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What is Botox and how does it work?

Botulinum toxin, is a natural, purified protein that is used to temporarily relax facial muscles that cause lines and wrinkles. It can also be used to treat medical conditions such as hyperhidrosis (excessive sweating). Botox is the original and best-known brand name and the most tested product on the market. It is the result of many decades of studies and has been used extensively in medicine. It is the safest product, and it is certified in the medical and cosmetic field.

Botox is mainly used in the upper half of the face but in certain cases can be used for specific patients in lower half of face.

What does the treatment involve?

While there is no real downtime associated with this treatment, it is important to note that you may encounter some slight bruising and swelling directly after treatment, due to the needle. This can easily be masked by makeup. There are no long-term side effects of having wrinkle injections, meaning patients can resume their usual activities straight away, and can also fly post-treatment.

Who would this treatment suit?

This treatment can be used on a wide range of patients, and is primarily used for skin rejuvenation and the reduction of fine lines and wrinkles. Botulinum toxin is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) for a short period of time. It can also be injected into the area around the side of the eyes to improve the look of moderate to severe crow’s feet lines.

Who should avoid this treatment?

Those who have medical conditions, such as damaged nerves or muscle complaints, should disclose this information during consultation, to avoid any complications. Treatment is not advisable for those who are pregnant or breastfeeding. While there are no clinical studies to show that the injection is harmful to the baby or mother, medical professionals advise against having treatment under these circumstances.

What results does the treatment aim to provide?

The treatment is used to soften the lines caused by facial expression and can be adjusted to ensure natural results. The duration of results is variable in between individuals but ranges from 3 to 6 months.

What are Fillers and how do they work?

As we age, the natural collagen and elastin in the skin lessens, as cells lose their ability to produce more of their youthful component. The skin becomes dryer, thinner and less able to fix itself. When we are born, we have plentiful amounts of Hyaluronic Acid (HA) in our body, but as we get older this store of HA diminishes, leaving the skin less well supported, and so lines and wrinkles develop. By lifting and smoothing targeted folds and wrinkles by adding subtle volume, dermal fillers can make a difference to a person's appearance, giving them a fresher look.

The treatment of wrinkles with dermal filler will usually involve injecting this naturally occurring product (HA) through a tiny needle. The discomfort is minimal as the treatment does not take long to perform. The aesthetic outcomes of treatments with dermal filler are seen immediately after the treatment. Treating wrinkles with dermal filler is fast, leaving no scars. The Juvéderm range of fillers contains a variety of products, which can be used to treat different areas, from fine lines on more delicate parts of the face to deep skin depressions.

What does the treatment involve?

The procedure takes around 30-45 minutes and patients can expect to notice the effects for as long as 12- 18 months after treatment.  With any injectable treatment, there can be some slight bruising or swelling that accompanies it. This should not persist much longer than a day, and is easily coverable with makeup.

Who would this treatment suit?

Facial fillers can be used on a wide range of patients, and are primarily used for skin rejuvenation and the reduction of lines and wrinkles. Other suitable candidates are those seeking to add structure and volume to the face. I see a lot of patients who have lost volume in their face due to living a very active, high impact lifestyle (such as runners). Fillers help to restore the volume loss that naturally begins to occur when we reach our late thirties, and in turn gives a fresher, brighter appearance.

Who should avoid this treatment?

There is no known risk to those who are pregnant or breastfeeding, but we would advise against having treatment under these circumstances.

What results does the treatment aim to provide?

The results should be subtle, leaving our friends and family believing that we are simply looking our best and great for our years. Treatment lasts between 12-18 months but, naturally, towards the end of this period the effects begin to gradually soften, so there is no dramatic change. When the effects begin to soften, we aim to ‘top up' the treatment.

Patients will often come in to the clinic and point to a specific line that they don’t like. Good practitioners shouldn’t just look at treating this specific line, but will look beyond it to how the face looks as a whole, since treating an individual line could make the patient look unnatural. Sometimes the patient will say that people tell them they look sad, tired or grumpy when this isn't really the case. In these instances, it’s usually not a single line that is causing this impression but multiple factors and the practitioner should discuss treatment options with the patient. It is really key that you feel safe and reassured by your chosen practitioner: a partnership should develop where you can speak freely about what concerns you, as this will allow the practitioner to truly understand your hopes and desired outcomes.

Dr Karin du Bruyn

Dr Karin du Bruyn strongly believes the words so well put by Janelle Monae that "Beauty is about enhancing what you have. Let yourself shine through!".

That is also why Dr Karin is so passionate about the medical aesthetic work she practises and loves, helping every woman look and feel beautiful by enhancing their individual beauty.

After completing her Doctoral studies at the University of Pretoria and practising at a private practise for a year she decided to focus and specialise in medical aesthetics and has been following her passion at a Beauty Enhancement Clinic in Ballito, KZN, for the past 5 years.

Spa de la Veille is pleased to welcome her to our team.

Dr Karin keeps up to date with the newest products and techniques the industry offers and makes sure that just the best is available to her clients.

Dr Karin's biggest aim is to make her patients feel and look beautiful by enhancing their natural beauty in a holistic way. She quotes Sophia Loren in saying that "Nothing makes a women more beautiful than the belief that she is beautiful".