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Dermal fillers Restylane is the most well known dermal fillers in the United States, known for its safety, efficacy and longstanding results. Restylane is made out of Hyaluronic acid which closely resembles the same substance that occurs naturally in the body. By replenishing the level of Hyaluronic acid in the skin, fillers can immediately soften lines and wrinkles seen with aging (such as the nasolabial folds) and enhance natural features such as the lips or cheeks. Restylane is injected with a very fine needle during a comfortable procedure that requires no downtime. Because Restylane does not contain any animal-derived ingredients, no skin test is required. Results are immediate and one should expect to leave the office with natural appearing, softer facial contours and a revitalized appearance. What areas can be treated? Restylane treatments can be used to smooth out facial lines, create fuller lips(see Lip Augmentation) and shape facial contours, such as cheeks and chin. It is a subtle approach to enhancing looks naturally. The most common uses of Restylane are:
How long does it take to see the results and how long does the Restylane treatment effect last? The beneficial effects of Restylane are noticed immediately and actually improve over the first weeks as the product absorbs water. One of the great advantages of RESTYLANE is that the effects are long lasting but not permanent. You are always in control of your looks. Lip enhancement: follow-up treatment is normally needed in about 6 months. Duration depends on many factors, such as skin type, lifestyle, age, the degree of perfection demanded by the patient and the injection technique of the practitioner. Facial lines and facial shaping follow-up treatments are usually needed after 6-9 months whereas lip enhancement results last about 6 months. Part of what determines the longevity is whether enough volume is used initially to correct the volume defect. Ideal results may require more than one syringe of Restylane. Do Restylane treatments hurt? Restylane injections are well tolerated. For patients that desire it, a topical anesthetic can be used. For areas like the lips, local anesthetic injections like at the dentist, are used to numb the treatment area. Is there any downtime with Restylane? You may notice slight swelling, redness or bruising following Restylane injections, not unlike any other injection. When they occur, these effects are temporary and don’t generally interfere with any activities. With lip enhancement, the swelling may last a few days so chosen a good time for this treatment is advised. Longer periods of inflammation and swelling are quite rare. It is advisable to avoid sunbathing, exercise, alcohol and cold outdoor activities for six hours after treatment. Are there situations where Restylane or other fillers should be avoided? Restylane should not be used in areas of active skin infection, including herpes outbreaks. Restylane hasn’t been tested in pregnant or breast-feeding women. Why should I choose the physicians of D&A to undergo filler injections? The physicians of D&A are quite experienced at performing filler injections and these are one of the most common procedures performed at our facility. Because D&A offer all FDA approved fillers the physicians are able to tailor the treatment to your needs. The products utilized include Restylane, Juvederm, Perlane, Juvederm Ultra Plus and Radiesse. The physicians will discuss the specific advantages and uses of each of these products and work together with you to decide the best treatment option. Decisions are based on depth of creases, location to be used, longevity, cost as well as other factors. There are no consultation, facility or procedure fees added on to the cost of the filler at D&A and this represents a cost savings for our patients. In addition, if more than one syringe of filler is needed, the cost for additional syringes is less. What should I do prior to treatment? For a one week period before injections, It is advisable to avoid taking St. John’s wart, high doses of vitamin E, aspirin, advil, nuprin and any other agents that can increase bruising. If you are prone to cold sores we may want to institute antiviral therapy before injecting the lips. What would I do in the unlikely event that I wasn’t happy with the results? The most common reason for disappointment with filler injections is inadequate volume being utilized. It may take more than one syringe of Restylane to fully correct the defect being treated. In the scenario of an undercorrection, further injections will offer additional improvement. In the rare case of overcorrection, time is the best healer. Since Restylane® is gradually absorbed by the body, the extra volume will gradually fade away. What happens if I discontinue Restylane® treatment? Medically, there is no reason why Restylane® use cannot be terminated at any time. Recent studies have established the fact that in addition to replenishing lost volume in the skin. Filler injections actually cause collagen synthesis in the body as well. Can Restylane be used with BOTOX Cosmetic, lasers or with other dermal fillers? It is very common to combine dermal filler injections such as Restylane with other aesthetic treatments including BOTOX Cosmetic, laser resurfacing or other fillers. The synergy obtained by combining aesthetic treatments can be quite remarkable. Many of these treatments can be performed on the same day for your convenience. The comprehensive array of aesthetic treatments offered at D&A affords you the opportunity to receive the most cutting edge therapies customized to your needs. What is the