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Which Injectable is Right For You?
Over the past few years, minimally invasive procedures have gained significant popularity, and injectables like Botox and fillers are now among the most commonly performed cosmetic procedures in the US. As one may expect, with such an increase in popularity, many new products have reached the market, and more are being released each year. With so many different names and advertisements, many patients may become confused and uncertain which product(s) may be right for them. The answer lies in understanding what facial areas need to be addressed, and the changes related to aging and exposures that prompt treatment. In the upper portion of the face, including the forehead, glabella(area between eyebrows), and periorbital region(area around the eyes), the initial appearance of wrinkles is most often related to muscle contraction over time. Lines form on skin perpendicular to the course of the muscles, so raising our eyebrows over time leads to the typical horizontal lines on the forehead, whereas the muscles that lower the inner portions of the brow contribute to vertical and horizontal lines between our eyebrows. Contraction of the muscles lining both eyelids over time leads to the development of crow’s feet, which are visible in a radial pattern around the eyes. Because the lines in these 3 areas are generally (or at least initally) related to muscle contraction, the use of Botulinum toxin products (Botox, Dysport, Xeomin) can improve the appearance of those lines, and in some patients eliminate them completely, for a period of about 4 months. These products are quite effective, especially for the patient with finer lines and good overall skin quality. As we age, skin laxity increases and tissues in the face both atrophy and descend, leading to wrinkling in the cheeks and around the mouth and chin, prominence of the nasolabial folds, and jowling. For deeper lines in the upper face, and for areas of wrinkle formation of the cheeks, perioral region, and chin, injectable fillers are often a good choice to improve the appearance of these lines and provide a more youthful look. There are many kinds of fillers, that fall into different categories. In our practice, we offer several types of fillers, each of which has specific areas for which it is ideally suited. Hyaluronic acid (HA) is a building block of collagen, and makes an excellent filler when injected into the dermal layer of the skin. There are several types of HA fillers, which can generally be classified by molecular size. The smaller size particles are great for finer wrinkles when less filler is necessary, or for filling areas like the lips or the lines that form around them, and can be injected more superficially in the skin to achieve a result. This group includes Belotero, Restylane, and Juvederm Ultra. For areas where more fill is needed, like the chin or moderately defined nasolabial folds, a larger HA product (Juvederm Ultra Plus, Perlane) can add volume and smooth out lines for a better appearance. For areas of the mid or lower face that require significant volume increase, or a “lift” of the tissue, calcium hydroxyapatite (Radiesse) is an excellent choice. This product is injected below the skin, and can smooth out deeper nasolabial folds, marionette lines, and can be injected into the cheeks to add volume and lift, as well as along the jaw line to soften the appearance of jowls. As an added bonus, this product stimulates collagen growth, so collagen content improves with subsequent treatments. These are just a few of the options available in our office to address aging changes in the face. While botox and fillers can’t match the longevity and significance of surgical results, they can be very effective in keeping patients looking and feeling youthful and refreshed. Call our office in downtown Saratoga Springs to schedule a complimentary consultation with Dr. Ridha, and he will help customize a plan that will help you to look as young as you feel. 518.306.5466
Healthy, Wealthy & Wise ...
Ask me about how you yourself can be a factor in a Health Insurance policy on yourself, loved ones, friends and foe alike. America can be a healthier place to live, work and play if you follow some rules about treating yourself better. This site will begin to emphasize things you may have heard, read or been aware of - the question is did you ever apply any of the knowledge shared? Be a frequent visitor and you can chart a new course for yourself and others and be a more healthy man, woman, child or animal. Continue to visit and you also can be a more wealthy man, woman, child or animal (however that is interpreted). Continued visits will not only make you each of the above but you will be all the more wise for having done so. It's not that I've all the answers or any 'magic pills' or 'potions' -- Rather, it will bee a collective library of your thoughts, experiences and some fine tuning by Yours Truly to keep it all in check. Join me, won't you? I can guarantee one thing - It will be fun! DJ Powers