Renowned Miami Plastic Surgeon Condemns Botox and Dysport use for Wrinkle Treatments

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Dr. Rian A. Maercks, the celebrated plastic surgeon of The Maercks Institute, released a new blog detailing why he feels that Botox and Dysport should never be used for their primary FDA approved indication, the treatment of wrinkles. The blog is delivered as an informal first person interaction that leaves the reader wondering why anyone woulld ever use neuromodulators to treat wrinkles

It is always best to treat the causative agent of any problem. Neuromodulators only poorly disguise the problem. They do not treat the cause of wrinkles and commonly they cause additional aesthetic problems."

Dr. Rian A. Maercks, known for his uniquely insightful and unconventional teachings and techniques in plastic surgery, has released a blog explaining why he often refuses to use Botox or Dysport to treat wrinkles( http://www.rianmaercksmd.com/blog/ ). The doctor explains "It is always best to treat the causative agent of any problem. Neuromodulators only poorly disguise the problem. They do not treat the cause of wrinkles and commonly they cause additional aesthetic problems."

In this short educational blog, Dr. Maercks explains that both of the drugs are wonderful agents for proper indications such as head and neck pain, migranes, facial palsies and muscular balancing, they are just horrible aesthetic interventions according to Maercks.

"Muscular tone, fullness and expressivity characterize a youthful beautiful face. It is in part because of this fullness that young people do not have wrinkles." Dr. Maercks explains that it simply does not make sense to reduce muscular tone in an already attenuated muscle to hide the fact that skin and soft tissue have atrophied, the true cause of wrinkles. The blog also warns us of a strange whimsical look that neuromodulators create by causing an artificial separation and flattening of the brow.

In the end Dr. Maercks makes a simple financial calcualtion that explains the horrible cost effectiveness of neuromdulators compared with treating the real problem : soft tissue fill. Dr. Maercks, a long time advocate of "Aesthetic Facial Balancing" over wrinkle or other focal treatment warns us to avoid focusing on specific wrinkles and to rather "look at the forest."

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