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 and its newer competitors, Jeauveau's #NEWTOX and Xeomin block the action of nerves on muscles. All are used to treat the wrinkles caused by muscle activity. #NEWTOX and BOTOX are FDA-approved products; however, #NEWTOX is less costly and offers the same results.
Expressive wrinkles are the ones you see when you animate your facial muscles, such as the "11" between your eyebrows or the lines when you raise your eyebrows. Crows feet are another example. In some cases, these injectables can be used to relax neck muscles or tendons to enhance the neckline. They can also raise the brows, making the eyes appear more open.
Prejuvenation is a growing trend in younger patients who start investing in subtle aesthetic treatments in their late 20's and 30's to prevent the wrinkles from forming. By freezing the expressive areas of the face, they are preventing aging now-rather than correcting it later.
There is no recovery time or downtime although you may see some temporary redness or bruising at the injection site. On average, it takes three to five days to start to see effects and up to 3 weeks to see the maximum results.
Static 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 (dermal) fillers, all based on hyaluronic acid which occurs naturally in the body, are used to ‘fill’ these lines, folds and other skin imperfections. 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, softening facial creases and wrinkles, or change the contour of the jaw, giving you a more natural-looking, refreshed look. Dark, undereye circles can also be improved when injected. However, they cannot help with excess sagging skin, and the results of fillers last for only a few months to a year but help boost collagen over the long-term. With regular use, injectables and fillers need to be replaced less frequently.
Some patients request 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 a few days after the injections.
DERMAL FILLER PRODUCTS:
JUVEDERM VOLUMA XC - designed to add volume for lifting and contouring the cheek area for up to 2 years.
JUVEDERM XC - for the correction of moderate to severe facial wrinkles and folds (such as nasolabial folds).
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RESTYLANE SILK - first FDA-approved product specifically designed for lig augmentation and the smoothing of wrinkles around the mouth.
RESTYLANE DEFYNE - helps smooth out moderate to deep laugh lines (nasolabial folds and marionette lines). Using innovative cross-linking technology, DEFYNE is a hyaluronic acid dermal filler that is able to help restore a more youthful, natural-looking appearance, while helping you maintain your natural expressions.
RESTYLANE LYFT -with Lidocaine- safe, effective and dissolvable HA filler. The first to be FDA-approved to treat both your face for moderate to severe facial wrinkles and folds and for cheek augmentation to correct age-related midface contour deficiencies and volume deficit in hands.
RESTYLANE REFYNE - designed for mid-to-deep injection in face tissue for moderate to severe facial wrinkles and folds.
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RADIESSE - dermal filler which smoothes wrinkles on face and hands. Once injected, it provides immediate volume and correction and continues to work by stimulating the body to produce its own natural collagen for a long-lasting effect.
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 Jeaveau NEWTOX, XEOMIN or BOTOX® Cosmetic to these injectable treatments.
Common Side Effects
Although injections are generally safe, you should only consult an experienced physician to ensure the best results and fewest side effects. Injectables like BOTOX can impact the wrong facial muscles if injected improperly. 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 performs ALL injections himself.
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 Dr. Hochman to give you the outcome you desire.
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 during 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.