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Science Behind the Procedure

Botoox/ Dysport/ Xeomin

Botox® Cosmetic can improve wrinkles caused by movement of the facial muscles, keeping the overall result subtle, powerful, and enhancing.

Since its rise to popularity in the mid-2000s, BOTOX®Cosmetic treatment has become the most commonly utilized cosmetic procedure in the United States

What is Botox? Botox® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

How does it work? Botox® Cosmetic works by relaxing the muscles of certain facial expressions thus reducing wrinkles and folds, This  helps to reduce the frown lines , crows feet, upper lip lines that develop over the years. With less movement of these muscles, the skin surface gradually smoothes out, and aging  lines begin to fade.

Botox® Cosmetic can also be used for the treatment o

crow's feet

upper lip lines. 

 frown lines between the brows

Commonly treated areas include the following:

  • Frowning wrinkles: the wrinkles and creases between the eyebrows (glabella) are often referred to as frown lines and may make a person look "angry"; treatment makes a big impact and softens the appearance
  • Forehead lines and wrinkles: if injected correctly, Botox®Cosmetic treatment can soften horizontal lines and wrinkles in the forehead and even lift the sides of the eyebrows, ("Botox® Brow Lift") rejuvenating the appearance of the eyes; softly arched brows make the eyes look larger and more beautiful
  • Eyes: injections can soften "crow's feet," the fine lines around the eyes, and can open the eyes to make them look larger and more youthful
  • Mouth: lines and wrinkling around the mouth due to muscle activity from smiling or smoking can be softened with appropriate BOTOX®Cosmetic injections; many people may also require dermal filler injections (such as Juvéderm® or Restylane®) to restore volume in this area
  • Platysmal cords or bands in the neck area
  • Facial slimming: Botox®Cosmetic can be injected into the chewing muscles to slim a wide/square face
  • Sweaty palms or excessive underarm perspiration
  • Migraine headaches

Juviderm / Restylene / Belotero/ Pervelle Silk

 Injectable fillers are a minimally invasive treatment to correct many of the signs of aging. They can make a dramatic improvement with minimal downtime.

Both Restylane and Perlane are cosmetic dermal fillers  which come as smooth consistency gel that replace lost volume and restore youthful contours to the skin. .

Restylane and Perlane are made of non-animal-based hyaluronic acid, a natural substance  (Complex Sugar)  that already exists in the human body . NASHA is completely biocompatible with human hyaluronic acid, therefore no allergy testing is required. This replaces lost volume and restores youthful contours to the skin to smooth away moderate to severe facial wrinkles.  World's most used, most studied cosmetic dermal filler

How does it work? The hyaluronic acid molecules in Restylane and Perlane and their unique structure allows them to bind many times their own weight in water,  As time passes and the hyaluronic acid begins to degrade, each molecule binds to more water which helps maintain its volume , thus retaining the water molecules and improving hydration . This effect can last for about six to nine months.

 Some patients want a single area addressed, such as the folds around the mouth or the fine lines around the lips . We will  design a treatment plan tailored to each patient based on their specific needs and desires.. Sometimes the best result can be achieved using different treatment modalities that complement each other.

They smooth away moderate to severe facial wrinkles, fine lines and deepening creases.

can lead immediately to a more youthful and refreshed look

"smile lines" - the lines from your nose to the corner of your mouth (nosalabial folds

Folds around the mouth

Under Eyes ( tear troughs)

 Add fullness to your lips.

Enhancement of the cheek area

Common indications for dermal fillers/injectables:

  • Deepening of the folds around the mouth (nasolabial folds)
  • Deepening of folds that run from the corners of the mouth toward the chin (marionette lines)
  • Downturn of the corners of mouth that creates a permanent frown or unhappy look
  • Deepening of the hollow in front of the jowls
  • Fine lines around the mouth (smoker's lines)
  • Scars that have created depressions as they have healed
  • Creases in the brow and forehead
  • Acne scarring
  • Hollowness and shadowing under the eyes
  • Volume loss at the cheeks and cheekbones
  • Sinking in at the temples
  • Lip augmentation (lip injections)/lip enhancement

 

 

What are the differences between Juvéderm®, Restylane®, and other fillers?

