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Hi. In the second part of the injections discussion I would like to have this morning are the
neuromodulators or neuro-toxins often referred to as Botox. There are actually several out
on the market. The two that we tend to use are Botox and Dysport. There's also a newer
product that we've also used in certain circumstances, and it's called Xiomen. All of these neuromodulators
tend to affect the connection between the nerve and the muscle and that's essentially
how it works. It stops the connection and the signal from the nerve going to the muscle
to tell the muscle to contract and to work. These products, particularly the Botox, have
been around for many many decades, and have been used for cerebral palsy patients, for
strabismus, or eye muscle problems, and other medical indications. One of the nice things
about it is we ended up finding that it can be used for cosmetic indications as well to
prevent furrows and wrinkles as well, primarily in the upper face area. There are some other
indications for hyperhydrosis, or excess sweating of the palms, soles of the feet and armpit
areas that work very nicely. The use of these neuromodulators requires an intricate knowledge
of the anatomy of the muscles, where the nerve innervates that muscle, how much to use and
how much it's going to spread. That's where expertise and extensive knowledge of anatomy
comes in very very handy. I typically like to inject these every three months, and not
more frequently than that, simply because you can start to build up a tolerance. That's
the beauty of having several different product lines is that we certainly can switch over
to a different product if you start to build up a resistance, but that would be a topic
for another video discussion. So I hope that helps to answer some of your questions. If
you have any further questions, please feel free to call us at Aspire Plastic Surgery.
Thank you.