Frequently asked questions sent to Toronto Dermatologists and Cosmetic & Laser Physicians
Many Toronto Dermatologists, Plastic Surgeons and Cosmetic Physicians offer a wide variety of services to help you look your best! Please visit our homepage at baylaser.ca for menu of services.
Note: Our Clinic is a Cosmetic Medicine and Laser Clinic. Our services are not covered by OHIP. The Doctors and Surgeons are Board Certified with many years experience in Cosmetic, Laser and Vein Medicine. But they are not Board-Certified Dermatologists. In the event one of our patients has a condition that requires investigation by a dermatologist there. are several highly experienced Toronto Dermatologists to whom we refer.
At the Baywood Laser and Vein Clinic, we get dozens of questions that every week! The doctors always answer them personally. Here is a selection of the most common ones:.
How do I know how many units of Botox I need?
Here are some important points:
• Most important is that you have trust in the individual providing your Botox treatment. You are relying on their experience, expertise, and honesty to give you a proper assessment of the amount of Botox you will need. Toronto Dermatologists, Cosmetic Physicians and Plastic Surgeons clinics are your best choice.
Botox is measure in standard international units; if its authentic Botox from Allergan, its odes not matter how your provider dilutes the product, you should always be told exactly how many units you are paying for.
• The number of Botox units is determined by examination of the area to be injected. For example, if you want to stop you frowning motion (the glabella) so that you don’t look so angry, and to prevent the infamous “eleven” wrinkles, the Doctor or Nurse should ask you to frown as hard as you can. Tis allows a general assessment of the number of units you will need, based on their experience.
• There are general guidelines; the glabellas in females is typically 25-35 units, and at the Baywood Clinic, approximately 80% of female patients would get Botox injection in that range. However, some patients might only need 20 (very weak natural movement) or 40 or more (rare cases with very strong muscles)
• For axillary hyperhidrosis, or excessive underarm sweating the dose is fairly standard – 100 units per underarm although in some cases we can get by with 50 units per side. These are the doses used by most Toronto Dermatologists and Cosmetic Doctors.
The best approach is to inject within the low, conservative range – this is the most cost-effective. If, after a week, there is still some movement, it is possible to come in for a slight touch up,
The bottom line for Botox in Toronto at the Baywood Clinic:
We tailor the amount of Botox to what you desire – for total reduction in movement the ranges are 10-15 for crow’s feet (each eye); 25-35 for frown, and 10-16 for forehead lines.
For males the amounts are higher. The goal is getting 3-4 months of no movement. If a patient wants less than total freezing, we lower the amount of Botox accordingly. Tis is common for actors or patients who require some movement for their work.
It is also important to take into consideration other treatments the patient may be undertaking; for example, if someone is planning to use fillers https://baylaser.ca/toronto-skin-filler-injections/ for their frown lines, it is important to get complete freezing to ensure the filler lasts as long as possible.
I am afraid of the “droopy eye” I saw on the Internet!
Probably 25% of all our first time Botox patients ask about the “droopy eye”. Toronto Dermatologists, Plastic Surgeons, or Cosmetic Doctors that treat patients with Botox hear this every day.
It’s a very concerning thought – the fear your eye might droop for 3 -4 months after getting Botox!
Fortunately, there is no reason for any concern, as we can explain.
• First, what do patients mean by a “drooping eye”? Typically, they are worried that their eyelid will droop, hang down over their iris (the colored part of the eye). The muscle that controls the eyelid is called the Orbicularis oculi (palpebral part) – it attaches to your eyelid and keeps it in place.
• In 20 years of performing Botox injections in Toronto, we have NEVER seen this happen. A Doctor would have to make a major mistake for you to get a true eyelid droop, injection into or below your eyebrow, for example.
• What is more common, but still quite rare at our clinic (less than 1%), is an eyebrow droop. Why can this happen? The muscle that controls your forehead, starting about 1 cm above your brows is called the Frontalis muscle. Botox must be injected into the Frontalis to weaken it, so that those horizontal forehead lines fade away, and new ones cannot appear. We do this dozens of times every week.
The trick is to inject only above the mid-line of the muscle so that you do not weaken the lower part that hold your eyebrows in their normal position. And, to be conservative in the amount of Botox that you inject. Older patients have weaker muscles, you may notice that as you age past 50 your brows start to feel slightly heavier? So, we naturally use a bit less Botox in older patients.
Usually when a patient calls complaining of a “droop” they admit no one else is noticing it, and really, they just feel that their brows are a bit heavier. This almost always passes after about a week or two. And at our clinic this is quite rare. Less than 1% of the time.