difference between Restylane and Perlane? Perlane® contains a larger concentration of the active ingredient, hyaluronic acid. Because of this higher concentration of hyaluronic acid, Perlane® is usually used for deeper and larger folds, while Restylane® is better suited for smaller wrinkles or to maintain the results of a previous Perlane® injection. Juvederm® Juvederm Ultra™ and Juvederm Ultra Plus (Juvederm) are non-animal derived dermal fillers consisting of a smooth gel that when injected help to instantly restore your skin's volume and smooth away facial wrinkles and folds such as the nasolabial folds—the creases that run from the bottom of the nose to the corners of the mouth). Juvederm is made of Hyaluronic acid, a naturally occurring substance in the body that helps to hydrate and add volume to the skin. The hyaluronic acid in Juvederm supplements the body’s natural supply of this substance. Filler injections represent the fastest growing non-surgical aesthetic procedures in the United States. There are many different types of fillers and each has its particular benefits, advantages and use. A physician who is experienced and competent in injecting a variety of different fillers will be better able to tailor a treatment to your needs.Juvederm comes in two formulations, Juvederm Ultra and Ultra Plus. The latter formulation is more robust, giving us the ability to better treat deeper folds and wrinkles. It may last a bit longer as well. What areas can be treated with Juvederm? Juvederm™' injectable gel will help to smooth moderate to severe facial wrinkles and folds and create fuller lips (see Lip Augmentation). The most common uses for Juvederm include:
It takes about 15-20 minutes to perform Juvederm injections. The results are immediate and actually improve over the following week. What makes Juvederm™ different than other dermal fillers? Juvederm™ has a high concentration of cross-linked hyaluronic acid that is responsible for the longevity of results. Because the gel is smooth in consistency, this provides for a natural feel in the skin. How long do the results last? The FDA recently cleared Juvederm for longevity of one year. Some individuals may find the result begins to wane after about six months and additional treatment would be required. Part of what determines the longevity is whether sufficient volume was used initially to correct the volume defect. Ideal results may require using more than one syringe of Juvederm. For budgetary reasons sometimes only one syringe is utilized initially with the understanding that the results of the first treatment will not last as they would otherwise. To maintain the ideal result it may only take one syringe in the future. How is Juvederm™ different from BOTOX® Cosmetic? Juvéderm™ is used to treat wrinkles and folds resulting from a loss of volume beneath the surface of the skin such as in the nasolabial folds. BOTOX® Cosmetic relaxes muscle activity and is used to treat moderate to severe lines caused by repetitive muscle activity. Common areas where BOTOX Cosmetic is used includes the area between the eyebrows (the glabellar area), crows feet region and in the forehead. It is very common for Juvederm and BOTOX Cosmetic to be used in combination for long lasting, exciting results. Is treatment with Juvederm™ injectable gel painful and is downtime required after treatment? Juvederm injections are tolerated quite well. Some patient’s desire pre-treatment with topical anesthetic. For lip enhancement we recommend local anesthetic injections similar to what a dentist provides. There is no discomfort after the procedure. If there is mild swelling or bruising, this is generally short lived. What are the possible side effects of JUVÉDERM™? Most side effects are mild in nature, and their duration is short lasting (5 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as: redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection. Complications are very rare with Juvederm. What are the pretreatment recommendations? For a one week period before injections, we suggest avoiding St. John’s wart, high doses of vitamin E, aspirin (unless prescribed by physician), advil, nuprin and other agents that can increase bruising. If you are prone to cold sores we may want to institute antiviral therapy such as Famvir or Valtrex. There is no pre-treatment allergy skin test required before the use of Juvederm. Can people with different skin tones/colors be treated with JUVÉDERM™? Yes. In fact, Juvéderm™ injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with Juvéderm™ showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color. Why should I choose the physicians of D&A to undergo filler injections? Dermal filler injections are one of the most common procedures performed at D&A. We utilize all of the FDA approved fillers and are thus able to tailor a treatment to your needs. Some of the fillers offered include Restylane, Juvederm, Perlane, Juvederm Ultra Plus, Radiesse. The physicians will discuss the specific advantages and uses of each of these products and work together with you to decide the best treatment option. The filler to be utilized for you will be based on depth of creases, location to be used, longevity, cost as well as other factors. Perlane® Perlane® is injectable cosmetic dermal filler that has been used to soften wrinkles and facial folds of patients across the world. It is also popular filler for lip augmentation, facial depressions, and facial scarring. It has been used worldwide since 2000 and received FDA clearance in 2007. Perlane® is made from a non-animal derived hyaluronic acid gel. Since hyaluronic acid is a natural substance found in the skin and other tissue, there is no need for a skin test when using Perlane. The hyaluronic acid in Perlane® supplements the body’s natural supply, which becomes depleted with age. Perlane® is biodegradable so its effects are not permanent. The results of a Perlane® filler treatment tend to last six months to a year. This is much longer than the typical results of collagen injections which may only last three to six months. What Areas of the Face Can Be Treated with Perlane®? The hyaluronic acid in Perlane® can be used to improve the contour of facial skin and to reduce wrinkles, folds, scars, and other facial skin depressions. It is used in both sexes. Common uses for Perlane® filler include:
