Over the past 25 years an entirely new branch of medicine has developed involving the use of injectable substances for cosmetic use. Since the release of Botox for cosmetic use in 1995 over 50 different injectable products, including neurotoxins, fillers, and injectable fat dissolvers have been brought to market in the United States. This branch of cosmetic medicine continues to evolve at a rapid pace, and new product variations and injection techniques are developed daily. The Center for Laser Surgery has been at the forefront of the development of both injectable products and injection techniques, and continues to be one of the highest volume injectable practices in the United States.
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Cosmetic Injectables Overview
Neurotoxins (Botox & Dysport)
Botox and Dysport, also known as neurotoxins, are used primarily for the temporary reduction of dynamic wrinkles of the face. Dynamic wrinkles are formed from contraction of facial expression muscles causing a temporary wrinkle in the skin. If this expression is repeated over and over, this temporary wrinkle can become more permanent, noticeable even at rest. When minuscule amounts of Botox or Dysport are injected into these muscles they cause a temporary paralysis of the muscle, reducing the formation of expression lines and allowing previously formed expression lines to become less prominent and noticeable.
Fillers (Soft-Tissue Augmentation)
Injectable fillers have been used for both wrinkle reduction and soft-tissue augmentation since the 1980’s. Early filler substances such as collagen have since been replaced by newer and safer products such as hyaluronic acid and other synthetic materials, and filler formulations and injection techniques continue to evolve rapidly. .
The use of fillers for cosmetic augmentation and the variety of filler types available for cosmetic use has exploded in the last decade. While the original hyaluronic fillers such as Restylane and Juvederm are used primarily for the reduction of fixed wrinkles and lines of the face such as the nasolabial folds, thicker, longer lasting fillers such as Juvederm Voluma and Restylane Lyft are now used for facial contouring and facial volume correction, and lighter more pliable fillers such as Restylane Silk and Belotero Balance are ideal for natural appearing lip augmentation. Different fillers have variable thicknesses, rebound, viscosity, and longevity and other features which affect their suitability for use for specific aspects of soft tissue augmentation.
While filler technology has continued to improve and evolve, the single most important factor in a satisfactory filler result is injector experience and knowledge of both facial anatomy and injection technique. All injectors at the Center for Laser Surgery have years of experience in filler injections, and most have served as trainers in filler techniques for the various filler manufacturers over the year.
MicroCannula Filler Injection
Board Certified and Cosmetic Fellowship Trained Dermatologist Dr. Thomas Adrian offers microcannula based filler injections at the Center. Traditional needle based filler injection results in significant tissue trauma with associated pain and a high risk of bruising. Microcannulas utilize a blunt tipped cannula which drastically reduces pain & minimized the risk of bruising associated with filler injection, resulting in comfortable zero-downtime treatments.
Injection Lipolysis (Kybella)
In the 2000’s it was found that, when injected into pockets of fat, certain substances cause fat cell membranes to dissolve, resulting in localized, long-lasting fat reduction. While this procedure fell out of favor for many years, in 2015 Kybella was FDA approved for injection fat reduction of submental fat. Through a series of injections, unwanted localized areas of fat can be reduced in size with long-lasting results.