Wrinkle Reduction
Christiane has been practising in the Borders since 2009 serving a large number of patients of all ages. Before that she was part of the prestigious team at the Vienna Open Medical Institute providing surgical and general dental services to the East Danube Hospital of Austria which features a dedicated unit for the elderly. As well as being our Director, Christiane delivers premium dentistry including cosmetic and adult tooth alignment procedures.
Furthermore, Christiane has been trained to deliver wrinkle reduction treatments, like Botox and dermal filler injections and has completed further studies of facial aesthetics and skin rejuvenation at the Manchester University to enhance her already vast knowledge base and services.
Additionally, Christiane is accredited by Save Face – a national register of approved deliverers of such treatments.
I believe in a holistic rejuvenation approach to treatments and tend to aim towards subtle results that make you look younger and fresher rather than a fake and over filled appearance.
– Dr. Med. Dent. Christiane Wassmuth-Gibbs
All treatments are delivered only within the clinical environment of the practice.
Wrinkle Treatments
Wrinkles on the upper part of the face, around the eyes, nose and on the forehead are often of concern as they can give the impression of an aged appearance.
Overactive facial muscles especially between the eyebrows, forehead and around the eyes contribute to the formation of lines (active) and wrinkles. With the loss of collagen and elastin in the skin with aging, or as a result of sun damage, the lines become increasingly apparent and permanent. The use of Botulinum toxin, Dysport to relax the underlying muscles will improve these lines and wrinkles to give a natural look to have you look good for your age.
The gold standard treatment is a series of injections of Botulinum Toxin (BOTOX, BOCOUTURE, Dysport).
BOTOLINUM TOXIN: Botolinum Toxin is well established having been approved by health authorities in over 70 countries. It has been used in hospitals for many years to treat a wide range of conditions in adults and children. These include eye problems, migraine, tight neck muscles and spasms. It has also been used cosmetically for almost 20 years.
BOTOX: can be used to relax the frown lines (glabellar region), crow’s feet and forehead lines. Botox temporarily blocks the nerve signals that tell the muscles to move, allowing the overlying skin to smooth out.
Although these treatments are famous for giving a “frozen” or artificial result, in expert hands botulinum toxin treatments can give a truly remarkable rejuvenating effect that looks completely natural.
More and more people are turning to Botox for a little bit of a lift to both their face and their self-esteem, and they’re looking good as a result.
In some patients, injections of dermal products; a Belotero product from the Merz range or a product from the Juvaderm range in combination with BOTOX, will be necessary to achieve the optimum rejuvenation to give a natural look to have you look good for your age.
Skin rejuvenation programmes using skin care products – Obagi, can enhance the overall natural improvement when combined with these injections to relax facial lines and wrinkles. My aim at Teviot Dental Practice is to provide a natural result.
DERMAL FILLERS: Part of the ageing process involves loss of volume in the skin and in the subcutaneous fat. This is noticeable in many areas of the face and can affect the shape of the cheeks, lips, eyebrows and temples. Dermal fillers are commonly used in aesthetic medicine to replace this lost volume and restore a more youthful appearance. In expert hands the use of dermal fillers can achieve dramatic results making you look and feel years younger.
Lip rejuvenation treatments are the most commonly requested aesthetic treatments at Teviot Dental Practice. I believe in a holistic rejuvenation approach to lip treatments and tend to aim towards subtle results that make a lip look younger and fresher rather than a fake and over filled appearance.
What is Botulinum Toxin Treatment?
Botulinum toxin, BOTOX, blocks the transmission of nerve impulses to the specific muscle(s) and therefore induces relaxation of the muscle in a dose dependent manner. Botulinum toxin,,Dysport, BOTOX. Because the receptors that are blocked by Botulinum toxin, Dysport, BOTOX, are continually being replaced, the effect of Botulinum toxin, Dysport, BOTOX is never permanent but typically lasts 3 – 4 months in muscles and 6 – 12 months in sweat glands.
Am I suitable for Botulinum toxin treatment?
