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Injectables

There is a distinct difference in how these injectables work and how long they last. Dr. Hochman will assist you in making the decision about which ones are right for you and your aspirations.

Botox and its newer competitors, Xeomin and Dysport, are made from the botulinum neurotoxin, which blocks the action of nerves on muscles. All are used to treat the wrinkles caused by muscle activity. Botox is the only FDA-approved product that temporarily improves both moderate to severe crow’s feet and frown lines between the brows in adults.

Expressive wrinkles are the ones you see when you animate your facial muscles, such as the “11” between your eyebrows when you frown or the lines across your forehead when raise your eyebrows. The smile lines in the corner of your eyes, also known as crow’s feet, are another good example. In some cases these injectables can be used to relax neck muscles or tendons to enhance the neckline.

There is no recovery time or down time though you may see some temporary redness or bruising at the injection site. On average, it takes three to five days to start to see an effect and up to 3 weeks to see the maximum results from all of the above products. Results usually last about three months, although if used over time, less frequent injections are needed to maintain results.

Fillers are complementary procedures used for stationary wrinkles and to enhance volume.

Botox

Natural aging and a lifetime of involuntary facial muscle actions contribute to the formation of wrinkles, creases and lines that can make you look angry, tired or older than you feel. Although aging may be inevitable, We have an unprecedented arsenal of gentle, non-surgical treatments that combat the most noticeable and frustrating facial imperfections. BOTOX® has become the most commonly performed non-surgical treatments to address these types of issues.

Fillers

treatment areasStatic wrinkles or lines are those that can be seen even at rest, such as the nasolabial fold that runs from the side of the nose to the corner of the mouth on each side or marionette lines.

Soft tissue fillers are used to ‘fill’ these lines and folds.  It is important to note that these static wrinkles have multiple causes: loss of volume of the face as we age or sagging due to gravity. Some wrinkles are accentuated by muscle activity, such as when nasolabial folds deepen when smiling.  Fillers can also be used to plump or augment the lips and treat lipstick bleed lines. They give you a fuller face and plumper lips, while improving shallow contours or softening facial creases and wrinkles. However, they cannot help with excess sagging skin, and the results of fillers last for only a few months to a year.

Filler injections usually require some form of anesthesia, PRO-NOX which is a patient-controlled gas, local or topical anesthesia (some come with lidocaine in the filler) and can take anywhere from 15 to 30 minutes or more depending on the area being filled.  You should stop any NSAID pain relievers, including aspirin, Motrin, ibuprofen and Aleve, or fish oil supplements for at least one week before the procedure to minimize bruising and swelling and avoid scheduling any important social events for at least several days after the injections.

 

Injection

Although injections are generally safe, you should only consult an experienced physician to ensure the best results and fewest side effects. Botox if injected improperly can impact the wrong facial muscles. Some fillers can cause lumps and asymmetrical volume if done by someone without Dr. Hochman’s eye for facial symmetry and years of experience. Dr. Hochman will determine which products will best suit your needs during your Consultation.

Xeomin
Xeomin®

Is the latest generation wrinkles relaxer, used for the treatment of wrinkles, lines, and the aging face. Xeomin® is a highly purified Botulinum toxin type A, precisely injected to relax the muscles and eliminate wrinkles. It works by blocking nerve impulses from nerve endings to the injected muscles, suppressing muscle activity and thus reducing the formation of wrinkles on the face. This relaxation generally lasts for 3-4 months, and then the treated muscles gradually return to their original condition.

Register for the Xeomin Xperience and receive a $50 Visa card. www.xeominaesthetic.com/xperience-program/

Juvederm XC
Juvederm XC®

Is a long-lasting hyaluronic acid gel that, once injected into the skin with an ultrafine needle, lifts and adds volume to the areas being treated. It smooths out moderate to severe wrinkles and folds around the nose and mouth, lasting up to a year. Now there is a new product,The first and only FDA-approved filler to correct age-related volume loss in the midface. Juvederm video

Voluma
Juvederm VOLUMA XC®

A new product and the first and only FDA-approved filler to correct age-related volume loss in mid-face, which instantly adds volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile. With optimal treatment, natural-looking results last up to 2 years.  It’s different from Juvederm XC, working on different area of the face. Juvederm Voluma video

Savings with the Brilliant Distinctions program is an easy way to save money. Just log on at www.brilliantdistinctionsprogram.com and complete the online registration. Every time you have Botox Cosmetic or Juvederm treatment or purchase Latisse (for lengthening and darkening eyelashes) you’ll earn money towards future treatments or purchase. 

