What the pros know: New York City"s Dr. David Shafer of Shafer Plastic Surgery offers us the lowdown on what to expect before visiting your dermatologist or cosmetic surgeon for a little pick-me-up.

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Botox is a brand also name yet has likewise end up being a widespread name encompassing a whole product category of injectables that relax dynamic wrinkles of the top confront. When administered effectively, the outcomes leave the confront refremelted, peaceful, smoother, and brighter.

What to expect:

Your physician will certainly evaluate the wrinkles around your eyes when you smile, in between your eyebrows once you frvery own and on your forehead when you raise your eyebrows. The wrinkles that show up with motion of the underlying muscles are dubbed dynamic wrinkles. Botox Cosmetic functions by softening the contracting of the underlying muscle and also decreasing the overlying wrinkles. All of these muscles occupational in harmony, so it is incredibly crucial to have actually an knowledgeable injector that knows the underlying anatomy and also herbal movements of the challenge. In a lot of instances, the Botox Cosmetic injections can be performed the same time as your initial consultation.

Wbelow to apply:

FDA-apverified uses: Botox Cosmetic is commonly used to the crow"s feet wrinkles to the sides of the eyes as soon as smiling or squinting, to the vertical glabellar lines (the 11s) between the eyebrows as soon as squinting, and frontalis (forehead lines).

How long does it last?:

Botox Cosmetic starts working roughly 3 to five days after the injections. So if you look in the mirror right after you obtain residence, you are not going to alert any kind of distinction. However before, after a few days, you will certainly notification the wrinkles start to soften. The impacts last for about 3 to five months. Most patients return every four months for repeat treatments. It"s important to have actually your following therapy before the effect wears off so you do not lose the advantageous impacts of tension reduction in the skin.

Price:

Botox is generally priced per unit. Different areas of the challenge need various amounts of systems.For example, the crow"s feet by the eyes calls for between 10-15 systems per side, the glabella between the eyebrows requires between 20-30 units and also the forehead between 10 to 20 systems. The average number of systems my patients use is 50 units per session. The unit price in my office is $25 per unit, however prices have the right to variety based upon geographic place and experience of the injector. An alternative technique for pricing is per location. For instance, $700 for the crow"s feet, $700 for the glabella, and $700 for the forehead. I like unit pricing, as the patient knows they are gaining specifically what they are paying for.

For Your Lips – Juvederm ULTRA XC and Juvederm VOLBELLA XC



Juvederm Ultra XC and Juvederm VOLBELLA XC from Allergan"s Juvederm household of fillers. The JUVEDERM household of fillers are hyaluronic acid (HA) dermal fillers that differ in concentration of (HA) and bonding in between the (HA) molecules. The bonding and concentration provides the assets different properties for injecting based upon location and also depth of the tproblem.

What to expect:

JUVEDERM ULTRA XC was FDA-apshowed for lip augmentation in October 2015 and VOLBELLA in June 2016. If you"re interested in lip injections, your doctor will certainly talk to you around the type of look you want to attain – more meaning, alignment, symmetry or a fuller, pillowy look – all extremely natural. Based on what kind of look you"re trying to accomplish, tbelow will certainly be a series of little injections along the vermilion border, cupid"s bow, and also inside the lips. It"s essential to talk to your physician around your goals and expectations as tbelow are many type of different "looks" via lips. Fillers improve what you already have, including interpretation and volume. Over-injection certainly can look fake, so it"s essential to go to an skilled injector and setup on perhaps a collection of treatments—especially the initially time you are doing your lips—to reach the final outcome. Expect some swelling the initially day or two, so do not have actually lip injections the very same afternoon as a critical date or meeting. Patients sometimes return after the swelling goes amethod wanting more injections since they favored the "swollen" look. I regularly uncover myself as a gatekeeper reminding patients what looks normal or not and periodically patients come earlier after seeing an additional medical professional who adds another syringe which currently requirements to be "melted" as they obviously look over injected. There is constantly hyaluronidase to melt the product if you want to soften the look, but its finest to gain the injections right the initially time around if possible.

Wright here to apply:

FDA-apverified uses: Dermal fillers deserve to be injected practically all over. The the majority of common locations are the cheeks and also chin (Juvederm Voluma XC), the nasolabial folds and also marionette lines about the mouth (Juvederm Ultra Plus XC) and also the lips (Juvederm Ultra XC).

How long does it last?:

Juvederm Ultra XC and also Ultra Plus XC both last in between 6 and also 12 months. It slowly metabolizes over time. So, patients regularly return in fifty percent that time for maintenance therapies. However, eincredibly patient is various and also the place of the injection likewise affects the duration of activity. One nice residential property of HA fillers is the presence of Hyaluronidase, an enzyme which instantly "melts" the filler. This is a great security net for patients worried around whether they will certainly like the outcomes or not and also additionally for patients that may have gone to an incompetent injector.

Price:

Dermal filler prices are per syringe. Each syringe of Juvederm is one cc. In my office, I charge $1,200 per syringe of Juvederm Ultra XC and Ultra Plus XC. Many patients usage two syringes per treatment session. Similar to Botox Cosmetic the prices can vary by geographical place and also by suffer of injector. Once again, I caution patients not to choose their injector based upon price alone. In addition, in even more establiburned and high-volume practices such as mine we offer extra solutions such as Hyaluronidase treatment to "melt" the filler and Vbeam Perfect laser to erase bruising, if necessary, contained in the cost. As part of a full-service practice, patients find this convenience well worth it.

For Your Cheekbones – Juvederm VOLUMA XC



Juvederm Voluma XC from Allergan"s Juvederm Family of Fillers, which are all hyaluronic acid (HA) dermal fillers that differ in concentration of (HA) and bonding in between the (HA) molecules. The bonding and also concentration offers the products various properties for injecting based on location and depth of the tproblem. The newest of the fillers, Juvederm Voluma XC, also has a lifting impact as soon as injected in the midface and additionally resists swelling frequently checked out in various other fillers.