If you are concerned about the appearance of facial lines or wrinkles in areas of over active muscles such as the frown lines or crow’s feet, then treatment with Botulinum toxin,BOTOX, to relax the underlying muscles will have a beneficial effect on the lines or wrinkles. It should be noted that deep lines will not disappear with relaxing injections of Dysport, BOTOX, but may require an injectable product like Boccuture or a product from the Juvaderm range in combination with Dysport, BOTOX treatment, to soften these in order to achieve a natural look which helps you to look good for your age. Botulinum toxin, Dysport treatment should not be used during pregnancy or breast feeding.
How is Face Muscle Relaxing treatment performed?
Initial consultation will determine the goals for your treatment make note of any associated abnormalities or asymmetries and plan the optimum treatment to achieve the ideal result in each patient. Botulinum toxin injections’ using either Dysport or BOTOX is carried out in the out-patient setting and takes 10 – 15 minutes.
Will Dysport, BOTOX treatment be painful / cause bruising?
The use of skin cooling or topical local anaesthetic cream with ensure minimal discomfort is expected during your treatment with Dysport or BOTOX and no bruising should occur with the careful technique used.
When will the results of BOTOX, Dysport treatment are seen?
Botulinum toxin, Dysport, BOTOX starts to be effective in 5 – 7 days reaching a peak at 14 days. Most patients notice a softening of wrinkles and lines or reduction in sweating at 2 weeks and improvement in appearance of deep lines or wrinkles following treatment with Dysport, BOTOX.
How long will the result of BOTOX, Dysport last?
Most improvement will last for approximately 3 months after initial treatment with Dysport. In order to achieve the ideal result it is recommended to repeat the Dysport treatment every 3 to 4 months for muscle relaxing treatments with Dysport, BOTOX. Maintenance treatments with botulinum toxin injections are usually required every 6 – 12 months.
What are the risks of Botulinum Toxin, BOTOX, Dysport treatment?
Firstly, Botulinum toxin is a very safe drug with minimal side effects or risks provided the treatment is performed by a qualified and trained practitioner. Side effects of BOTOX, Dysport treatment such as mild pain with the injection, mild redness at the injection sites or mild bruising can occur but should be temporary and limited. Risks of Dysport, BOTOX treatment include over treatment giving a frozen look, which is undesirable. Weakness of nearby muscles can occur if the toxin, BOTOX, Dysport spreads from the injection site. This is risk is reduced by care following your treatment – avoid bending over for 4 hours, vigorous activity and alcohol until the following day. Allergic reactions to Botulinum toxin, BOTOX, Dysport are rare. A small number of patients develop natural antibodies to some forms of Botulinum toxin and therefore may not have a good response following treatment. Usually, switching to an alternative form of Botulinum toxin, BOTOX, Dysport enables effective treatment.
Can BOTOX, Dysport treatments be combined with other treatments or procedures?
Muscle relaxing treatments with BOTOX, Dysport are commonly and effectively combined with many facial treatments – both non-surgical and surgical. When combined with injectable products – fillers such as Restylane or EVOLENCE, Dysport or BOTOX provide enhanced non-surgical facial rejuvenation. At Teviot dental Practice we advise pre surgery treatment with BOTOX or Dysport for Brow lift surgery and Blepharoplasty – eyelid surgery. By effectively relaxing the muscles in the area, BOTOX and Dysport can facilitate improved healing and recovery.
What is the cost of Botulinum toxin, BOTOX, Dysport treatment?
The costs for muscle relaxing treatments with Botulinum toxin, BOTOX, Dysport, will range from £200 for one area to £450 for 3 areas. Additional areas are charged at £15
Dermal Fillers
Injectable Dermal Fillers have been used since the 1980’s to remove facial lines and wrinkles. The most popular Dermal Fillers are Hyaluronic Acid (HA) or Collagen but over a hundred different products are now available.
Years of sun-damage combined with the natural aging process results in a depletion of collagen and elastin, with loss of elasticity and thinning of the skin causing the appearance of lines and wrinkles. Thinning of the subcutis can result in loss of volume or fullness of the facial features or hands, resulting in the typical aged appearance. This is commonly seen on the face, neck and hands.
