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Serving Toronto, Oakville, Burlington, Mississauga, Hamilton and the GTA

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BEFORE AND AFTER
PHOTO GALLERY

For facial cosmetic surgery in Oakville, Ontario, south of Toronto, contact the Institute of Cosmetic & Laser Surgery. Our doctors are committed to providing superior results in a comfortable environment.

Accreditations

These are a few of our accreditations.

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Choose an Injectable Procedure for more info...

BOTOX® Cosmetic

About BOTOX® Cosmetic – Available at our Practice in the Toronto, Ontario Area

Botulinum Toxin is a purified toxin, used since 1980, that paralyzes all striated muscles exposed to it. By injecting very tiny amounts into a specific facial muscle, only the targeted impulse of that muscle will be blocked, causing a local relaxation and weakness. Minute quantities of Botulinum Toxin were first used in human beings to weaken eye muscles in the treatment of strabismus. This treatment has been used regularly as an alternative to surgery. Beginning in 1988 and reported in 1991, Botulinum Toxin therapy, also known as BOTOX® Cosmetic therapy, was used for frown lines, and other hyperactive facial lines including brow lines, crows feet, and banding in the neck.

BOTOX® Cosmetic injections can also paralyze the sweat glands of the skin alleviating excessive sweating. This includes injecting the underarm or palms of the hands and soles of the hand or foot. Occasionally it may be used at the scalp line. These injections provide months of relief and can be repeated indefinitely once or twice a year to maintain dryness. BOTOX® Cosmetic injections are offered at the Institute of Cosmetic & Laser Surgery, for residents of Toronto, Hamilton, and surrounding areas in Ontario.

Uses of BOTOX® Cosmetic

BOTOX® Cosmetic is used for treating glabella lines; these vertical frown lines are largely the result of over-activity of the corrugated muscles, with contribution from other muscles around the eye. The only function of the corrugators is to draw the eyebrows together as an expression of emotion. BOTOX® Cosmetic treatments are also used for squint lines or crows feet at the corners of the eyes and brow lines. When the muscle has relaxed and weakened, it can't contract. The lines gradually smooth out from disuse and new wrinkles are prevented from developing. The muscle action on smile lines around the mouth needed for expression and important functions, such as eating, may not be as effective with BOTOX® Cosmetic treatments.

Side Effects of BOTOX® Cosmetic Treatment

BOTOX® Cosmetic treatments are available for residents of Toronto, Hamilton, and other areas of Ontario, from our Oakville office. The dose used for BOTOX® Cosmetic treatment is far below the toxic dose of the Botulinum toxin and there have been no reports of allergic or urticarial reactions. Occasionally transient bruising occurs in the injection site, or the injection is followed by brief pain or headache. Transient eyelid ptosis (drooping of the eye lid) is the most significant complication of injection in the glabella area, and occurs in 1 to 2 percent of patients. When it occurs, the drooping tends to be minimal and short lived, lasting from two to 12 weeks.

Contraindications

You should not have BOTOX® Cosmetic injections if you are breast-feeding, or you have a pre-existing neuromuscular condition (myasthenia gravis), or if you are allergic to Botulinum toxin or human albumin, or if you are on an antibiotic known as aminoglycosides.

Before & After Therapy

Toronto Hamilton Ontario

BOTOX® Cosmetic therapy at our practice between Toronto and Hamilton in Ontario, involves BOTOX® Cosmetic injections of very small amounts into the underlying muscles to immobilize them. It takes about three to seven days for the treatment to take effect and it lasts about three to four months. After therapy, patients are asked not to manipulate the treatment site, and to remain upright for four hours to avoid the spread of toxin to other near-by muscle groups. Since the toxin appears to have an affinity to bind to actively contracting muscles, patients are advised to exercise their frown line muscles immediately after injection, and for a subsequent few hours. Muscle weakening begins 24 to 48 hours after injection, peaking at one week. Repeated treatments are generally performed at three to eight month intervals, as muscle function returns. However, in some individuals, muscle weakness can last up to 12 months before re-injection becomes necessary.

