Even dermatologists can’t agree on which products work best and last longest. Why? Off-setting wrinkles isn’t an exact science. Myriad factors — like skin texture, age and amount of sun damage — are taken into account in plotting a patient’s best course of action when it comes to facial fillers. We’re going to walk you through the basics of four commonly used fillers: Botox, Restylane, Juvederm, Perlane and Radiesse, so you can make an informed decision that may be right for your situation.

Injectables: Injectables target wrinkles and folds around your eyes, mouth, nose, forehead and other areas of your face. Injectables are completely non-surgical and minimally invasive

Botox can iron out wrinkles earned over years of facial movements, such as smiling and frowning, concentrating and squinting. In addition to the most popular complaints — furrows between the eyebrows, crow’s feet and forehead lines — women, in particular, get botox injections to correct some imperfections of their lips and necks. Recently, Botox has found yet another use: a “chemical brow lift” to restore the arch to falling eyebrows. (Outside the cosmetic sphere, Botox is used not only for muscle control, but also to treat migraine headaches and other types of pain and to eliminate excessive sweating, or “hyperhidrosis.”)

Restylane, Juvederm and Perlane are hyaluronic acid (HA) fillers. HA is a natural sugar compound found in all living organisms that provide volume and fullness to the skin. When injected, the HA molecules draw in water and cause the tissue underneath to swell. They’re made of biodegradable non-animal HA and, unlike collagen, pose no risk of an allergic reaction or being rejected by the body. Radiesse, on the other hand, is composed of tiny crystals containing calcium hydroxylapatite, a substance found in our bones and teeth. It, too, is manufactured synthetically so there’s no risk of having an allergic reactions.reaction and thus no need for skin testing before having the product injected.

What the four have in common is the recovery/downtime — itching, redness and bruising may occur at the injection site(s). Swelling may last for up to 7 days. And the basic procedure/pain factor: Usually a numbing cream (typically lidocaine) will be applied to the areas that will be injected, but most patients still experience moderate pain while being injected — especially around the mouth.

   NON-SURGICAL OPTIONS

Juvéderm™ is an FDA-approved treatment program that uses a crystal-clear gel to produce a smooth, youthful appearance. It is used to fill wrinkles and enhance lips. It is made from a naturally occurring substance that exists in all living things.

Juvéderm™ is an excellent choice for removing the wrinkles that result from the skin losing its volume and fullness over time. Juvéderm™ is used to fill the lines that often show up as we age and our skin begins losing some of its foundation. It is especially useful for lines around the mouth and nose.

Juvéderm™ is also an excellent treatment for those who wish to have richer, fuller lips. It’s gel-like substance that is completely clear and since it’s made of the same hyaluronic acid our bodies already use, allergic reactions are rare.

How does Juvéderm™ work to reduce my wrinkles?™
Juvéderm™ is injected into the area to be treated – by one of our certified cosmetic dermatologists – and its gel-like consistency fills the wrinkles or lines, or enhances the lips. It can be smoothed or sculpted after being injected, which results in attractive, natural-looking results. Juvéderm™ adds volume and hydration to smooth your face, and its benefits have been shown to last up to one year in our patients.

The effects of a Juvéderm™ treatment are noticeable immediately. You may go back to work or resume your normal activities as soon as your treatment is completed. There may be some slight redness or bruising where the injections were done, but these can be treated with makeup.

Restylane® and Juvéderm™ are fillers that are composed of hyaluronic acids, a natural substance or the skin. They are both used to treat facial wrinkles, eye troughs, thin lips and acne scars.

Restylane® & Juvéderm™ are the most common cosmetic dermal fillers used to eliminate wrinkles and augment lips and facial features. Restylane® & Juvéderm™ are made up of biodegradable hyaluronic acid, have no animal-based components, and naturally occur in all living things. There is no skin test needed because of its natural formula.

Both are often used to remove the wrinkles that appear around the mouth. Specifically, they’re used to remove unsightly folds between the nose and lips in the nasolabial area as well as to enhance the lips, themselves. These fillers are also used to remove the depressions under the eyes or eye troughs that can appear with age

After injection, Restylane® & Juvéderm™ typically continue to have their cosmetic effect for six to twelve months before being harmlessly absorbed by the body. Restylane® & Juvéderm™ treatment often require only a single twenty to thirty minute office visit, after which normal work and activities can be carried out.

Botox® is a very diluted form of the botulinum protein. It has been used successfully and without any long-term negative effects since the 1990s, and very few short-term complications have been seen. Botox® has been proven to be safe and effective in removing the dynamic wrinkles that result from repeated facial expressions, but is not a permanent solution. Follow-up visits about three to six months apart are needed to keep the wrinkles from reappearing.

Botox® is very safe and successful at removing the wrinkles that appear on the face due to repetitive facial expressions. It is an excellent way to remove the unsightly horizontal lines that show up on foreheads, crows feet wrinkles from around the eyes, vertical wrinkles that can appear on an upper lip, and the scowl lines that often appear between the eyebrows at the top of the nose.

A Botox® injection weakens, through inhibition, the muscles that cause the wrinkles, but does not normally interfere with facial expressions. Weakening the muscle that causes wrinkles creates a dramatic improvement in appearance that can be seen within two to seven days.

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