Cosmetic Surgery in San Diego

Moradi M.D. - Plastic & Cosmetic Surgery Blog

Tuesday, June 23, 2009

Medicis® Begins Shipping Dysport(TM) for Glabellar Lines

On June 15th of 2009 Medicis® began it first shipment of Dysport™ to the physicians in the US. Dr. Moradi at Face Beautiful had been previewed to the FDA studies on Dysport™ during a special meeting in December of last year.

DYSPORT™ is an acetylcholine release inhibitor and a neuromuscular blocking agent, approved by the U.S. Food and Drug Administration (FDA) in late April 2009. The approval included two separate indications, the treatment of cervical dystonia in adults to reduce the severity of abnormal head position and neck pain, and the temporary improvement in the appearance of moderate to severe glabellar lines in adults younger than 65 years of age. Medicis® has rights to market DYSPORT™ in the United States for the aesthetic indication (glabellar line)

According to the American Society for Aesthetic Plastic Surgery, over 10 million cosmetic procedures were performed in the U.S. in 2008, 83% of which represented nonsurgical procedures. Injections of botulinum toxin type A have been the number one nonsurgical cosmetic procedure for the past five years, with over 2.4 million total procedures in 2008 alone.(1) The U.S. aesthetic market for botulinum toxin type A is estimated to be approximately $300 million to $400 million.(2)

DYSPORT™ Important Safety Information

The effects of DYSPORT™ and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening, and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults, particularly in those patients who have underlying conditions that would predispose them to these symptoms.

The dosing units of DYSPORT™ are not the same as and are not interchangeable with those of other botulinum toxin products.
Recommended dose and frequency of administration should not be exceeded.
Caution should be exercised when administering DYSPORT™ to patients with surgical alterations to the facial anatomy, marked facial asymmetry, inflammation at the injection site(s), ptosis, excessive dermatochalasis, deep dermal scarring or thick sebaceous skin.
The clinical effects of treatment may be exacerbated in patients with neuromuscular disorders.

DYSPORT™ is contraindicated in patients with infection at the proposed injection site, an allergy to cow's-milk protein or a known hypersensitivity to any botulinum toxin product or its components.

DYSPORT™ is not recommended for use in children or pregnant women.

In clinical studies, the most frequently reported adverse events (> or = 2%) were nasopharyngitis, headache, injection site pain, injection site reaction, upper respiratory tract infection, eyelid edema, eyelid ptosis, sinusitis and nausea.

To view the Full Prescribing Information and Patient Medication Guide, visit www.DysportUSA.com.
To report SUSPECTED ADVERSE REACTIONS, call 1-877-397-7671 or FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

About DYSPORT™ (abobotulinumtoxinA)
The active substance in DYSPORT™ is a botulinum neurotoxin type A complex, which acts at the level of the neuromuscular junction in the targeted muscle. DYSPORT™ is a neuromuscular blocking toxin which acts to block acetylcholine release at motor nerve ends and reduces muscular spasm.

Used in patient care in the United Kingdom since 1991, DYSPORT™ has marketing authorizations in 76 countries for therapeutic use and in 27 countries for aesthetic use.

DYSPORT™ was initially developed and subsequently approved in many markets around the world, outside the U.S., for the treatment of movement disorders such as cervical dystonia (spasmodic torticollis), blepharospasm (involuntary eye closure), hemifacial spasm and various forms of muscle spasticity, including post-stroke arm spasticity, spasticity of the lower limbs (calf) in adults and children with cerebral palsy. It was later developed for the treatment of a wide variety of neuromuscular disorders and aesthetic medicine.

Monday, June 15, 2009

Botox for Excessive Sweating

Botox® for Excessive sweating or Hyperhydrosis of Underarms and Palms

Botox® has been proven effective and approved by the FDA for treatment of excessive sweating. Excessive sweating or Hyperhydrosis is a condition where the sweat glands are over active leading to wet underarms or palms. Botox® can be injected in those areas to reduce the production of seat for a period of about 6-9 months. Many individuals are embarrassed by this condition and look for treatments to improve that.

Below is an outline of a 52 week study using Botox® for excessive sweating?



*Results from a 52-week, randomized, multicenter, double-blind, placebo-controlled study of 322 patients.
*Patients who showed ≥2-grade HDSS improvement from baseline value 4 weeks after both of the first 2 treatment sessions or had a sustained response after treatment 1 and did not receive treatment 2 during the study 1
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