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Fillers And Injectables
WHAT IS BOTOX®?
BOTOX® Cosmetic is the first and only FDA-approved prescription product that temporarily improves the appearance of both moderate to severe frown lines between the brows and moderate to severe crow’s feet in adults.
Unlike a face lift or other kind of invasive facial rejuvenation procedure, treatment takes minutes and requires zero downtime. Using a very fine needle, BOTOX® is injected into the facial muscles that are responsible for unsightly wrinkles and fine lines and relaxes the muscles. The ingredients in Botox block the signal from the nerve to the muscle, and therefore reduce it’s ability to contract, and form unsightly wrinkles.
• Treatment only takes minutes
• Smooths wrinkles in the forehead, crow’s feet, and between the eyes
• No downtime or recovery
• BOTOX® is the number one selling product of it’s kind in the world
BOTOX. ONCE YOU GET IT, YOU REALLY GET IT.
With an ultra-fine needle, Botox is injected into certain muscles responsible for making facial expressions. By relaxing these specific muscles, the wrinkle and lines they cause disappear. You’ll still be able to smile, laugh and be expressive but your skin will be smoother and your wrinkles drastically reduced. So when you think of Botox, think crow’s feet, forehead lines and angry looking creases between your eyebrows. Honestly, we love it.
SHOPPING FOR WRINKLE-RELAXERS
There are many physicians’ offices that are injecting Botox and Dysport. Why come to us?
Experience combined with artistry- You will benefit from an injectable plan designed personally for you by Shannon Fielding, RN. The injectable consultation with him is free and patients find it very helpful. It requires a unique blend of artistry and science, as well as the need to stay current. Consequently, he has trained with and observed the leaders in this field. Patients routinely comment on his caring manner and the fabulous results he is able to achieve..
Pricing that makes sense- Botox and Dysport are both distributed in a powder form intended to be mixed by the person doing the injections. Because it is expensive, variations in price can be attributed to different dilutions or the actual amounts injected. Many patients have told us they were disappointed in wrinkle-relaxing injections that were not done in our office. That’s why we will provide a courtesy follow up visit to ensure you get the results you want.
Botox is applied via a brief injection into the affected tissue. The procedure is done in the doctor’s office and the majority of patients have no problem resuming their routines immediately after the procedure. Many patients even return to work after leaving the doctor’s office!
While the area does not need to be numbed during the procedure, many patients request to have it numbed. In these cases, the doctor can apply a prescription numbing cream approximately 60 minutes prior to the procedure, or inject the area with a numbing agent. After the numbing effect is achieved, Botox is administered to the tissue via a fine needle. The Botox injection process itself is completed within a matter of minutes.
HOW DO WE DECIDE HOW MANY UNITS OF BOTOX TO USE?
First and most importantly, we sit down with you to discuss your desired results. Then we take into consideration your age, sex, and the areas that need treatment. As noted above, the number of units varies between patients and will be thoroughly explained during your consultation.
BOTOX UNIT APPROXIMATIONS
Below is a list of the approximate number of units used to treat each type of condition. *Please keep in mind that the number of units may vary depending on the age, sex, anatomy, and physiology of the individual. Results may vary. This will give you a rough idea.
Horizontal Forehead Lines: 8-16 units
Glabella or Frown Lines: 12-30 units
Lateral Brow Lift: 2-3 units
Crows Feet: 8-16 units (per side)
Bunny Lines: 3-6 units
Upper Lip Lines: 4-8 units
Masseter: 15-25 units (per side)
Chin: 4-6 units
Neck: 20-30 units
Hyperhidrosis of the Axilla: 50 units (per axilla)
Because Botox administration is non-invasive, patients are discharged shortly after the procedure is finished; there is no downtime! Some patients do experience muscle weakness temporarily and their upper eyelid muscles may droop. However, these side effects usually disappear just days after the procedure.
Botox is measured and purchased in units. It is best to always know how many units of Botox you are getting because this will determine your cost and treatment effectiveness! We do our best to use the minimum number of units to achieve subtle results. The cost of your procedure will be thoroughly explained during your consultation.
