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Cosmetic surgeon Dr Michael Prager shares his secrets about botox and dermal fillers - from tips for first time users to why we shouldn't fear the horror stories. He discusses medical benefits and migraine treatments, as well as his own hilarious botox disasters. See more in HELLO! Magazine, on sale now.

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Transcript
00:01Hello, my name is Michael Prager. I am a cosmetic doctor. I live and work in London from 25 Humboldt
00:06Street.
00:07I just see the Botox more almost as a medical treatment because if somebody has a big frown line,
00:14then more than likely they have headaches, tension, other effects that we can really reduce and improve their well-being
00:22a lot with the Botox.
00:23So, from that point of view, we are not so focused on the cosmetic. We are actually focused on the
00:28usable effect of the Botox.
00:30And there is a lot of those. I think we focused for too long on the cosmetic side only, which
00:36gave the whole branch and medsing a bit of a bad reputation,
00:42I believe, because if practitioners give people what they want, then it's a bit like MTV.
00:49It's not necessarily improving the quality of the treatments. So now, migraine, for instance.
00:57Initially, no one would have thought that Botox works for migraine, but the Botox patients came back after three to
01:05four months and said,
01:06Ooh, my migraine is so much better. Can you do this again? And same with, for instance, mood, depression, overall
01:15well-being and the way people feel.
01:17So, I think a lot of my patients come back because they actually like the way the Botox makes them
01:22feel, rather the way it makes them look.
01:25There is not one spot in a patient's body that I would have injected without having mine. I injected myself
01:31there first.
01:32But, yeah, I started in 2000, 2001, and 2002 Christmas, for instance, I did what a lot of celebrities and
01:43a lot of people out there most probably associate,
01:45or are associated with a bad Botox. I overdid it and my smile was rather strange. The same I did
01:52to my then girlfriend, Christina, now my wife.
01:56So, both of us looked really stupid for Christmas because I had the idea of doing Botox here and here,
02:02and it affects the smile.
02:04So, when you smile like this, it's a nice smile. When you do Botox here and here, in abundance, then
02:12the smile becomes rather like this.
02:15And I even had a magazine shoot at the time. So, in that article, it looked rather strange.
02:21And Christmas, my mother said, when I went home there, she said, I don't know, this London is not good
02:26for you.
02:26You can't even smile anymore. Of course I couldn't, but it did wear off service line.
02:31First of all, you have to be clear on your indication. What is it that you want?
02:36Botox is not really a treatment for facial lines, and that was the mistake in the past.
02:42People did for too long. It treats muscle movement. So, if you are a compulsive browner, or if you are
02:50a grinder,
02:50or if you have any sort of excessive tension, that would be a Botox streamer.
02:56If you are tempted to use thermal fillers as well, just use those that are FDA approved, and there is
03:04only, I think, eight of those.
03:05And don't even think about having a practitioner inject you with anything that is CE marked only, because that is
03:14trouble.
03:15So, safety first, FDA approval, a good thing. Not to forget, you can see our exclusive Hello Photoshoot in this
03:23week's issue on Monday.
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