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Injectables

Injectables

No matter how youthful you feel, your face may tell a different story. Sunlight, natural aging, and lifestyle factors can diminish the collagen layer that supports the skin, showing wrinkles and lines that just don’t seem to ‘feel’ like the real you. However, different cosmetic injectables can reduce the signs of aging.

Injectables

There is a vast array of cosmetic injectables on the market worldwide. From Bellafill to Juvéderm, you can smooth away the imperfections that come with age in a matter of minutes. An ultra-fine needle is used to inject the product directly into the skin in tiny amounts, resulting in minimal discomfort. To optimize your comfort during the short procedure, Dr. Dima Ali anesthetizes the area by applying some numbing cream to the treatment location.

Pick Your Cosmetic Injectable

Botox Injections

BOTOX® Cosmetic is a simple, non-surgical, treatment that can temporarily smooth moderate to severe botox fine lines and wrinkles. It relaxes facial muscles so you can smile, frown or look surprised without furrows, creases and wrinkles. 

Dysport Injections

Dysport is an injection used to temporarily improve the look of your moderate to severe frown lines without changing the look of your whole face. The untreated facial muscles still work normally. So, this allows you to freely show facial expressions, such as smiling, in untreated areas.

Botox Hyperhidrosis (Botox for Sweating)

When the seat glands don’t receive chemical signals, the severe sweating stops. At Wellmedica we do Botox Hyperhidrosis which helps in reducing excessive sweating. Botox hyperhidrosis is also referred as botox for sweating.

Xeomin Injections

Xeomin is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscle which causes a temporary reduction in muscle activity.

Dermal Fillers​

Sunlight, natural aging, and lifestyle factors can diminish the collagen layer that supports the skin showing wrinkles and lines that just don’t seem to ‘feel’ like the real you.

Bellafill Injectable

Bellafill (formerly known as Artefill) is an injectable wrinkle filler that provides long lasting wrinkle correction. The body absorbs other fillers and requires frequent repeat injections to maintain the results.

Kybella

KYBELLA® is the new FDA approved drug, used to improve the appearance of one’s double chin. The fat below this chin is called “submental fat” and can leave some feeling self conscious or embarrassed.

Ear Lobe Fillers

Ear lobe fillers are a very quick procedure usually taking around 5 to 10 minutes. Fillers are virtually painless, but if worried a topical anesthetic can be applied to the area prior to treatment. 

Juvéderm

Juvéderm injectable gel is a non surgical, physician-administered treatment. Dr. Ali eases Juvéderm under the skin using a fine needle to augment, or fill, the soft tissue of the dermis—the dense inner layer of skin beneath the epidermis—to add volume and diminish wrinkles and folds 

Restylane

Restylane is a crystal-clear, non-animal, biodegradable gel based on a natural substance, called hyaluronic acid. Achieving the look you desire is as easy as it is quick.

Perlane

Perlane (also known as restylane lyft) is a crystal-clear, non-animal, biodegradable gel based on a natural substance, called hyaluronic acid. Achieving the look you desire is as easy as it is quick.

Lip Injections & Augmentation

With so many different types of injectable fillers available for lip enhancement, you are sure to find one that suits your needs. Most lip enhancements use injectable hyaluronic acid fillers like Juvéderm and Restylane.

Sculptra® Aesthetic

Sculptra® Aesthetic is an FDA-approved injectable that helps gradually replace lost collagen — an underlying cause of facial aging — for results that can last more than two years. It’s used to correct shallow to deep facial wrinkles and folds.

Restylane

Restylane

Restylane

What are Injectables?

Cosmetic filler injections are a minimally invasive procedure that often uses naturally occurring chemicals to relax facial wrinkles and folds (i.e. smile lines) , contour the body (i.e. reducing the appearance of a double chin), and improve the unpleasing signs of facial fat loss by adding structure, volume, and framework to the face and lips. There are many different types of filler injections that serve different cosmetic purposes.

Are Dermal Fillers the Same as Cosmetic Injections?

Dermal fillers are gel-like injectables injected beneath the skin to restore lost volume, smooth out fine lines and wrinkles, soften creases, or contour the face. Over 1 million men and women choose dermal fillers or other filler injections annually. It is a more cost-effective and safer way to take years off your face without any surgical treatments or downtime.

How do Injectables Work?

Dermal fillers are most often used as “wrinkle fillers,” or wrinkle treatment shots. However, they can do much more than just smooth out facial wrinkles. When it comes to cosmetic injectables, many new and exciting options exist to help reduce different cosmetic concerns such as marionette frown lines, thin and wrinkled lips, depressed scars, and hollowed cheeks. A few of the more notable effects of using injectables include:

  • Smooth out lines around nose and mouth (a.k.a. marionette lines, smile lines, and parentheses)
  • Enhance & restore volume to sunken cheeks or temples
  • Diminish vertical lip lines
  • Plump & enhance the lips
  • Smooth out a chin crease
  • Improve facial symmetry

What are the Types of Injectables?


Neuromodulators

The primary and most well-known category of cosmetic injectables includes those which use neuromodulators (aka neurotoxin) to soften and relax certain muscle groups in the face. Some of the more commonly recognized products include:

Botulinum toxin injectables remain some of the most popular and highly sought-after injections because of how effective and quick their results are.

