FAQ

BOTOX® Cosmetic Treatment

It takes more BOTOX to do the job. Men have much more muscle mass in their foreheads and brows than women do, so it usually requires a larger amount of product to achieve a perfect amount of relaxation. Women typically require 30-50 units of Botox, while men are usually in the 50-80 unit range.

The ideal brow shape is different for a man. Brow shape is the KEY to natural looking BOTOX, and if the shape is off because of bad technique, the result will be less than ideal. Women’s brows should have a gentle arch that sits a few centimeters above the brow bone. Men’s brows should not have much of an arch, and should not sit much above the bone. A straighter, lower brow is more attractive for a man, and getting this look depends entirely on how your injector administers the BOTOX.

Men require a more precise technique for best results. Just as we discussed in point #2 above, it takes a special eye and technique to give men the results they are after. Many inexperienced or unqualified injectors use the same technique on every person, men and women, who get BOTOX, and while this may sometimes lead to good results, it will not be consistent or appropriate for everyone. Ideal BOTOX results in both men and women require an elite level of knowledge of the anatomy of the forehead and brow muscles, a unique understanding of how they work together, an artistic eye that appreciates the subtle differences in brow shape between men and women, and a steady hand that is capable of putting the BOTOX precisely where it needs to be.

Men have different hairlines which requires a slightly different injection pattern. Men often have much higher hairlines than women, and in some cases when men have shaved heads this is especially true. Sometimes it’s necessary to extend the Botox up onto the scalp for the most natural results depending on the hair style. This is never an issue with women, but is a very commonly missed technique in men. Another plus for extending BOTOX into the scalp is that it has been shown to slow the rate of hair loss in younger men who are going bald

Botox® is a cleaned purified protein that is created from the Clostridium botulinum bacterium, which is what prevents the nerves responsible for muscular movement. The FDA approved this treatment in 2002.

PRE & POST TREATMENT in an ideal situation it is prudent to follow some simple guidelines before treatment that can make all the difference between a fair result or great result, by reducing some possible side effects associated with the injections. We realize this is not always possible, however minimizing these risks is always desirable.

  • Patient must be in good health with no active skin infections in the areas to be treated
  • Patient should not be needle phobic
  • Avoid alcoholic beverages at least 24 hours prior to treatment.
  • Alcohol may thin the blood which will increase the risk of bruising
  • Avoid anti-inflammatory / blood thinning medications ideally, for a period of two (2) weeks before treatment. Medications and supplements such as Aspirin, Vitamin E, Gingo Biloba, St. John’s Wort, Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections. This is more important prior to dermal filler treatment, as fillers have a higher risk of bruising associated with their injection than Botox®
  • Schedule your appointment at least 2 weeks prior to a special event
BOTOX Cosmetic® can be used proactively, to prevent early signs of aging, as well as to treat a variety of immediate concerns, including:
  • Vertical lines between the eyebrows and on the bridge of the nose
  • Squint lines or crow’s feet at the corners of the eyes
  • Horizontal forehead lines
  • Platysmal muscle bands (vertical lines) often visible on the neck
  • Lower facial muscles such as the masseter muscle (to lessen the squareness and fullness of the lateral jawline), wrinkles around the mouth, and turning down at the corners of the mouth

Typically a Botox Cosmetic® treatment will last anywhere from three to six months. The time frame for how long the treatment will last varies because everyone’s skin is different so depending on your skin and the area injected your results will vary.

The injections block the impulses to the muscles that make your muscles relax. Wrinkles will soften and decrease with time due to the remodelling of collagen and elastin when the muscles are relaxed, giving you a fresher, younger look. This is the reason Botox should be injected regularly on schedule to prevent muscle movement returning to full strength and breaking down collagen and elastin.

Takes 5-14 days to get full results after Botox and Xeomin treatment. The results will last between three to six months.

Injectable Dermal Fillers Treatment

PRE & POST TREATMENT in an ideal situation it is prudent to follow some simple guidelines before treatment that can make all the difference between a fair result or great result, by reducing some possible side effects associated with the injections. We realize this is not always possible, however minimizing these risks is always desirable.

  • Patient must be in good health with no active skin infections in the areas to be treated
  • Patient should not be needle phobic
  • Avoid alcoholic beverages at least 24 hours prior to treatment Alcohol may thin the blood which will increase the risk of bruising
  • Avoid anti-inflammatory / blood thinning medications ideally, for a period of two (2) weeks before treatment. Medications and supplements such as Aspirin, Vitamin E, Gingo Biloba, St. John’s Wort, Omega-3 fish oils, Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections. This is more important prior to dermal filler treatment, as fillers have a higher risk of bruising associated with their injection than Botox®
  • Schedule your appointment at least 2 weeks prior to a special event
  • No dental work for one week prior and two weeks after filler
  • Come with a clean face, no makeup to your appointment and do not wear makeup for 24 hours after treatment
  • Please let us know if you are ill or have an infection including active acne or other skin infections as we will need to reschedule your appointment.
Dermal fillers are injected into your skin to fill lines and restore lost volume, enhancing your facial contours and lips for natural-looking results. They’re injected into the deeper layers of skin and fat pads at the site of sunken areas, creases, scars or to smooth and fill out the area for a firmer, more youthful appearance.

