Dr. Fisher performs a variety of non-surgical injectable procedures. These are procedures done for facial rejuvenation without requiring surgery. There are a number of products used for facial injections. As with any cosmetic procedure, not every treatment is for every person so it is very important that someone qualified analyzes your face and helps you decide which procedure or procedures are right for you. This personalized assessment is key for avoiding the unattractive stereotype appearance that can result when one is injected by an unqualified person. These looks may include a frozen expression, “mephisto” or “Spock” brows, or “ducky” lips. Dr. Fisher specializes in personalized evaluations and treatments.
There are a number of injectable options depending on your needs. From Botox to hyaluronic acid fillers and Sculptra, a consultation with Dr. Fisher will help you determine what is right for you.
The neuromodulators include Botox Cosmetic and Dysport. Both of these injectables work by paralyzing specific muscles of facial expression, for example the wrinkles between the eyebrows. When too pronounced, those wrinkles can make one look older, angry, or stressed. Botox or Dysport can soften these lines so that you appear smoother and more relaxed. The effect of neuromodulators is temporary and needs to be redone every 4 to 6 months in order to maintain the effect.
Hyaluronic Acid Fillers
The hyaluronic acid fillers, or HA fillers, include the Juvéderm and Restylane brands. These are literally gels used to fill in deep lines on the face, such as the nasolabial folds (“smile line”). The gel is made from hyaluronic acid which is a naturally occurring substance in our skin and that’s why it makes such a great filler. These fillers can also make the face look more youthful by adding fullness to areas that have lost volume or to areas needing augmentation. Some HA fillers can be used specifically to augment the lips or to fill in lines around the mouth. Others can specifically be used to add fullness to the midface. The effect of HA fillers needs to be redone periodically to maintain the effect.
The exception to this is Voluma. This long-lasting new HA filler lasts for at least 2 years and is the only approved filler specifically for use in the cheeks and midface, restoring those youthful contours of the face.
There are other categories of injectables. One example is Sculptra Aesthetic. Sculptra can be used to subtly add volume to your face over time. The improvement is gradual and gives a natural more youthful appearance. Multiple injections are generally required and the number depends on how much facial volume needs to be restored. The results are long-lasting compared with the HA fillers, lasting over 2 years. Sculptra is particularly useful in the temple area. Temples atrophy or become more hollow as we age. In most people this starts in the late 40’s or early 50’s and is a tell-tale sign of aging. Sculptra restores volume to this area very effectively. Sculptra requires special training and can only be injected by specially-trained physicians.
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