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10-08-11 | Posted by

DSC_0076-Brightened-up2There are many more variables than just lines and wrinkles when considering the facial rejuvenation offered by fillers and Botox. For example, components of facial aging include pigment changes, loss of elasticity, muscle sagging and bone and fat loss, explained dermatologist Dr. Heidi Waldorf at last Saturday’s presentation entitled, “The Aging Face: Looking Beyond the Wrinkles,” part of the Face Forward Program held in New York City.

With age, the structural support of the face changes and diminishes. The supporting structures are no longer there so the skin hangs. This is where fillers can help, but there is a lot to know before jumping into treatment.  For example there are at least three types of fillers, explained dermatologist Dr. Susan Weinkle, the co-featured speaker at the event. The types of fillers comprise: replacement fillers, which are basically hyaluronic acid and include products like Juvederm and Restylane; stimulatory fillers, which are Poly-L-Lactic Acid and include Sculptra; and combo products line Radiesse and Artefill.  Replacement fillers have an immediate effect, but are fairly transitory, lasting only 6-12 months. Stimulatory fillers stimulate the body’s own collagen and some combo fillers such as Artefill can have a permanent result.  Fillers are appropriate to use when wanting to counteract a sunken look, sagging of the mouth or cheeks and with deep wrinkles, folds and scars.

Neurotoxins, which include Dysport and Xeomin as well as Botox, are used for brow frown lines, bunny lines around the nose, crow’s feet, fine lines, moderate to severe wrinkles and crepiness around the eyes. These injectables work by temporarily inhibiting the contraction of a muscle. The price depends upon the area of treatment and the number of units of toxin needed to get the desired result, but treatment costs usually runs between $400 and $1,000. While the results of neurotoxins are temporary, lasting typically around four months, their use can help prevent lines from setting in.

Bruising with injections can be a risk so Dr. Waldorf recommends avoiding non-medically necessary anticoagulants including NSAIDS, Omega 3s, gingko, garlic ginger and ginseng for seven days prior to the procedure.

Complications are rare, but if they do happen with neurotoxins, they can usually be reversed – and the effects are relatively temporary. However, remember Artefill is permanent, so you want to choose a gifted and experienced doctor to administer the injections. For either neurotoxins or fillers, Dr. Weinkle said to ask questions and confirm the expertise of the technician, which in her opinion should always be a “board certified physician.”  http://www.asds.net



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