Botox , HA Dermal Fillers and Chemical Peels

Plumstead Dental Care is proud to announce that we now offer Botox and HA Dermal Fillers at our dental office for your convenience. Feel free to contact the practice for more information on this service.

General considerations in cosmetic use of BOTOX®

Aging is associated with the development of lines and wrinkles caused by actinic damage, gravitational effect, sleep lines, and muscular action. Mimetic facial musculature may undergo hypertrophy secondary to hyperfunctional pull. BOTOX® injections reduce facial lines caused by hyperfunctional muscles. They also are used to contour aspects of the face such as the brows.

Injection of the lower face requires a precise technique, since any asymmetry may result in facial asymmetry and speech impediments. Injection of the mid and lower face and neck is best reserved for experienced injectors and patients who have had successful injections in the upper face.

Pretreatment photography is highly recommended to document any preexisting asymmetry. Patients should be informed that cosmetic injection in any site other than the glabella constitutes an off-label indication in the United States. An informed consent form is required, with detailed mention of possible complications, such as headache, bruising, infection, eyelid drooping, facial asymmetry, speech changes, and dysphagia.

Injection techniques often vary among practitioners and over time. Patients usually notice a clinical effect 1-3 days following injection, and the effect is maximal by 1-2 weeks. Some diffusion of toxin occurs. A 10-unit injection into the frontalis muscle produces a circular area of paresis with a radius of approximately 1.5 cm. Space injections apart appropriately, and do not place injections too close to muscles in which weakness is to be avoided.

Adverse effects of injection include minimal ecchymosis and bruising. Applying ice to the injection sites before and after treatment may decrease the pain and the risk of swelling and bruising. When not contraindicated, patients should avoid platelet inhibitors, including aspirin and nonsteroidal anti-inflammatory drugs, for 1 week prior to injection.
Set realistic expectations. The benefits usually last 3-6 months and then resolve. A clear plan should be devised to address the individual's anatomy and areas to be injected.

How Botox works?

Botox is injected into the muscles to cause paralysis or diminished muscle movement. Tissues relax and the lines fade or are eliminated.MOA is on the processes that control Nerve Impulses to the muscle.Botox blocks impulses from the nerve to the tiny facial muscles that are related to expression lines. Botox relaxes the muscles so they do not contract.

Treatments offered:

  1. Glabella / Frown Lines
  2. Forehead Lines
  3. Gummy Smile
  4. Bruxism / Grinding of teeth / Clenching.Treatment with Botox into the Masseter muscle.
  5. Chemical Eye Brow Lift
  6. Jaw Reshaping
  7. Turkey Neck
  8. Tension Headaches


JUVEDERM is the #1 doctor recommended facial filler in Canada in 2010. It is a smooth, replenishing injectable gel filler that your cosmetic doctor uses to refresh your appearance by smoothing away unwanted lines and bringing back the natural contours of your face. The exclusive formulation of JEVEDERM uses hyaluronic acid (HA), a naturally - occurring sugar found in your body. It combines with the water in your skin to instantly smooth lines and wrinkles, enhance lips and restore lost volume to the cheeks and jaw-line. In fact, hyaluronic acid facial fillers can even naturally stimulate collagen production in your skin.

What does JUVEDERM Treat?

The following list highlights the different areas you may consider treating. JUVEDERM can also be used along with a wrinkle smoothing injectable for complete rejuvenation that addresses all signs of aging.

  1. Smokers Lines
  2. Lip Augmentation / Lip Hydration
  3. Lip Definition
  4. Cheek Augmentation
  5. Volume Loss  Correction
  6. Fine Lines ( Eyes - Peri-Orbital & Mouth - Peri- Oral)
  7. Jaw Reshaping
  8. Naso - Labial Folds
  9. Eye Brow Reshaping
  10. Forehead Lines
  11. Marionette Lines


JUVEDERM is an effective non-surgical option for refreshing your appearance. Currently, there are several varieties of facial fillers on the market, bur the patented formulation in JEVEDERM offer you the following facial rejuvenation benefits:

Smooth, natural looking results.
Unlike some other hyaluronic acid ( HA) facial fillers made of granular bead-like gels, the smooth formulation of JUVEDERM provides results that look and feel very natural.

Clinical proven to last up to a year with a single treatment.

More comfortable treatment experience.
JUVEDERM XC ( extra comfort) contains lidocaine - an effective localized pain reliever so you can feel good during and after treatment.

Immediate results.
JUVEDERM provides an instant improvement and most patients require only one treatment to achieve optimal results.

Quick and easy procedure.
JUVEDERM can generally be performed in just 15 to 60 minutes ( depending on the areas treated ) with minimal recovery or downtime.

Chemical peels:

  • Neostrata 20 % glycolic acid for a very superficial facial chemical peel
  • Heliocare after care products
  • Sunscreen
    – Sun Cream
    – Sun block
    – Moisturiser
    – Anti aging

Neostrata Chemical Peel

Neostrata superficial peel treatments are quick, in-office procedures that are performed under the supervision of a dermatologist. They are used in combination with Neostrata home care products to stimulate skin renewal helping the skin to appear heathier, plumper and tighter with enhanced skin smoothness and clarity.

Most Neostrata products contain glycolic acid, a natural constituent of cane sugar and the smallest molecule of the alpha-hydroxy acid (AHA) family. AHAs, also known as fruit acids, naturally occur in foods such as apples, grapes and citrus fruits.

