Archive for the ‘Injectables’ Category

FDA Approves Botulinum Toxin for Therapeutic Treatment

Tuesday, August 3rd, 2010

InjectablesThe U.S. Food and Drug Administration has approved XEOMIN, a botulinum toxin type A for treating adults with cervical dystonia or blepharospasm. This is the third product of this kind to be approved in the U.S., after Botox and Dysport.

Dystonias are movement disorders in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures, according to the National Institute of Neurological Disorders and Stroke.  Focal dystonia, which includes cervical dystonia, and may be characterized by twisting of the neck, and blepharospasm, or excessive eyelid spasm, is estimated to affect about 295 out of one million people in the U.S., according to a study conducted in Rochester, Minnesota.

The FDA approval of XEOMIN, a product of Merz Pharmaceuticals, is based on the results of two U.S. clinical trials. In a study cited in the Journal of Neurological Sciences on the efficacy and safety of XEOMIN, it showed “non-inferiority” to Botox when used in the same doses to treat cervical dystonia. The study concluded that XEOMIN is a safe and effective treatment for the disorder.

XEOMIN is the only botulinum toxin that doesn’t require refrigeration prior to reconstitution, and Merz therefore believes this may “simplify product distribution and storage and help ensure product integrity at the time of injection.”

Earlier this year, Merz announced it would be acquiring BioForm Medical, a leader in the dermal filler market in the U.S. and Europe with its Radiesse dermal filler. Following completion of the acquisition, Merz and will be renamed “Merz Aesthetics.”

Company Aims to Make “No-needle” Botox a Reality

Thursday, July 29th, 2010

Botox cream before & after photosRevance Therapeutics, a bio-pharmaceutical company in California, is exploring a “no-needle” Botox product that could be applied to the skin in cream form, reports WCBS-TV in New York City.

There are still two years of clinical trials to go for the product, called RT001, after which the FDA will decide whether to approve the drug.

The cream is being tested for use on crow’s feet, and patients in the early trials tended to see a moderate reduction in wrinkles around their eyes after using the product for about a month.

While having a non-injectable alternative to Botox may seem like a no-brainer, some doctors point out the potential dangers. In an interview with WCBS-TV, New York City dermatologist Dr. David Colbert says he worries that such a product would be so popular that black market versions would be sold online without oversight and that the potential muscle paralyzing effects could be dangerous.

“I think it’s a brilliant idea, but I’m more concerned about the welfare of people who would use it irresponsibly,” Colbert says.

Others feel differently. Dr. Scott Newman, a plastic surgeon in New York City, told  WCBS-TV that he feels the potential benefit is worth the risk. “It’s like the holy grail. If you can get a wonderful result with less downside, why wouldn’t that be an attractive option?”

Dr. Anthony Youn, a plastic surgeon in Michigan, had his own thoughts on the product’s potential that he shared on his website: “I think a huge application of this topical botulinum toxin is in sweat reduction. Could you imagine an antiperspirant stick with this product that lasts several months with each application and leaves no residue? I’d buy it!”

The segment can be view on WCBS-TV’s website at http://wcbstv.com/video, by searching for “Botox cream.” (Pictured: before & after use of RT001 for 28 days; image via WCBS-TV)

Collagen Fillers on their Way Out as Other Fillers Grow in Popularity

Monday, July 12th, 2010
Radiesse before and after photos

Before and after photos of Radiesse patient (Courtesy of www.radiesse.com)

The latest issue of Dermatology Times reports on the changing U.S. injectables market, given that most collagen fillers will be gone from the market at year’s end.

In late 2009, Johnson & Johnson announced that it was discontinuing its collagen filler Evolence. As covered previously in Dr. Lo’s blog, patients who have received treatment with Evolence will continue to receive support regarding medical inquiries and reporting of adverse reactions. Despite the discontinuation, the company maintains that Evolence offers effective results and a “favorable safety profile.”

Then, in January 2010, Allergan announced it would be discontinuing its collagen line of fillers at the end of the year. The company stopped production of the products in 2009, but manufactured sufficient inventory to meet estimated market demand through the end of 2010, according to Kelly Lao, manager of corporate communications.

“The discontinuation of the sale of our collagen products … is in response to declined market interest … since the introduction of hyaluronic acid dermal fillers like Juvéderm have become more popular,” Ms. Lao says.

