Frequently Asked Questions About Skincare

What is the difference between Botox and Dysport?

Both are preparations of Botulinum Toxin A. They are manufactured by different pharmaceutical companies and hence the different names. A new brand, by Merz is called Xeomin. The difference in a practical sense may be one of absorption and length of action. In our clinic, we prefer Dysport. It is absorbed easier and lasts up to six months.

What are the side effects associated with Botox/Dysport?

Most side effects are the result of injection technique. These include swelling, ptosis (drooping of an eyelid or eyebrow) and/or allergic reaction to the product. These reactions are self-limited and resolve within 3 to 7 days. The side effects are minimized at the clinic because Dr. Giannotto insists on performing ALL injections himself. Experience is after all, a major factor in decreasing side effects.

Will anyone notice I had something done?

Botox/Dysport is applied via small volume injection. There is minimal if any swelling or bruising. Most people return to work afterwards.

What is a dermal filler and which are recommended?

Dermal fillers are hyaluronic acid or hydroxyapatite volumizing agents. Injected into a fold or line, they volumize the area and decrease the visibility of the line. The area becomes smoother and younger looking. Various brands of fillers exist and their use is determined by the location of the problem area. For example, Restalyne and Juvederm can be used for naso-labial folds and to give volume to the lips, but Radiesse cannot be used to fill the lips. Dr. Giannotto will determine your best options during your consultation.

Are there side effects of dermal fillers?

The side effects are mostly related to injection technique and the experience of the injector. These may include some bleeding or bruising which resolve within 48 hours. An inexperienced practitioner may overfill an area. This can result in an asymmetry which needs to be corrected. In the proper hands, with the proper techniques, side effects are minimized. At the clinic, Dr. Giannotto injects all of the fillers himself. He recommends that the patient take the remainder of the day off from work or vigorous activity.

Will microdermabrasion burn or irritate my skin?

Microdermabrasion is a gentle exfoliation using crystals and when combined with a Vitamin A peel, results in a “new” layer of skin which gives a youthful, radiant appearance. It is called the “Lunch time face lift” because patients can literally return to work after the forty minute treatment. There is a minimal of redness and no burning or other side effects.