Fat Transfer of mid face and hands

What is fractional C02 or “DOT C02”?

Laser skin care procedures often use the ability of the skin to heal itself in ways that restore a more youthful APPEARANCE TO THE SKIN. One example is the new SmartXide DOT Therapy using fractional C02 laser technology. Traditional C02 lasers work by burning off the complete superficial layer of the skin. While effective, this aggressive treatment can be very painful and require several weeks to months of downtime. SmartXide DOT Therapy can be relatively pain free when numbing cream is applied before treatment. SmartXide DOT is able to achieve a wide zone of thermal damage without removing the entire skin surface. Skin tightening and skin thickening occur following SmartXide DOT with improvement seen up to a year after the treatment.
Effectiveness is approximately 80% when compared to fully ablative CO2 and may require a second or third treatment, but the downtime is 3-5 days instead of several weeks to months

Dysport...the new Botox? Is it safe?

A lot of my clients have asked me about the new product Dysport. Like Botox, it is a form of botulinum, which is a neurotoxin that relaxes muscle movement. Botox is a known drug with a long safety record and Dysport is the new guy on the block that has his own reputation to make. Data has shown that the two have comparable efficacy, but Dysport can migrate to a larger area. The good...you can cover larger areas with one injection...the bad...it may be that you have a greater risk of getting the toxin where you don't want it (ie. a droopy eyelid. It also requires more units of Dysport to get the same effect as Botox. There have been reports that it works faster and lasts longer...but there is no hard data on that. Dysport is FDA approved, but it may not be quite as safe as Botox because injector's do not have as much experience with the new drug. Doctors have been using Botox for 20 years or more and when you look to the guy in the neighborhood whose got your back....you want the guy that's been around the block a time or two.
Hopefully a little healthy competition among manufacturers will help bring the price down as the makers of Botox have had a virtual monopoly for years. However, at this point I trust botox and I am going to take a wait and see attitude toward Dysport. You know the saying..."If it ain't broke don't fix it".