Dermal Fillers
Most patients return every four months for repeat treatments. It's important to have your next treatment before the effect wears off so you don't lose the beneficial effects of stress reduction in the skin. Botox is usually priced per unit. Different areas of the face require different amounts of units. For example, the crow's feet by the eyes requires between units per side, the glabella between the eyebrows requires between units and the forehead between 10 to 20 units. The average number of units my patients use is 50 units per session.
An alternative method for pricing is per area. I prefer unit pricing, as the patient knows they are getting exactly what they are paying for. The bonding and concentration gives the products different properties for injecting based on location and depth of the tissue. If you're interested in lip injections, your doctor will talk to you about the kind of look you want to achieve — more definition, alignment, symmetry or a fuller, pillowy look — all very natural.
Based on what type of look you're trying to achieve, there will be a series of small injections along the vermilion border, cupid's bow, and inside the lips. It's important to talk to your doctor about your goals and expectations as there are many different "looks" with lips.
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Fillers enhance what you already have, adding definition and volume. Over-injection certainly can look fake, so it's important to go to an experienced injector and plan on possibly a series of treatments—especially the first time you are doing your lips—to reach the final result.
Expect some swelling the first day or two, so don't have lip injections the same afternoon as an important date or meeting. Patients sometimes return after the swelling goes away wanting more injections since they liked the "swollen" look. I often find myself as a gatekeeper reminding patients what looks normal or not and occasionally patients come back after seeing another doctor who adds another syringe which now needs to be "melted" as they obviously look over injected.
There is always hyaluronidase to melt the product if you want to soften the look, but its best to get the injections right the first time around if possible. FDA-approved uses: Dermal fillers can be injected almost anywhere. It slowly metabolizes over time. So, patients often return in half that time for maintenance treatments. However, every patient is different and the location of the injection also affects the duration of action.
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One nice property of HA fillers is the existence of Hyaluronidase, an enzyme which instantly "melts" the filler. This is a great safety net for patients worried about whether they will like the results or not and also for patients who may have gone to an inexperienced injector. Dermal filler prices are per syringe. Each syringe of Juvederm is one cc. Most patients use two syringes per treatment session. Just like Botox Cosmetic the prices can vary by geographic location and by experience of injector. Once again, I caution patients not to choose their injector based on price alone. Additionally, in more established and high-volume practices such as mine we offer additional services such as Hyaluronidase treatment to "melt" the filler and Vbeam Perfect laser to erase bruising, if needed, included in the cost.
As part of a full-service practice, patients find this convenience well worth it. The newest of the fillers, Juvederm Voluma XC, even has a lifting effect when injected in the midface and also resists swelling often seen in other fillers. Your doctor will evaluate your face from many angles — looking at your deep wrinkles and creases, as well as volume deficits seen with aging. It's important to discuss what areas bother you with the doctor so they can explain how the filler will work to correct that area.
Sometimes, the filler needs to be injected above or below the area of concern to achieve the optimal result. An inexperienced injector or patient may insist on only injecting directly into the nasolabial lines, which may lead to an inferior result.
The injections are performed with a small needle. The product XC version has anesthetic mixed right into the product that helps almost immediately with any discomfort. You can expect minimal swelling and small possibility of bruising. The initial results are visible immediately. How long does it last:. Juvederm Voluma XC lasts up to 2 years.
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This is the longest lasting HA filler. It's important to note that the filler does not last that entire time and then immediately disappear. Treatment is relatively quick and usually takes about 30 minutes. It can typically be completed during a lunch break. As with any injectable cosmetic procedure, there is a potential risk for side effects, including redness, swelling, and tenderness.
However, most side effects following treatment are minimal and should quickly subside. One of the pros of this treatment option is that there is usually no downtime after treatment. Most people can return to work the same day, immediately following the procedure. Does it hurt? How long is a treatment session? What are the side effects?