Botox, Restylane, and other Fillers
Purchase a syringe of any filler and receive your Botox at $7.75 per unit!
Non-refundable deposit required. These promotional fees will be available for a very limited time.
NOTE: Promotional pricing may be cancelled at any time and without advanced notice. Promotions may not be combined and are not transferrable. Other rules and restrictions apply; call office for details and please also scroll to bottom of page.
The muscle relaxants BOTOX®, Xeomin, and Dysport, and the fillers Restylane, Radiesse, Juvederm, Voluma, Belotero, Prevelle, Perlane, and Sculptra are injectable treatments designed to address certain signs of aging such as fine lines, wrinkles, and the commonly associated loss of volume seen in the aging face.
One or more of these products are also often used to maximize the improvement of surgical procedures, putting the finishing touch on the benefits of a facelift, laser treatment, or eyelid surgery. BOTOX® has also been proven to treat excessive sweating, although the improvement is not as long lasting as with a miraDry treatment.
Maximum improvement is often noted when Botox is used in conjunction with a filler, with the Botox relaxing the muscle that created the wrinkle and the filler softening its appearance.
Whatever methods are used, injectables are very effective in reducing lines and wrinkles and adding volume to your face. We will review your individual goals as well as your skin’s condition and your facial shape to establish the best treatment program for your needs.
BOTOX®, Xeomin, and Dysport (collectively called “neuromodulators) are all variants of a highly purified and refined bacterial toxin that paralyzes muscle tissue, and are used to safely and effectively relax the muscles into which they are injected, temporarily diminishing or eliminating their contraction. They are specifically useful in treating those muscles that are used for smiling or frowning (called “muscles of facial expression”), eliminating the muscles’ ability to contract and make the wrinkles. All 3 of these products are made from a highly purified, FDA approved, cosmetic form of botulinum toxin.
In aesthetic medicine, these neuromodulators are often used to improve “dynamic” wrinkles- meaning those wrinkles that are caused by the facial expressions we make to communicate with others. The art of their injection, and what comes with skill and experience, is in creating the right amount of relaxation so that the patient remains attractively expressive, while minimizing the formation of these wrinkles. The most common areas treated with Botox, Dysport, and Xeomin are:
- Frown lines between the eyebrows
- “Crow’s feet” wrinkles on the sides of the eyes
- “Bunny lines” on the top of the nose
In these areas of the face, contraction of the facial muscles just under the skin causes a repetitive creasing of the overlying skin. When we are younger these lines occur only with expression. However, over the years, there is a quicker breakdown of the collagen in these hyper-mobile areas and the lines begin to persist at rest. These “dynamic” wrinkles therefore deepen with age and often create a tense, stressed appearance that makes some of us look older than we would like or feel. People may comment that you look tired, worried, or angry, even if you are feeling refreshed and in a great mood.
By treating the muscles causing these wrinkles with neuromodulators like Botox, Xeomin, or Dysport, relaxation and diminishment or complete effacement of the wrinkle results. The overlying skin looks smoother, tighter and younger. If done correctly most people feel that they still look like themselves, but “more relaxed.”
Treatments are very simple to perform and usually take less than five minutes per facial area. Using a tiny micro-needle, a minuscule amount of one of the FDA-approved neuromodulators (botulinum toxin type A), is injected very precisely into the select facial muscles, according to the individual patient’s goals and examination.
Because the needle used for the injection is very thin, no sedation or local anesthetic is necessary. Comfort can be enhanced by applying a topical anesthetic or an ice pack a few minutes before the injection. There is no “downtime” associated with these injections and patients often return to work the very same day that they are performed.
The results are usually noticeable about 3 days following the procedure, but reach their maximum effect within two weeks of the original injections. Although results vary, most individuals can expect significant wrinkle reduction for about four months following the injection of Botox, Xeomin, or Dysport. To maintain the desired wrinkle reduction effects, treatments can and should be repeated about every four or five months. The result tends to be longer lasting with subsequent treatments.
Your satisfaction, as well as the duration and effectiveness of the treatment you receive will depend to some extent on your biology, the product used, and the skill and experience of the person you choose to perform your treatment. At Aesthetic Enhancements, we are very fortunate to be able to offer you the services of Bridget Kelly, PAC, one of the nation’s top experts on injecting neuromodulators and fillers for aesthetic improvement. Bridget has been honored by both the manufacturer of Botox, and Restylane as a master injector and has participated in the training of many other professionals interested in improving their injecting skills.
