Dr. Lionel Jedeikin

{Dr. Lionel Jedeikin
Alchimia Clinic 2nd Floor, 39 Kloof Street, Gardens8001Cape Town,
Phone:27 21 423 2085


Botox Injection – For frown lines and crow’s feet

Procedure: An injection which deactivates muscle function. It is used specifically for deep furrows on the forehead and crow’s feet on outer aspect of the eyes.
Duration of procedure: Half an hour.
Anaesthesia: Not necessary.
In/Out patient: Performed in office surgery.
Post-operative: Slight pain at the time of the injection with occasionally swelling and bruising.
Recovery: 2 – 3 days
Results: Flattening of wrinkles and deep furrows. This is not a permanent treatment and needs repeating every 3 – 4 months.
Before/After Animation: Due to new regulations,I have had to temporarily remove the sample pictures.

Facial wrinkles are caused by contractions of the delicate muscles of the face every time you laugh, smile or frown. The more one expresses emotion through the face the deeper these lines and wrinkles are likely to be. Because they are caused by facial movement these lines are known as dynamic wrinkles. Dynamic wrinkles can make you look older.

It is now possible to dramatically soften these expression lines through a procedure known as cosmetic denervation using Botox.

Botox is a muscle relaxant derived from botulinum toxin.

When injected into selected areas it blocks impulses from the nerves to the tiny facial muscles related to expression lines. As a result the muscles are unable to contract into frown or worry lines.

Is Botox toxic and are Botox treatments safe?

Although Botox is derived from a toxin, it is not toxic in itself. This is because it has been extensively diluted. Botox injections have been clinically tested and used safely and effectively for over ten years to treat numerous opthalmological disorders such as squints and neurological disorders suffered by cerebral palsy patients.

Is the result permanent?

No, this is not a permanent treatment and needs repeating every three to four months. However if administered regularly the deactivated muscle allows the overlying skin to flatten. As a result the wrinkle begins to disappear.

Is the treatment painful?

Botox is injected with a fine micro needle. Only a small amount of the liquid is injected so pain is minimal. No sedation or local anaesthetic is necessary. However an anaesthetic cream can be applied half an hour before to avoid any discomfort. The procedure, which takes about 15 minutes, is done in the office surgery.

Are there side effects?

There might be slight temporary bruising at the injection site. In some cases the Botox can migrate and cause a temporary weakness in nearby muscles. In rare cases there might be drooping of an eyelid or asymmetry of facial expressions. However because the effects of Botox are completely reversible any side effects are temporary, thus making it very safe.

What results can be expected?

Cosmetic denervation can rejuvenate a face which seems to be aged because of frown and worry lines. However this procedure cannot improve wrinkles which are etched into the face through sun damage and age. Nor will it improve sagging skin. Botox will only address the dynamic lines caused by the facial expression of emotions. It is specifically used for the ‘worry zone’ between the eyes and the crow’s feet on the outer aspect of the eyes.

Combining procedures

Botox can be administered in conjunction with Restylane a new, injectable substance of non-animal origin used to augment frown and worry lines. These two products, when used simultaneously, give a rejuvenated look to the face. Should you have any further questions, I would be happy to answer them.