Many different treatments are often used at the same time and are complimentary with dermal fillers or other cosmetic procedures for an all-over smoothing of wrinkles and facial lines and restoring of lost volume. For example, Botox Cosmetic® treatments may be used on forehead wrinkles, while a dermal filler may be better used to treat lines at the mouth area. Botox can also relax movements making the dermal fillers last longer.

Follow-up treatments are usually required to maintain the effect. For instance, hyaluronic acid fillers (Juvederm®, Teosyal and Belotero) last up to 18-24 months. Keep in mind that everyone’s skin is different, the timing of any additional filler treatment will vary from person to person. When repeat treatments occur over time, either the interval between appointments becomes longer, or less product is required to achieve the same results, or more areas can be treated with the same amount of product.

After your initial dermal filler treatment, you should notice visible results immediately.

Injectable Dermal fillers are popular for treating the appearance of facial aging without surgery. They work by plumping up an area beneath the skin. Injectable Dermal Fillers can:

  • Fill in wrinkles and fine lines
  • Improve the appearance of scars
  • Plump up cheeks and lips
  • Shape the jaw and other areas of the face
  • Provide support of the facial tissues lost with aging to help lift the jowls and lower face

Latisse®

The lashes grow gradually over time with some people beginning to see longer lashes in about four weeks, with full growth at 16 weeks.

Specifically, patients treated with LATISSE® experienced a:

• 25% increase in lash length
• 106% increase in lash thickness/fullness
• 18% increase in lash darkness

We believe it does so by increasing the growth cycle (anagen) phase of your eyelash hair cycle. Anagen is the active growth phase of the hair follicle. We believe that it increases the length of the anagen phase and the number of hairs in this growth phase allowing hair to grow longer, thicker and darker.

LATISSE® is the only Health Canada approved product to grow lashes longer, fuller and darker for those who do not have enough lashes. It has been studied for safety and efficacy and is available only by prescription.

Soft Lift™

Both the BOTOX® cosmetic and JUVÉDERM® dermal fillers are injected to complement each other and improve the cosmetic results we can achieve. In order to make the procedure as comfortable as possible for you, the dermal fillers contain Lidocaine to minimize any pain or discomfort. This procedure can take between 30-60 minutes, depending on your aesthetic goals and the size of the treatment area.

Both BOTOX® cosmetic and JUVÉDERM® treatments are very safe but, as with all dermal fillers, there are potential and mild side effects which include:

  • Bruising
  • Tenderness
  • Redness
  • Swelling

These side effects experienced at the injection sites will typically resolve within a few days, leaving you with brighter, firmer and smoother skin.

During a consultation with the doctor, we will take into consideration factors such as your aesthetic needs, current health status and medical history to evaluate whether SOFT LIFT™ is right for you. Typically, it should not be considered a treatment option for:

  • Patients who have severe allergies with a history of anaphylaxis
  • Patients with known allergies to lidocaine or gram-positive bacterial proteins
  • Patients with known allergies to any components of BOTOX®
  • Patients who are pregnant or breastfeeding
  • Patients who have a motor neuron disease
  • Patients who have a neuromuscular disease
  • Patients with autoimmune diseases


When carried out safely and by a trained and experienced medical practitioner, SOFT LIFT™ is a quick and comfortable alternative to more aggressive surgical procedures, personalized for your individual goals and needs.

Belkyra®

BELKYRA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that is used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called, “double chin.” It is not known if BELKYRA® is safe and effective in children less than 18 years of age. It is not known if BELKYRA® is safe and effective for use outside of the submental area.

The active ingredient in BELKYRA® is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat.When injected into the fat beneath your chin, BELKYRA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.

Only you and your doctor can decide if BELKYRA® is right for you. If you’re bothered by submental fullness, or double chin, ask your doctor about BELKYRA®.

BELKYRA® has been the focus of a global clinical development program involving over 20 clinical studies with more than 2,600 patients worldwide, of which over 1,600 have been treated with BELKYRA®.

The safety profile of BELKYRA® is well characterized. The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area. BELKYRA® can cause serious side effects, including trouble swallowing and nerve injury in the jaw that can cause an uneven smile or facial muscle weakness. These are not all of the possible side effects of BELKYRA®. Call your healthcare provider for medical advice about side effects.

You and your doctor will customize your BELKYRA® treatment regimen, including how many treatments you need, based on your desired chin profile. Many patients experience visible results in 2 to 4 treatment sessions. During these sessions, your HCP will administer BELKYRA® into the fat under your chin using multiple injections. Up to 6 treatment sessions may be administered spaced no less than one month apart.

In clinical studies, results for BELKYRA®-treated patients who had a ≥1-grade composite improvement were 8% (1 treatment), 28% (2 treatments), 43% (3 treatments), 55% (4 treatments), 66% (5 treatments) and 72% (6 treatments).