 

 

While there are benefits unique to each of the various brands noted above, there are also variations within a single family of fillers. Juvéderm®, for instance, has a formula used primarily for treating lines and wrinkles around the nose and mouth (Juvéderm® XC), a formula for restoring volume to the apple of the cheeks (Juvéderm Voluma®), and a formula designed to augment lips that are thinning or just need a boost to appear fuller (Juvéderm®Ultra).

During your visit, we will determine which fillers, from Juvéderm® to Sculptra®, will address your unique needs.

 

 

The power of dermal fillers to sculpt and contour facial features, as well as improve skin texture

The effects of Restylane and Perlane are practically instantaneous, with results lasting for up to six to nine months.

 

We also offer the innovative microcannula injection method. These blunt ended microcannulas pierce fewer arteries and veins when inserted through the skin, resulting in less bruising, swelling, and downtime.

 

What is Juvéderm™?  Juvéderm™ is a smooth consistency gel made of non-animal-based hyaluronic acid, a natural substance that already exists in the human body that helps to replace lost volume and restore youthful contours to the skin to smooth away moderate to severe facial wrinkles. 

How does it work?  The hyaluronic acid molecules in Juvéderm™, and their unique structure, allows them to bind many times their own weight in water. As time passes and the hyaluronic acid begins to degrade, each molecule binds to more water which helps maintain its volume for about six to nine months.

Juvéderm™ Ultra and Juvéderm™ Ultra Plus. Both formulations are cosmetic dermal fillers that replace lost volume and restore youthful contours to the skin to

smooth away moderate to severe facial wrinkles, such as "smile lines" — the lines from your nose to the corner of your mouth (nosalabial folds).

add fullness to your lips.

 

The effects of Juvéderm™ are practically instantaneous, and results last for up to six to nine months.  

 

 if an error has been made with an injection,) the filler itself can be destroyed with the injection of Vitrase/hyaluronidase

PRP.

 (PRP). PRP is a concentration of platelets crucial to wound healing and when applied topically, they release you own growth factors to further expedite the body's own repair process. A study has shown that adding PRP to your treatment, stimulates collagen up to 2000%!

Patients who want to revitalize their skin by addressing uneven pigmentation that has developed over time due to the natural aging process and sun exposure can choose rx PRP.

by removing the outermost layers and reducing the appearance of irregularities in coloring, as well as fine lines and some scarring.

What is Micro-Penning?

The MicroPen is a safe and very effective skin–resurfacing tool that creates micro channels in the skin to stimulate new collagen and elastin production. In addition, the treatment can reduce the appearance of wrinkles, treat acne scars and smooth out textural issues such as sunspots, stretch marks and hyper–pigmentation. Unlike lasers, the MicroPen is safe for all skin types, including darker tones.

How does it work?

 

Micro needling is  an advanced medical grade stainless steel device that when "passed" across the face, neck, décolleté or hands the device lightly punctures the skin creating micro channels which are essentially very small, controlled wounds. Immediately after the treatment, your skin will naturally start rebuilding new collagen and elastin for plumper, firmer skin.

Another benefit of micro–penning is that it allows your topical gels, creams and serums that you use at home to be absorbed more effectively.

What are the benefits?

Studies have shown MicroPen stimulates collagen by up to 200%. It also,

  • Produces younger-looking skin with fewer signs of aging
  • Reduces acne scars and stretch marks
  • Smoothens out texture
  • Creates a fresher appearance or "glow" to the skin

What areas of the body can be treated?

Micro-penning or micro-needling can be done on all parts of the body; face, neck, décolleté, arms, hands, legs, abdomen and back.

How is the treatment performed?

A sterile cartridge tip containing 12 points is attached to the Eclipse MicroPen®. Our medical staff will apply a thin layer of numbing cream to your skin to alleviate any discomfort. We will then select the appropriate pen setting based on your unique needs, and in a single motion, will press the pen gently against the skin while simultaneously gliding in one direction until the entire treatment area has been covered. The process lasts approximately 30-60 minutes depending on the size and severity of the areas treated

 

What does it feel like?

With the topical gel, patients feel very little to no discomfort. The sensation is sometimes described as a light vibration across the skin.

Is there any downtime?

Since we're creating a controlled wound, there will be a redness post treatment. This "mild sunburn" only lasts 24—48 hours, and many patients return to normal activities in a day or two.

When will I see results and how long do they last?