Dermal Fillers

Dermal fillers sit underneath the skin to help provide support, volume to multiple areas in the face. Some of the most popular ones contain hyaluronic acid (often found in hydrating serums). Others are non-H.A. fillers which often last longer. These can contain calcium hydroxylapatite, poly-l-lactic acid, bovine collagen (Bellafill), or silicone.

Injectable Hyaluronic Acid (HA)

Injectable hyaluronic acid (HA) is a type of temporary dermal filler. Hyaluronic acid is found naturally throughout the body and often has the highest concentrations in the joints, eyes, and skin. HA in the skin often attracts water and allows for the skin to have a more hydrated appearance. Injectable HA is often used to reduce the appearance of fine lines and wrinkles, facial folds, or to create structure and give the face and lips more volume. The effects are usually seen immediately and typically last anywhere between six months to two years depending on the location of the injections.

Some of the more popular HA injections include:

Injectable Calcium Hydroxylapatite

Injectable calcium hydroxylapatite (CaHA) filler is an FDA-approved, biocompatible, dermal filler typically used to improve moderate to severe facial wrinkles and folds – such as nasolabial folds. It may also be used as a treatment to improve increased skin laxity associated with the HIV virus. CaHA injections can be used alongside lidocaine anesthetic or it can be used without it. The most commonly used CaHA injection is Radiesse.

Injectable Poly-L-Lactic Acid (PLLA)

Commercially, injectable poly-l-lactic acid (PLLA) is most notably a Sculptra Aesthetic product named Sculptra. Since 2004, Sculptra has been approved by the FDA to treat lipoatrophy (thinning of the fat pads on the face), as a side-effect of the HIV virus. Since 2009, Sculptra has had FDA approval for improving the appearance of nasolabial folds, contouring the face, and treating facial wrinkles.

Injectable Polymethylmethacrylate (PMMA)

Bellafill, an injection that uses injectable polymethylmethacrylate (PMMA) with bovine collagen has been approved by the FDA since 2006 to treat smile lines and other fine line wrinkles. More recently, the product has had FDA approval for improving moderate to severe atrophic, distensible facial acne scars on the face. Currently, Bellafill is the only injectable filler approved to treat acne scars.

Cytolytic Medications

The final type of injectables are those that are considered cytolytic medications. These injectables utilize what is called deoxycholic acid to break down and dissolve small quantities of fat. It is typically injected beneath the chin.

Injectable Deoxycholic Acid

Deoxycholic acid is a bile acid that is naturally produced in the body. It breaks down and absorbs the fat we consume. Kybella is one of the most commonly used, commercially available deoxycholic acid injectables used to non-surgically contour and improve the appearance of submental fullness.

How Long Do Results Last?

The effects of your dermal fillers will most often depend on the product, the area being treated, and the individual. Generally, the denser the product and the deeper the injection the longer it will last. However, that is not always the case. In order to maintain the desired results, your surgeon will typically recommend multiple treatments – adjusting amounts and techniques as necessary to endure desired results.

HA injectable fillers are often the most temporary option. These are often recommended to those receiving filler treatment for the first time. These treatments often last around 6 to 18 months. If injected in the lips, they will wear out a little faster than nasolabial treatments. Some HA products are engineered to last longer, but only service certain areas of the face (such as the cheeks).

Fillers that are not absorbed into the body often last the longest. Synthetic fillers may be a great option for some patients, but often require the patient to commit to the results of the treatment for several years. It is important that if you are considering synthetic injections that you choose an experienced, qualified cosmetic surgeon to perform the treatment and whose aesthetic style you prefer.

Fat injections are meant to be indefinite. However, a small amount of fat may continue to resorb over the next six months making this is not generally noticeable over time. Depending on your aesthetic ideals, some patients require “touch up” procedures to maintain optimal results. Often, your surgeon may overfill the treated area with the expectation of fat being absorbed, dissolved, or settling over time. This may appear to give a fuller look than your initially expected.

Common Side Effects of Dermal Fillers, Injections:

Bruising

This may last 1-3 weeks and might show up several days after the treatment. Some areas are more vascular and are more likely to bruise like the tear troughs and lips area. Bruising can be covered up with a full coverage concealer such as the Cosminology eye concealer’s collections.

For a week before your appointment avoid nuts, seeds, fish, fish oil, NSAIDs, supplements, and anything that prolongs bleeding. This will significantly help minimize bruising, bleeding, and swelling after your injections

Swelling

Initial swelling is common with some dermal filler and can take at least 2 weeks to settle. Sleeping propped up and icing the area will minimize the swelling. It’s best to avoid exercise for the first 48hrs to reduce the duration of the swelling.

Asymmetry

Asymmetry can be related to swelling that should subside 2 weeks after the treatment. Remember, we are all born with faces that are asymmetrical, though some are affected more than others.

Lumps and Bumps

The feeling of lumps and bumps can occur but improves 2 weeks as the swelling and/ or bruising resolves. Avoid manipulating or massaging the area.

Dry Lips

During the first few days after filler placement, the lips can be dry as a result of the swelling post-treatment. Drinking plenty of water and applying a thick ointment especially at night will keep the lips hydrated during the first few days.

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