Other uses for Perlane® filler include:
What is difference between Restylane®, Perlane® and Collagen injections? Perlane is very similar to Restylane but it contains a larger concentration of hyaluronic acid and for this reason Perlane® is often usually used for larger and deeper folds while Restylane® is better suited for smaller wrinkles or to maintain the results of a previous Perlane® injection. Restylane is somewhat less expensive than Perlane. Collagen injections, once very popular, are now becoming obsolete due to the availability of better, safer and longer lasting products such as Perlane, Restylane, Juvederm and Radiesse. How long does it take to see results and how long does Perlane last? Results are immediately noticeable and actually improve over the first week after treatment. The longevity of results vary, depending on the area on the face it is being used and other factors but the cosmetic benefits of Perlane are expected to last between 6 and 9 months, and sometimes longer before additional treatments are required. To achieve ideal results and maximum longevity it is important to use an ample amount of filler during the initial treatment phase. Sometimes more than one syringe is necessary. Can Perlane be used with BOTOX Cosmetic, lasers or with other dermal fillers? It is very common to combine dermal filler injections such as Perlane with other aesthetic treatments including BOTOX Cosmetic, laser resurfacing or other fillers. The synergy obtained by combining aesthetic treatments can be quite remarkable. Many of these treatments can be performed on the same day for your convenience. The comprehensive array of aesthetic treatments offered at Reflections affords you the opportunity to receive the most cutting edge therapies customized to your needs. Are treatments painful and what can I expect afterwards? Are there side effects? Anything special to know beforehand? Perlane injections are provided thru ultra-fine needles and the process is well tolerated Most treatments take about 20-30 minutes to complete and can be done without any anesthetic, but a topical anesthetic cream can be utilized beforehand if requested. Patients may notice mild swelling or bruising after the treatment and these effects will subside on their own. You should avoid exposure the treated areas to excessive sun or UV lamps or extreme cold until any redness or swelling has resolved. Complications from Perlane are rare. It is recommended to avoid taking aspirin (unless medically indicated), ibuprofen, St. John’s wort and high doses of vitamin E for a week before treatment to decrease the risk of bruising at the site of injections. Perlane should not be used in areas of active skin infection, including herpes outbreaks. Perlane hasn’t been tested in pregnant or breast-feeding women. Why come to D&A for Perlane injections? The physicians of D&A are quite experienced at performing filler injections. Because we offer all of the FDA approved fillers the physicians are able to tailor the treatment to your needs. The products utilized include Restylane, Juvederm, Perlane, Juvederm Ultra Plus, Radiesse. The physicians will discuss the specific advantages and uses of each of these products and work together with you to decide the best treatment option. Decisions are based on depth of creases, location to be used, longevity, cost as well as other factors. There are no consultation, facility or procedure fees added on to the cost of the filler at D&A and this represents a cost savings for our patients. In addition, if more than one syringe of filler is needed, the cost for additional syringes is less. Radiesse Radiesse is safe and effective, next generation dermal filler used for the correction of facial lines, wrinkles and folds, as well as facial contouring, It provides more longevity than any of the other leading dermal fillers on the market today. Radiesse is FDA approved for cosmetic use and is well known for immediate satisfaction and long term results. Radiesse is made of unique calcium-based microspheres that are suspended in a natural gel that is injected into the skin during a minimally invasive procedure. For the first three months after injection, Radiesse acts as a typical filler substance by ‘filling’ lines and wrinkles and plumping up the skin. Then due to its unique collagen-generating properties, Radiesse actually stimulates new tissue development for extended correction for up an additional year. Radiesse is respected for its durability, longevity, and versatility. Why have fillers become so popular? Over time, tissue volume in the face diminishes, leaving what is commonly seen as lines and wrinkles, including the deepening of nasolabial folds, accentuated smile lines (sometimes called “marionette lines”), fallen cheek pads and sagging jaw lines. In the hands of an experienced practitioner, filler injections can give you a dramatic, but natural looking result and a fresh, revitalized appearance-that still looks like you!. What can Radiesse are used for?
