What the pros know: new York City"s Dr. David Shafer that Shafer Plastic Surgery gives us the lowdown on what come expect prior to visiting her dermatologist or cosmetics surgeon because that a little pick-me-up.

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Botox is a brand name yet has likewise become a common name encompassing whole product classification of injectables that relax dynamic wrinkles of the upper face. When administered properly, the results leave the confront refreshed, relaxed, smoother, and also brighter.

What to expect:

Your doctor will evaluate the wrinkles approximately your eyes as soon as you smile, in between your eyebrows as soon as you frown and also on your forehead as soon as you raise your eyebrows. The wrinkles that show up with movement of the underlying muscle are referred to as dynamic wrinkles. Botox Cosmetic works by softening the contracting the the basic muscle and also decreasing the overlying wrinkles. Every one of these muscles work-related in harmony, so it is very important to have an knowledgeable injector that knows the basic anatomy and also natural activities of the face. In many cases, the Botox cosmetics injections have the right to be performed the same time as your early stage consultation.

Where come apply:

FDA-approved uses: Botox cosmetics is commonly applied to the crow"s feet wrinkles to the sides of the eyes as soon as smiling or squinting, to the vertical glabellar present (the 11s) in between the eyebrows when squinting, and also frontalis (forehead lines).

How lengthy does that last?:

Botox cosmetic starts working about three to 5 days after ~ the injections. So if friend look in the mirror right after you get home, you space not going to notification any difference. However, after a few days, friend will an alert the wrinkles begin to soften. The impacts last for around three to five months. Many patients return every 4 months for repeat treatments. It"s crucial to have actually your next treatment prior to the impact wears turn off so you don"t lose the useful effects of stress and anxiety reduction in the skin.

Price:

Botox is usually priced per unit. Different locations of the face require different quantities of units.For example, the crow"s feet by the eye requires between 10-15 systems per side, the glabella in between the eyebrows requires in between 20-30 units and also the forehead in between 10 come 20 units. The average number of units mine patients usage is 50 units per session. The unit price in mine office is $25 every unit, yet prices can variety based on geographical location and experience that the injector. One alternative technique for pricing is every area. For example, $700 because that the crow"s feet, $700 because that the glabella, and $700 because that the forehead. I like unit pricing, as the patient to know they space getting precisely what they space paying for.

For her Lips – Juvederm ULTRA XC and Juvederm VOLBELLA XC



Juvederm Ultra XC and Juvederm VOLBELLA XC from Allergan"s Juvederm household of fillers. The JUVEDERM family of fillers room hyaluronic mountain (HA) dermal fillers that different in concentration the (HA) and also bonding between the (HA) molecules. The bonding and also concentration gives the commodities different properties for injecting based upon location and also depth the the tissue.

What come expect:

JUVEDERM ULTRA XC was FDA-approved because that lip augmentation in October 2015 and also VOLBELLA in June 2016. If you"re interested in lip injections, your physician will talk to you around the type of watch you desire to achieve – more definition, alignment, the contrary or a fuller, pillowy watch – all really natural. Based upon what type of watch you"re trying come achieve, there will certainly be a collection of small injections follow me the vermilion border, cupid"s bow, and inside the lips. It"s crucial to speak to your doctor around your goals and also expectations as there are countless different "looks" with lips. Fillers improve what you already have, adding definition and volume. Over-injection absolutely can watch fake, so it"s vital to go to an proficient injector and also plan on maybe a collection of treatments—especially the first time you space doing her lips—to reach the final result. Suppose some swelling the first day or two, so don"t have actually lip injections the same afternoon as crucial date or meeting. Patients periodically return after the swelling goes far wanting much more injections due to the fact that they chosen the "swollen" look. Ns often discover myself as a gatekeeper reminding patients what looks normal or not and occasionally patients come ago after seeing one more doctor who adds another syringe which now demands to be "melted" together they obviously look over injected. There is constantly hyaluronidase come melt the product if you want to soften the look, however its best to get the injections best the first time approximately if possible.

Where to apply:

FDA-approved uses: Dermal fillers deserve to be injected nearly anywhere. The most common locations are the cheeks and also chin (Juvederm Voluma XC), the nasolabial folds and also marionette lines roughly the mouth (Juvederm Ultra add to XC) and the lips (Juvederm Ultra XC).

How long does the last?:

Juvederm Ultra XC and also Ultra add to XC both last between six and also 12 months. It progressively metabolizes end time. So, patients frequently return in half that time for maintain treatments. However, every patience is different and also the location of the injection additionally affects the expression of action. One nice residential or commercial property of HA fillers is the presence of Hyaluronidase, one enzyme which instantly "melts" the filler. This is a good safety net for patient worried about whether they will choose the results or no and also for patients who may have gone come an inexperienced injector.

Price:

Dermal filler prices space per syringe. Every syringe the Juvederm is one cc. In mine office, I fee $1,200 per syringe that Juvederm Ultra XC and Ultra add to XC. Many patients use two syringes per treatment session. Similar to Botox cosmetics the prices deserve to vary by geographic location and by experience of injector. When again, i caution patients not to select their injector based on price alone. Additionally, in an ext established and also high-volume methods such together mine us offer extr services such as Hyaluronidase treatment to "melt" the filler and also Vbeam Perfect laser to erase bruising, if needed, consisted of in the cost. As component of a full-service practice, patients discover this convenience well worth it.

