsch, Thomas; Wunderlin, Arne; Mahadeva, Ravi (2009). "Aging as a consequence of Misrepair—a novel theory of aging". arXiv:0904.0575 [q-bio.TO].
  7. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Aging as a process of accumulation of Misrepairs". arXiv:1503.07163 [q-bio.TO].
  8. ^ Wang-Michelitsch, Jicun; Michelitsch, Thomas (2015). "Tissue fibrosis: a principal evidence for the central role of Misrepairs in aging". arXiv:1505.01376 [q-bio.TO].
  9. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  10. ^ Fulton, James E.; Gaminchi, F. (1999). "Sleep Lines". Dermatol Surg. 25 (1): 59–62. doi:10.1046/j.1524-4725.1999.08073.x. PMID 9935097.
  11. ^ Sarifakioglu, Nedim; Terzioglu, A.; Ates, L.; Aslan, G. (2004). "A New Phenomenon: 'Sleep Lines' on the Face". Scan J Plast Reconstr Surg Hand Surg. 38 (4): 244–247 [246]. doi:10.1080/02844310410027257. PMID 15370809. S2CID 25307487.
  12. ^ Mark Changizi; Romann Weber; Ritesh Kotecha; Joseph Palazzo (2011). "Are Wet-Induced Wrinkled Fingers Primate Rain Treads?". Brain, Behavior and Evolution. 77 (4): 286–90. doi:10.1159/000328223. PMID 21701145.
  13. ^ Kareklas, Kyriacos; Nettle, Daniel; Smulders, Tom V (January 9, 2013). "Water-induced finger wrinkles improve handling of wet objects". Biol. Lett. 9 (2): 20120999. doi:10.1098/rsbl.2012.0999. PMC 3639753. PMID 23302867.
  14. ^ Haseleu, Julia; Omerbašić, Damir; Frenzel, Henning; Gross, Manfred; Lewin, Gary R. (2014). Goldreich, Daniel (ed.). "Water-Induced Finger Wrinkles Do Not Affect Touch Acuity or Dexterity in Handling Wet Objects". PLOS ONE. 9 (1): e84949. Bibcode:2014PLoSO...984949H. doi:10.1371/journal.pone.0084949. PMC 3885627. PMID 24416318.
  15. ^ Davis, N. (8 November 2020). "Water-immersion finger-wrinkling improves grip efficiency in handling wet objects". bioRxiv 10.1101/2020.11.07.372631.
  16. ^ "Dr Karl's Homework – Skin Wrinkles in Water (26/1/2000)". Abc.net.au. 2000-01-26. Retrieved 2019-04-30.
  17. ^ Einar P.V. Wilder-Smith; Adeline Chow (2003). "Water-immersion wrinkeling is due to vasoconstriction". Muscle & Nerve. 27 (3): 307–311. doi:10.1002/mus.10323. PMID 12635117. S2CID 45193684.
  18. ^ Einar P. V. Wilder-Smith (2004). "Water immersion wrinkling". Clinical Autonomic Research. 14 (2): 125–131. doi:10.1007/s10286-004-0172-4. PMID 15095056. S2CID 44938772.
  19. ^ H. Zhai, K.P. Whilem H. L. Maibach (2007). Dermatotoxicology. pp. 280–281.
  20. ^ G Alvarez, J Eurolo; P Canales (1980). "Finger wrinkling after immersion in water". British Medical Journal. 281 (6240): 586–587. doi:10.1136/bmj.281.6240.586-a. PMC 1713922. PMID 7427379.
  21. ^ The Dog Encyclopedia: The Definitive Visual Guide. Penguin. 15 August 2023. p. 84. ISBN 978-0-7440-8513-6.
  22. ^ Stefanaki C, Stratigos A, Katsambas A (June 2005). "Topical retinoids in the treatment of photoaging". J Cosmet Dermatol. 4 (2): 130–4. doi:10.1111/j.1473-2165.2005.40215.x. PMID 17166212. S2CID 44702740.
  23. ^ Brin MF, Lew MF, Adler CH, Comella CL, Factor SA, Jankovic J, O'Brien C, Murray JJ, Wallace JD, Willmer-Hulme A, Koller M (1999). "Safety and efficacy of NeuroBloc (botulinum toxin type B) in type A-resistant cervical dystonia". Neurology. 53 (7): 1431–8. doi:10.1212/WNL.53.7.1431. PMID 10534247.
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Cosmetic may refer to:

  • Cosmetics, or make-up, substances to enhance the beauty of the human body, apart from simple cleaning
  • Cosmetic, an adjective describing beauty, aesthetics, or appearance, especially concerning the human body
  • Cosmetic, a topical product that is not a drug
  • In-game cosmetics, video game virtual goods that generally offer no competitive advantage

See also

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Frequently Asked Questions

Yes, we've found that botox treatments can help with more than just wrinkles. They're also effective for reducing excessive sweating and alleviating migraines, offering a broader range of benefits than many initially realize.

We're wondering if there are unique Botox formulations offered exclusively by this provider that you can't find anywhere else. It's intriguing to think about the potential benefits of such proprietary treatments in enhancing beauty.

We've established a comprehensive approach to manage any potential side effects from Botox treatments, ensuring our clients receive prompt follow-up care. Our protocol includes immediate assessment and tailored support to address each individual's needs.