About the Fillers
Restylane, Juvederm, Radiesse, and others are hyaluronic acid fillers used to plump wrinkles throughout the face, including the nasolabial folds (the lines that run diagonally from the nose to the mouth) , the glabellar lines (between the eyebrows) and the wrinkles around the lips and around the eyes. These fillers are composed of a laboratory-created protein called hyaluronic acid, similar to the natural hyaluronic acid present in youthful skin and which produces youthful skin’s volume and fullness. The lab-created hyaluronic acid in these products has been modified slightly to last longer than your own hyaluronic acid. Minor differences among the products available have largely to do with how long they last in the individual patient.
Hyaluronic acid is hydrophilic, which means it’s “water loving,” and as such, it attracts many times its own weight in water. Even as the hyaluronic acid begins to disappear, each molecule attaches to more water, which means it will maintain its volume and effect for between four and six months. Although a tiny needle is used, Restylane is slightly thicker than the other fillers and, therefore, can be more uncomfortable when injected. Numbing creams are applied to minimize pain, and fortunately, the products can also be mixed with a bit of Lidocaine to minimize discomfort during the injection.
Restylane is a hyaluronic acid gel that is injected to restore lost volume and provide fullness to the skin by filling the lines that run from your nose to the corners of your mouth (nasolabial folds). It has been used in over 70 countries for more than 1.4 million treatments and is one of the most popular fillers. It lasts for 6-9 months. It’s often used to fill in the more superficial lines and is a popular lip filler, as well as a wrinkle-filler for “crow’s feet” and lines between the eyes. Restylane lasts up to 9 months.
Juvederm is a soft gel made of hyaluronic acid. Like Restylane, it is used to restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or the creases that run from the bottom of your nose to the corners of your mouth. It’s also been found extremely effective for plumping lips. It can last up to about 12 months.
Radiesse and Sculptra are also popular fillers. Unlike those above, they are not made of hyaluronic acid.
Radiesse is composed of tiny microspheres containing calcium hydroxylapatite, a protein found in our teeth and bones. When injected, these microspheres form a scaffold through which your body’s own collagen grows, thus achieving a fairly long-term volumizing effect. Because Radiesse stimulates collagen production, most patients see some permanent decrease in the injected areas even after the original filler has disappeared (normally 8-12 months). Although this varies from individual to individual, the chance to permanently diminish some of our wrinkles has made Radiesse an extremely popular filler!
Because Radiesse is a thicker filler, it is reserved for use in deeper tissues. An example would be to fill out the area around the cheekbones, to fill in scars, or to return volume to areas where it has been lost to aging, disease, or injury. It is very effective for deep nasolabial folds. Because men often have very deep nasolabial folds, Radiesse is a logical treatment for men in particular. If the backs of your hands have a great deal of loose skin, you may like Radiesse for this area, as it’s very effective in restoring volume to the hands. It is not used in the lips because it creates more discomfort than some of the other lip fillers and can appear less smooth in the lips than our other options.
Radiesse is the longest-lasting of the fillers, maintaining fullness for up to 2 years. Because it is injected deeper into the skin, a local anesthetic (like you’d receive in your dentist’s office) is used when injecting Radiesse. We will spray the inside of your mouth with a numbing spray to lessen the discomfort of the local. Sculptra is made of poly-L-lactic acid and is extremely long-lasting, ie, up to 2 years. It was originally created for HIV patients whose faces lost significant volume as a result of their illness. Because Sculptra was used to replace this volume, it is often called a “liquid facelift”. It is used under the eyes, in the mid-face area for cheek hollows and in the temples.
Sculptra is derived from non-animal sources, there is no concern about an allergic reaction and it is often preferred by vegetarians and others who, for religious or ethical reasons, prefer to use a non-animal product.
Voluma is similar to Sculptra and Radiesse in that it is best used to restore volume to the aging face. Voluma instantly adds volume lost to changing in the cheek area and creates contour to the face with a subtle lift. This product helps to restore a more youthful profile for up to 2 years with optimal treatment while providing a natural-looking appearance.
The newest of these products is Kybella. Kybella is the first and only FDA-approved nonsurgical treatment that contours and improves the appearance of submittal fullness under the chin. The active ingredient used in Kybella is deoxycholic acid, a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected in the fat under the chin, the product causes the destruction of fat cells. Once these fat cells are destroyed, those cells cannot store or accumulate fat.
Note about specials:
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