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Injectables like BOTOX® Cosmetic and dermal fillers have revolutionized the approach to the aging face.
The treatment of fine lines, deeper fixed wrinkles, the loss of volume in the cheeks and lips can be readily addressed with injectable products. These products when used judiciously in the right places in the right patients can erase years off your appearance. With the increased use of these products, the need for surgery to decrease wrinkles or address changes in facial contour is on the decline.
I get really excited about injectables. It is important to know that patients can achieve a very natural appearance and improve targeted areas of the face. While the changes are usually subtle, the overall more youthful appearance can be dramatic. I also think that along with a quality skin care regimen that injectables can maintain a more youthful appearance and prolong the need for more invasive facial rejuvenation procedures.
Injectables provide patients with a more youthful and rested appearance by improving the following conditions:
- Fine lines
- Deep lines on the forehead
- Deep creases and folds
- Shallow contours
- Recessed scars
- Thin lips
Injectable formulas are strategically injected into the targeted areas with a small needle or cannula. The injections only take a few minutes per site, and the entire treatment process is usually complete within 15 to 60 minutes.
There are various injectables available, and the ideal type for you will depend on the correction needed. During your initial consultation, your surgeon will evaluate you to determine the best injectable(s) to meet your individual needs and achieve your goals.
Made of a protein derived from botulinum toxin A, BOTOX® Cosmetic relaxes the targeted muscles and is FDA approved for treating fine lines and wrinkles, deep lines on the forehead, frown lines and furrows between the eyebrows, and crow’s feet. BOTOX® Cosmetic typically takes four to seven days for the onset to be noticeable, and the results usually last between three and six months.
In addition to cosmetic facial rejuvenation, BOTOX® is also an FDA-approved treatment for chronic migraine headaches, primary axillary hyperhidrosis (excessive underarm sweating), and an overactive bladder.
Dysport® has been FDA approved for use in the United States since 2009. Dysport® is similar to BOTOX® Cosmetic but has a slightly faster onset, with results becoming apparent in one to two days. Dysport® offers natural-looking results that last up to four months.
XEOMIN® is similar to BOTOX® Cosmetic and Dysport®, and it contains the same active ingredient – botulinum toxin A – to paralyze the muscles and smooth wrinkles. XEOMIN® is FDA approved for improving the appearance of moderate to severe glabellar wrinkles (frown lines between the eyebrows). Results from XEOMIN® typically become noticeable in three to four days and last for about three months.
An artistic eye and exquisite attention to detail.
Artefill® is a long-lasting, FDA-approved filler made with polymethylmethacrylate (PMMA) microspheres suspended in a collagen gel that plumps the skin. Artefill® also contains lidocaine for your comfort during the procedure. Once the collagen gel in the formula breaks down after a few months, the body is prompted to produce its own collagen to maintain the results, which is why this injectable is considered semi-permanent.
BELOTERO BALANCE® is a filler made of hyaluronic acid (HA), which is a natural component of your skin. This injectable binds to water and fills in and softens wrinkles and folds to immediately provide smoother skin. BELOTERO BALANCE® is FDA approved for treating moderate to severe facial wrinkles and folds, including nasolabial folds. The results from BELOTERO BALANCE® last about six months.
JUVÉDERM® XC is an FDA-approved gel filler made of hyaluronic acid that improves the appearance of moderate to severe facial wrinkles, lines, and folds around the nose and mouth and restores natural contours to the face. JUVÉDERM® XC effectively treats nasolabial folds (parentheses lines), vertical lip lines, lines at the corners of the mouth, and marionette lines. With just one treatment, the results from JUVÉDERM® XC last up to a year.
JUVÉDERM VOLBELLA® XC
JUVÉDERM VOLBELLA® XC is an FDA-approved injectable gel filler that increases fullness in the lips and softens the appearance of lines around the mouth. Results from a single treatment with JUVÉDERM VOLBELLA® XC last up to one year.
JUVÉDERM VOLUMA™ XC
JUVÉDERM VOLUMA™ XC is the first and only dermal filler made of hyaluronic acid that is FDA approved to instantly add volume to the cheek area for patients over 21 years of age. Results from JUVÉDERM VOLUMA™ XC can last up to two years.
RADIESSE® Volumizing Filler
RADIESSE® Volumizing Filler is made of calcium hydroxylapatite (CaHA) microspheres suspended in an aqueous gel that plump the skin to provide instant results. Once injected, the CaHA microspheres stimulate the natural production of collagen in the skin so that results last long after the injectable is absorbed by the body. RADIESSE® Volumizing Filler is the most common CaHA injectable formula and effectively improves the appearance of moderate to severe wrinkles and folds, including smile lines, marionette lines, lines at the corners of the mouth, hollows in the pre-jowl area, and chin wrinkles.
Restylane® is an injectable gel made of hyaluronic acid that restores volume, smooths fine lines and wrinkles, enhances facial contours, and creates fuller lips. Results from Restylane® are instant and generally last six months to a year, although some studies show that results can last up to 18 months.
Sculptra® Aesthetic is the first injectable that provides subtle, natural-looking results over time. Made from poly-L-lactic acid, this injectable works deep within the dermis to gradually replace lost collagen, improve shallow to deep nasolabial wrinkles and folds, and provide a more refined, youthful appearance. Results from Sculptra® Aesthetic can last more than two years.
KYBELLA® improves the appearance and profile of moderate to severe submental fat (fat under the chin), also known as a “double chin.” This injectable contains deoxycholic acid, which helps to destroy fat cells. Once injected under your chin, KYBELLA® destroys the fat cells, making them unable to store or accumulate fat. Depending on the amount of submental fat, up to six treatments spaced one month apart may be needed for optimal results. Further treatments will not be necessary after achieving your aesthetic goal.
I believe in treating the whole patient, and tailoring a plan to meet their needs and desires.
Will injectable treatment hurt?
Most formulas are FDA approved to be mixed with an anesthetic to reduce any potential discomfort. The skin may also be chilled, treated with a topical anesthetic ointment, or injected with an anesthetic for patient comfort.
How long is recovery after treatment?
No downtime is required after injectable treatment. However, some swelling, redness, bruising and tenderness may be present immediately after treatment and, depending on the type of injectable, may persist for a few days.
How much do injectables cost?
The price of each injectable varies depending on the formula, the number of areas treated, and the amount of correction needed.
How long will the results from injectables last?
The results of injectables vary anywhere from three months up to two years. Formulas that stimulate collagen production generally last longer.
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