So, do not fear “The Droop”! We are careful and experienced at the Baywood Clinic and want to ensure you are happy with every Botox treatment we perform!
I have heard about the “Spock Brow”. Is that a common side effect of Botox injections?
This is a common concern for patients visiting Toronto Dermatologists and Cosmetic physicians. It is very uncommon at our clinic, and in the rare cases where it does occur, it is easily treated with a couple of extra units at no charge.
The “Spock”, named after the famous Mr. Spock of Star Trek fame, occurs when we freeze the glabella, or frown, muscles, so that you do not look angry, and to prevent the “eleven” lines that form between the eyes. Less than 1% of the time, the muscles above the middle part of the eyebrow, which pull the brow up, raise the center of the brow a bit too eye, giving the “Spock Brow”.
In some cases, patients, typically female, prefer this look, as it opens the eye, and gives a more arched appearance. For males, we always inject a bit in this spot to prevent this happening, and we always ask females if they prefer a bit of arching. For those who do not, we simply place a unit or two in the area above the brow, so it remains in neutral position after the frown freezes.
It is really very simple, and not really a problem to worry about; but since many patients hear about it on the internet, it’s a common anxiety for first time users of Botox in Toronto.
How old do you have to be to start Botox Treatment?
It really depends on the reason you are considering Botox. Some patients, for example, have a very bad habit of frowning, and that is the main reason they visit their Toronto Dermatologists or Cosmetic Physicians. It makes them look angry or too serious, and they find that they are giving the wrong impression to colleagues, clients, or friends. In these cases, patients come to see us in their 20’s or early 30’s.
Often they are in professions or careers that involve a lot of work with the public – teachers, salespeople, lawyers. Patients often come to the clinic in their late 20’s, for preventative treatment. They are worried abut developing lines on their foreheads or crow’s feet down the road. Often, we will see them only twice a year in these cases, a bit less than the usual every four months.
Probably the average age that we see new patients who want to try Botox for the first time is in the mid 30’s, when they start to notice fine lines developing around the eyes, forehead and frown area. Starting as soon as the lines appear prevents new ones from forming and stops the current ones from getting deeper.
If started early enough, the muscles relax, and the fine lines can disappear. Patient who wait until their 40’s or later often have established lines. Botox can soften these and prevent their deepening but often cannot erase them completely.
The bottom line is Botox is a cosmetic procedure. It is up to you if you want to try it, or having tried it, whether you want to continue. The age you start, and the areas that you want to try, are a personal choice.
What can’t I do after a Botox treatment? I’ve heard I must avoid the gym, alcohol, lying down and so forth?
We hear these concerns all the time at our Botox clinic in downtown Toronto, and it’s a question that is heard by all Toronto Dermatologists or Physicians who do non-surgical cosmetic procedures. The fact is that after your Botox treatment there really are no activities you must avoid.
The Botox enters the muscle quite quickly, although it takes 3-7 days to start weakening the muscle, which is what we want. So, after an hour there is virtually no chance of it moving anywhere we don’t want it to. It’s quite alright to go to the gym, lie down if you want to, or drink alcohol.
There are a lot of myths from the early days of Botox use, and these are some of the things that seemed to make sense. But we no longer advise patients to skip their gym or pool sessions or avoid reclining.
It’s much the same with the myth about moving the muscles after treatment, making faces, to increase the effectiveness of Botox.
In 2002, in Italy they tried an experiment – 50 patients received Botox in their frown lines; half were told to vigorously make faces for several hours, the others told not to. In 3 weeks, a group of doctors could not tell the difference between the two groups.
Botox is safe, and effective, which is why it is the brand (allergan) used by most Toronto Dermatologists and Cosmetic Physicians. There are very, very few problems that can occur and the odd ones that do (like some asymmetry) are usually very simply corrected. So, don’t worry, after your treatment you can get right back to your life! Most of our patients head right back to work.
Toronto Rosacea Treatments
Is it true that to effectively treat Rosacea with laser, I must be bruised?
Many patients who visit Toronto Dermatologists and other Cosmetic physicians for treatment of Rosacea with laser worry about this. They have usually seen photos on the internet of patients who have multiple bruises on their faces after using laser. In fact, bruising is rarely, if ever needed to treat Rosacea with our VBeam Pulsed Dye laser. This laser has been in use for over 25 years and is found in major teaching hospitals around the world.