Details of Treatment

Pre-Treatment:

No preparation is required prior to treatment.

Anesthesia:

No anesthesia is required.

Treatment:

BOTOX® Cosmetic injections are administered using fine needles directly into the muscles under the skin of the affected area.

Post Treatment:

Immediately after BOTOX® Cosmetic treatment some swelling may be noted in the area. This swelling will last approximately two to three hours. Occasionally bruising can occur. We request that you do not lie down after treatment for more than four hours, since the muscles that were treated have to be constantly contracted.

Complications:

The only major complication is a temporary short lived drooping of an eyelid. This complication is very rare.

If you are interested in BOTOX® Cosmetic therapy, contact the Institute of Cosmetic & Laser Surgery in Oakville, between Hamilton and Toronto in Ontario today.

Click here for BOTOX® Cosmetic website.

Juvéderm™

Juvéderm™ is a filler product that is used to restore smoother more youthful look to the skin. This product is used to reduce the signs of aging and skin imperfections. Juvéderm™ not only smoothes superficial lines and wrinkles, it is also used to fill furrows, such as the nasolabial folds, and oral commissures or marionette lines. This product can also be injected into the cheeks to create or restore volume.

Juvéderm™ is made up of hyaluronic acid in a viscoelastic gel. Hyaluronic acid a substance naturally found in the body's cells. This allows the cells to bind or hold water, and is responsible for maintaining tissue hydration. Over time the hyaluronic acid will slowly become absorbed, and will disappear gradually with age. Because this substance is found within the body, and is non-animal in origin, there is no need for preliminary allergy testing.

There are 4 different types of Juvéderm™ available to smooth a wide range of imperfections. Juvéderm™ 18 is used to treat superficial lines such as crows feet or peri-oral wrinkles. Juvéderm™ 24 is injected into the middle dermis. This is used to fill forehead wrinkles, glabellar or frown lines, and mild nasolabial folds. Juvéderm™ 24 HV has a slightly higher viscosity than Juvéderm™ 24, and can be injected into deeper wrinkles and folds. This will also last slightly longer than Juvéderm™ 24. For more pronounced and deep wrinkles and lines there is Juvéderm™ 30. This is injected into the middle to deep dermis. Juvéderm™ 30 works well in the deep nasolabial folds, and to add volume to the lips and contours of the face. An anaesthetic cream is applied to minimize any discomfort. A local freezing may also be used depending on the area being injected. Juvéderm™ can last up to 9 months, and 6 months in the lips.

Patients should arrive for the treatment without their make-up. It is also recommended that if you are taking any anti-inflammatories, or Aspirin, that you stop doing so 1 week to 3 days before the scheduled injections. Following the injections swelling and redness may be present at the injection site. The area may be sensitive to the touch and may also be slightly bruised. All of these reactions should subside within 72 hours. Excessive facial expression should be avoided in the hours following this procedure. Sunscreen should be worn in the weeks following the injection, and excessive heat should be avoided, for example: saunas, hot tubs tanning beds. The injection area should be treated gently, do not massage or rub. Patients can continue their regular skin care regimen and apply make-up the day after the injection. Avoid using any products containing alcohol.

A consultation is recommend with your Dermatologist prior to the injections, to discuss your past medical history. Patients who have autoimmune diseases or who are receiving immunotherapy treatments should avoid this treatment. Women who are pregnant or breast feeding should not have this treatment. Any patients who have infectious skin problems, or areas of inflammation should not have this treatment. Patients who are prone to hypertrophic scarring should make their physician aware.

Restylane®

Restylane® Treatment

Restylane® is an excellent product used to temporarily correct facial lines and wrinkles as well as plumping lips. Restylane® dermal filler contains hyaluronic acid which is a product found in our skin naturally. Unlike collagen based products, Restylane® is not extracted from animals and therefore there is no risk of developing an allergic reaction and also means that treatment can be performed at the time as your consultation.

