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24 Apr 2011

Can Botox be used to smooth these wrinkles or is a browlift recommended?

Written by Dr. Chaw Su Kyi on April 24, 2011

When I raise my eyebrows, I get deep horizontal wrinkles on my forehead. Most of the time they are not quite as deep but are still very noticeable. Can Botox be used to smooth these wrinkles or is a browlift recommended?

Horizontal winkles on the forehead are very common sign of skin aging and are effectively treated with Botox. Occasionally the lines can be deeper and present without brow movement these are sometimes best treated with a combination of fillers and Botox. Browlift surgery is generally reserved for drooping of the eyebrows, this o...

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23 Apr 2011

Are there greater risks having botox injected in the lower half of the face?

Written by Dr. Chaw Su Kyi on April 23, 2011

I have horrible frown lines all around my mouth, will botox injections ameliorate my problem? Are there greater risks having botox injected in the lower half of the face?

Bottox is often used to treat dynamic lines, defined as those lines which change with movement. Lines around the mouth can be both dynamic and can be deeper furrows or stationary lines. Depending on the type of lines, these age changes are often best treated with a combination of bot tox and fillers. Botox treats the dynamic cli...

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22 Apr 2011

Are there any studies that can show both beneficial and harmful effects of long term Botox use?

Written by Dr. Chaw Su Kyi on April 22, 2011

I've been using Botox every few months for the past three years. Are there any studies that can show both beneficial and harmful effects of long term Botox use?

We have used botox in the treatment of medical conditions such as spasms of the face for over 20years. The patients who have attended clinics have been having regular injections for over two decades and no long-term harmful effects have been found. There are a small proportion of people that can develop resistance to botox, this...

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21 Apr 2011

What filler is good for improving the area under the eyes or the tear troughs?

Written by Dr. Chaw Su Kyi on April 21, 2011

What filler is good for improving the area under the eyes or the tear troughs?

There are a range of different fillers, the most commonly used contain a substance called hyaluronic acid. This substance is found naturally in the body soft tissues and joints and as gradually broken down by the human body over a four to six month period. Older fillers used different materials however are less commonly used in ...

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20 Apr 2011

What type of skin or skin issues most benefits from a chemical peel?

Written by Dr. Chaw Su Kyi on April 20, 2011

What type of skin or skin issues most benefits from a chemical peel?

Chemical peels are often used to rejuvenate the skin and give a freshened appearance. The principles of the technique have existed for many years with evidence that Cleopatra used natural peeling agents to maintain her beauty. Aging and sun blemishes of the face result in changes in dis-colouration including pigment, increased p...

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21 Feb 2011

I was watching TV and saw Kim Kardashian right after getting a Botox injection

Written by Dr. Chaw Su Kyi on February 21, 2011

Two weeks ago I was watching TV and saw Kim Kardashian right after getting a Botox injection. Her eye was completely swollen as she was having a severe allergic reaction. She also started turning black and blue! Is this type of reaction common?

Botox injections have been used in the hospital for medical indications for over 20 years. It is true that allergy can occur to some of the ingredients the Botox particularly the preservatives, Most allergies are relatively mild reactions and redness. Marked allergic reactions are very rare and is possible with any medical treat...

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21 Feb 2011

Post chemical peel, how long do the effects last for?

Written by Dr. Chaw Su Kyi on February 21, 2011

I've heard people rant and rave about their chemical peel. My only concern is about the duration of its effects. Post chemical peel, how long do the effects last for?

Chemical peels are a very useful way of rejuvenating one's appearance. The older more wrinkled and blemished skin is replaced with younger and fresher underlying skin. Peels last for many months, and their effect is dependent on their strength and depth of effect. By taking precautions to avoid the sun, the effects of the peel a...

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26 Jan 2011

Botox injected into my forehead last month

Written by Dr. Chaw Su Kyi on January 26, 2011

I had Botox injected into my forehead last month. I love the results so I'd like to start having injections for my crow's feet as well. Even though the injection will be in a different area, is it safe to have Botox this close to my last injection?

Botox treatments are often used to the forehead, crows feet and under the eyes at the same time, it maximizes the effect, and when given frequently reduces the wrinkles on the face very effectively. The increased dose is very small and not significant to cause side effects. The most common side effect from Botox are related to f...

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24 Jan 2011

Will I need to use any specific type of lotions or creams during or after my chemical peel procedure?

Written by Dr. Chaw Su Kyi on January 24, 2011

Will I need to use any specific type of lotions or creams during or after my chemical peel procedure?

