Early treatment helps prevent progression of wrinkles.
Botulinum toxin treatments helps fight against visible wrinkles to maintain youthfulness.
Botulinum toxin wrinkle treatments can provide a natural look that doesn't affect your expression. Repetitive frowning, smiling and worrying over the years can cause facial wrinkles. Botulinum toxin treatments can help to smoothen out wrinkles leaving you looking more youthful and refreshed.
With a focus on safety, efficacy, and patient satisfaction, Dr Ng delivers Botulinum toxin treatments that is tailored to each individual's unique anatomy and aesthetic goals, ensuring natural-looking results that enhance facial harmony and expression. As a cornerstone of aesthetic medicine, Botulinum toxin continues to redefine standards in non-invasive rejuvenation, empowering individuals to achieve timeless beauty and confidence in their appearance.
Botulinum toxin helps to relax muscles at the neuromuscular junction. With treatments spanning over 2 decades, looking natural by reducing wrinkles can be maintained with the use of neuromodulator injections. The aim is to give you a natural outcome by softening your wrinkles and not one making you appear ‘frozen’ or expressionless. Precise injections are strategically placed into your facial muscles to soften your look, restoring facial balance and harmony. Being one of the most popular aesthetic treatments around the world, it has minimal downtime while enjoying a high safety profile.
There is evidence to suggest that regular botulinum toxin wrinkle treatments prolongs the effect, giving you a longer lasting natural look. Interestingly, combination with procedures such as fillers has a synergistic effect on the aesthetic outcome because tackling the effects in ageing occurs at multiple levels of the human face.
Botulinum toxins work by blocking the communication between nerve and their surrounding muscles, thus they are also called neuromodulators. They are medical grade biological products, derived from the bacteria Clostridium Botulinum, and subsequently commercially purified for medical and cosmetic use. It works by inhibiting the neurotransmitter acetylcholine release from the nerves, and thereby slowing down muscle contraction. It also blocks the release of sweat, leading to improvement in conditions such as hyperhidrosis. Cosmetically, doctors use botulinum toxin wrinkle treatments to improve lines & wrinkles on the face (e.g. frown lines, crow’s feet), vertical necklines and for non-surgical jaw reduction.
Frown lines, also known as glabellar lines or “11 lines,” are the vertical wrinkles that appear between the eyebrows on the forehead. These lines are often associated with facial expressions involving frowning, squinting, or concentrating. Over time, the repeated contraction of the muscles between the eyebrows can lead to the formation of these lines.
The forehead lines may be appear after your 30s and is the only muscle to lift your eyebrows. They form due to ageing, repetitive facial expression, UV exposure and genetics.
Otherwise known as Crow’s feet, these are wrinkles radiating from the corner of the eyes when you smile.
By targeting different muscles around the eyes, we can create a brow lifting effect in harmony with the surrounding facial areas.
Infra-orbital wrinkles are lines on the lower eyelids which are more noticeable when you smile. Dr. Ng uses a microdroplet technique to soften these lines.
Precise injection into the lower eyelid can lower the inferior ciliary margin to achieve this effect.
Many individuals find the widening of the nostrils unsightly, but precise botulinum toxin injections can quickly improve this condition.
“Bunny lines” refer to the horizontal wrinkles or lines that appear on the bridge of the nose when a person scrunches or wrinkles their nose. These lines are so named because they can resemble the twitching of a rabbit’s nose, particularly when it moves its nose rapidly or twitches it.
Over time, the nasal tip may droop downwards as a result of changes to muscles, cartilage and its surrounding structure.
A gummy smile, also known as excessive gingival display, is a term used to describe a smile in which a significant amount of the upper gums are visible. When someone with a gummy smile smiles, a larger portion of their gums is exposed, sometimes overshadowing the teeth.
This refers to the excessive or heightened activity of the mentalis muscle, which is a facial muscle located in the chin region. The mentalis muscle plays a role in controlling the movement and positioning of the lower lip, and its overactivity can be associated with certain facial expressions or habits.
Masseter overactivity refers to the excessive or heightened activity of the masseter muscle, which is one of the muscles responsible for jaw movement. The masseter muscle is the primary muscle used for chewing and is located at the jawline. Overactivity of the masseter muscle can lead to various issues and symptoms such as bruxism and a broader lower facial appearance.
Perioral lines, also known as perioral wrinkles or “smoker’s lines,” refer to the fine lines and wrinkles that appear around the mouth, specifically the lips. These lines typically radiate outward from the edges of the lips and can become more pronounced with age. Perioral lines are a natural part of the aging process, but factors such as sun exposure, smoking, genetics, and repetitive facial expressions can contribute to their development.
The platysma is a thin, broad muscle that extends from the chest and shoulders to the lower face and neck. It plays a role in facial expressions and neck movements. Platysma bands, also known as platysmal bands or neck bands, refer to the vertical bands or cords that can become visible in the neck area. These bands are formed by the contraction of the platysma muscle.
Botulinum toxin has been in use since the late 1970s. The ability to enhance muscle relaxation and reduce muscle tension underpins its main therapeutic effect. Botulinum toxin is FDA-approved for the following medical conditions:
The current FDA-approved and Botulinum toxin brands in Singapore are:
These botulinum toxin type A toxins have similar onset of action, takes about a week to achieve results and effects lasts three to five months for cosmetic use for facial wrinkles.
The differences mainly lie in the preparation, dilution and the number of units. This can be quite confusing, and many people assume that the units used for one brand is interchangeable with another. This is not the case. For example, 4 units of one type of botunlnum toxin is not equivalent to 4 units of another.