How soon can I expect to see results? How long will the results last? The results from Radiesse injections are immediate. Radiesse then continues to produce results as it stimulates the body to produce new collagen. The aesthetic benefits from Radiesse last for a total of 12-15 months, longer than other leading cosmetic dermal filler, saving you time and money. Since the longevity is determined by a number of factors, the physicians will be able to give you more specific expectations at time of consultation. How does Radiesse work? Radiesse works below the skin’s surface. Tiny calcium-based microspheres form a “scaffold” to support and stimulate the growth of your own collagen to create a natural, full, youthful look. Radiesse does more than just temporarily fill-in facial lines and wrinkles - it rebuilds your skin’s foundation, without the risks associated with permanent fillers. What are the benefits and drawbacks of Radiesse compared to other fillers? The unique composition of Radiesse provides immediate visual improvement and the benefit of long-lasting results due to its ability to generate collagen in the skin. It is probably the most cost effective filler and the ideal choice for facial shaping and contouring. Compared to other dermal fillers this filler requires more expertise to inject so look for a provider that uses this product regularly. We do see a bit more swelling right after Radiesse injections compared to other dermal fillers, though this generally resolves on its own in about 1-2 days. The injection process also tends to be a bit more uncomfortable, though the application of a topical anesthetic to the skin beforehand helps greatly. Radiesse cannot be used in the lips or in the frown area. Is Radiesse permanent? Treatment results are relatively long-lasting, but not permanent. Over time the tiny calcium-based microspheres gradually break down into basic calcium and phosphate ions which are safely and naturally absorbed into your body, leaving your own collagen in their place. How is a Radiesse treatment performed? Is downtime required? After a complete evaluation and discussion, pre-treatment photos are obtained and the skin is numbed with a topical anesthetic. Radiesse is then injected into the skin using ultra-fine needles during a procedure that takes approximately 20-30 minutes. We apply some ice at the office and you leave ready to resume your day. Little or no downtime is expected after Radiesse injections. It is suggested to avoid intense sun exposure, extremes of cold and exercise for 24 hours. If any lumpiness is detected after 2-3 days, it is recommended that you return to the office for evaluation. Could I have an allergic reaction or other side effects from Radiesse? Radiesse is biocompatible, meaning there is virtually no risk of an allergic reaction. You do not need to undergo skin allergy testing, common for certain animal-based or permanent filler agents. Normal, injection-related reactions such as mild irritation, edema, swelling, itching, discoloration, or tenderness at the injection site may occur. These conditions typically resolve on their own within one to two days. What should I do prior to treatment? For a one week period before injections, one should avoid taking St. John’s wart, high doses of vitamin E, aspirin, Advil, Nuprin and any other agents that can increase bruising. Why choose the physicians of D&A for filler injections? The physicians of D&A are quite experienced at performing filler injections and utilize all available FDA approved products. With the complete array of fillers to choose from, they are able to tailor a treatment to your needs. The choices of fillers include Radiesse, Restylane, Juvederm, Perlane, Juvederm Ultra Plus. The physicians will discuss the specific advantages and uses of each of these products and work together with you to decide the best treatment option. Decisions are based on depth of creases, location to be used, longevity, cost as well as other factors. There are no consultation, facility or procedure fees added to the cost of the filler at Reflections and this represents a cost savings for our patients. In addition, if more than one syringe of filler is needed, the cost for additional syringes is discounted. Can Radiesse be used with BOTOX Cosmetic, lasers or with other dermal fillers? It is very common to combine dermal filler injections like Radiesse with other aesthetic treatments including BOTOX Cosmetic, laser resurfacing or other fillers. The synergy obtained by combining aesthetic treatments can be quite remarkable. Many of these treatments can be performed on the same day for your convenience. The comprehensive array of aesthetic treatments offered at D&A affords you the opportunity to receive the most cutting edge therapies customized to your needs. |
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