It all has to do with something called “pulse length”. This is the amount of tine the laser pulse is on, penetrating your skin. In the early days, in the 1980’s, the first lasers had fixed pulse lengths of about 45 milliseconds. That’s 45/1000’s of a second! Pretty fast. When the pulse length was that short it caused bruising, but in those early days lasers was used mostly to treat port-wine birth marks, and so patients accepted this a necessary evil.
With advancement in laser technology, the pulse lengths were widened – our laser has pulse lengths from 0.45 all the way up to 20 ms. We typically use 6 – 10 ms; at these longer pulse lengths there is no bruising, it’s just not necessary to treat Rosacea since the blood vessels are a lot finer than in port wine stains.
So, the typical patient finds after laser treatment for rosacea that their skin is flushed and warm, but that returns to normal within a few hours. Many return to work right after treatment, certainly the next day.
The only circumstances where we may need to bruise a patient is when they have large veins on the face, sometimes bruise the vessel is necessary to get quick clearance. But we always discuss that with the patient beforehand. So, don’t worry about bruising – it’s not necessary to dramatically improve your Rosacea and get back your clear skin.
Can laser cure my facial redness or Rosacea?
Unfortunately, there is no permanent cure for Rosacea currently. Many patients are disappointed by false claims made by certain spas, or on the internet, about various treatments supposedly offering permanent clearance. The reality is that Rosacea is an ongoing condition. It is a form of neo-angio-genesis, or the new formation of blood vessels. When triggered by heat, sun, alcohol, etc. the skin of the face reacts by supplying more blood to the affected area, which in turn stimulates the formation of new blood vessels. Hence, for those suffering with Rosacea, the development of redness occurs, with flushing and eventually small, visible veins.
The laser that we use is the gold standard among Toronto Dermatologists and Laser Physicians – it effectively seals off these tiny vessels that cause the redness, so that the appearance of the skin can return to normal. But it is important to avoid your triggers, so that the skin can remain free of rosacea for as long as possible. In general, patients return once every 12=18 months, but that varies. Some patients return only every 3-5 years, others every 6 months or so. For example, a patient who ran marathons, and could not avoid sun exposure (even with a 100SPF block) needs to return twice a year.
Often, we find that patients return without any visible signs of their Rosacea, but that they find the VBeam produces excellent rejuvenation and they like it for that reason. It achieves this by heating the deeper layers of the dermis, creating significant amounts of collagen, which make the skin look smoother and younger. It is our favorite laser for facial rejuvenation!
Laser Tattoo Removal
Is it harder to perform laser tattoo removal on a new tattoo?
This is a common question we get at our laser clinic in Toronto
Dermatologists and Cosmetic Physicians offer safe and effective tattoo removal, using q-switched and pico-sure type lasers. Many patients visit quite soon after getting their tattoos, we have had patients literally walk over directly from the tattoo shop, and without an appointment. Often, they feel the tattoo was too large, in the wrong location, or just did not turn out as they planned.
It is important to understand that a major factor in determining how many sessions it will take to remove a tattoo is the amount of ink present. Over time all tattoos fade, lose ink, as the body naturally breaks down and clears ink. We saw a patient with a tattoo almost 45 years old recently, and it was hardly recognizable, with over 75% faded by his own bodily clearance system.
So, the answer is typically, yes, a newer tattoo takes longer to clear with laser tattoo removal, since the newer it is the more ink will be present in a tattoo. See our blog for more information.
After getting your tattoo it is advisable to wait a minimum of 4 weeks before starting laser, as the dermis needs to heal. The surface of the skin may look fine, but underneath there is still healing going on for about a month. This is why it is important to wait before seeing any Toronto Dermatologists or Laser Doctors for treatment, although it is a good idea to get in touch for information as soon as you decide that you might want to remove your tattoo.
Laser Acne Treatment in Toronto
Can Laser really help my Acne?
Acne is the most common condition seen by Toronto Dermatologists and even Family Doctors. The first line of treatment should never be laser. Instead proper hygiene and topical medications are first used. If these prove ineffective, prescription topical medication is the next step, and possibly oral antibiotics. In severe cases Accutane can be used under the guidance of your Toronto Dermatologists.
Many patients that we see for laser treatment of acne have found that there results with standard medical treatments have not been totally satisfactory, or they do not wish to go onto Accutane. Laser, done properly can help reduce acne lesions. It is particularly effective in preventing acne scarring and reducing the post-acne redness that troubles many patients, especially those with an Asian background.
Our Doctors use several types of lasers that operate on the skin in different ways to reduce and control acne. The goal is to reduce or to be able to discontinue your medication. The Doctor will offer an honest assessment of your situation and tell you if it is a reasonable treatment for you to begin.