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Botox/Xeomin injections are a fantastic tool for softening frown lines (around the glabellar area), crow's feet, bunny lines, and lip lines. These injections have also been approved as a remedy for migraines, muscular spasms, and excessive sweating of the hands, soles, and armpits.
Treatment usually lasts 3 to 4 months. Doses vary, but typically the Galabella requires 20 units, and crows feet require 8 to 12 units on each side. On average, about 44 units are required to cover the frown, forehead, and eye areas. Effects are noticeable about 3 to 4 days after treatment, with maximum results appearing within 2 weeks.
Individuals receiving an injection should stop taking aspirin and other blood thinners a full week before treatment. The treatment is not recommended for pregnant women.
A chemical peel stimulates new collagen formation, a process that improves skin tone and texture, and reduces or eliminates small wrinkles. There are several type of peels - mild, medium, and deep - which are used in different concentrations and combinations depending on the purpose.
Most fillers are made of hyaluronic acid, which is a natural chemical made by the human body, but that the body makes in diminishing quantities as individuals age. Fillers are generally purpose-specific, in that they come in different brands and viscosities and may vary in their suitability for specific areas. Our office provides fillers for lips, cheeks, face/lip lines, laugh lines, and tear troughs. We carry the following brands.
- Radiesse is made up of calcium hydroxyapatite, which is usually used for deep dermal injections that are meant to correct laugh lines or augment cheeks.
- Sculptra Aesthetic is a non-HA filler that helps stimulate your skin's own natural collagen production to help restore inner structure and increase facial volume that has been lost during aging. It is intended for use in people with healthy immune systems as a one-time treatment regimen of up to four injection sessions that are scheduled about three weeks apart. Treatment usually lasts up to two years or more.
There are potential side effects to fillers, which can either be local or systemic. The most common adverse effects seen in clinical studies are bruising, redness, swelling, pain, and itching.. A more serious risk is the unintentional injection of a filler into a blood vessel. While the possibility of this happening is small, where it does occur the complications can be serious and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin.
Sclerotherapy is a proven method of eliminating varicose veins and spider veins that has been used since the 1930s. The process involves injecting a solution directly into the vein. Over time, the vessel turns into scar tissue that fades from view.
Radiotherapy (RF) has become a popular treatment that involves collagen contraction and destruction coupled with controlled wound healing in order to achieve tissue tightening. While a generally successful method of skin tightening, some patients may see better results than others. Immediate tissue tightening will be short lived, but full clinical results will gradually be seen over a six month period.
For more information about the process, please review this article by Dr. Michael H. Gold.
Micro-needling is an FDA-approved procedure that involves repeatedly puncturing the skin with tiny, sterile needles in order to reduce scarring and acne. The process is nearly painless, and positive results are typically seen after 2 to 3 months.
To be sure, while research into micro-needling is ongoing, it is considered to be a safe and very effective method of skin rejuvenation. Best results are usually seen after 3 sessions about 4 to 6 weeks apart, and the process does not require one to take time off of work afterwards. There will be slight redness and mild swelling immediately after the procedure, which will subside after 2 to 3 days.
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