The skin peels are very effective at freshening up the skin by enabling the newer skin to be seen as the older skin peels off. To keep the fresher skin in a healthy state we really encourage wearing sun protection after the peel, to maximize the peel's benefits. Deep peels often require other emollient creams that increase comfo...

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23 Jan 2011

I have a lot of wrinkles under my eyes which make me appear at least 10 years older

Written by Dr. Chaw Su Kyi on January 23, 2011

I am a 46-year-old woman. I have a lot of wrinkles under my eyes which make me appear at least 10 years older. Is it safe to have Botox injections under the eye?

Wrinkles under the eyes are common, they are often quite fine and these are particularly well treated with botox. Sometimes the lines can be a little deeper and may be best treated with a combination of both botox and a fine filler. The area under the eyes tends to be a little more sensitive than skin elsewhere, so we sometimes ...

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22 Jan 2011

My sister recently had a chemical peel and her skin was red and dry

Written by Dr. Chaw Su Kyi on January 22, 2011

My sister recently had a chemical peel and her skin was red and dry during the process. Was this part of the chemical peel or a negative reaction?

The body's natural response to a chemical peel is a to trigger a mild inflammatory response in the skin that is represented by redness. This is often followed by peeling of the very superficial layers of the skin, to uncover the fresh rejuvenated skin below. The level of redness and discomfort after the procedure is determined b...

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21 Jan 2011

Are there any fillers that can fix a down turned smile?

Written by Dr. Chaw Su Kyi on January 21, 2011

Are there any fillers that can fix a down turned smile?

A downturned smile can have a variety of causes. The most common is a gradual aging of the facial tissues that is present to some extent on both sides, depending on the extent it may be suitable for a filler treatment that will naturally elevate the corner of the lips. A more sudden onset and single sided droop should be seen by...

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20 Jan 2011

Which injectable filler would you recommend for crow’s feet

Written by Dr. Chaw Su Kyi on January 20, 2011

Which injectable filler would you recommend for crow's feet? Do patients often get several areas of the face treated at the same time?

Crows feet usually refers to the fine lines at the outside of the eyes that usually appear when smiling and on facial expressions. These fine lines are best treated with Botox treatment as this softens these wrinkles with a natural look. Occasionally there can be a deeper line which is bet treated by a filler, however this is no...

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20 Jan 2011

Are there any long-term risks of using Botox?

Written by Dr. Chaw Su Kyi on January 20, 2011

Are there any long-term risks of using Botox? Does your face ever build up a sort of immunity to it?

Botox has been used in clinical medicine since the 1980s. It is one of the most effective treatments for conditions such as blephrospasm that causes spasm like contractions of the muscles around the eyes. Many of these patients we see in the hospital and have had Botox treatments for 20 years or more. Although a minority of pati...

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18 Jan 2011

How long does it take to get a chemical peel?

Written by Dr. Chaw Su Kyi on January 18, 2011

How long does it take to get a chemical peel? I heard that you need several treatments.

There are a whole range of chemical peels that differ in both the depth of the peel, one or a course of treatments and with a range of products. We find that peels are best tailored to an individuals needs. Some patients would prefer only a single treatment and maximum results, this patient would be best suited to a deep peel, w...

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15 Jan 2011

I want the strongest physician strength peel. How long will my face be red afterwards?

Written by Dr. Chaw Su Kyi on January 15, 2011

I want the strongest physician strength peel that would be suitable for my skin type. I am Irish and right now have a face loaded with freckles. I am 37 years old and want to have smoother skin. What type of peel would you recommend for me? How long will my face be red afterwards?

Fair colored skin is very suitable for peels, however the dept of the peel should be tailored to individuals needs and lifestyle. Although a deep peel will have greater effect in rejuvenating the skin, it is associated with more peeling of the skin and downtime after the peel. The deeper the peel the more red the face will be in...

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10 Jan 2011

Can Botox be used as a sort of browlift to open up the eyes?

Written by Dr. Chaw Su Kyi on January 10, 2011

Can Botox be used as a sort of browlift to open up the eyes?

The use of botox in a specific locations above the eyebrow can generate an attractive lift of the brow. Its accepted that aging of the tissues of the face result in descent with gravity which is particularly relevant to the brow. High brows are one of the signs of a youthful face. Botox can be used by an expert to gently raise t...

