Neuromodulators | Hyaluronic Acid Fillers | Calcium Hydroxyapatite (Radiesse)Poly-L-Lactic Acid (Sculptra) | Deoxycholic Acid

Neuromodulators

What are Botox, Xeomin and Dysport, exactly?

They are all purified protein derived from the bacterium Clostridium botulinum. This purified protein blocks the release of acetylcholine and relaxes muscles. The name Botox is used commonly for neurotoxin treatments like Kleenex is in the tissue world. There are currently three FDA approved neurotoxins on the market in the United States. Botox (Allergan), Dysport (Galderma), and Xeomin (Merz).

How do they work?

Normally, your brain sends electrochemical messages to your muscles to make them contract and move. These messages are transmitted from a nerve to the muscle by a substance called acetylcholine. Botox blocks the nerve from releasing acetylcholine. As a result, the muscle contractions stop or are greatly reduced, which in turn reduces the wrinkles in that area.

How soon will I see a difference, and how long will it last?

Clients can usually see results within days of treatment, but the full effect can take up to 10 days. Visible results have been shown to last up to 3-5 months, and after that you should return for follow-up treatment. Results last longer after you have received consecutive treatments over time.

What is the treatment like?

Botox cosmetic and Dysport are quick and minimally invasive procedures. Discomfort is minimal and brief. No anesthesia is required, although very sensitive clients may opt to numb the area with a cold pack or numbing cream prior to injection. There is no down time, you may resume all your normal activities immediately.

How does Botox treat excessive underarm sweating?

Botox treatment can help control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. Excessive sweating should cease within approximately four weeks of your treatment. Periodic treatments can last from 6-8 months – give us a call, or come by, and we can tell you more about this very effective treatment.

Am I going to look different?

This is one of the most common questions I get from a new and first-time neuromodulator client. Unfortunately, we all see the frozen faces on tv, movies, and magazines. Frozen can be accomplished if that’s what you are going for, but you do have the option of having movement of the muscles being treated. A good injector will take the time to survey these options with you and tailor your treatment to match your personal goals. We always have this conversation up front with our clients prior to treating because your personal goals are important to us. In short, you don’t have to look different than yourself…if anything you’ll just get lots of compliments on how great your skin looks!

Do you dilute your neuromodulators?

All neurotoxins come as a dried powder in a vacuum sealed glass vial. Our med spa can provide all three options to clients. For Botox, we purchase 100-unit vials. Prior to treatment it is diluted with bacteriostatic 0.9% Sodium Chloride solution. There are different dilution ratios that can be used to target different injection sites, and this is determined by each treatment professional. The more a neuromodulator is diluted, the bigger radius it will have in treatment coverage. For example, a 1:1 or one to one ratio means that for every 100 units of Botox or Xeomin, there is 1 ml of bacteriostatic 0.9% Sodium Chloride solution. For Dysport the ratio is 1.5ml of bacteriostatic 0.9% Sodium Chloride in a 300-unit vial. For our practice, these dilutions are standard.

When using Botox for hyperhidrosis of the underarms, hands, or feet, a 4:1 ratio is used. The number of Botox units injected does not change when using a higher dilution ratio. The amount of fluid injected increases to achieve the same dosing. There are many other dilution ratios that can be used, but these summarize the dilution methods that are most commonly used in our med spa practice.

Is Botox Botulism (food poisoning)?

Botulism in this regard is a foodborne illness. It is rare but can be fatal when food contaminated with the bacterium Clostridium Botulinum is ingested. Botox is not botulism, but it is purified from the same type of bacterium. When used properly and injected by a trained professional, Botox is a very safe treatment of choice for the improvement of moderate to severe frown and crow’s feet lines.

How would you compare neuromodulators?

The simplest way to compare Botox, Xeomin and Dysport is to refer to them as Pepsi and Coca-Cola. They are all neurotoxins (dark sodas), just made by two different manufactures. Some people like Pepsi more and some people like Coca-Cola. This is a great starting point when discussing the three choices you have. Botox is by far the industry leader in mild to moderate reduction of glabellar, forehead, crow’s feet (and various other lines). Some prefer Dysport because they feel that it sets in a day or two sooner. We personally do not have a preference and would encourage our clients to choose whichever product they have a history with and/or prefer.

