Why Fillers?

Over time the skin can lose elasticity causing deep facial lines or folds. Juvéderm Ultra XC is a hyaluronic acid injectable gel filler that also contains lidocaine as a numbing agent to make the injection process more comfortable and enjoyable. Dermal fillers restore the fullness and volume that have been lost over time to allow for a more youthful appearance. The areas of the face most frequently injected include the nasolabial folds (also known as the parentheses), the “elevens”, the lips, and marionette lines. The results are instant and can last up to one year. Juvéderm Ultra Plus XC is a very similar filler which is thicker in nature and best suited for those with moderate to severe facial lines or folds.

How should I prepare for my filler treatment?

One week prior to being injected with any filler, it is a good idea to abstain from supplements or medications that can thin the blood such as NSAIDS (Advil, Motrin, ibuprofen, Aleve, naproxen, and aspirin), vitamin E, fish oils, garlic, ginseng, and ginkgo biloba. This can reduce the chance for bruising and bleeding during and after treatment. Also, do not consume alcohol within 24 hours of injection as this can also thin the blood and lend to increased bleeding and bruising. Discontinue use of retinol or Retin-A topical treatments 48 hours prior to the day of injection. It is a good idea to come to your injection appointment without makeup as it will need to be removed before your procedure. It is imperative to tell the injector if you have an allergy to, have ever had an adverse reaction to lidocaine. Pregnant women are not candidates for filler treatments.

What can I expect during treatment?

Before treatment begins, the face will be cleansed with facial wipes. A numbing cream will then be applied to the areas of injection for roughly 30 minutes to allow for maximum comfort. The skin will be sterilized with alcohol immediately before injection. When it is established that the areas to be injected are numb several injections will be made to the appropriate areas immediately restoring fullness and volume. Depending on the number of areas being treated, injection time is usually anywhere from 20 to 60 minutes. A triple antibiotic ointment or a topical ointment to help with bruising and pain will be applied immediately post-treatment.

What can I expect post-treatment?

Avoid massaging or any physical manipulation to the areas injected for 48 hours. Ice can be applied to the area of injection 48 hours after the procedure to decrease pain and swelling. Do not sleep on either side of the face for two nights. Avoid strenuous exercise for 24 hours and extensive sun exposure for 72 hours. Avoid alcohol for 48 to 72 hours post-treatment. Alcohol causes blood vessels to dilate and can lead to increased swelling and bleeding. Also avoid supplements and medications that can thin the blood such as Advil, Motrin, ibuprofen, naproxen, aspirin, vitamin E, fish oils, garlic, ginseng, and gingko biloba for up to one week after the injection procedure. If lips have been treated, avoid the use of drinking straws for 48 hours. There may be slight redness, swelling, and itching experienced for up to 4 to 5 days post-treatment. Many people only experience these minor side effects for up to 48 hours post-treatment. All treatments are scheduled for a follow-up appointment 2 weeks post procedure.

-Juvederm Ultra XC: Tried and true classic filler that is great for multiple areas of the face. Works beautifully for lips augmentation, marionette lines, and nasolabial folds.

– Juvederm Ultra Plus XC: Thicker than Juvederm Ultra, and perfect for those with moderate to severe volume loss in the lower face region.

-Voluma: Perfect for adding structure and form to the mid/ lower face area. Great for cheeks, chin, and jawline.

-Juvederm Volbella: Made especially for smoothing of lips and area around the lips(smokers lines). This is not a volumizing filler, instead, it offers a softer more natural look.

BeloTero: A lower viscosity, high-performance dermal filler that helps to correct the appearance of fine lines. Great for under-eye area and smoothing smoker’s lines around the mouth.

Radiesse: A calcium-based filler that stimulates the body to create its own natural tissue leaving behind collagen fibers to maintain volume, this is great for cheeks and jawline. Radiesse offers 50% more filler per syringe.

Restylane Defyne: This filler contains a hyaluronic, viscoelastic gel used to correct deep wrinkles, folds, or other skin defects when injected into the dermis. Results can last approximately 9-12 months.

Restylane Refyne: This filler offers great elasticity that is perfect for the areas of the face that move, such as your lips, and the areas around your mouth including the nasolabial folds.

Hyper-dulite Radiesse: When diluted, Radiesse can tighten saggy, crepey skin in areas where exercise and other treatments are unable to be correct such as the neck, décolletage, buttocks, thighs, arms, abdomen, knees, and elbows. By stimulating the body’s own collagen response, patients notice long-term improvement in skin texture, firmness, and laxity. Also can be used for non-surgical BBL (Brazilian Butt Lift) as well as a great filler for filling in pockets of cellulite.

Before and After Gallery

IMPORTANT SAFETY INFORMATION
Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Do not receive BOTOX® Cosmetic (onabotulinumtoxinA) if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc ® (rimabotulinumtoxinB), Dysport ® (abobotulinumtoxinA), or Xeomin ® (incobotulinumtoxinA); have a skin infection at the planned injection site.
Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).