DAO

What is this?
Treatment for those annoying lines that become etched in around your eyes and seem to get longer and deeper year by year – crows feet!

How does this work?
By using an muscle relaxer injections we stop, or decrease the muscle depressor angulii orisor DAO, around the sides of the mouth from contracting strongly. By relaxing this muscle the skin in the area also relaxes and creases as well as downturned mouth corners are relaxed.

Will this treatment work for me?
The optimal time to start with anti wrinkle injections is when you notice the creases are still visible in the skin whilst that muscle is at rest.  These are called static lines and the deeper they become the more difficult they are to reduce.  There is, however, no need to start wrinkle relaxer injections when you only have dynamic lines (that means they completely disappear again when you are not moving the muscle) because your collagen is still strong enough to withstand the effects of permanent damage.

How long does it last?
The average treatment result lasts approximately 3-4 months from the date of treatment. There are, however, no guarantees for the longevity of the product as different people metabolise it at a different rate.  Sometimes the longevity may even vary in the same person during different periods of their life depending on things like life stressors, illness, increased/decreased exercise, medications, climate, etc.

How much product will I need?
This relates to the size of the muscle, if you have previously had a treatment, how quickly you tend to metabolise the product, your age, and if you like a very subtle change or a very smooth appearance. Men will usually require more product than women. Older people will usually require a higher dose than younger people.

What if it doesn’t work?
If your muscle turns out to be stronger than expected, it is very simple to repeat the procedure with a higher dosage of product for increased effect.  Just remember that you can always put more in, but you can’t take it out, so it is better to start with a slightly more conservative treatment and increase the dose at your follow up appointment.

Does it work straight away?
You will find that the muscle usually weakens in approximately 7-10 days but can range between 3-14 days.  After this time the corners of your mouth will lift slightly and deep creases in the corner of the mouth area will begin to soften. 

What are the possible side effects specific to this treatment?
Localised side effects include redness, swelling, tenderness, bruising. 

The depressor anguli oris or DAO muscle overlaps with the muscle depressor labii inferioris or DLI that pulls down the lower lip .  For this reason a possible side effect could be a lopsided smile if the product moves deeper into the DLI muscle one one side. This is temporary but can be avoided by using a lower starting dose in high risk people.
Please note that this is not a complete list of general side effects related to wrinkle treatment injections, but those related specific to this area being treated.  For a more complete list of side effects, please do not hesitate to contact us directly.

What happens if I don’t do it again?
If you have only had the treatment once and don’t want to repeat the anti wrinkle injections in the future, the area will return back to how it was before the treatment – generally no better and no worse.
If you have used anti wrinkle injections to the area for a few years, you may gain a longer term benefit as the collagen in the skin will not be as damaged as it would have otherwise been without wrinkle relaxers and your skin, in most cases, will remain smoother.

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