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BOTOX & FILLERS

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Facelift
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At any age, many of us wish to look and feel as good as possible while maintaining a natural appearance. To this end, people have sought the benefits of BOTOX® Cosmetic Injections.

According to the American Society for Aesthetic Plastic Surgery, BOTOX® Cosmetic Injections were the number one non-surgical procedure performed in 2006. Several millions people are treated with BOTOX® each year in the USA.

What is BOTOX®?
Botox is a very safe and powerful medicine that can significantly reduce wrinkles, rejuvenate the face and neck, and reduce excessive sweating of the armpits, palms, and soles and neck and back muscle spasm.
Botox injections are a preventative treatment to help reduce the appearance of wrinkles. When you frown, this is a result of a nerve signal from your brain to your muscles causing them to move. Botox and Dysport are Botulinum toxin which is a purified protein that blocks this signal from the nerve endings to the muscle. Injections are given to temporarily put the muscles to sleep for a period of three to six months, although the results can last longer with repeated treatments. This freezing of the muscle is always temporary and can never be permanent. The muscle only “hibernates” for a few months. Usually patients have a few of these injections over the first year until the muscle becomes less bulky, due to the hibernating effect. Thereafter, patients may need less frequent treatment. The experience and skill of the physician performing the treatments are paramount to achieving optimal results. Dr Taerri knows how to put the right amount of Botox in just the right area to produce a natural and refreshed appearance. Too much Botox can result in a frozen and surprised look. Any physician using Botox should understand how the muscles of the face work with each other in concert. Some muscles lift, while others depress. Botox has a long history of safety. it has been used to treat other medical conditions for about twenty years.

Why do people get wrinkles? Facial and neck lines are caused by the repeated use of the facial and neck muscles in a particular manner. Facial lines form whenever we frown, squint or smile. Some people have a distinctive facial habit like raising eyebrows or using one side of the face more than the other. Over time they will a set of facial lines appear which reflect their individual habit.
BOTOX® Injections for Wrinkles:

  • Browlift
  • Corners of the Mouth
  • Crow’s Feet
  • Forehead Lines
  • Gummy Smile
  • Lines Between the Eyes or Worry Lines
  • Lined Underneath the eyes
  • Lip Lines
  • Neck Band
  • Smoker’s Lines

What are some additional uses of BOTOX®?
BOTOX® treatments have provided patients with relief from excessive armpits, hand and feet sweating and muscle spasms of the neck and back. Botox reduces excessive sweating by paralyzing the muscles associated with sweat glands and preventing them from expressing sweat.

What are some of the benefits of botulinum toxin injections?
The positive benefits of botulinum toxin injections are that while the muscle is temporarily immobilized, the frown line is not being created or reinforced. Most patients notice that their existing frown lines do soften because the forehead is completely relaxed (partial relaxation also can be achieved as patient may desire). Some people have a markedly one-sided face due to an overactive muscle on one side. This treatment can be used to weaken an overactive muscle thereby balancing the face.

What can I expect during my BOTOX® procedure?
The process or receiving Botox Injections takes approximately 20 minutes.

The physician will clean your skin and numb it with ointment.
Small amounts of Botox will be injected into the area by a thin needle (almost the size of a thread) to be treated.
The physician will ask you to frown so that he can see the exact pattern of the forehead and frown movements in the individual patient.
Afterwards you may have some tiny red marks where the needle was inserted, that may be present for up to 24 hours.
The effects of the Botox gradually occur over seven to ten days. After two weeks, the muscle will completely ‘sleep’.

Occasionally, you may require more than the usual injection amount; if the targeted muscle does not go to sleep you may have to have a touch up injection. Also, patients who have well-exercised and developed frown muscles (more common in men) may require a larger amount of BOTOX®. It is better to inject a conservative amount of the substance and add more if required.

It must be emphasized that the injection is intended to make it difficult to frown. We all frown subconsciously, BOTOX® treatment prevents inadvertent frowning.

Can BOTOX® cause any permanent damage or major complications?
No. The BOTOX® substance cannot cause any permanent damage or travel inside the body because it attaches itself to the muscle and cannot migrate from there. The injection technique that is used ensures that the substance cannot pass into the bloodstream.

Who should administer BOTOX® treatments?
It is important to select a BOTOX® treatment professional who possesses the highest possible qualifications when considering this procedure. In many physician’s offices and medical spas, a nurse often provides treatment.
However, at The Advanced Anti-Aging and Aesthetic Medicine Center, patients will benefit from Dr. Matteo Taerri’s extensive education and knowledge of facial muscles as he personally performs all BOTOX® treatments.

What are the fees for BOTOX® treatments?
The fee for cosmetic treatments is $13 total for each unit used during the treatment session.
For most women, the fee for treating an area is about $300. The fees for men are usually higher that of women.

What are the general unit amounts BOTOX® used for treating each area of the face?
Facial Area Estimated Units
Glabella (frown) 20-25
Brow lift 5 – 10
Crows feet 10-12 per eye
Forehead 20-25
Neck 10 – 25
Corner Mouth Lift 4 – 6
Chin 6
Lips 4

Treatment for excessive sweating is $800 for 100 units.
Treatment for muscle spasm is based on the volume of the muscle treated

 

SKIN Filler’s Q and A section:

Soft tissue augmentation by skin fillers –
Smooth skin and full lips with well-accentuated borders are associated with youth and beauty. The ageing process results in loss of skin tone, contour changes and wrinkles. Traditionally, these have been treated by plastic and/or cosmetic surgical techniques, e.g. facelift. However, there are now many non-surgical cosmetic techniques that can achieve similar results without the risks, recovery time and costs associated with surgery.