Radiesse
Radiesse®

Defy age with non-surgical RADIESSE®, RADIESSE® (+) advanced volumizing fillers of calcium-based microspheres suspended in a water-based gel that are FDA-approved to smooth moderate-to-severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). RADIESSE is also used to correct volume loss in the back of the hands.

The solution is injected into the skin through a simple and minimally invasive procedure performed by Dr. Hochman. For many, it is the ideal application to manage the facial contour demands that they desire. Watch the Radiesse video

Thinning lips, shape loss, fine lines around the mouth are among the most widely requested treatment areas.  While there are a handful of treatment options on the market, our patients are seeing their desired results from the only FDA-approved treatment to enhance the lips and surrounding area from the Restylane Family of Products, Restylane Silk!

Medical Considerations

As with any procedure, it’s very important for your doctor to be fully aware of any allergies or medical conditions you may have. In addition, inform your physician of any skin infections or rashes, immune deficiencies or if you’re taking any medications that can affect the outcome of your facial enhancement.

If you have fine lines or wrinkles associated with muscle activity, we may instead recommend BOTOX® Cosmetic to these injectable treatments.

Common Side Effects

Common side effects of non-surgical facial enhancement procedures include: swelling, redness, pain, bruising, and hardness around the treated areas.

Frequently Asked Questions About Facial Rejuvenation

Q: Which areas can be treated with dermal fillers?
A: Injectables can be used to smooth facial lines and wrinkles, create facial contouring, add volume to lips and revitalize the skin.

Common areas of treatment include: brows, crow’s feet, marionette lines, lips, nasolabial folds, and chin.

Q: Are dermal fillers safe?
A: Dermal fillers are relatively safe, especially when administered by a highly qualified professional. For specific product-related issues, discuss your choice of treatment with your physician or aesthetic professional.

Q: What are the benefits of dermal fillers?
A: They are a safe and easy way to enhance the appearance of your face, giving you a more youthful look. Results can be instant and last as long as a year.

Q: How long is the consultation?
A: The injection process may take anywhere from 15 minutes to 30 minutes depending on the amount of product that needs to be administered and the number of treatment areas. Remember to allocate time to discuss your preferences with your physician before treatment.

Q: Do I need to take time off work?
A: No, there is no need to take time off work. These are non-invasive procedures that are time efficient and can be done even on your lunch hour. You can return immediately to your normal routine after undergoing any injectable procedure.

Q: Will I see results immediately?
A: Yes, you will be able to see some immediate results.

 

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Testimonials

  • Dr. Hochman, Kim, and the entire staff have saved my life. I've never had a doctor so genuinely interested in my health and wellbeing. My migraines rule my life, but because of Dr. Hochman's treatments, I am able to have a measure of freedom again. I cannot recommend him enough for migraine treatment. He is compassionate, caring, professional and, frankly, family at this point.
  • Dr. Hochman and his staff have been caring for our daughter and treating her Port Wine Stains for over 10 years now! He is a world renowned Dr and in high demand, but the brat part is he LOVES our child and that makes him the best! We consider Dr Hochman and his staff one of our greatest blessing and thank God for them!
  • To be honest, I couldn’t have had a better experience. From start to finish, Dr Hochman and his wonderful staff took the BEST care of me. I had a VERY large basal cell area removed from the side of my nose and cheek. They referred me to a wonderful dermatologist who got me in right away. After the Mohs procedure, Dr Hochman did my repair three days later, right in his own office with a fabulous anesthesiologist and super nurse. And now, twelve weeks later, you can hardly tell anything was done. Beautiful job!
  • We absolutely LOVE Dr. Hochman! Our 16 month old had a large hemangioma removed from his forehead and you can’t even tell it was ever there! He did such a great job there isn’t even a visible scar. He is honest, to the point and was beyond helpful after hours when we needed him. We are beyond happy we found him!

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