Botox is a therapeutic muscle-relaxing agent obtained from a bacterium called Clostridium Botulinum. For more than a decade, ophthalmologists have used Botox to treat blepharospasm (abnormal blinking of the eyelids). Doctors have also used Botox for many years to safely reduce the appearance of frown lines and facial wrinkles.
The movements and contractions of facial muscles are controlled by signals from our brain. Botox keeps the muscles from responding to the signals. Consequently, the muscles relax, and the skin remains smooth and unwrinkled. Botox is injected into the specific muscle that is causing facial lines and wrinkles using a very fine needle. Treatment is effective, safe and quick. It takes approximately 10 – 15 minutes. Pain is similar to a pin prick. No anesthetic is necessary. After treatment, patients can immediately resume their normal activities.
JUVADERM AND FILLERS
The Artistry of Fillers
We exclusively use fillers made from hyaluronic acid, which is a jelly-like substance naturally found in the body in the skin and also in the eyes and joints. It absorbs water like a sponge and acts like a lubricant. Here’s the key: hyaluronic acid binds with collagen to provide structure, elasticity and volume to the skin making it look fresher, healthier and better.
As your skin ages, the cells lose the ability to produce hyaluronic acid. As a result, the skin begins to lose volume, often resulting in thinning lips, facial wrinkles and folds. Hyaluronic acid dermal fillers are used to temporarily replace the lost hyaluronic acid restoring the skin’s volume with a smooth natural appearance.
Injectable fillers shape and sculpt the face from the inside to correct and contour. Injecting fillers is more of an art than a science and requires talent, practice and an extensive knowledge of facial anatomy.
Use the Right Brush
Choosing the proper filler is the source of a lot of confusion for patients. Fillers differ in formulation and consistency. Even though they are made from the same ingredient, hyaluronic acid, they don’t behave the same when injected.
Which filler to use depends on the areas of your face that you want to improve. The places where your skin is naturally thin are the places where you’ll want the thinner products. Thinner formulations are perfect for smoothing lips, as well as for under the eyes and to smooth fine, vertical lines around the mouth because they don’t absorb as much water and give a very subtle correction. For cheek volume or plumping lips, you’ll want the thicker formulations.
It’s possible to layer your fillers.
You don’t have to do everything all at once. Just like oil painters wait for their paint to dry before proceeding with fine detail, your injector may recommend more than one treatment of injectable fillers. Some of the best results come from starting with one treatment, waiting to see the results, then proceeding with the delicate blending.
Many more wrinkle fillers are awaiting approval by the FDA so it will become increasing difficult to keep them all straight. It is very important to understand that just because a filler is new, doesn’t mean that it’s better. The key is to find the right office with a great injector who has access to the latest fillers and makes recommendations based on your goals and budget.
EXPERIENCE COMBINED WITH ARTISTRY
You will benefit from an injectable plan designed personally for you. Your injectable consultation is free and our patients find it very helpful. Our staff has trained with the most renowned experts in cosmetic injectables. Patients routinely comment on their caring manner and fabulous results.
Juvederm (often misspelled Juvaderm) was approved in 2006 by the US FDA for the treatment of mild to moderate facial creases. Juvederm injections are commonly used to smooth out face wrinkles, plump lips, and treat acne scars. It can also reduce lines on the forehead and brow, plump eyebrows, fill in under-eye hollows, enhance cheek volume and jawline, soften scars, and reduce wrinkles on hands.
Juvederm is offered in different formulations, including Ultra and Ultra Plus. Juvederm Ultra is Allergan’s version of a highly linked hyaluronic acid (HA) filler that competes with Restylane; it is most frequently used to fill superficial lines and can last 8-12 months.
This is our best selling facial filler for two reasons. First, it lasts longer than other hyaluronic acid fillers. Second, it contains lidocaine so it is less painful to inject.