What to expect:

Your doctor will evaluate your face from many angles – looking at your deep wrinkles and creases, and volume deficits viewed with aging. It"s essential to talk about what areas bvarious other you through the physician so they have the right to explain exactly how the filler will work-related to correct that area. Sometimes, the filler requirements to be injected above or below the area of issue to attain the optimal outcome. As an instance, with Voluma, injecting in the midface/cheek location helps enhance the nasolabial lines approximately the mouth and also also the tear with area under the eyes. An inknowledgeable injector or patient may firmly insist on only injecting directly right into the nasolabial lines, which might result in an inferior result. The injections are percreated via a little needle. The product (XC version) has actually anesthetic combined best into the product that helps practically automatically via any kind of discomfort. You have the right to suppose minimal swelling and small opportunity of bruising. The initial outcomes are visible instantly.

Where to apply:

FDA-apconfirmed uses: Dermal fillers deserve to be injected nearly anywhere. The many widespread areas are the cheeks (Juvederm Voluma XC), the nasolabial folds and also marionette lines roughly the mouth (Juvederm Ultra Plus XC) and also the lips (Juvederm Ultra XC).

How long does it last:

Juvederm Voluma XC lasts as much as 2 years. This is the longest lasting HA filler. It"s important to note that the filler does not last that whole time and also then automatically disappear. It slowly metabolizes over time. So patients often rerotate in half that time for maintenance treatments.

Price: Dermal filler prices are per syringe. Each syringe of Juvederm is one cc. In my office, I charge $1,500 per syringe of Voluma XC. Many patients usage 2 syringes per treatment session.

For Your Double Chin - KYBELLA:


Up till recently, your just alternatives for double chin therapy were fat removal with liposuction or CoolSculpting to freeze the fat. Now tbelow is an injectable, otherwise recognized as fat modulators. This category is limited to one product, KYBELLA. KYBELLA is made up of deoxycholic acid, a substance the body normally secretes in the GI tract to break dvery own fat cells and cholesterol caused by eating fatty foods items. The distinction in between the deoxycholic acid in KYBELLA and also that in your body is that KYBELLA is plant-based and also therefore much less most likely to cause skin allergies or irritation.

What to expect:

KYBELLA is meant for the therapy of modeprice to major submental (under the chin) fullness so your physician will assess the "double chin" location and also view if you"re a candiday for KYBELLA. Many of my patients that come in say, "THIS HAS BEEN BOTHERING ME FOR A LONG TIME…" and also "There is nopoint I deserve to perform to eliminate it," which is true offered the only other alternative is surgical. The actual treatment involves 25 to 30 small injections at a time, which sounds like a lot — till you take into consideration that the average therapy of Botox requires somewhere around 15 to 20 little injections, depending upon how many type of areas you treat at a time. After the treatment, the many common side effect you watch is short-lived swelling or that deserve to last a week and might be noticeable to various other human being. Some patients describe it as a "bullfrog"-like swelling, and also the location can be temporarily larger than prior to the injection however it inevitably goes away.

Wbelow to apply:

This treatment entails a very specific application of the product in the subpsychological fat listed below the chin. The injections are restricted to the midline of the neck which is the larger trouble area for most world. KYBELLA cannot be injected in the jowls, face or various other locations as this can lead to enhanced sided effects. For treatment of these areas, conventional liposuction might be the best choice. In addition patients through loose skin, may opt for a skin tightening procedure or therapy in additional to KYBELLA. Right currently, the use of fat modulator injections is restricted to a handful of plastic surgeons and also dermatologists that have actually been trained broadly on correct administration for the finest results.

How lengthy does it last?:

Unlike fillers and neurotoxins, which offer semi-irreversible outcomes. KYBELLA is supposed to permanently kill the fat cells, dissettle them, and also help your skin tighten up a little and improve contour. Full outcomes needs treatments eexceptionally 4 weeks for a full of 2 to six sessions depending upon the amount of fat, so the outcomes are not instant, yet they are irreversible.

Price:

It varies but you"re looking at around $1,500-$2,500 per therapy and also will require at leastern two, average 4, and approximately six therapies spread out eincredibly four weeks. CoolSculpting in the submental location is $750 per treatment.

For Your Chin/ Jawline – Juvederm VOLUMA XC

Previously apconfirmed for the mid-face, Juvederm Voluma XC was apverified for a second indication - the chin location - in June 2020. Juvederm Voluma XC from Allergan"s Juvederm Family of Fillers, which are all hyaluronic acid (HA) dermal fillers that differ in concentration of (HA) and bonding between the (HA) molecules. The bonding and also concentration offers the products various properties for injecting based upon place and also depth of the tconcern.

Where to apply:

FDA-apshowed uses: Dermal fillers deserve to be injected virtually almost everywhere. The the majority of widespread locations are the cheeks (Juvederm Voluma XC), the nasolabial folds and marionette lines roughly the mouth (Juvederm Ultra Plus XC and Juvederm VOLLURE XC) and also the lips (Juvederm Ultra XC and Juvederm VOLBELLA XC).

How long does it last:

Juvederm Voluma XC lasts approximately 2 years. This is the longest lasting HA filler. It"s crucial to note that the filler does not last that entire time and then immediately disshow up. It gradually metabolizes over time. So patients regularly rerevolve in half that time for maintenance treatments.

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Price: Dermal filler prices are per syringe. Each syringe of Juvederm is one cc. In my office, I charge $1,500 per syringe of Voluma XC. Many patients use 2 to 4 syringes per therapy session.


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