Botox specialist Dr Philippe Chout

AESTHETIC MEDECINE is the group of non-surgical treatments that can be performed in the consultation room with a topical anaesthetic cream or a block anaesthesia.

Doctor Philippe Chout non-surgical techniques include skin resurfacing prescriptions, skin peels, lasers, dermal fillers for collagen replacement often using hyaluronic acid (for example Juvederm Tm, Perlane Tm or Restylane ) and muscle relaxing injection with botulinum toxin (Botox Tm). BOTOX : Botulinum toxin injections into the muscles of the forehead, between the eyebrows or in the crow’s-feet, deactivate facial expression in these areas and temporarily reduce the appearance of lines and wrinkles.

The active ingredient of Botox or Dysport or Azzalure (which are registered trademarks of Allergan and of Galderma) is Clostridium botulinum type A haemagglutinin and it also contains albumin and lactose. Botox is very effective for:

• Horizontal lines to the forehead
• Vertical lines to the forehead (frowning lines)
• Crows feet lines to the external corner of the eyes upper lips vertical lines turkey neck (platysmamuscle bands)
• Excessive sweating of the palms or of the armpit

How long does it take to get it done ?

litteraly 20 minutes. It is a walk in procedure that can be done during the lunch break at work. Botox Tm is administered with a very fine needle after a local anaesthetic cream has beeen applied during 15 minutes. The injections are almost painless, adn would leave no marks or bruising if you didn't take aspirin before. The results are noticeable one week later and will last between 3 months up to nine months for regular users. The first time you do it , you will need to do it again after four months, because the product effect will disappear totally. But following several courses the effects may last longer than six to nine months.
The doses of injected Botox TM are very weak, thus there are usually no adverse side effects related to botulism toxin activity.

Side effect or complications are very rare. An allergic reaction to the product is unlikely and the risk of skin infection is also negligible. However, the eyebrows may become slightly more arched if the forehead is treated, but this is an initial reaction, which will soon subside. Botox relaxes the muscles, therefore sensation is still perceptible. Undesirable side-effects or complications are rare Skin rash and or flu-like symptoms indicate an allergic reaction or an infection but this only occurs in exceptional cases. Other possibilities experienced by patients are: dizziness, headaches, frontal tension, bruising, haematoma, and or swelling at the point of injection. Furthermore, if the product has dispersed deeply, exaggerated and asymmetrical drooping eyebrows and eyelids may result. Precautions You should not take aspirin five days before treatment because this drug facilitates bruising.

Precautions before and after botox injections
In all cases, one must refrain from sleeping or dozing for four hours after the procedure. During this time it is also necessary to avoid making facial expressions and massaging the area, as this will spread the product, which could cause undesirable side effects. The use of Arnica cream on your face is recommended afterwards. Botox injections cannot be given during pregnancy. Keywords : Botox lines treatment wrinkle treatment, anti ageing medicine treatment.


What are facial dermal fillers like hyaluronic acid?

As our skin ages, the dermis gradually loses its major natural constituents: collagen, elastin and hyaluronic acid. Collagen acts as the major support protein for our skin; elastin allows our skin to stay firm though elastic and resist wrinkles; hyaluronic acid helps to trap water and add volume and shape to our skin giving it its plumpness. Dermal fillers are substances that are injected just below the surface of the skin to fill in lines, wrinkles, and scars. Unlike face-lifts that stretch the skin, fillers add volume for a more natural youthful appearance. Fillers can also increase the fullness of the lips (see section on lip enhancement) and lessen the downward slant of the corner of lips. The most common areas treated are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, and acne scars. This is a walk-in procedure done in 30 minutes under a local anesthetic with a numbing cream (Emla 5%). The pain is mild to moderate. The result is immediate and will last 6 months. Bruising or swelling is a very rare event and patients can appear socially or go beack to work the same day.
We do not recommend: Silicone Dermal Fillers : The use of silicone fillers has been controversial in the past and is no more fashionable because of the risk of bumpy scars called granulomas that can form even decades after treatment. It is not used any more.

Lips augmentation with hyaluronic acid

Fat transfer also known as lipofilling:

The autologous fat transfer (Coleman technique) is asurgical procedure is unique because it removesfat from one area of your body and transfers it to the area of concern. The main advantage of lipotransfer is that it eliminates the risk of an allergic reaction. Lipotransfer is a two-step procedure. First, liposuction is performed using local anesthesia to collect the “donor” fat commonly from the thighs, the abdomen or hips. Fat is then injected into the face, just below the second layer of the skin (dermis) or into the muscle. Bruising, swelling, and redness are common afterward and usually last a few days. Initially a part of the fat will disappear between 10 and 20%. What will stay after 3 months will stay permanently or will at least be very long lasting (3 to 15 years).

Fat tarnsfer lipofilling is very reliable and long lasting. doesn't migrate and stay where the microdroplets are placed. The cost for a fat transfer start at £2,000. This excellent permanent or at least long lasting filling method is operator dependant. It requires a very special skill to be permanent. It is a real surgical procedure though and requires at least a local anaesthetics, and a stay for a few hours in the hospital. Bruising and swelling is mild to moderate. Patients are able to resume work after 3 to 4 days. For more information see our Liposuction & Fat transfer information form. The Choice between hyaluronic acid and fat transfer The ideal dermal filler should be easy to administer, provide reproducible cosmetic results, remain in the dermis for a significant period of time, and have a superior safety profile. Injection of fillers usually requires the use of either a topical numbing cream or a local injection of numbing medication. Then, using a small needle, the dermal filler is injected into each wrinkle or scar that requires treatment. Some mild burning and stinging is normal and quickly resolves. The results can last from three months to five years, depending on the filler being used. The cost is important in the final choice. Injectable fillers do not last as long as fat. The repeated cost should be compared to the one-off cost of fat transfer.

read more about fat transfer lipo filling...


Dr Philippe Chotu is a non-invasive treatment specialist Botox fillers
Dr Philippe Chout is the best specialist of natural beauty

E-MAIL DR. CHOUT at : or call for consultation bookings : + 33 6 46 69 56 37 . The consultation office is locate 21, avenue George V , Paris 8 ème in France.