Dermal Fillers such as Juvederm, Belotero, Restylane and Radiesse, can provide natural replenishment for your skin with a safe, effective and long term improvement of your appearance. The best choice of filler for each patient will be determined at consultation. Dermal Fillers are very effective for structural reshaping of the Nose, Cheeks and Chin.
What are Dermal Fillers?
Dermal Fillers are used to replenish lost volume in the soft tissues or augment tissues to improve facial shape, contours or definition. Juvederm, Belotero and Restylane are Hyaluronic acid products which replace your body’s natural Hyaluronic acid.
Belotero is made up of a unique structure of monophasic hyaluronic acid which means that there are no blue lines in the treatment area and can be used directly under the skin. It’s patented CPM (Cohesive Polydensified Matrix) means that it integrates directly with the tissue of the skin giving a smoother, more natural appearance.
Radiesse is a compound product of methacrylate and hyaluronic acid used for longer lasting augmentation or enhancement.
Dermal fillers are highly Bio-compatible with the skin, so adverse reactions are minimal. Each dermal filler has specific advantages in different areas of the face so the most suitable product for you will be tailored to your aims.
Am I suitable for Dermal Filler treatment?
If you are concerned about the appearance of lines or wrinkles on the face, or would like to reshape your Lips, Nose, Chin, Cheeks or rejuvenate your hands, then treatment with Dermal Fillers will be suitable for you. Botulinum toxin treatment may also be beneficial to relax active facial lines. You should be aware of the limitations, side effects and risks before deciding if Dermal Filler treatment is right for you.
Are there any contra-indications to Dermal Filler treatment?
You should not have treatment with Dermal Fillers if you are Pregnant or Breast-feeding, have an active skin disorder on the face or area to be treated, a current infection, any extreme allergic states, severe illness, auto-immune disorders or active cold sores.
How is Dermal Filler treatment performed?
Initial consultation will determine the goals of treatment make note of any associated medical conditions and plan the optimum treatment to achieve the ideal result in each patient. Treatment is carried out in the out-patient setting and takes 30 – 60 minutes. A topical local anaesthetic cream is applied to the area(s); face, nose or hands. For most areas the Magic Needle a blunt cannula is used, which provides the most comfortable and atraumatic treatment possible which is greatly superior to a standard needle treatment.
Will the treatment be painful / cause bruising?
The use of skin cooling or topical local anaesthetic cream with ensure minimal discomfort is expected during the treatment and no bruising should occur with the careful technique used.
What precautions are there following treatment with Dermal Fillers?
Following your treatment you should avoid smoking and alcohol for 24 hours. Avoid vigorous activity and sun/sun-beds for 2 days and do not massage the area for 5 days. With treatments to reshape the nose, cheeks or chin – you must avoid pressure on these areas for 5 days, sleep on your back. Women are able to wear normal make-up the morning after the treatment.
When will the results be seen?
Improvement in the skin, lips, nose cheek and chin are visible immediately after your treatment with Juvederm, Belotero, Restylane and Radiesse. You should look good, with little or no visible effects of your treatment the next morning, being able to return to work.
How long will the result last?
Dermal Filler treatments are expected to maintain the improvement for 6 to 12 months, depending on the area(s) treated and specific product used. Repeat treatments are recommended approximately every 6 to 12 months to maintain the improvement.
What are the risks of Dermal Filler treatment?
Firstly, Dermal Filler treatments are very safe with minimal side effects or risks provided the treatment is performed by a qualified and trained practitioner. Side effects such as mild pain with the injection, mild redness at the injection sites or mild bruising can occur but should be temporary and limited. Reactions following Dermal Fillers are rare.
Christiane has been practising in the Borders since 2009 serving a large number of patients of all ages. Before that she was part of the prestigious team at the Vienna Open Medical Institute providing surgical and general dental services to the East Danube Hospital of Austria which features a dedicated unit for the elderly. As well as being our Director, Christiane delivers premium dentistry including cosmetic and adult tooth alignment procedures.
Wrinkles on the upper part of the face, around the eyes, nose and on the forehead are often of concern as they can give the impression of an aged appearance.
