Dermal fillers and Botox ® are being used more and more to help reverse the changes associated with aging. Because the goal is to return the dermis to its original youthful state, dermal fillers can give a more natural appearance than surgical face lifts. Dermal fillers are being used to reduce or eliminate wrinkles , raise scar depressions, enhance lips , and replace soft-tissue volume loss.

BOTOX ® Information & Price
PERLANE ® Information & Price
RESTYLANE ® Information & Price
JUVÉDERM ™ Information & Price

Compare the above with this Dermal Filler Chart.

Botox ®

The Anatomy of the Wrinkle The lines that appear between your brows (glabellar lines) actually result from muscle movement and the passage of time. You may have heard the expression "wearing your emotions on your sleeve," but in reality you wear them on your face. If you're angry or annoyed, for example, you knit your brows together. Underneath your skin, your facial muscles contract, cause a pleating of the overlying skin, and then, as anyone can see, you're frowning.

After years of crinkling and wrinkling, those glabellar lines start to linger longer and can become more pronounced. For women, whose faces tend to be more animated than men's, and whose skin is typically more delicate, these lines may appear exaggerated and more permanent.

Fortunately, there is a way to temporarily reduce moderate to severe glabellar lines. Treatment with BOTOX® Cosmetic can visibly smooth and soften moderate to severe frown lines between your brows. An improvement can be seen within days and may last up to 4 months, although results may vary. In clinical trials, nearly 90% of men and women surveyed rated the improvement in the appearance of frown lines between their brows as moderate to better 1 month after treatment.

BOTOX® Cosmetic is a simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

One 10-minute treatment—a few tiny injections—and within days there's a noticeable improvement in moderate to severe frown lines between the brows, which can last up to 4 months. Results may vary.

BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

In 2005, almost 3.3 million procedures were performed with FDA-approved BOTOX® Cosmetic.

BOTOX® commonly treated areas and pricing:

Crows feet(both) 30 units- $315
Forehead-20 units- $210
Glabellar(frown lines between eyes)-25 units- $262.50

Botox can also be used for the area above the lip(lipstick lines), under eye area, brow lift, used with a filler to help with smile lines. these prices vary and can be anywhere from 4- 15+ units. 

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Perlane ®and Restylane ®

Perlane ® is approved! Available in our office now!

The Food and Drug Administration (FDA) has approved the long awaited dermal filler, Perlane®, for the treatment of facial folds and wrinkles.; Perlane® joins Restylane® as the newest member of the hyaluronic acid fillers manufactured by Medicis Aesthetics Inc.

The difference between Restylane ® and Perlane ® is that Perlane ® has a larger gel particle size than Restylane ®and is designed to be injected deeper into the layers of the skin, thus filling in moderate to severe wrinkles and folds that Restylane could not. Perlane ®will also be a great product to plump lips and shape facial contours by adding volume.

What is hyaluronic acid? NASHA (Non-Animal Stabilized Hyaluronic Acid) Hyaluronic acid is a natural complex sugar found in all living organisms and creates volume and elasticity in the skin.

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Juvederm ™

JUVÉDERM™ is a hyaluronic acid gel in malleable smooth gel based formulation.  It is used for the correction of facial wrinkles and folds.  It was approved by the U.S. Food and Drug Administration (FDA) in June 2006. JUVÉDERM™ has been approved in three different gel formulations providing the physician a high level of control and allows the physician to tailor treatment based on the facial rejuvenation needs of the patient.  Results last for up to six months or longer.

Radiesse ®is the first filler with advanced calcium-based microsphere technology that not only provides volume replacement to wrinkles, folds and sunken depressions but also stimulates the body to produce new collagen. This unique action restores the fullness and contours of a youthful, healthy appearance with sustained results that last an average of one year or more

Side effects of dermal fillers are limited to mild swelling and bruising for about 2-7 days.

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Injectable	Description	Purpose	Possible Side Effects/ Risks	Results	Regulatory Status
Juvederm (24HV, 30, 30HV)	Hyaluronic acid gel	Temporarily corrects moderate to severe facial wrinkles and folds	Temporary redness, pain/tenderness, firmness, swelling, and bruising at injection site; should not be used in patients with severe allergies, particularly allergies to bacterial proteins	Immediate; corrects facial wrinkles of folds for up to six months or longer	FDA approved
Restylane	Non-animal derived hyaluronic acid.	Soft tissue filler that adds volume to wrinkles around the nose and mouth.	Redness, bruising, tenderness, swelling, pain, itching	Immediate, lasts six months to one year	FDA approved for filling moderate to severe wrinkles around the nose and mouth. All other use considered off label.
Restylane Fine-lines	Non-animal derived hyaluronic acid.	Soft tissue filler that adds volume.	Redness, swelling, tenderness, especially at sight of injection; acne-like formations are rare	Immediate, may last up to 1 year	In use outside U.S. Not FDA approved for any use in the U.S.
Perlane	Non-animal derived hyaluronic acid.	Soft tissue filler that adds volume to wrinkles and folds in deep layers of skin.	Pain, redness, swelling, itching, discoloration, and tenderness at the point of injection	Immediate;  lasts six months to one year; subsequent injections may require less Perlane	FDA approved for the correction of moderate to severe facial folds and wrinkles.
Radiesse (Bioform)	Microspheres of calcium hydro-xylapatite suspended in an aqueous gel carrier.	Reported to last 1-2 years. The body forms collagen around the micro-spheres that adds bulk.	According to manu-facturer, clumping, lumping, and nodules can appear when injected into the lips. Little risk of allergic reaction.	Immediate, according to the manu-facturer.	FDA approved for correction of moderate to severe wrinkles and folds.

Aesthetic Dermal Fillers Pricing:

Restylane® $565
JUVÉDERM™ $565
Perlane® $590 **for deeper lines
Radiesse® $700 **last 18 month+ also makes your body remake new collagen.

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