“There is an overwhelming popularity of the new kid on the block: the hyaluronic acids. They have been embraced universally, and suddenly collagens aren’t as popular,” says Dr. Seth Matarasso, clinical professor of dermatology at the University of California School of Medicine, San Francisco.

The popularity of hyaluronic acid products, including Restylane, Perlane, Juvéderm, Radiesse, and Sculptra, is due to several factors:

  • Longer-lasting results
  • Appear to give a better fill
  • Some contain lidocaine for less painful injections

Dermatology Times reports that future improvements of hyaluronic acids will provide more volume and contour-changing ability, as well as the ability to fill deeper lines.

The full story is available online at Modern Medicine. About Faces Cosmetic Surgery in Tucson, Arizona offers patients three hyaluronic acids fillers: Restylane, Juvéderm, and Radiesse.

Study Investigates if Botox Affects Emotions

Thursday, June 17th, 2010

Woman smilingA study published in the June 2010  issue of  Emotion, a journal of the American Psychological Association, examined if Botox injections have an effect on emotional experience.

To test if feedback from facial expressions influences emotional experience, Joshua Davis and Ann Senghas, Barnard College professors who led the research, compared the impact on self-reported emotional experiences of a group who had Botox injections, which paralyze muscles of facial expression, and a control group who had Restylane injections, a filler that does not affect facial muscles.

The abstract says, “When examined alone, Botox participants showed no pre- to post-treatment changes in emotional responses to our most positive and negative video clips.” However, comparing the Botox group to the Restylane group showed that Botox participants exhibited an overall significant decrease in the strength of emotional experience.

“With the advent of Botox, it is now possible to work with people who have a temporary, reversible paralysis in muscles that are involved in facial expressions,” said Davis. “With Botox, a person can respond otherwise normally to an emotional event, e.g. a sad movie scene, but will have less movement in the facial muscles that have been injected, and therefore less feedback to the brain about such facial expressivity. It thus allows for a test of whether facial expressions and the sensory feedback from them to the brain can influence our emotions.”

The findings suggest that feedback from facial expressions is not necessary for emotional experience, but may influence emotional experience in some circumstances.

The study is titled “The effects of BOTOX injections on emotional experience” and the abstract is available online. Dr. Lo offers both Botox and Restylane injections at his Tucson, Arizona office.

Makers of Restylane Launch Skincare Product Line

Friday, April 30th, 2010

A new line of Restylane skincare products has been launched in Sweden and Europe.  Q-Med announced the new product line last month during the World Congress for Anti-Aging Medicine in Monaco.

Restylane skin care products are said to contain the same stabilized hyaluronic acid technology used in Restylane wrinkle fillers, an addition they say adds a pleasing consistency while promoting moisture and luster in the skin.

On their website, Q-Med explains the new Restylane skincare line:

“The secret to beautiful skin is balanced skin hydration combined with a healthy and protective skin barrier. Restylane Skincare combines these two qualities in an innovative series of creams [that] supplement the effect of injectable Restylane products.”

We will be sure to let you know if these products become available in Tucson.

Learn About Juvederm Injectable Gel and More Via Facebook

Monday, March 22nd, 2010

As many of us approach milestone birthdays, we consider the various ways to maintain a healthy and beautiful appearance.

Maybe you’ve shared some of your progress with friends and family on a blog, forum or social networking site. That’s precisely what television personality Dayna Devon is doing for Allergan in the Juvederm Switch Up campaign, which uses social media to share advice on health, fitness, and looking your best with cosmetic enhancements.

Become a fan of Juvederm on Facebook and you’ll see Dayna’s regular contributions to the fan page. She says she has experience with wrinkle fillers and with Juvederm specifically:

“When Juvederm became available a few years ago, I switched because it has a smooth formulation and is the only dermal filler made of hyaluronic acid that is approved to last up to one year from initial treatment.”

What is Juvederm?

Juvederm has become one of the most requested non-surgical enhancements available, offered by cosmetic surgeons and dermatologists here in Arizona and all over the U.S.  Made with hyaluronic acid gel of smooth consistency, Juvederm is injected beneath your skin to restore volume and reduce the appearance of wrinkles or folds.

Juvederm is available in several different formulas, so your surgeon can effectively treat wrinkles of varying degrees. Juvederm Ultra XC, the latest addition, contains lidocaine to make the treatment quicker and more comfortable than ever before.