Clinical studies have shown that Neostrata glycolic acid products used in a daily regimen reduce the appearance of fine lines and wrinkles, making the skin look refreshed and more youthful.

AHAs mildly peel away the accumulation of dead cells on the surface of the skin, enhancing cell renewal and increasing the moisture content of the skin.

Conditions such as aging and sun-damaged skin, severe dryness, dehydrated skin, hyperpigmentation and acne improve with consistent and proactive use of AHA skin care products.

Neostrata poly-hydroxy acid (PHA) products contain a second generation of AHAs recently developed by Neostrata researchers. Highly moisturizing, PHAs provide all the smoothing and anti-wrinkle benefits of other AHAs without the skin, irritation, burning or stinging. PHAs also contain antioxidant benefits, a property not found in glycolic acid.

Gluconolactone is a PHA exclusive to Neostrata. This PHA has particularly effective hydrating properties which assist in optimum degrees of moisturisation of the skin.

Some Neostrata products contain lactobionic acid, the latest skin care technology to emerge from the Neostrata Company. This new poly-hydroxyl ‘bionic’ acid is a non-irritating, complex PHA derived from naturally occurring lactose (milk sugar) and gluconic acid. Lactobionic acid is a potent antioxidant with humectant properties that strongly attract and bind water, producing a natural gel matrix. Its unique film forming property provides softness and velvety smoothness to the skin. Lactobionic acid formulations reduce the appearance of fine lines and wrinkles.


Neostrata’s Neoceuticals product line is therapeutic treatments containing various blends of AHAs and PHAs. These products have been developed for more serious skin conditions such as problem dry skin, seborrheic dermatitis and acne conditions.

What is Glycolic Acid?

Glycolic acid is one of the alpha-hydroxy acids (AHAs), a group of naturally occurring substances often referred to as “fruit acids” because they are found naturally in various fruits and other foods. In its natural state, glycolic acid is found in sugar cane juice. AHAs improve skin appearance and texture. Improvement has been found in patients with dry, oily and acne-prone skin and with age spots.

What is a Glycolic Acid Peel?

A glycolic acid peel treatment is a specific technique for skin renewal. With this process, a high concentration of glycolic acid is applied to the skin for a short period of time and then chemically neutralized to end the treatment. This procedure rapidly removes the damaged layer of dead surface skin cells revealing the fresh skin, and stimulating cell rebuilding and restructuring of the deeper skin layers, which can help the skin appear smoother, healthier, plumper and tighter, with more even pigmentation.

How do Glycolic Acid Peels differ from other chemical peels?

In the past, chemical peeling agents have been primarily phenol and triochloroaetic acid (TCA). These types of chemical peels are effective in a number of conditions requiring a deep peel, although they are, by their very nature, toxic to cells. Phenol and TCA can produce treatment complications such as excessive colouration or discolouration (hyperpigmentation or hypopigmentation) and possible scarring.

In contrast, glycolic acid peels are not toxic to skin cells and are used as superficial peels requiring little skin recovery time. Usually done in a series of controlled superficial peels, AHA peels have been shown to provide improvements to acne prone skin and help reverse sun damage. When proper procedures and techniques are used, results with glycolic acid peels are comparable to deeper peels, without their complications.

Can anyone be treated with a Glycolic Acid Peel?

To determine if you should have the Neostrata Glycolic Acid Skin Renewal Peel Treatment, you need to meet with your doctor and discuss your medical history, skin sensitivities and peel expectations. Your doctor will design a program for you with the appropriate type and timing for a peel.

Many conditions can affect the sensitivity and reactivity of your skin to the glycolic acid peel. Your physician may recommend that you briefly discontinue using certain products and cosmetic procedures, or pre-treat you with other products.

Some conditions may make it unsafe to have a peel. It is important to inform your physician of the following conditions:

  • Allergies
  • Atopic skin reactions/eczema
  • Rosacea
  • Seborrheic dermatitis
  • Pigmentation disorders
  • Recent anticoagulant therapy
  • Circulation disorders
  • Collagen/autoimmune disease
  • Viral infections (inc herpes)
  • Hypertrophic/keloidal scarring
  • Cryotherapy/cryosurgery
  • Roaccutane/oral retinoid use
  • Smoking
  • Pregnancy

What kinds of improvement can I expect with a peel treatment?

Be sure to discuss the type of skin improvement you hope to achieve from the peel treatment. Together you can decide if your expectations are realistic and redefine your goals if necessary to get your desired improvements. The following are types of improvements that are possible with the Neostrata Glycolic Acid Peel Treatment program and items to discuss with your doctor:

  • Softening of fine lines
  • Diminution of coarse lines
  • Increased smoothness in skin texture
  • Mild or moderate levelling of acne scars
  • Lightening of pigmentation irregularities
  • Increasing skin natural glow or radiance
  • Some minimization of pore size

How will I look of feel right after the Peel Treatment?

Initially your skin may be somewhat red or puffy. It may take up to one week for the renewal and rebuilding process to let your skin appearance return to “normal”. During this repair/renewal period some patients have experienced some of the following: stinging, itching, burning, mild pain or discomfort, tightness and peeling of the superficial layer of the skin. Light peeling is an expected result and will lessen over the week as the skin returns to “normal”. Once healed, your skin will have a refreshed, hydrated, more youthful appearance.