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8 Jan 2011

I have many age spots on my forehead and cheeks

Written by Dr. Chaw Su Kyi on January 8, 2011

I have many age spots on my forehead and cheeks. Otherwise I don't look too bad for a 76-year-old grandpa. I would like to reduce the appearance of these pigmented spots. Can a chemical peel do this and what would the recovery time be?

Ageing spots are very common in the skin and often occur as a result of previous wear and tear changes including damage from the sun. A chemical peel can be very effective on removing ageing spots and freshening up ones experience. On occasion marks in the scene can be something else such as a skin cancer, and your skin should b...

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22 Dec 2010

I would like to get injectable fillers in my face

Written by Dr. Chaw Su Kyi on December 22, 2010

I would like to get injectable fillers in my face. I would like to plump up both my lips and my nasolabial folds which have gotten quite pronounced. I would like hyaluronic acid because the reports that I read indicate it is longer lasting than collagen. Is hyaluronic acid appropriate for both areas?

Many of the modern day fillers contain hyaluronic acid. The reason being this is a substance that is present in the natural body, it has very good results and a proven safety record. Collagen fillers are used infrequently these days as they are contain animal products that may cause reactions such as allergies. Plumping up your ...

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10 Oct 2010

I would like to have Botox injections for my crow’s feet

Written by Dr. Chaw Su Kyi on October 10, 2010

I would like to have Botox injections for my crow’s feet. They used to crinkle when I smiled and now they crinkle all the time. How many injections are needed for this area of the face? Do you apply a topical anesthetic prior to the injections?

Crows feet at the corner of the eyes usually require 3-6 injections of bow tox, care is taken to ensure the eyebrow position is not effected. This is one of the most popular uses of bot tox and it is very effectively at smoothing out these wrinkles. The needle used to inject the bot tox is very fine and majority of patients can ...

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9 Oct 2010

I think that we have finally decided on the Clarity ceramic braces for my son.

Written by Dr. Chaw Su Kyi on October 9, 2010

I think that we have finally decided on the Clarity ceramic braces for my son. He is very self conscious and he thought they looked fine. Are they as rugged as conventional braces? My son is actively involved in sports (football, tennis, baseball) and I want to make sure that the braces will hold up to his activities.

Good to hear that your son has found a brace that he is happy to wear. Clarity ceramic braces are an excellent choice for clear braces. They look very good, much more discrete than the metal fixed braces, but they are as robust as the metal fixed braces. These clear ceramic braces work in the same way as the metal braces but the...

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8 Oct 2010

Are the Damon self-ligating braces more painful at first than conventional braces?

Written by Dr. Chaw Su Kyi on October 8, 2010

Are the Damon self-ligating braces more painful at first than conventional braces? I had braces as a child and remember that achy feeling. My teeth have shifted and I have been looking at the Damon braces.

Brace treatment has changed quite a bit since we were younger. Damon braces which are also known as self-ligating braces are definetly not any more painful than conventional fixed braces. Quite often, the discomfort is less as the wires are not held in so tightly. With Damon braces, the wire is held in place by the Damon bracket...

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7 Oct 2010

I love the idea of injectable fillers

Written by Dr. Chaw Su Kyi on October 7, 2010

I love the idea of injectable fillers. What a practical solution! Can they be used to fill out my cheeks so that my smile lines are not quite as noticeable? Are there any fillers to fill in the lip wrinkles that I have an abundance of from smoking?

Yes lines around the lips are a common occurence particularly if your a smoker, in fact they are actually termed smokers lines. A very fine filler can be effective at smoothing out the skin around the lips, care is needed to select the right filler that will not over fill these lines. Sometimes the best results are when fillers ...

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6 Oct 2010

My daughter recently got her braces. I see her constantly “patrolling” the braces with her tongue.

Written by Dr. Chaw Su Kyi on October 6, 2010

My daughter recently got her braces. I see her constantly “patrolling” the braces with her tongue. Can this damage the braces, or perhaps loosen the elastic bands that are on the wire? Is there any way to stop this?

I wouldn't worry, I'm sure like all children, your daughter is vey curious, and as she has only recently had her braces fitted, it will feel a little strange in the mouth initally. It often takes around 3-5 days to get used to the fixed braces. The wires on the brace nor the elastic bands will be damaged by your daughter running...

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AAO - Member American Association of Orthodontists BDA - British Dental Association World Federation of Orthodontists BOS - British Orthodontic Society RCS - Advancing Surgical Slandaros British Dental Health Foundation British Lingual Orthodontic Society