Nishtha Wellness

Botox & Fillers

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The deep wrinkles that develop on the forehead between the eyebrows and around the eyes (Crow’s Feet) are caused by the hyperactive underlying muscles. Injection of Botox causes short term paralysis of these muscles. This results in to flattening of the wrinkles.


Hair is often referred to as the “CROWNING GLORY”. Hair fall, a receding hairline or significant hair loss is not just a “physical” issue. It also affects the confidence and self-esteem of the individual irrespective of gender and age.

Dr Hiren Bhatt, Vadodara’s most trusted Plastic Surgeon who is also the founder of Nishtha Wellness offers Hair Transplant Surgery as a proven solution to permanently defeat the problem of significant hair loss. Dr Hiren Bhatt is a skilled  Plastic Surgeon who can perform both FUT (Follicular Unit Transplant) and FUE (Follicular Unit Extraction) Hair Transplant with precision. 

What changes are seen in skin when we age?

Hyaluronic acid is a complex substance that is naturally seen in our skin and under it. When we age, hyaluronic acid content reduces. This reduces the capacity of the skin to remain moist and supple. Skin loses the glow and becomes dry. It also becomes loose and lax.

What is botox?

Botox is a trade name for botulinum toxin A.  Botox is in use in the treatment of many neuromuscular conditions for last 15 years.


How does Botox remove wrinkles?

The deep wrinkles that develop on the forehead between the eyebrows and around the eyes (Crow’s Feet) are caused by the hyperactive underlying muscles. Injection of Botox causes short term paralysis of these muscles. This results in to flattening of the wrinkles. USFDA approved the use of Botox for this purpose only in 2002.

Which areas of face can be treated by Botox injection?

Botox can be used to treat mainly frown lines, crow’s feet, forehead lines, laugh lines and in some selected cases in treatment of bands on the neck and lips.

What does the doctor do in the procedure of Botox?

Botox injection is an easy, simple, quick procedure. Injections are giving with very fine needles in the muscles of the area to be treated.

Are the injections painful of Botox?

Most patients find the injections tolerable. They find the injections less painful than injections taken on the arms or buttocks.  If someone is very apprehensive, the doctor may advise use of local anesthetic cream like PRILOX.

When can I get back to the routine after Botox?

You can join the routine immediately after the procedure is over. Procedure is over

When the effect of Botox will be visible?

The effect of the injection can be seen from 4th – 5th day. The effect continues to improve till 3rdweek. However, some patient may require an additional minor booster dose at the end of 2 weeks.

What is the duration of the results of Botox?

On an average the result lasts for about 5 – 6 months. The procedure needs to be repeated thereafter. The duration of result may increase with repeated injections in some patients. It has also been observed that the male patients may need injections more frequently.

Are there any side effects of Botox?

Most of the patients do not develop any side effects. Incidence of the side effect is very rare. They may be like, flu like syndrome, respiratory infection and temporary weakness of eyelid muscles. All these are reversible.

Are there any contraindications regarding Botox?

Yes, Botox can not be used in following condition.

  • Pregnancy
  • Breast Feeding
  • Myaesthenia Gravis
  • Eaton Lambert Disease
  • Amyotropic Lateral Sclerosis

What are Fillers?

Fillers such as Juvederm and Restylane contain Hyaluronic Acid. When injected under skin, they help to regain the glow and beauty and take care of hollows and wrinkles. Hyaluronic acid fillers are the safest fillers with minimal or no side effects.

What are the indications of fillers?

  • Smoothening nasolabial fold for a youthful look.
  • Shaping the lips and making them look voluminous
  • Getting rid of fine lines around lips
  • Smoothening of skin under eyes to get rid of the sunken hollow looks
  • Plump up the hollow cheeks
  • Take care of marionette lines (The line extending from lip to chin)

How long does the procedure of Fillers take?

The procedure takes about 30-45 minutes

How long The does it take to show the results using Fillers?

The results of fillers treatment are almost immediate. The best will be visible after 48 hours

How long does the effect last after Fillers?

On an average the results lasts for 18-24 months. The results may last longer or shorter depending on:

  • Your age
  • Your physiology
  • Your lifestyle (Smoking and exposure to sun reduces the duration)
  • Amount injected and injection technique.
Dr Hiren Bhatt ensures that none of these risks turns into a reality for his patients. He prioritises the safety of the patient above all else.

What is the treatment like of Fillers?

When you approach Dr. Hiren Bhatt for Fillers injection, you will be consulted about the need, type of the fillers to be used and other details. On the day of treatment, you will sign a consent form. The area of treatment will be covered with local anesthetic cream that will numb your skin. After 20-25 minutes, the actual process of injection will start. The pain will be much less than the routine injection taken in