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The business of beauty, who is behind the growing NZ Botox® industry? her advertorial Your Party Secret FOR A QUICK MAKEOVER that leaves you feeling more confident and a noticeable difference to your appearance, nothing beats Botox®. The appointments are quick and relatively painless, with the use of tiny needles, it's no wonder that the industry has grown rapidly since its introduction to the beauty arena in the mid 1990's. Caci Clinic founder & cosmetic nurse specialist, Jackie Smith has been administering and using Botox® since its introduction, and has seen the popularity of the prescription medicine grow. In the last three years alone, Caci has treated over 8,845 women and administered nearly 30,000 Botox® treatments, making Caci one of the largest providers in the Southern Hemisphere. Today Botox® is not just for stereotypical "well-off housewives". 92 percent of Caci's clients are in some form of employment, with many in office and administration roles throughout the country, the average age of clients is 43-years-old, ranging from their 20's up to their late 60's. We asked Jackie Smith from Caci what questions you should ask at your first consultation when choosing a provider. 1. How often do you work with Botox® Cosmetic? Will you yourself be administering the injections? What are your certifications? Don't be afraid to ask this question. The procedure should be one that the treatment provider performs regularly. For the best results make sure a certified and experienced medical professional will be handling your procedure. Trained and Certified Botox® treatment providers have detailed knowledge of facial anatomy. 2. Am I a good candidate? Be sure your Botox® treatment provider knows everything about your medical history, including any prescription or over- the-counter medication and supplements you're taking; if you're pregnant, trying to conceive, or breastfeeding; and any known allergies. People with neuromuscular disorders have an increased risk of side-effects. 3. What kind of results can I expect? Normally you will start seeing results within a few days, which will continue improving; typically it takes between 2 and 14 days for Botox® to take full effect. The results generally last for up to 4 months. Ask your medical professional to show you before/after photos and discuss what you should realistically expect. 4. How do I prepare for the procedure? Most medical professionals will recommend that you avoid alcohol and any anti-inflammatory drugs for a week before the procedure. Also, if any infection develops in the area that will be injected you should postpone the procedure until it clears up since this can increase your susceptibility to side effects. 5. What should I expect on the day of the procedure? The procedure usually takes about 10 minutes and doesn't require any anaesthesia; however some treatment providers may numb the area with a cold pack before injecting it several times with the Botox®. Knowing your medical professional's process will make you more comfortable. 6. What is the recovery time? Possible risks and side effects? And how often have you encountered them? While the risks involved in most cosmetic procedures are minimal, there are risks. Potential complications should be discussed before any cosmetic procedure. While many cosmetic procedures have become less invasive and require less downtime, clients should know what to expect post- treatment. After Botox® it is common to experience temporary swelling, redness, nausea, along with some pain, inflammation, swelling, or minor bleeding and bruising at the injection site. A less common side effect is temporary eyelid droop. While the chances of serious reactions are minimal, Botox® is a toxin and the risk is there. Be sure you understand when, and how, you should seek medical attention if needed. 7. How many units will I get? What is the cost of the treatment? Do you charge by the unit or injection? What will you do if I'm not satisfied with the results? Before scheduling the procedure find out the costs and how payment will be required. Botox® is not inexpensive; you should feel comfortable discussing what you're paying for with your treatment provider. While your treatment provider will make the best decision regarding the units and injection pattern that's best for you, they should be forthright about what they are doing. 8. May I see "before" and "after" photographs of people you have treated with this procedure(s)? Your treatment provider should be willing to share their results through photographs or referrals. If they are hesitant to do so, find one who will. 9. How long will the results last? Most cosmetic results are not permanent. However lifestyle choices and overall health can shorten the length of time that you see the results, there are general guidelines. For example, Botox® rejuvenation tends to last approximately 3 to 4 months. 10. What follow-up care is included? Follow-up care is an important part of any cosmetic procedure. Be wary of undergoing any treatment that does not include adequate follow-up care. For example, cosmetic procedures performed overseas often cannot offer follow-up care due to the amount of time that the patient will be in the country. Infection is a complication seen in patients who travel overseas for cosmetic surgery. Call Caci for a complementary, no obligation consultation on 0800 544 577 or visit caci.co.nz for more details and locations. Botox® is a Prescription Medicine containing 100 units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines and associated "crows feet" around the eyes. It should only be administered by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Cautions: people with defective neuro-muscular transmission disorders, presence of infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, pain, burning or redness at injection site, local muscle weakness including drooping eye lids, lack of feeling and nausea. If you have side effects or concerns speak to your doctor. A charge applies. Botox® treatment lasts about four months and after this time further courses of treatment may be necessary. Allergan Pharmaceuticals, Auckland. NZ 5361