Dermal fillers have become popular in treating contour defects and lines associated with ageing. There are many different types of dermal fillers available and it is important that you are aware of these differences before proceeding with treatment. Dr. Taerri will discuss the different product options with you to help determine which option is suitable for you. It is possible to combine this with other cosmetic procedures – like BOTOX®.

How is the treatment for receiving fillers performed?
The procedure will be fully explained to you by Dr. Taerri during your consultation. The injection procedure is commonly performed using a local anesthetic injection (similar to that used by a dentist) to numb the treatment area. The injection is painless.

What are the fees for filler treatment?
The fee for filler treatment is based on amount/type of filler used and the product cost. For example, a syringe of .5 ml of Restylane or equal volume of Juvederm would costing $150, your total fee for the consultation, product and the procedure will be $300. There is discount for higher volume used.

Several injectable and implantable products are available to fill facial wrinkles and scars and to enlarge lips.

Juvederm™ is soft injectable filler made from hyaulronic acid, a naturally occurring substance found in your body. Juvederm adds volume to reduce the appearance of wrinkles, sagging skin and thinning lips. Juvederm is best used in the mid to deep skin for the correction of moderate to severe facial wrinkles. Hyaluronic acid injections have also been shown to stimulate collagen production. The results are instant, look natural, and treatments take less than hour.

How Juvederm Filler Works
Juvederm filler is injected into the skin with an ultra-fine needle. It combines with water in your skin to instantly restore lost volume, smooth out lines and wrinkles, and enhance lips. Juvederm is the first approved hyaluronic acid dermal filler with demonstrated safety and effectiveness in persons of color.

Juvederm Indications
Juvederm is best used for:

  • smooth the lines around your mouth and nose
  • enhance the size and shape of your lips
  • reduce crow’s feet
  • reduce laugh lines
  • fill out your cheeks

Juvederm Advantages

  • Virtually painless
  • Instantaneous results
  • Longer lasting than many fillers (up to 1 year)
  • No allergy testing required

Juvederm has a smooth consistency for natural results
Juvederm filler is effective for all skin types

Juvederm Efficacy and Safety
People with severe allergies marked by a history of anaphylaxis or presence of multiple severe allergies should not use Juvederm. Patients who are using blood-thinning medications, such as aspirin or ibuprofen, as with any injection, may experience increased bruising or bleeding at the injection site. Please inform us if you are using any blood thinning medications.
There may be some redness and tenderness at the injections site, and some post-injection bruising, or mild swelling, which usually resolves itself within a few days. If laser treatment, chemical peeling, or any other procedure based on active dermal response is considered after treatment with Juvederm injectable gel, there is a possible risk of an inflammatory reaction at the treatment site. Juvederm is FDA approved.

Restylane® filler is a clear, non-animal, biodegradable gel based on a natural substance, called hyaluronic acid. Restylane creates volume, filling in folds and wrinkles. Restylane is intended for wrinkle correction and lip enhancements. Restylane Fine Lines, is the same product, with a smaller molecule. It is used for correcting thin superficial lines, around the mouth, for example, forehead lines and smile lines.

How Restylane Works
The gel is injected into the skin with an ultra-fine needle. Restylane is intended for wrinkle correction and lip enhancements. Restylane Fine Lines, is the same product, with a smaller molecule. It is used for correcting thin superficial lines, around the mouth, for example, forehead lines and smile lines.

Indications
Restylane is used for the reduction of:

  • facial wrinkles
  • Nasolabial fold(creases around muose and mouth)
  • smile lines / frown lines
  • superficial lines / wrinkles
  • lip enhancement

Restylane Advantages

Relatively painless
Patients typically feel mild discomfort depending upon individual reaction to ultra-fine needles

  • Long lasting (8 months)
  • No down time
  • Safe
  • Non-surgical, non-invasive

Restylane Efficacy and Safety
Based on clinical studies Restylane treatments produce a low occurrence of adverse events. The most commonly reported side effects were temporary redness and swelling at the injection site. These effects typically resolve in less than seven days. Restylane has been used since 1996 worldwide and is used in over 70 countries. It is the most studied cosmetic filler on the market and the subject of dozens of publications. It is composed of non-animal stabilized hyaluronic acid. Hyaluronic acid is a naturally occuring substance. Over time, the body breaks down and eliminates Restylane, unlike permanent fillers.

Restylane leaves no scars or other traces on the face. Restylane is FDA approved.
People with severe allergies marked by a history of anaphylaxis or presence of multiple severe allergies should not have Restylane treatments. Patients who are using blood-thinning medications, such as aspirin or ibuprofen, as with any injection, may experience increased bruising or bleeding at the injection site. Please inform us if you are using any blood thinning medications. There may be some redness and tenderness at the injections site, and some post-injection bruising, or mild swelling, which usually resolves itself within a few days. If laser treatment, chemical peeling, or any other procedure based on active dermal response is considered after treatment with Restylane injectable gel, there is a possible risk of an inflammatory reaction at the treatment site.