Normally patients see a benefit, or "glow", immediately post-treatment but the maximum benefits won't appear until the skin has had time to repair (approximately 6 months). The results last approximately 24 months once skin has healed.

How many treatments are needed?

 

For most patients, we recommend a series of 3 treatments spaced 6-8 weeks apart. Some patients only require a single treatment to achieve optimal results. For patients with deep wrinkles, advanced photo–aging, stretch marks or acne scars, we may recommend 6–8 sessions.

What is MicroPen with PRP?

To enhance your results, you may elect to have MicroPen with Platelet Rich Plasma (PRP). PRP is a concentration of platelets crucial to wound healing and when applied topically, they release you own growth factors to further expedite the body's own repair process. A study has shown that adding PRP to your treatment, stimulates collagen up to 2000%!

MicroPen with PRP can also help regrow lost hair RF Microneedling

Radiofrequency microneedling is a cosmetic procedure that uses tiny needles and radiofrequency waves to rejuvenate facial skin.

This treatment is a form of controlled skin injury. The damage stimulates the growth of healthy new skin, which can benefit common skin issues such as, acne scars and wrinkles.

Radiofrequency microneedling is a minimally invasive treatment compared to other treatments like chemical peels and dermabrasion.

 

What is radiofrequency microneedling?

Microneedling is a treatment that uses fine needles to create microwounds, or channels, in the skin, which triggers the production of capillaries, elastin, and collagen. It’s also called skin needling or collagen induction therapy.

Radiofrequency Microneedling is a form of microneedling that also uses radiofrequency waves. The needles release radiofrequency into the channels of the skin, causing additional damage. This enhances the effects of standard microneedling.

The skin that grows back is thicker and smoother. This can target:

You can also add microneedling with platelet-rich plasma (PRP) with the radiofrequency. With this procedure, your provider draws blood from your arm and uses a machine to separate the platelets.

After which your provider injects or applies the platelets to the treated area after a microneedling treatment. This can help maximize the results of your treatment.

Who’s an ideal candidate for radiofrequency microneedling?

Radiofrequency microneedling is considered safe, but it isn’t appropriate for everyone.

You may be a good candidate if you:

  • are in good health
  • show early signs of aging
  • have realistic expectations

However, you should avoid the treatment if you:

  • currently or recently used Accutane
  • have an active cold sore breakout
  • have a skin infection
  • have a moderate to severe skin disease (like psoriasis)
  • are receiving chemotherapy or radiation therapy
  • are pregnant
  • are taking anticoagulants
  • have a history of keloids, hypertrophic scarring, or poor wound healing

What is the radiofrequency microneedling procedure like?

If you are interested in radiofrequency microneedling, you will need to meet with a  cosmetic surgeon.

Prior to the procedure

At your consult appointment, your provider will go over your medical history and expectations with you. They may also take photos of your face to determine the best treatment for your skin type/condition. You will also be provided with instructions on how to prepare for the procedure.

If you have active acne breakouts, you may be asked to take oral antibiotics to help clear up the breakout prior to the procedure. Likewise, If you have a history of cold sores, you might need to take oral antiviral medication.

During the procedure

Your actual procedure will take place in your healthcare provider’s office. Generally, what you can expect is :

  1. The skin will be cleaned with alcohol to prevent infection.
  2. Then a topical anesthetic will be applied to the treatment area about 1 hour before the procedure. In some cases, a local anesthetic may be administered instead. The anesthetic numbs the area so you won’t feel pain.
  3. The microneedling device makes tiny wounds in the skin. Simultaneously, the tip of the needle releases radiofrequency waves into the wounds.
  4. The procedure takes approximately 10 to 20 minutes, depending on what area you’re treating.
  5. At the end of the procedure a growth solution will be applied to help support cell regeneration. They finish with a soothing solution to minimize any discomfort.
  6. After the procedure us complete, You can go home after the treatment and return to your normal activities.

What is the best post-radiofrequency microneedling care of your skin ?

 After your procedure, your doctor will discuss the aftercare for your skin with you. This will include the following tips:

  • Apply ice packs to reduce swelling and discomfort.
  • Wear SPF for several weeks after your treatment. Your skin will be extra sensitive to the sun during this time.
  • Use antibiotic creams or emollients if your doctor prescribed them.
  • Use a gentle cleanser after your treatment.
  • Avoid wearing makeup until the next day. You can return to your normal makeup and skin care routine after 24 hours.