Is it painful?

We use a small insulin needle for injections. You will feel a pinch; however, we completely understand if needles and/or pain cause any distress. We are more than happy to topically numb or ice the area of treatment prior to and after treatment. Your comfort and ease of mind are important to us.

How many (units) would I need?

Each treatment requires a professional evaluation and a tailored treatment. Dosing can vary widely depending on your goals and the muscles being treated. It is hard to determine without a face to face consultation.

At what age should I start these treatments?

Botox is approved for use in men or women ages 18-65. Botox can be used a preventative measure or a corrective measure. If you think you are interested in treatment, we would recommend coming in for a complimentary consultation. We can assess your goals and possible treatment plan.

What is Brilliant Distinctions/Aspire?

These are reward programs offered by Allergan, the makers of Botox Cosmetic and Galderma, the makers of Dysport. It is like a frequent flyer program. By signing up using your email address, you will receive exclusive invitations, special offers, and great savings. You earn points for each treatment of Botox Cosmetic and Juvederm as well as when you purchase products like Latisse. No worries though, our office manages your account for you so that you don’t have to be bothered with printing out coupon redemptions for your rewards. You can log in to your account to check your balance if you like, and/or print off the coupon redemptions yourself. With each treatment or purchase you receive 200 points which is equal to $20 toward your next treatment or purchase. It is definitely worth it!

 

How often should I have neuromodulators be done?

You should not receive neuromodulators any sooner than 12 weeks after your last botulinum toxin injection.

How long will the treatment last?

Treatments typically last 3-5 months however each client is different depending on how active they are and how their bodies metabolism.

I have other questions…

By all means, feel free to call, or come in. We’d be happy to show you firsthand how this simple procedure works, as well as some stunning before-and-after images that show the results. Visit our locations, hours & contact Info page here for information on how to reach us, or for directions to the med spa.

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Hyaluronic Acid Fillers

How is it used?

Hyaluronic acid fillers are injected into areas of facial tissue where moderate to severe facial wrinkles and folds occur. It temporarily adds volume to the skin and may give the appearance of a smoother surface. Dermal fillers differ in chemical makeup, longevity and have varying degrees of softness. Softer fillers are used in the lips, for example, while sturdier fillers might be desired to enhance cheekbones. Our professional staff will determine with you the best type and volume of filler needed for your particular areas of concern. For many people, the use of “off-the-shelf” fillers can be a simple office-based procedure that can nicely enhance their appearance. These dermal fillers are very predictable and have relatively minimal risks and side effects.

Are there any reasons why I should not receive hyaluronic acid fillers?

Your provider will ask about your medical history to determine if you are an appropriate candidate for treatment. The product should not be used in patients who have:

  • Severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies
  • A history of allergies to lidocaine or Gram-positive bacterial proteins

Do the injections hurt?

Dermal fillers are injected directly into the skin in tiny amounts by an ultrafine needle, resulting in minimal discomfort. To assure your comfort during the procedure, a topical or local anesthetic and/or ice may be used.

How long does the effect last?

These types of fillers are proven to provide long lasting results. Depending on where the dermal fillers is injected, the results can last up to 1 year, although 6-8 months is typical. The product will gradually disappear from the body without a trace.

Are these hyaluronic fillers safe?

Yes. These types of fillers have been used successfully since 1996 worldwide. There is limited risk of allergic reaction. If you are pregnant or breastfeeding or under 18, you shouldn’t use these types of dermal fillers.

What are the possible side effects?

The most common side effects are redness, swelling, and bruising. These side effects are generally mild and last a short time. All efforts will be made to decrease any discomfort and side effects. Most clients feel comfortable going back to their normal activities immediately after treatment.

How long will it last?

This depends on the product, area treated and client metabolism. Speak directly to your provider for more details.

At what age should I begin to use fillers?

Everyone is different, and ages at different rates. The key is maintenance to keep your youthful appearance. You must be over 18 years old to receive filler.

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Calcium Hydroxyapatite (Radiesse)

How does Radiesse differ from other dermal fillers?

