SPECIALS! Blog 855-465-6621 Home Cynthia Golomb, MD General Dermatology Cosmetic Dermatology Resources Directions Contact Patient Portal Injectables and Fillers Wrinkles, fine lines, loss of volume in the face can all be improved with the expert placement of injectable dermal fillers and neuromodulators. Botox, Dysport, Jeuveau and Xeomin are neuromodulators which soften wrinkles and fine lines by relaxing muscle groups. They are especially effective at softening frown lines. One procedure on the forehead is demonstrated in this video. Something important to keep in mind – the effect of the neuromodulator, no matter the brand, is NOT instant. Botox can take up to two weeks for the correction to be seen. Dysport, Jeuveau and Xeomin are a little quicker, two to five days. Jeuveau is the newest neurotoxin, the first to be introduced in nearly a decade. It’s important to note, the dosing units are not the same as, or comparable to, any other botulinum. Aging is part of life, and as the years pass, natural supporting structures such as collagen, hyaluronic acid and elastin are diminished – resulting in lines, wrinkles and jowls. Fillers are designed to restore volume support and suppleness. We offer tried and true fillers such as Belotero Balance, Juvéderm, Juvéderm Voluma, Radiesse, Restylane, Restylane Lyft, Restylane Silk and Sculptra, as well as the “next generation” fillers like Restylane Defyne, Restylane Refyne and Juvéderm Vollure. Some next-generation products are more flexible so you don’t look puffy or stiff. Others last longer so you don’t have to come in as often for touch-ups. The RHA Collection is an example of a new-to-the-U.S. filler that moves with you and lasts longer. Swiss-made RHA was created to be more like the natural hyaluronic acid in your skin and as a result, can last up to 15 months. RHA performs in the most dynamic areas of your face without looking stiff or unnatural. Watch the recording of my RHA virtual event to learn more! Kybella® contains a naturally occurring molecule that aids in the breakdown and absorption of dietary fat. Kybella is approved for injection into the fat beneath the chin. Once injected, the fat cells are destroyed and cannot store or accumulate fat. View the before and after photos to see what Kybella can do. Also, find answers to the most frequently asked questions about Kybella. Belotero Balance® is a hyaluronic acid filler that is a good choice to diminish dark circles by filling under-eye hollows. It is also a nice choice for smoothing lipstick lines about the mouth. Juvéderm Volbella® XC This newer filler lasts twice as long, increases lip fullness and softens the lines around the mouth. In the hands of an expert like Dr. Golomb, Volbella can created a natural-looking, plumper lip. Juvéderm® is a hyaluronic acid filler for wrinkles and smile lines around the mouth and nose. View Before & After Photos › Juvéderm Voluma® XC is a newer hyaluronic acid formulated to be long lasting and add volume to the cheeks that may have gradually flattened and decreased over time. View Before & After Photos › Juvéde rm Vollure® XC is perfect for the number one treatment area: nasal labial folds (those deepening parentheses lines around your mouth). Vollure lasts up to 18 months and the great news is that re-treatment requires 1/3 less product! It provides subtle, natural volume and is more spreadable the product can be smoothed out to exactly where you need it. Juvéderm patient video testimonials Restylane® now offers two next generation fillers that provide a more natural look! Defyne and Refyne move with the expressions of your face, so you don’t look puffy or stiff. They have been in use in Europe since 2010. Restylane® Refyne has more flexibility and less support to help with moderate wrinkles, such as those around your mouth. Refyne before & after (drag the center line over the photo to see the impressive results). Restylane® Defyne offers more correction of nasal labial folds and deeper lines. Defyne before & after (click on full view). Restylane® and Restylane® Lyft are hyaluronic acid fillers that give lift and fill wrinkles around the mouth and nose. Restylane® is FDA approved for lip augmentation. Restylane® Lyft is FDA approved for cheek augmentation and mid-face contours. (Perlane is now Restylane® Lyft). View Before & After Photos › Restylane® Silk is designed specifically for lips and the lines around them. Made of smaller, smoother particles and administered with an ultra-fine needle for accuracy, it provides natural looking results. View Before & After Photos › Radiesse® acts as a scaffold under the skin providing structure and stimulating your own natural collagen to grow. Radiesse can smooth pre-jowl folds in just one treatment. The production of natural collagen continues for several months, which extends beyond the initial effect of Radiesse® Voluminzing filler. The natural results are clinically proven to last a year or more in many patients. In addition, Radiesse was recently approved by the FDA for use in the hands to reduce the prominence of large veins and tendons. Radiesse is pre-mixed with lidocaine to enhance your comfort during injections. View Before & After Photos › Reva nesse® Versa is one of the newer FDA-approved dermal fillers available in the U.S. It corrects moderate-to-severe wrinkles and folds. And, in a recent study, patients had a lower rate of swelling with Revanesse compared to other fillers. Sculptra Aesthetic® made from poly-L-lactic acid, gradually replaces lost collagen over a series of treatments. View Before & After Photos › Sculptra provides natural looking results and can take years off of your face. with just two or three sessions of Sculptra. The injections stimulate collagen over the bone. This new collagen is key in regenerating fullness in areas where loss of volume and/or wrinkles have taken over. It gives very natural and long-lasting results – renewing the angles of youth. More before and after photos. PRP (Platelet Rich Plasma) It’s an injectable made from your blood! PRP speeds healing and has been used for years to help athletes recover from injuries and to repair tendons and joints. For the face, PRP can be used in addition to fillers to stimulate collagen production to improve the tone and texture of the skin. A small amount of your blood is drawn and then with a centrifuge, the platelet rich plasma is extracted. After the injections of the PRP into your face, you may experience some redness, a little swelling or even bruising for a few days. For optimum results, at least three treatments are recommended. Dr. Cynthia Golomb is a board certified dermatologist and dermatopathologist and has practiced general and cosmetic dermatology for 20 years. She can choose the injectable that is best for your needs with a natural looking result. Request a consultation today or call 855-GOLOMB1 to schedule your appointment. 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