Botox Cosmetic Has Potential as Migraine Headache Treatment

Sunday, February 21st, 2010

Botox, the ultra popular injectable drug might be used as a treatment for severe migraine headaches in the future, according to research recently published in Archives of Dermatology.

Researchers recommend the alternative use of Botox: “at doses appropriate for cosmetic purposes, [Botox injections] may be sufficient to prevent migraine attacks” wrote authors of the study.

Writers for Bloomberg news say pharmaceutical company and Botox manufacturer Allergan Inc has applied for FDA clearance to market Botox as a headache treatment.  However, researchers say they cannot fully explain how Botox works to relieve headaches. One co-author of the study, Rami Burstein says, “it may block the signals in sensory nerves located on the outside of the head.”

New Juvederm With Lidocaine Gets FDA Approved

Monday, February 8th, 2010

Remember last week’s post about using lidocaine in dermal filler injections?  The FDA just granted clearance to a new injectable called Juvederm Ultra XC – a filler prepared with 0.3 % lidocaine.

FDA approval was based on a clinical trial that demonstrated a significant improvement in comfort with the new filler. Apparently over 90 percent of 72 subjects in the trial said they experienced less pain with Juvederm XC.

That data is very important, because some people have questioned the value of lidocaine contained within a dermal filler: Is it just for the sake of marketing? When Prevelle Silk (another filler with lidocaine) came out in 2008, Dr. Joe Niamtu said this to Cosmetic Surgery Times:

“The issue with a hyaluronic acid filler with lidocaine is that it doesn’t work until you actually start injecting patients, and these injections are so quick, by the time the lidocaine takes effect, you’re almost finished”

Although I wouldn’t expect cosmetic surgeons to abandon existing methods of pain management, if the Juvederm XC formula does act quickly enough to provide a more comfortable treatment, that can’t be a bad thing. We’ll know more if/when the filler comes to Tucson.

Can Injectable Treatments Be Comfortable?

Monday, January 25th, 2010

Many people are surprised to learn that injectable treatments can be done with little orbotox_az no discomfort, thanks to local anesthetics that work to numb one or more areas of the face beforehand. Lidocaine is the one most frequently used by plastic and cosmetic surgeons; there’s no doubt it makes a big difference in terms of patient comfort and ease. Several of the latest dermal fillers are actually prepared in advance with this anesthetic

Lidocaine kicks in fast to block pain

Just as your dentist probably uses lidocaine as as a quick and simple way to numb the mouth, your cosmetic surgeon will use it for procedures involving injections. Lidocaine blocks the pain signal sent by the nerve endings on the skin in response to injections of the dermal filler solution. Patients quickly feel the anesthetic taking effect, and numbness kicks in.

For patient and surgeon, lidocaine has benefits:

1. Reduces or eliminates pain when the doctor is injecting into sensitive facial tissue
2. Minimizes tissue swelling that occurs when solutions are injected underneath the skin
3. Lessened swelling allows the doctor to sculpt areas of the face for the most attractive, natural looking result
4. Better relaxation during the procedure

5. When used during longer procedures – filling in the cheek area, for instance – it eliminates the need for general anesthesia.

Related links about Lidocaine and wrinkle fillers:

The staff at About Faces Cosmetic Surgery chime in on Sculptra!

Monday, December 21st, 2009

Sculptra is the newest product with FDA approval for restoring lost volume in your face.  It’s different from the other fillers in a couple of ways: It stimulates your own collagen production over time, it takes 2-3 treatments (for most patients) to achieve maximum benefits, and most importantly – - it lasts 24+ months!

Some of our staff tried this new treatment, and here are our comments:

Bonnie described the treatment as painless. She saw instant results, even after one treatment!  As expected, the results from the first treatment subsided slightly, and became more subtle. Her second treatment went well and her results are already noticeable!

Bridget described the treatment as somewhat uncomfortable, with some lingering discomfort. Her first results were also noticeable but subtle. Her second treatment results are already noticeable!

Dr. Lo – Well, Dr. Lo also described the experience as relatively painless, and since he’s a guy, for him to describe any needle experience as relatively painless is saying a lot :)   Dr. Lo had one treatment so far and is going to wait approximately two more months to receive his second treatment. His results from the first treatment are subtle but noticeable.

We’re excited about this new product, and we think you will be, too! Come in to our Tucson office and see us to learn more!