Tag Archives: Radiesse

That’s NOT Botox.

18 Nov
Another strong misunderstanding a lot of people have around the Boston Area is what products go where Botox does not.   If it’s caused by gravity:  THAT’S NOT BOTOX!

HYALURONIC ACID (HA) FILLERS (TEMPORARY)

Hyaluronic acid fillers are synthetic sugars that attract water molecules.  They are placed in actual wrinkles or other areas that need volume and offer instant results. They fill in marionette lines, lift up jowls or plump up volume along the jaw line where definition has been lost.

Restylane, Perlane and Juvéderm (www.juvederm.com) are the most commonly used hyaluronic acid fillers, with Juvéderm being the leading product (I refer to Restylane as ‘old school’).  There is no need for allergy testing, as these products are sugars your body naturally makes.  There is little pain with injection, as the new products come with lidocaine added as a powder to the product.   Expect a topical numbing agent (topical lidocaine) to be applied prior to injection.  This should be left on for AT LEAST 20 minutes.  The actual procedure only takes about 15 minutes.  Swelling and bruising are possible and you should probably not do a filler if you have an important event within a week from treatment.  ICE ICE ICE!  I also recommend arnica montana cream which can be purchased at GNC or Whole Foods.  You can expect results to last from six months to a year, depending on the brand and where it is placed (Juvéderm lasts the longest).

I have Juvéderm filler in my lips.  It feels and looks natural.  It was the first injectable I tried, and I’m very happy with it.  😉  I mostly just use HA’s in the lips and very deep frown lines between the brows.  Reason being, HA’s are injected into the superficial dermis and do not give as good of a fill for the cost for deep lines and folds.  I like other products more for those very deep lines.

Calcium Hydroxylapitate (SEMI-PERMANENT)

Radiesse (www.radiesse.com) is an example of a semi-permanent filler and it is made from calcium molecules suspended in a gel which stimulates your collagen. The microspheres in it create “scaffolding” that your own collagen will grow around, but is eventually broken down by the body. Radiesse can be used to fill the nasolabial folds and marionette lines, as well as define the contours of the face.  It goes deep in the dermal layer of skin, and should NEVER go in the lips!

Lidocaine topical should be applied 20 minutes prior to injection.  Lidocaine is added to the product immediately prior to injection.

I recently had a little lift put in my cheeks (as described in a prior blog).  I had zero pain or discomfort.  The lidocaine eventually traveled down my nerve from my cheek to my lips.  It felt a little funny!  It looks and feels completely natural. 

COLLAGEN STIMULATORS (aka collagen builders or stimulating fillers)

Collagen stimulators contain particles that signal the skin to produce more collagen. Instead of just filling in select lines and wrinkles, these are used on larger areas like the cheeks.  They can be used in areas where synthetic fillers look somewhat unnatural (like the lower face under the cheek area).  Results are not immediate; it takes about 6 weeks to see the result of the collagen stimulation; however, the product lasts two years.  Most women prefer the gradual change in their facial contour.

Sculptra (www.sculptraaesthetic.com) is an example of a collagen stimulator. It is approved by the FDA for restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus (as is Radiesse). Most patients require an average of two to three treatments six weeks apart for optimal results.

I had Sculptra injected into my temples.  Zero pain.  My patients are in LOVE with this product.  It costs about as much as other fillers when you take into consideration how long it lasts.  It also looks COMPLETELY natural due to the fact it’s ALL your own collagen produced.  I foresee this product being my number one injectable within the next year!  Move over Botox!!! 

COLLAGEN FILLERS

Although collagen fillers changed the face of beauty when they entered the marketplace in the 1980s, they quickly fell out of favor when longer-lasting hyaluronic acid was introduced. However, many doctors still use collagen, especially for plumping the lips and filling in “smoker’s lines” around the mouth.  Although overfilling is necessary to achieve the desired result, the excess fluid is absorbed over the first few hours after treatment, and minor redness and swelling subside in a few days.  Results last from two to three months… also known as a waste of money when there are so many better products!

Cheek Augmentation with Radiesse: A Personal Experience

28 Oct

“Executive Decision:  I’m getting my cheeks done!”

85 Facebook post responses later…

I know I haven’t written any posts on Botox or Fillers yet.  I wanted to start my education with the basics, which I’m certainly not done talking about yet.  However, I insighted such a riot on my facebook page with my decision I wanted to talk about my experience while the topic was still hot!

First of all, a person’s decision to undergo a procedure, be it botox, breast augmenation, or becoming a blonde, is a personal decision (yes I posted my decision on facebook, because I want to share my experiences with people!).  It doesn’t matter what your best friend thinks, what your husband or boyfriend thinks, or what your mother thinks.  It matters what YOU think.

Did I think I had such bad volume loss I needed my cheeks done?  No, I’m under 30, and I did it as a product trial (and–I won’t lie–I did a client of mine who is a model–age 21–and it looked so good I wanted to try it).

I was so excited the night before I couldn’t sleep!  I woke up at 7:45 (which is an ungodly hour for me).

I was at the office at 10:30 getting my cheeks numbed with topical lidocaine and couldn’t wait to begin.  My colleagues and I do each other’s botox and fillers, and I would like to thank Julie K. for her work.

I sat with the girls for 30 minutes while my topical numbed my cheeks.  Julie

(that would be numbing cream on my face)

cleaned off the topical in the procedure room, and I could feel it was numb.  I have a high tolerance to pain (I think it’s my Russian blood), but for people who don’t, you can request a dental block (like when you go to the dentist).  Julie added xylocaine to the syringe of Radiesse.  This was sufficient for my pain tolerance.  I had ZERO discomfort.

Julie placed product along my zygomatic arch (cheek bone), focusing on the outter rim.  She did not put any product into my central cheek area, because I still have good volume there.  She did place a small amount in the cheek area near my nose where I had lost some volume.

Like I said, I had no pain or discomfort at all.  The numbing agent in the product traveled down the nerve making my lips feel slightly numb for about an hour.  Not like dentist-drooly numb, more like plumping lipgloss numb or that feeling from Icy-Hot (the product for muscle pain).

A few hours after I didn’t have any pain, I couldn’t feel any product, and I had no bruising.  It looks great and I’m very happy with the result!  I want to be clear that this is something I personally do in my office, and I think it’s important to be able to tell people how things feel, I think it’s part of my job.

before

Cheek Augmentation and Lip Augmentation

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