The hyaluronic acid in Juvederm XC is manufactured in a smooth gel versus a gel particle suspension in Restylane. This different formulation is providing a smoother, longer lasting correction than current hyaluronic acid products on the market. Even better, Juvederm XC, in conjunction with Botox, makes both products last longer.
Juvederm XC is now available in four different formulations:
- Juvederm Volbella XC is the thinnest formulation and is used to correct vertical lips lines, outline the lips and fill in hollows in the tear trough area under the eyes.
- Juvederm Ultra XC is a bit thicker than Volbella and is used for mild corrections in the nasolabial folds and for smoothing lips.
- Juvederm Ultra Plus XC has been our go-to filler for years. It has a thicker, plumping formula which is perfect for the lips.
- Juvederm Voluma XC is a formulation specifically designed to lift and add volume to the midface and cheeks.
Juvederm Voluma is the first and only HA filler cleared by the FDA to restore volume loss in the cheeks, a major factor in the aging equation. Think about it like this: Juvederm Voluma XC lifts, as opposed to the other products which fill in lines.
Volume loss in the cheeks is the major reason we lose our youthful profile when we age. Plastic surgeons have known this for decades. A well-performed facelift actually repositions the cheek fat that sags as a result of gravity over time. Just to be clear, Voluma can’t reposition cheek fat, but its thicker cross-linked formula adds volume in a way that restores a more-youthful contour to the midface (or a more pleasing Ogee curve if you speak medicalese.) So if you’re not quite ready for a facelift but have started noticing some changes, Juvederm Voluma could be just what you’re looking for.
The subtle lift achieved with Juvederm Voluma XC can make a dramatic difference. Patients surveyed in the clinical trials said they look up to 5 years younger. The best part? Juvederm Voluma XC lasts up to two years.
A side-benefit of restoring volume to the cheek area is that it can also improve wrinkles and lines in other areas of the face, particularly the nasolabial folds and around the eyes. This varies from patient to patient depending on the depth and location of the wrinkles.
It’s becoming clear that the aesthetic non-surgical field is evolving. Rather than just chasing individual wrinkles and filling them in, we can now take a more holistic approach by improving the 3-D effects of aging in the midface first and filling the rest in later. So you can see how well Juvederm Voluma works hand-in-hand with its sister product Juvederm and why we are delighted to have it in our anti-aging arsenal.
Juvederm Volbella XC
Volbella XC is a brand new filler in the Juvederm family that is specifically formulated for smoothing the fine vertical lines around your lips and mouth. Its thinner formulation is perfect for treating really fine lines and filling in the tear troughs under the eyes, but it is much longer-lasting than other thin hyaluronic acid formulations on the market.
Volbella can also be used for more precise shaping for people who want definition (similar to a lip liner), rather than fullness. Volbella will also smooth the lips or add back that natural “M” to the cupid’s bow.
There are other benefits. It helps your lipstick to look better. Why? Because Volbella smoothes those fine lines that cause lipstick bleeding or creasing.
For those looking for a natural-looking, subtle correction of fine lines, Volbella is absolutely perfect for you. There is little to no swelling with Volbella and it lasts for one full year. Like the rest of the Juvederm family, Volbella XC contains lidocaine.
*We can still get regular Dysport, Restylane, Restylane Silk, Prevelle and Belotero by special request, but we don’t carry much of it in stock. Our patients overwhelmingly prefer the Allergan Botox and Juvederm XC family of injectables and fillers because they lasts much longer.
Submental fullness, sometimes referred to as “double chin”, is a common yet under-treated facial aesthetic condition. It can impact a broad range of adults, including both men and women, and can be influenced by several factors such as aging, genetics and weight gain, and is often resistant to diet and exercise alone.
If you’re bothered by submental fullness, you’re not alone. According to a recent survey conducted by the American Society for Dermatologic Surgery (ASDS) 67% of people said they’re bothered by under-the-chin fullness, or double chin.
KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that contours and improves the appearance of submental fullness, sometimes referred to as “double chin”.
KYBELLA® is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat in adults.
Call us today for a free consultation and see if Kybella is right for you.
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