The price of Botulinum toxin cosmetic treatment varies greatly in Singapore. The pricing depends on factors such as the area or areas injected, the number of units injected, the brand used and the experience of the doctor.
The number of units used per treatment area differs across individuals. For instance, a man with stronger muscles at the frown lines will typically need more units injected than a female with moderate frown lines.
Individuals with the following conditions are not suited for Botulinum toxin treatment. These include:
Before your treatment, a consultation is necessary to assess your suitability for the procedure. A medical history and clinical examination is carried out together with an exploration of the treatment options and their potential side effects.
If you are experiencing any infection or inflammation of the skin, these need to be treated first.
If you are on any medications, these must be declared during your visits as some drugs may interfere with your Botulinum toxin treatment.
An individualised, integrated approach to assessment and treatment planning is essential. A comprehensive facial assessment includes both dynamic and static wrinkles observation. During the consultation, several factors are assessed to determine the dose and injection placement. These include:
The best Botulinum toxin treatment is one that considers your goals while understanding anatomical and functional analysis in the context of facial morphology and the aging process.
Consultation: Before the procedure, you'll have a consultation with your doctor. They'll assess your facial wrinkles and discuss your goals and expectations. They’ll also review your medical history to ensure you’re a suitable candidate for BBotulinum toxin.
Preparation: On the day of the treatment, the provider may clean your face to remove any makeup or oils. Sometimes, a topical anesthetic may be applied to numb the area, although many patients find the procedure tolerable without it.
Injection: Botulinum toxin is injected into specific muscles in the face using a very fine needle. The precise locations and amounts of Botulinum toxin are determined based on the type of wrinkles and the muscle activity in the area. Common areas for Botulinum toxin injections include the forehead, between the eyebrows (glabellar lines), and around the eyes (crow’s feet).
Aftercare: There’s minimal downtime associated with Botulinum toxin, so you can typically return to your normal activities immediately. However, you’ll be advised to avoid rubbing or massaging the treated areas and to stay upright for a few hours to help prevent the Botulinum toxin from spreading to unintended areas.
This would depend on the individual skin condition, skin quality and age.
The objectives for younger patients would be to prevent the worsening of the wrinkes, delay the aging process and maintaining a youthful look.
Apart from wrinkles, facial aging also encompasses soft tissue deflation and changes to the underlying supportive bony tissues. Age related treatment goals must therefore take into account these changes. A multimodality approach with Botulinum toxin, fillers, lasers and energy based devices are tools to holistically improve your facial appearance at every stage.
Botulinum toxin injections are mainly indicated for dynamic wrinkles. These wrinkles are obvious with facial movements; smiling, frowning and looking surprised. Static wrinkles, on the other hand, do not respond to botulinum toxin injections. From studies, static wrinkles are better treated with laser or energy-based resurfacing procedures.
Between the 3 common brands, the average time to see results is 3-7 days. Some individuals would be able to appreciate a difference within 24hours.
The cosmetic effect of botulinum toxin treatments initially lasts for 4 months, but gradually increases to 6 months or more with regular treatments as the muscles are more relaxed.
For the treatment of axillary hyperhydrosis, a significant reduction in sweating is noticed within 2 weeks, and results lasts 6-7 months.
Botulinum toxin is injected into the muscle causing the muscle to relax, improving the appearance of the lines. Botulinum toxin works by binding to receptors that send nerve signals for muscles to contract. Since your body is constantly making new receptors and neurotransmitters all the time, future Botulinum toxin treatments will be needed to maintain the relaxed and smooth appearance. If treatments are not kept up the wrinkles will slowly return as the muscle regains function over time. Botulinum toxin takes generally two weeks to start working optimally and lasts for up to six months.
Studies have shown that treating multiple facial wrinkles are associated with improved outcomes. For example, simultaneous treatment of lateral canthal lines (crow’s feet) and glabellar (frown lines) revealed better benefit.
For some reasons, some patients may develop antibodies to botulinum toxin treatments. The risk of immunogenicity is higher with top ups within a short period of time and re-treatments less than 4 months.
Botulinum toxin treatment represents a gold standard in non-surgical cosmetic procedures, renowned for its ability to rejuvenate and refresh the appearance with precision and minimal downtime. Utilising botulinum toxin type A, Botulinum toxin injections are expertly administered to temporarily relax targeted facial muscles, effectively reducing the appearance of dynamic wrinkles and lines. This proven and FDA-approved treatment is widely trusted for its ability to smooth away crow's feet, forehead lines, and frown lines, restoring a more youthful and relaxed appearance.
Dr. Moses Ng
Botulinum toxin injections is an exceptional procedure that offers natural-looking, lasting results, especially when offered by an experienced injector such as Dr. Ng. Offering a customised treatment for each patient, Dr. Ng combines multiple treatments, techniques, and products to help each patient meet their individual goals.
Dr. Moses Ng is a distinguished professional in the field of aesthetic medicine, renowned for his expertise in advanced cosmetic procedures. With over 15 years of experience, extensive training and a keen eye for detail, Dr. Ng specializes in a wide range of treatments, including injectables, laser therapies, and acne scar management.
Dr. Moses Ng’s commitment to excellence and patient-centric approach have earned him a reputation as a trusted clinician in aesthetic medicine. His continuous pursuit of the latest advancements in the field ensures that his patients receive the highest standard of care and the most effective treatments available.
