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Azzalure Question:

Dear Cosmetic Courses,

I really enjoyed Mr Adrian Richards’ presentation and the Foundation Course on Saturday . They were very good and I hope to shortly join you on the 4 hours 1-1 practical session.

I would like to ask you a question about Azzalure:

In addition to the glabellar area can Azzalure be used safely in other areas like the crow’s feet and the forehead ? If yes, how much is the recommended dose to use?

Azzalure Answer:

Thank you for your email- we are glad you enjoyed the course.

The answer to your question is yes you can use Azzalure for these areas- Mr Richards tends to use 3 units of Azzalure for each unit he would have used of Botox or Vistabel.

He finds that this a very similar effect and works well.

If you haven’t already, have a look at www.cosmetic-courses.co.uk where you should find more training material on this topic. There has recently been a Blog dealing specifically with this subject which you might also like to read.

With best wishes

The Cosmetic Courses Team.

Question:
Dear Cosmetic Courses,
Can you go on holiday to a very hot country 4 days after receiving Azzalure treatment?

The product information says to avoid direct sunlight for a week: how necessary is this and do you have any reassuring advice or tips for patients?

Cosmetic Courses Answer:
Thank you for your really good question about whether you can use Azzalure and then the patient go off on holiday.

Our general advice is that it should be absolutely fine. At Cosmetic Courses, we do get asked questions about people going up in planes following Azzalure treatment but this isn’t really a problem: lots of air stewardess’ have Botox and Dermal Filler treatments.

Regarding sunshine exposure on the small incisions where the needle went in, again we would advise that this is fine but we would advise patients to wear a Clinical-strength sunblock (Cosmetic Courses recommend the Heliocare range for maximum protection) on their face, which they should be doing anyway if they are going to a warm country.

Overall, not a problem at all performing Azzalure on people that are going abroad 4 days later: it is quite commonly performed. Sunblock is a good idea but in the first 74 hours following Azzalure treatment we encourage them to refrain from anything that raises their blood pressure too much, so travelling immediately after the injection wouldn’t be ideal.

Thanks very much for for sending in such an interesting Frequently Asked Question.

The Cosmetic Courses Team

If you are a medical professional interested in training to treat patients in Azzalure, Cosmetic Courses are one of the top UK medical aesthetic training providers. Contact us on 0845 230 4110 to discuss your training with our helpful team.

Or, if YOU have a question you would like our team of experts to answer, why not call our 24/7 Sipgate Helpline on 0870 4907385 for a personalised answer like the one above!

Question :

Dear Cosmetic Courses,

I attended your basic and advanced courses in 2005.

I recently treated a 37 year old lady using Azzalure 3 x 0.1ml (15iu in 0.1ml) bilaterally to her orbicularis occuli. I performed my usual technique, injecting into the sites I usually inject into, and making sure I did not inject too low down on orbicularis occuli.

She came for review 2 weeks later, complaining of a heaviness over her cheeks making smiling difficult, more so on the right side.

Could you advise on any intervention that may alleviate this?

I have heard of practitioners advising stimulating the muscle using an electric tooth brush?

Answer :

It does sound like some of the Azzalure may be affecting your patient’s Zygomaticus Major or Minor.

This would cause the symptoms which you describe and is usually caused by the lowest of your crows feet injections.

We have seen this once before and it was caused by Dysport- there is some evidence that Dysport and Azzalure may disperse more than Botox making side effects like these more likely.

Unfortunately, there may not be much you can now do to alleviate it other than being supportive.

The electrical toothbrush trick may work and is certainly worthwhile trying, to both muscles 3 times a day for 5 minutes.

Good luck with this case and let us know how it goes.

The Cosmetic Courses Team

Question :

Dear Cosmetic Courses,

I have just seen your video on youtube about reconstituting Azzalure and it was very helpful.

I understand the units are not the same as Botox.

Could you point me in the right direction to find what is equivalent?

I have looked at all the Azzalure literature and it looks to me that they are only promoting it for the glabellar area and therefore have only given units for that area.

I am assuming that it is fine for other areas too and wondered if you could give me any guidelines on dosage/units for other areas.

Can you also tell me where you are based.

My initial training was with another leading company. I do a lot of post graduate dental courses and feel I would have preferred a training course that was a bit more professionally presented rather than just a money making machine.

 

 

Answer :

Thanks for your question.

Azzalure,  like Vistabel,  is only licensed for use in the glabellar area.

It is, however, given in other areas – the forehead and crows feet –  like Botox and Vistabel.

I tend to make up a syringe of Azzalure with 1ml of bacteriostatic saline and use like Botox.

Azzalure comes in 125 unit vials which is roughy equivalent to 50 units of Botox or Vistabel.

I hope this helps.

Please feel free to contact us again on 0845 230 4110 if we can be of any further help. We are based at the National Cosmetic Training Centre in Princes Risborough, Buckinghamshire.

 

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