Restylane® contains hyaluronic acid that works with the body's own naturally occurring hyaluronan and joins forces to create volume wherever it is being injected. There are three variations of Restylane® and each is used for a particular indication. The product known as Restylane® Finelines is excellent for filling the tiny, fine feather lines around the mouth and lips. Regular Restylane® is best for augmenting your lips or for filling shallow wrinkles and Perlane offers a larger molecule in its gel which may help in a better filling effect in facial lines that are deeper or more prominent.

Treatment with Restylane® takes approximately 30 minutes and results are seen immediately. A topical numbing cream is often applied to the area to be treated, or injected freezing (similar to the dentists' freezing) can be used for lip enhancement. Although there is a risk of slight bruising, swelling or redness at the injection sites, this is generally minimal and can be concealed with makeup. There is no need for either time off work or time away from your busy schedule when you choose to be treated with any of the Restylane® product family.

Restylane® is not a permanent filler and lasts approximately 4-6 months on average. Unlike permanent implants, Restylane®, Restylane® Finelines and Perlane always leave you a choice when the effect of the treatment has worn off. Most people choose to have a repeat treatment within 6-12 months of the original treatment.

Click here for Restylane® website.

Sculptra™

Sculptra™ is injected into the skin to restore and/or correct the signs of facial fat loss (lipoatrophy) or volume. Sculptra™ is also used for patients who suffer from acne scarring. It has been clinically proven to be an effective, well-tolerated and long-lasting treatment in the treatment of these two indications. Sculptra™ itself is a synthetic material known as ‘poly-L-lactic acid.’ It is biocompatible (a material that does not harm the body) and biodegradable (able to be broken down by the body). Poly-L-lactic acid has been used for many years in dissolvable stitches, soft tissue implants and other types of implants. Sculptra™ is not like traditional fillers that “fill” or “plump” the skin. Instead, your own collagen will build around the molecule and cause the skin to increase in thickness.

Pre-Treatment

Stopping the use of aspirin and Vitamin E and the consumption of green tea is recommended 3-5 days prior to treatments to reduce the possibility and/or amount of swelling. No skin testing is required prior to use.

Details of Procedure

Sculptra™ is injected into the skin in a series of approximately 3-4 treatments. One hour prior to treatment, a topical numbing cream will be applied to the skin to help reduce any discomfort. The treatment itself will take approximately 30-60 minutes so patients can expect to be in the clinic for approximately 2 hours. Appointments should also be booked 6-8 weeks apart to ensure that enough collagen has been generated in between your treatments. In order to see your final results, you will need to complete the full course of treatments.

Post Treatment Care

Following your first treatment, it may appear as though the Sculptra™ has worked immediately. This is due to the swelling from injections as well as the water that is used to dilute the solution. As the swelling subsides your skin will likely return to its pre-treatment state. As you continue through your course of Sculptra™ treatments, the collagen will begin to compound and you will see a very noticeable result.

Following each treatment you may likely experience some redness, swelling, sensitivity and tenderness and possible bruising. These signs will usually subside within few hours to a few days. An ice pack should be applied to the area to help reduce any possible swelling. The area should also be massaged with moisturizer a few times each day (5minutes, 5 times a day, for 5 days) to help distribute the product. Patients can use makeup immediately following treatment in order to eliminate any residual redness. Sculptra™ lasts approximately 3-5 years and touch-up treatments can be performed following this time period to maintain the result.

The Skin Spa does offer complimentary consultations and colour matching if you are interested in purchasing an anti-microbial/anti-inflammatory mineral makeup which is fantastic for use after any skin treatments. Most patients feel comfortable resuming their regular activities the following day.

Possible Risks

The most common side effects with Sculptra™ include injection-related side effects including minimal bleeding, tenderness/pain, redness, bruising or swelling. These can all last from approximately 3-17 days.