In clinical studies, results for BELKYRA®-treated patients who had a ≥2-grade composite improvement were 0% (1 treatment), .2% (2 treatments), .8% (3 treatments), 3.5% (4 treatments), 3.9% (5 treatments) and 15% (6 treatments).

59% of subjects in the clinical trials received all 6 treatments.

When injected into the fat under your chin, BELKYRA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After the aesthetic response is achieved, retreatment with BELKYRA® is not expected.

MD Codes™

Some of the main concerns patients have with ageing include skin laxity, volume loss and lack of structure. As we age, these factors become more prominent, and can make us look tired and withdrawn. These indications are easily treatable with natural, HA based dermal fillers, which work to reapply structure, elevating and rejuvenating the facial features.

They are often used in conjunction with botulinum toxin, which help prevent you from overworking your muscles, deepening and creating lines and wrinkles.

The MD Codes™ are a series of strategic, formulated injection points, which allow for a subtle and natural-looking result.The Codes are a useful tool which Dr. Suzanne Mady has adopted, allowing patients to understand their treatment motivation and the strategy behind injecting specific areas, and what this will achieve. Traditionally, dermal filler treatments were rather ad hoc when injectors treated the problem area. However, clinical studies and research suggests that a holistic approach is much more beneficial for patients, treating the source of the issue itself.Because of the skill of Dr Suzanne Mady and the products used, Dr. Suzanne Mady’s Clinic is able to provide natural results.

The HA based dermal fillers that we use at Dr. Suzanne Mady’s Clinic provide longevity, without permanency. This enables you to stay in control of your looks, and if ever necessary, the results can be reversed. On average, your dermal filler should last between 18-24 months, but this varies from patient to patient, depending on how quickly your immune system breaks the filler down and  if you have had enough filler to adequately treat the areas of concern. Most patients require multiple syringes to achieve the desired amounts. After two weeks from treatment, you should notice the lasting effect of your treatment.

There are very few contra-indications to having dermal filler treatment. We advise that those who are pregnant or breast feeding avoid treatment, although there is no clinical data to prove that it is harmful to the mother or baby. Also, patients with autoimmune diseases should avoid fillers unless approved by their specialists. 

Dr. Suzanne Mady offers a wide selection of treatments and the most advanced technologies. Dr. Mady has a wealth of knowledge of advanced dermal fillers, facial anatomy as well as extensive training and experience in injecting. She provides a customized consultation, which includes extensive patient education and a treatment plan tailored to achieve your goals. Dr Mady performs all treatments herself.

The Codes outline key areas to inject, including the lips, the cheeks, the jawline, the brow, under eye and temples. Upon consultation, your doctor will go through the various techniques that can be used for your specific requirements.

Patients may have some swelling and bruising in the treated area for a few days up to over a week. This is easily masked with makeup after 24 hours post treatment.

Volite

Juvederm Volite skinbooster is the latest range of hyaluronic acid skinbooster launched by Juvederm. It is an innovative hyaluronic acid product designed to improve skin hydration, skin elasticity, and nourish the skin from the inside out for up to 9 months.

The Juvederm Volite skinbooster involves a series of micro-injections of long-lasting hyaluronic acid throughout the skin area. The treatment area is first applied with an anaesthetic cream. After considerable anaesthesia has set in, detailed injections of the product using ultra-fine needles are done to ensure correct depth placement of the product throughout the skin. Juvederm Volite is made up of hyaluronic acid molecules mildy cross-linked through the patented Vycross Technology. It absorbs water, and brings deep hydration to the treated area, as well as conferring elasticity, glow, and firmness.

Individuals who experience dry skin, fine lines, fine wrinkles, and mild skin laxity on their face, neck and back of hands can benefit from this procedure. Those with good skin who want to preserve their youthful looks may also consider Juvederm Volite as a preventative treatment against skin ageing.

The procedure will take around 15-30 minutes, depending on the areas injected. The longer part is the preparation phase of the procedure. The patient will have her face cleansed before application of an anesthetic cream on the intended treatment regions for 45 minutes. Subsequently, the anesthetic cream will be removed and the face cleaned and disinfected before commencement of the procedure.

Downtime mostly consists of injection marks. These marks will resolve over the next 1-3 days, and patients can choose to conceal them if needed.

Common side effects are related to the site of injection, and these include bruising, redness, swelling, and tenderness. Longer term side effects like infection at treatment sites is usually a failure to adhere to proper sterile procedural techniques and rules. This happen occasionally in the news when injectable procedures are done in facial salons or spas, making it an unsafe and wrongly administered treatment. This is why we always emphasis the need to only do this procedure with qualified practitioner in a reputable clinic environment.

There are a number of precautions one should take note of, including:

  • a concurrent illness
  • a concurrent skin infection
  • if you are taking any medications that increase your risk of bleeding
  • if you are taking any immunosuppressive medications

Juvederm Volite has shown to be able to improve skin hydration and elasticity and maintain them up to 9 months.

Most patients see an observable improvement in the quality of their skin after one treatment. To maintain the result, a repeat treatment may be done in 6 months.