Injectables and Dermal Fillers

Minimally invasive cosmetic procedures such as Botox®, or Fillers by Allergan®, can help get rid of fine wrinkles, creases and frown lines in the facial area. To avoid early signs of aging, it is best to consult to see if you are a candidate for fillers and injections. This can further prevent you from getting plastic surgery. Although skin care is important, as we age our collagen becomes weaker. Neurotoxins are injectable proteins that assist in muscle relaxation that cause facial wrinkles. Neurotoxins results can last anywhere between 3-6 months. These injectable treatments are performed under our board-certified plastic surgeons Dr. Eric Payne.

Neuromodulators:

Neuromodulators are medications that affect the function of muscles by blocking the nerve transmission that excites the muscles to contract. By blocking these signals from the nerve to the muscle, this will in effect cause the muscles to become paralyzed. The most commonly used neuromodulator is botulinum toxin. There are several brand names of botulinum toxin including the first to market called Botox as well as Dysport, Xeomin, and Jeuveau. Each brand has a different size molecule of the botulinum toxin which has slightly different metabolism within a person’s body.

What is Botox®?

Botox is a botulinum toxin that is meant to assist in relaxing and paralyzing certain muscles around the face that can create older appearance due to fine lines and wrinkles that can appear over time if left untreated.

What areas is Botox®typically injected into?

Botox can be injected into forehead lines, crow’s feet and glabellar. The procerus muscles in the forehead cause deep furrows in the glabellar region causing a more stern appearance that can be soften with Botox injections.

Botox can also be used to treat Gummy Smiles where the upper lip elevates too high showing not just the teeth but the gums as well. By injecting Botox into the lip elevator muscles; levator labii superioris muscle, levator labii superioris alaeque nasi muscle and the zygomaticus minor muscle, this will decrease the lip elevation creating a more pleasing smile.

How long does Botox® last?

Botox cosmetic results will typically last anywhere from 3 to 4 months.

What to expect during your Botox® treatment?

Patients can experience mild discomfort. At the patient’s request, topical numbing cream and be applied to assist in ensuring the patient is comfortable.

What should you expect after being injected?

Although cosmetic injectables are not considered as an cosmetic surgery, temporary mild tenderness, redness, and bruising can occur around the injection site. There is minimal to no amount of downtime. Patients can see a difference after 48 hours to 7 days after being injected. Patients are required to come back to the office for a follow up 10 to 14 days.

Dysport:

Dysport is another neuromodulator like Botox but just a different brand name produced by Galderma. Some like Dysport over Botox and feel that it works just as well if not better. Newer botulinum toxin A brands to the market include Jeuveau and Xeomin. The different types of botulinum are produced where different sizes of the protein will cause a quicker onset and potentially longer results. This is not fully settled in the research and currently Botox is still the most popular neuromodulator with Dysport second in overall use.

Neuromodulators also treat other disorders:

Botox and Dysport can be used to treat other issues such as blephrospasms, chronic migraines, cervical dystonia, masseter and temporalis muscle hypertrophy, and excessive sweating.

Injectable Fillers:

What is Juvederm XC®?

Juvederm XC is an FDA approved hyaluronic acid gel dermal filler that is used to inject into areas of the face to add volume.

Why use Juvederm XC®?

Juvederm XC has been a popular dermal filler to add volume to the lips and around the mouth to soften the appearance of smile lines. Juvederm is considered to have the most water affinity, meaning it continuously attracts moisture to assist in rejuvenating and reviving a patient’s appearance.

How long does Juvederm XC® last?

Juvederm XC will last up to 12 months depending on where it is injected. The longevity of Juvederm will vary from patient to patient.

What to expect during your injection appointment?

Patients should expect to have a topical anesthetic applied to the areas that will be injected. The topical anesthetic cream takes roughly 30 minutes to take effect. You can experience mild discomfort. Juvederm XC does have lidocaine in the gel to assist in ensuring the patient is as comfortable as possible.

What should you expect after being injected?

Temporary mild tenderness, redness, swelling, and bruising can occur around the injection site. Any side effects should last no more than 7 days from the date you were injected. We do require all patients who were injected to return in 7 – 10 days for a follow-up.

Voluma XC®

If you are unhappy with the flat or sunken appearance of your cheeks, Voluma XC can provide you with the aesthetic care you need. Voluma XC can bring back the youthful appearance of your midface region by restoring lost volume and natural facial contours enhancement.

At Texas Liposuction Specialty Clinic Houston, we strive to provide our patients with personalized solutions to their aesthetic issues. Voluma injections make enhancing and restoring the appearance of the cheeks and midface quick, easy, and pain-free.

What is Voluma XC®?

Voluma XC is an FDA-approved hyaluronic acid gel dermal filler that is used to restore lost volume to the face and rejuvenate the appearance of the mid-face. Voluma XC is injected into areas of the face where moderate to severe volume loss has occurred.

Voluma XC is known to smooth and lift areas of the face that have a loss of elasticity and volume, such as the cheeks. Voluma XC is sometimes known for its “liquid lift” qualities.