Does radiofrequency microneedling work?

Research shows, radiofrequency microneedling is effective for many skin conditions.

Acne scars

In a 2014 studyTrusted Source of 31 people, radiofrequency microneedling moderately improved acne scars in 58 percent of the participants. Similar results were found in a small 2017 study

Skin rejuvenation

Microneedling with radiofrequency waves can also improve the look of your skin. In a 2013 study showed the procedure reduced wrinkles around the eyes, With the effects lasting longer than Botox injections.

A 2020 case report  shares that the treatment can reduce loose facial skin as well.

Additionally, radiofrequency microneedling improved the texture of skin as well as pore size, as shown in a 2018 studyTrusted Source,

Hyperhidrosis

According to a study in 2019, the procedure can permanently treat hyperhidrosis, or excessive sweating. A 2013 study found that the treatment helps by reducing the number and size of sweat glands.

When to expect results

 You will start to see results after 3 to 6 months. The exact time frame depends on the type and severity of your condition.

In most cases, it is recommended to have at least four sessions, depending on what you are treating. For example, if you have moderate acne scars, you will need about three or four treatments. However, bigger more prominent scars might need five treatments.

Sessions are done every 3 to 8 weeks. This will allow your skin to heal between each treatment.

Results will last about 1 year after the initial set of treatments. However, It is recommended to have a touch-up session once a year to help maintain your desired results.

Are there any potential side effects of radiofrequency microneedling?

Typically, radiofrequency microneedling is well tolerated. But like all cosmetic treatments, it may cause some side effects.

Possible side effects may include:

  • dryness
  • redness
  • scaling
  • itching
  • swelling
  • mild acne flare-up
  • cold sore breakout

These side effects may last for a few hours or days.

 If you experience any of the following, contact your doctor and seek medical attention:

  • allergic reaction to needles
  • signs of infection
  • persisting swelling or redness
  • prolonged bleeding
  • bruising
  • fatigue
  • headache

 

MESOTHERAPY

It destroys unwanted fat cells that cause a double chin and obscure a defined jawline.

 

THREAD LIFT

What is a PDO Thread Lift? Thread lifts are a relatively new form of non-surgical face lift. If your face has loosening or sagging skin and you want a tighter, fresher more youthful look, this treatment may be suitable. There are no cuts or incisions, just injections

How does it work? Polydioxanone (PDO) threads are a special medical grade thread that is thinner than hair, made of protein. Research has confirmed that PDO relaxes tendons and muscles, whilst a foreign body reaction improves the blood flow to the area stimulating neocollagenesis (the production of new collagen in the skin). It also stimulates elastin and hyaluronic acid, both substances are key to maintaining firm, youthful looking skin

Is it safe? PDO threads have over a decade long safety track record in surgery and wound closure. They have also been used for about 6 years in orthopaedic surgery (frozen shoulder, tennis elbow and cosmetic skin rejuvenation. PDO threads gained FDA approval in 2004

 What happens during treatment? Topical anaesthetic cream is applied following which threads are introduced into the skin through a fine needle - into either the skin itself, the muscle, or the subcutaneous fat. The treatment results in an immediate improvement in appearance but the results will improve over ensuing days and weeks as the PDO stimulates neocollagenesis, increasing the amount of collagen in the skin. The appearance of the skin improves in terms of overall texture, becoming thicker, tighter and firmer as fine lines and wrinkles are reduced

Which areas can be treated? This is a very versatile treatment which can be used in any part of the face and neck to treat sagging brows, naso-labial lines, vertical and horizontal forehead wrinkles, drooping cheeks, marionette lines, sagging jawline, plus wrinkles and folds on the chin and neck

What results can I expect? Thread-lift treatments result in an instant and natural looking improvement in the appearance of the skin. A process of natural protein synthesis then begins after about 10-14 days. Over the subsequent weeks results will continue to improve, peaking at around 6 months and lasting for up to 2 years as your own body produces collagen, elastin and hyaluronic acid. Making this form of non surgical facelift a very long lasting treatment. The thread itself is completely biodegradable and dissolves within 12 weeks, after which new collagen has formed around the thread to continue to support results, maintaining a smooth and supple texture of the skin



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