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Before Botox
Botox® is a protein complex that interferes with muscle contraction.  It temporarily blocks nerve stimulation of muscles where it is injected, so that muscle contraction is weakened or inhibited.  Botox® has been safely used for many years to treat spasms of the muscles that move the eye (strabismus) and uncontrollable blinking (blepharospasm).  In 2002 it was approved by the FDA for cosmetic use, and since that time it has been marketed as Botox® Cosmetic.

Many facial wrinkles and creases are active lines caused by muscle contraction, which can be blocked by Botox® injection.  The effect is temporary, usually lasting 3 to 6 months.  With repeated injection, the effect may regularly last up to 5 or 6 months.  Although some wrinkles and creases may completely disappear (temporarily), it is important to understand that some may improve but not completely disappear. Some people (very few) are resistant to Botox® and achieve little or no response.

Where does Botox® work the best? -
Areas of the face that respond well include 'crow's feet' lines around the eyes, vertical frown lines between the eyebrows, and horizontal ('worry') lines on the forehead.  Botox® can also be administered just below the lateral aspect of the eyebrow to produce a temporary lateral brow lift
, which opens up and brightens the eyes.

In some instances, Botox® can be used to soften vertical upper and lower lip lines, to reduce muscle bands in the anterior neck, and even elevate the nasal tip. 

Some people experience excessive underarm sweating called hyperhydrosis.  This excess can lead to embarrassment and stains on clothing.  It causes some people to avoid public speaking and to limit their wardrobes.  

Botox® Therapy can be used to control excessive sweating.  Botox® therapy works by blocking the nerves that stimulate the sweat glands under the arms.  It can reduce 90% of the sweat produced by these glands.  It does not cause muscle weakness when injected under the arms.  It is injected with a tiny needle just underneath the skin, similar to how a TB test would be injected.  Multiple injections are required at spaced intervals to fully cover the whole surface that is responsible for sweating.  We locate the active sweat glands with a protocol that uses iodine and cornstarch so expect the procedure to be a little messy.  It takes from 30 minutes to an hour.  Typically, the results take effect within 2 weeks.  The treatment will continue to provide underarm dryness for 6 months to 16 months depending on the individual. 


After Botox
 
Before Botox
After Botox

Restylane ® is a naturally-occurring injectable agent that is used for lip enhancement and to soften facial lines and creases. It was approved by the FDA for the treatment of lines and creases around the mouth and nose in December 2003.

Common signs of lower facial aging include thinning of the lips, deepening of the nasolabial folds (a crease from the outer side of the nostril to the corner of the mouth), and the development of 'marionette' lines (running vertically downward from the corners of the mouth). These features can in many cases be instantly and dramatically improved by the injection of soft tissue filling materials such as Restylane ®. The injection of Restylane ® can also improve some depressed scars, vertical lines around the mouth, and other facial soft tissue abnormalities.  

Restylane ® does not carry the risk of allergic reaction that is associated with bovine (cow) collagen, so no skin test is required.  It does not contain any material that does not naturally occur in soft tissues, such as hydroxyapetite or methylmethacrylate, which can result in granuloma (cyst) formation and chronic inflammation. Be VERY wary of injectable agents that contain materials that do not naturally occur in soft tissues, as the risk of these complications is often minimized to patients.


  •  Juvéderm™ Ultra Plus is a smooth consistency gel made of hyaluronic acid which is a naturally occurring substance in your skin that helps to add volume and hydration.  
  • Juvéderm™ Ultra  Plus is injected under the skin to instantly restore your skin's volume and smooth away facial  wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run  from the bottom of your nose to the corners of your mouth).
  • Juvéderm™ Ultra Plus provides a smooth, natural look and feel - so everyone will notice (but no one will know, unless you tell).  Studies show superior results of Juvéderm™ Ultra Plus compared  to a collagen-based dermal filler.
  • Juvéderm™ injectable gel is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color.
  • With Juvéderm™ Ultra Plus  the injection process takes only about 15 minutes and results are immediate. There's minimal recovery or downtime. So you can step into your doctor's office for treatment and step right back into your life.
  • Juvéderm™  Ultra Plus is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds)
  • Juvéderm™  Ultra is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds.
  • Want to enhance your lips?  Juvederm™ Ultra is the perfect choice for lip enhancement and the correction of fine lines along the lip line.  You decide if you want a simple change or a dramatic change!!


 

 
One of the most age-telling body features is our hands.  As one ages hands lose firmness and plumpness and begin to look bony and fragile....with vein and joint protrusion, thin crepey skin texture and often they've become flecked with brown spots from sun exposure.

Hand Rejuvenation with
Radiesse

Injections immediately re-plump and replenish volume to the back of the hands to provide a supple and youthful appearance instantly. Placed beneath the skin, Radiesse raises the skin level so that tendons, joints and veins lose their prominence. Radiesse provides instant and durable long lasting results


Radiesse®
dermal filler is made of calcium-based microspheres suspended in a water-based gel, and is injected into the skin through a simple and minimally invasive procedure. Radiesse®dermal filler is the ideal choice for total facial contouring. It can restore a healthy, youthful appearance, enhance your existing features, help you defy age and gravity, and increase your confidence – all without invasive surgery or scarring. 

Radiesse® dermal filler works with your own body in a remarkable way.  Upon injection, it immediately adds volume to safely contour, correct, and beautify facial features.  And unlike other fillers, Radiesse® dermal filler continues to work over time.  With its patented microsphere technology, it starts a process called collagenesis, stimulating your body to produce new collagen and encouraging collagen to grow around the injection area.  Radiesse® dermal filler actually helps your body create its own naturally younger look, setting a new standard in facial contouring and augmentation.
 

Safety - Radiesse®
dermal filler has been clinically tested extensively for years, with excellent safety and efficacy results.  It has received CE mark certification, two FDA approvals, and a number of FDA clearances.  Radiesse® dermal filler is made from a biocompatible substance that’s identical to what’s naturally found in the body.  There’s virtually no risk of allergic reaction, and there have been very few side effects reported in clinical trials and actual use. 

Immediate and long-lasting: 
Treatment with Radiesse® dermal filler is so simple and convenient, it can be performed during a lunch hour.  You’ll see the results right away - and these results may last up to a year or more for many patients.  The long-lasting effects of Radiesse® dermal filler can reduce the need for retreatment, which saves you time and money compared with other fillers.