The gel provides instant volume to the area being treated. It keeps the skin hydrated and plump by helping the skin tissue retain water. Over time, the gel is safely absorbed by the body.

Voluma XC is designed for maximum patient comfort. Its the formula contains lidocaine, a local anesthetic that numbs the treatment area to minimize any pain or discomfort caused by the injections.

Why use Voluma XC®?

Voluma XC has been a popular dermal filler to smooth and lift areas of the face where severe volume loss has occurred, like the mid-face and the jawline and chin area. The appearance of the cheeks is heavily dependent on the amount of volume present. Fuller cheeks give the face a more youthful shape and appearance.

As the years go by, the face slowly loses volume as a natural result of aging. When this occurs in the mid-face, it can result in the appearance of flat saggy cheeks or may give the cheeks a more hollowed appearance; this can make the face appear gaunt.

How long does Voluma XC® last?

Voluma XC can last up to 24 months depending on where it is injected. The longevity of Juvederm will vary from patient to patient. Once results begin to fade, additional injections can be performed to extend the results provided.

What to expect during your injection appointment?

Patients should expect to have a topical anesthetic applied to the areas that will be injected. The topical anesthetic cream takes roughly 30 minutes to take effect. You can experience mild discomfort. Voluma XC does have lidocaine in the gel to assist in ensuring the patient is as comfortable as possible.

What should you expect after being injected?

Patients can immediately return to their daily schedule after Voluma XC injections. Temporary mild tenderness, redness, swelling, and bruising can occur around the injection site. Any side effects should last no more than 7 days from the date you were injected. We do require all patients who were injected to return in 7 – 10 days for a follow-up.

 

What is Volbella XC®?

Volbella XC is an FDA approved hyaluronic acid gel dermal filler that is used to inject to add a subtle volume into areas that have mild volume loss or areas.

Why use Volbella XC®?

Volbella XC is injected to add a subtle volume to the lips and under-eye area, tear trough.

How long does Volbella XC® last?

Volbella XC will last up to 6 months to 1 year depending on where it is injected. The longevity of Volbella will vary from patient to patient.

What to expect during your injection appointment?

Patients should expect to have topical numbing applied to the areas that will be injected. The topical numbing cream takes roughly 30 minutes to take effect. You can experience mild discomfort. Volbella XC does have lidocaine in the gel to assist in ensuring the patient is as comfortable as possible.

What should you expect after being injected?

Temporary mild tenderness, redness, swelling, and bruising can occur around the injection site. Any side effects should last no more than 7 days from the date you were injected. We do require all patients who were injected to return in 7 – 10 days for a follow-up.

 

What is Vollure®?

Vollure XC is FDA approved for moderate to severe facial wrinkle which includes nasolabial folds which can be used for lips and surround lines.

Why use Vollure XC®?

Vollure XC is an injector filler that is designed to treat fine lines and facial wrinkles around the mouth and the nose area such as marionette lines, parenthesis line and nasolabial folds.

How long does Vollure XC® last?

Vollure XC will last up to 18 months depending on where it is injected. The longevity of Vollure will vary from patient to patient.

What to expect during your injection appointment?

Patients should expect to have topical numbing applied to the areas that will be injected. The topical numbing cream takes roughly 30 minutes to take effect. You can experience mild discomfort. Volbella XC does have lidocaine in the gel to assist in ensuring the patient is as comfortable as possible.

 

Additional types of Injectables Fillers

What is Kybella®?

Kybella or a synthetic version of deoxycholic acid is a bile salt found in stomach acid that can dissolve fat. It is FDA approved for submental fat reduction or eliminating the double chin affect. The treatment involves 2-6 sessions with injections of Kybella under the chin. Swelling typically is at a peak 24 hours after injections with Kybella and can last for 3 days to 3 weeks, but usually longer when more injections are performed.

Typically the cost of the treatment with Kybella is about $600-750 per vial but a treatment session can require 2-3 vials. In addition to each session, multiple sessions are required and on average 3 total sessions are necessary. Total cost of Kybella full treatment can range on average from $3600 to $5000. Some downsides to this less invasive alternative to neck liposuction is the significant swelling after each treatment as well as some pain with the injections. Some patients do not want to undergo multiple treatments and opt for a single session of neck liposuction. We recommend discussing this with your surgeon prior to undergoing treatments.

What is Sculptra®?

Sculptra is a poly-L-lactic acid known as PLLA which is a filler used to treat deep wrinkles and volume loss in the temples and upper cheeks. This type of filler works steadily and tends to last longer which may suite your needs. Results can last up to two years depending on the area of treatment.

What is Restylane®?

This is similar to Juvederm. This filler can help with reducing wrinkles, restore volume and give your lips and cheeks a more augmented look. There are a variety of different types of restylane fillers which includes refyne, defyne and radiesse which uses calcium hydroxyapatite which assist your body to build more of its own collagen. Results can last for about 6-12 months.

Consultation

Contact Texas Liposuction Specialty Clinic in Houston today to schedule a consultation with Dr. Payne.