It is a different substance, a calcium derivative and is also made by a different company than the other dermal fillers. It is not dissolvable.

Where do you use Radiesse?

Because it is not dissolvable, it is primarily used in the hands.

How long do the effects of Radiesse last?

Although treatment effects will differ from person to person, Radiesse has been proven to last up to a year. Also, over time, Radiesse will stimulate your body to make new collagen.

What is Radiesse made from?

It is made of unique calcium-based microspheres that are suspended in a natural gel that is injected into the skin through a minimally invasive procedure. Over time, your body absorbs the gel carrier, while collagen starts to grow and infiltrate the area, replacing the gel with your own natural tissue.

Do the injections hurt?

Dermal fillers are injected directly into the skin in tiny amounts by an ultrafine needle, resulting in minimal discomfort. To assure your comfort during the procedure, a topical or local anesthetic may be used.

What are the possible side effects?

The most common side effects are redness, swelling, and bruising. These side effects are generally mild and last a short time. All efforts will be made to decrease any discomfort and side effects. Most clients feel comfortable going back to their normal activities immediately after treatment.

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Poly-L-Lactic Acid (Sculptra)

What is Sculptra made from?

The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.

How does the price of Sculptra compare with other anti-aging treatments?

Since Sculptra is not a filler, and the length of longevity is higher, the price is a little more expensive than that of dermal fillers.

How does Sculptra differ from dermal fillers?

Sculptra is made of lactic acid as opposed to the hyaluronic acid, which, both are natural-occurring substances, but Sculptra is to be used at a deeper layer than the other dermal fillers. What’s the advantage of that? By reconstituting or remaking the sculpture by adding fluid to it, Sculptra will give more volume to the face as opposed to a dermal filler which smooths out wrinkles.

What is collagen?

Collagen is the main structural protein in connective tissue. It is essential for maintaining healthy skin.

At what age should I begin getting Sculptra?

While there are no true age limits for Sculptra, we have found that younger the patient going through Sculptra injection, less vials, and less treatment injections may be needed vs. someone who is much more mature with more significantly deflated complexion where much greater volume replenishment and additional injection treatment sessions may be required. This has to do with the fact that there has to be a relatively healthy mechanism of collagen production for Sculptra PLLA to work effectively.

How long will the results from a Sculptra treatment last?

Sculptra has been reported to last up to two years between treatments. So, that is a significant amount of time compared to some of the other dermal fillers. Yet, you do need to remember it works in a different manner in working at a deeper layer so there is a chance that it can, even though it’s supposed to last two years, some of those areas may lose volume a bit earlier.

Can you inject Sculptra when other fillers are present?

Because Sculptra works at a deeper layer than the other dermal fillers, it is a nice complement to some of those treatments. So yes, you can get Sculptra along with any of the other dermal treatments, and I think Sculptra is especially good for patients that are looking for facial volume, which the other fillers don’t necessarily offer.

Do the injections hurt?

Dermal fillers are injected directly into the skin in tiny amounts by an ultrafine needle, resulting in minimal discomfort. To assure your comfort during the procedure, a topical or local anesthetic may be used.

What are the possible side effects?

The most common side effects are redness, swelling, and bruising. These side effects are generally mild and last a short time. All efforts will be made to decrease any discomfort and side effects. Most clients feel comfortable going back to their normal activities immediately after treatment.

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Deoxycholic Acid

Is KYBELLA® right for me?

Only you and your doctor can decide if KYBELLA® is right for you. If you’re bothered by submental fullness, or double chin, ask your doctor about KYBELLA®.

How many people have been treated with KYBELLA®?

KYBELLA® has been the focus of a global clinical development program involving over 20 clinical studies with more than 2,600 patients worldwide, of which over 1,600 have been treated with KYBELLA®.

Will I experience any side effects?

The safety profile of KYBELLA® is well characterized. The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area. KYBELLA® can cause serious side effects, including trouble swallowing and nerve injury in the jaw that can cause an uneven smile or facial muscle weakness.2 These are not all of the possible side effects of KYBELLA®. Call your healthcare provider for medical advice about side effects.

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