For your Cheekbones – Juvederm VOLUMA XC



Juvederm Voluma XC from Allergan"s Juvederm family of Fillers, which space all hyaluronic mountain (HA) dermal fillers that differ in concentration that (HA) and also bonding in between the (HA) molecules. The bonding and concentration gives the products different properties because that injecting based on location and also depth that the tissue. The newest the the fillers, Juvederm Voluma XC, even has a lifting effect when injected in the midface and also resists swelling often seen in various other fillers.

What come expect:

Your medical professional will evaluate your challenge from plenty of angles – feather at your deep wrinkles and creases, and also volume deficits seen through aging. It"s essential to talk about what locations bother you through the doctor so castle can describe how the filler will work to correct that area. Sometimes, the filler requirements to be injected above or listed below the area of issue to attain the optimal result. As an example, through Voluma, injecting in the midface/cheek area helps boost the nasolabial lines about the mouth and additionally the tear through area under the eyes. One inexperienced injector or patience may firmly insist on just injecting straight into the nasolabial lines, which may result in an inferior result. The injections room performed through a small needle. The product (XC version) has actually anesthetic combined right into the product that helps practically immediately with any type of discomfort. You have the right to expect minimal swelling and small possibility that bruising. The initial results are visible immediately.

Where come apply:

FDA-approved uses: Dermal fillers have the right to be injected virtually anywhere. The many common locations are the cheeks (Juvederm Voluma XC), the nasolabial folds and marionette lines approximately the mouth (Juvederm Ultra plus XC) and the lips (Juvederm Ultra XC).

How long does the last:

Juvederm Voluma XC lasts up to 2 years. This is the longest lasting HA filler. It"s necessary to note that the filler does no last that entire time and then instantly disappear. It gradually metabolizes end time. Therefore patients frequently return in half that time for maintain treatments.

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

For Your twin Chin - KYBELLA:


Up till recently, her only choices for twin chin treatment were fat removal v liposuction or CoolSculpting to frozen the fat. Currently there is one injectable, otherwise well-known as fat modulators. This classification is minimal to one product, KYBELLA. KYBELLA is comprised of deoxycholic acid, a substance the body normally secretes in the GI tract to malfunction fat cells and cholesterol led to by eating fat foods. The difference in between the deoxycholic acid in KYBELLA and also that in her body is the KYBELLA is plant-based and therefore much less likely to reason skin allergies or irritation.

What come expect:

KYBELLA is meant for the treatment of middle to significant submental (under the chin) fullness so your medical professional will assess the "double chin" area and also see if you"re a candidate for KYBELLA. Many of my patients the come in say, "THIS has actually BEEN BOTHERING ME because that A lengthy TIME…" and "There is naught I can do to eliminate it," i m sorry is true given the only other option is surgical. The yes, really treatment entails 25 come 30 small injections in ~ a time, i m sorry sounds prefer a many — until you think about that the mean treatment that Botox entails somewhere roughly 15 to 20 tiny injections, relying on how many locations you treat in ~ a time. After ~ the treatment, the most typical side effect you check out is short-lived swelling or that deserve to last a week and may be remarkable to other people. Part patients describe it as a "bullfrog"-like swelling, and also the area have the right to be temporarily bigger than prior to the injection but it at some point goes away.

Where come apply:

This treatment entails a very precise application of the product in the submental fat listed below the chin. The injections are minimal to the midline of the neck which is the larger difficulty area for many people. KYBELLA cannot be injected in the jowls, challenge or other areas as this deserve to lead to enhanced sided effects. For treatment of these areas, classic liposuction may be the ideal option. In addition patients with loosened skin, might opt because that a skin tightening procedure or therapy in extr to KYBELLA. Best now, the use of fat modulator injections is limited to a handful of plastic surgeons and dermatologists who have actually been trained broadly on proper management for the best results.

How lengthy does that last?:

Unlike fillers and also neurotoxins, which offer semi-permanent results. KYBELLA is expected to permanently death the fat cells, dissolve them, and help your skin tighten increase a bit and improve contour. Complete results needs treatments every 4 weeks for a total of two to six sessions relying on the quantity of fat, therefore the outcomes are no instant, however they room permanent.

Price:

It varies yet you"re looking at about $1,500-$2,500 per treatment and will need at the very least two, average four, and up to 6 treatments spread out every four weeks. CoolSculpting in the submental area is $750 every treatment.

For your Chin/ Jawline – Juvederm VOLUMA XC

Previously authorized for the mid-face, Juvederm Voluma XC was authorized for an additional indication - the chin area - in June 2020. Juvederm Voluma XC from Allergan"s Juvederm family members of Fillers, which space all hyaluronic acid (HA) dermal filler that differ in concentration that (HA) and bonding between the (HA) molecules. The bonding and concentration provides the assets different properties because that injecting based on location and depth of the tissue.

Where come apply:

FDA-approved uses: Dermal fillers have the right to be injected nearly anywhere. The most common areas are the cheeks (Juvederm Voluma XC), the nasolabial folds and also marionette lines about the mouth (Juvederm Ultra add to XC and Juvederm VOLLURE XC) and the lips (Juvederm Ultra XC and also Juvederm VOLBELLA XC).

How long does that last:

Juvederm Voluma XC lasts approximately 2 years. This is the longest lasting HA filler. It"s important to note that the filler does no last that whole time and also then instantly disappear. It gradually metabolizes over time. For this reason patients often return in half that time for maintenance treatments.

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


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