Cosmetic Surgery

Injectables (Neuromodulators & Dermal Fillers)

For many people, the idea of cosmetic surgery or laser treatment can feel extreme because they worry about anesthesia and recovery. Thankfully there are plenty of treatment options now available that are simple, safe, and effective. Two of the most common treatments used by aesthetic providers are neuromodulators and dermal fillers.

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Neuromodulators

Let’s talk about the neuromodulators first. You may recognize this group of products by some of their trade names, like Botox, Dysport, Jeuveau, and Xeomin. 

They are all considered neuromodulators, which is just a big word for a treatment that is actually quite simple. 

Neuromodulators are small injections that help to relax wrinkles in the face and neck. These products are particularly good at improving wrinkles around the eyes, forehead, and even those stubborn “11’s” in between the brow. These products have been on the market for over 10 years and have a reputation for both product safety and beautiful, natural results.

Treatment with a neuromodulator typically takes 15 minutes. The results appear in 2-3 days and typically last between 4-5 months. The treatment does not require any anesthesia and you can resume normal activities the following day.

The ideal candidate to receive Botox treatment is someone who wants to soften lines on the forehead, frown lines, or crows feet.

You start to see relaxation of wrinkles and frown lines in three to four days with completion in seven days. Our doctors will add to your treatment at no additional cost if you do not see satisfactory results by two weeks. Clients are asked to contact the office after two weeks if this happens.

The number of units used in treatment is based on two important things. First, our providers will discuss your desired outcome and goals prior to treatment. Some patients prefer to have some residual movement in the treatment areas, while others want as little movement as possible. 

The second consideration is muscle strength. The stronger the muscle and deeper the wrinkle, the more units will be needed to achieve a smooth result.

All four of the neuromodulators currently available are derivations of Botulinum toxin type A, often referred to as BoNT. Each product has a small difference (proteins added during production) in the base structure which can account for the subtle differences patients may experience. For example, Dysport tends to set up slightly faster than other products, and Xeomin boasts being the purest neuromodulator. Whichever product you choose, you can rest assured knowing that all four of the neuromodulators are FDA approved for safety.

Results last 3-6 months depending on how your body reacts to Botox. Frequency of treatment depends on the individual needs of the client. Most people receive regular treatment within a three to six month period.

The doctor will first discuss with the client what he or she wants to accomplish. Dr. Mallalieu and Dr. VanAntwerp will answer any questions prior to starting the botox treatment. The area to be treated is carefully swabbed with alcohol and Botox is injected into the area the patient wants relaxed.

  • Frown lines between the eyebrows
  • Crow’s feet
  • Forehead
  • Vertical lip lines
  • Neck Bands

Side effects are very uncommon. Rarely you may notice a small bruise and/or mild tenderness at the injection sites.

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Dermal Fillers

Whereas neuromodulators work to relax wrinkles that result from repeated movement, fillers are best suited to restore and improve volume, enhance facial features, and hydrate the skin. In short, Dermal Fillers offer a nonsurgical approach to reclaiming your youthful appearance. 

Fillers erase and fill in lines and folds on the face. These products have the ability to add volume and shape to cheeks, hands,  lips, and under-eye hollows. The changes are immediate and stunning. 

Just like their neuromodulator counterparts, there are numerous options to choose from. These products include products such as Juvéderm, Restylane, and Radiesse. Newer products such as RH and Versa are also very popular.

Dermal fillers are injected below or into the skin using tiny needles or cannulas. These products work immediately to help everything from improving the look of lipstick lines and nasolabial folds to strengthening the jawline and lifting the cheek and midface. 

Fillers can even help improve the profile of the nose as part of a non-surgical rhinoplasty!

Filler duration depends on the specific product used as well as the patient’s metabolism. Thinner fillers such as Juvéderm Vollure, Restylane Silk or Versa Lips will typically last 10-12 months. 

Thicker products such as Juvéderm Voluma, Restylane Lyft or RH4 can last up to 2 years!

There are a dizzying number of fillers available. Most fillers are composed of hyaluronic acid, a substance naturally produced by the body. These products include Juvederm, Restylane, RH and Versa. 

Let’s talk about these first. The filler you choose will depend on the target area’s skin thickness and facial anatomy, which vary from area to area. For instance, the skin under the eye is some of the thinnest in the body, while the skin of the cheek is much thicker. Some areas, such as the lips, are constantly moving, while others like the temples are stationary. 

For these reasons, each of the hyaluronic products have subset products. The Juvéderm family includes products like Juvéderm Voluma for building cheek volume and Juvederm Volbella for fine lines around the lips.

The Restylane family includes products like Restylane Kysse made specifically for the lips and Restylane Defyne for nasolabial folds. RHA Redensity is super thin and is the perfect option to help eliminate those stubborn “smoker’s lines” around the mouth. Each of these products is slightly different in molecule size and flexibility to provide the perfect result based on the area being treated. 

Two other fillers offer our clients unique benefits. Sculptra is a product which is often grouped under the filler heading. Like the hyaluronic acid fillers, Sculptra is placed under the skin. 

However, Sculptra works very differently than traditional fillers. This product is a biostimulator, which means Sculptra works with your body to restore volume. Sculptra’s results are not instant and are best seen with a series of treatments over time. One distinct advantage is that Sculptra provides a gradual result that can be used for full face restoration. 

Radiesse is a filler made with calcium hydroxylapatite (CaHA). This is a thicker filler and makes it a great option for the jawline and hands. Like the HA fillers, Radiesse provides an immediate result which can last upwards of 12-15 months. Additionally, Radiesse has also been shown to stimulate collagen and elastin production, giving an additional benefit not seen with the HA fillers.

Neuromodulators and dermal fillers are a perfect pair! They each help to restore a youthful appearance and enhance natural features in a unique way. The combination is synergistic when done together.

Experience Matters

Free Consultation

With years of medical experience our doctors, Dr. Jared Mallalieu and Dr. Ross VanAntwerp, specialize in bringing out the best in people through our unique laser and cosmetic procedures. Get in touch with us for your free, no-obligation consultation.