Botox® Cosmetic, from Allergan Inc., is one of the most popular non-surgical procedures performed for the temporary correction of certain facial wrinkles. It is a series of small intramuscular injections of an FDA approved purified protein. It works by reducing the activity of the muscles that cause frown lines, such as those between the brows and crows feet that cause wrinkles to form over time. The result is a smoother appearance of these areas for up to 4 months.
XEOMIN® (incobotulinumtoxinA), made by Merz Pharmaceuticals, is FDA approved for the temporary improvement in the appearance of moderate to severe glabellar lines, or frown lines between the eyebrows. IncobotulinumtoxinA is a botulinum toxin that blocks nerve activity in the muscles, causing a temporary reduction in muscle activity. Xeomin and Botox work in a similar way by stopping the movement of the muscles injected, resulting in smoothing skin and less wrinkling. Xeomin has proven effective in clinical trials. It is approved in Europe and the US to diminish glabellar (between the eyebrow) wrinkles. The effects of Xeomin occur within one week, and the results last from three to six months, making it comparable to Botox in terms of both onset and duration of action.
Dysport™, from Medicis Aesthetics, is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) and crows feet for a short period of time in adults younger than 65 years of age.
Frown lines (wrinkles) happen because the muscles that control facial expression are used often (muscle tightening over and over). After Dysport™ is injected into the muscles that control facial expression, the medicine stops the tightening of these muscles for up to 4 months.
Restylane®, from Medicis Aesthetics, is a safe cosmetic dermal filler made of hyaluronic acid, a natural substance that naturally occurs in your body. Free from animal products, this limits the risks of possible allergic reactions. This filler restores volume and fullness to the skin to correct facial wrinkles and folds, making this an ideal product for the nasolabial folds (the deep ridges occurring between your nose and mouth area). Restylane is also great for providing beautiful lip fullness.
Perlane® is the latest cosmetic dermal filler from Medicis Aesthetics®, the makers of Restylane®. Like Restylane®, Perlane® is composed of hyaluronic acid, a natural substance that is already occurring inherently in your body. The difference is in the gel particle size. Perlane® gel particles are larger and designed for deeper injections and it’s not recommended as a lip filler as well.
Juvéderm Ultra® from Allergan Inc., is a gel like product with a smooth consistency made of hyaluronic acid—a naturally occurring substance in your skin that helps to add volume and hydration. Juvéderm® is injected under the skin to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth). It is also a wonderful choice for restoring fullness to lips.
Juvéderm™ Ultra Plus®
Juvéderm ™Ultra Plus, from Allergan Inc., is an injectable gel that restores volume to facial tissue and restores a smoother appearance to the face. Juvéderm Ultra Plus injectable gel is a colorless hyaluronic acid gel that is injected into facial tissue to smooth wrinkles and folds, especially around the nose and mouth. The difference between Juvederm Ultra and Ultra Plus is particle size and the depth of placement, with Ultra Plus being larger and placed deeper.
Juvéderm Voluma™ XC
JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile for up to 2 years.
Belotero Balance, from Merz, Pharmaceuticals, is a dermal filler specifically designed to integrate into your skin and fill in the fine lines and wrinkles that the deeper fillers, such as Restylane and Juvederm, are not able to do. Belotero molds to your distinct facial contours and softens fine lines and wrinkles on the face. It is a great combination with the other fillers when trying to achieve improvement and correction of facial aging. Belotero Balance is made of material called hyaluronic acid or HA, same material as Restylane, Perlane and Juvederm are made out of. HA naturally exists as a component on your skin. By binding to water, it fills in wrinkles and folds, allowing immediate and smooth correction.
Radiesse®, from Merz Aesthetics, is a volumizing filler. Comprised of calcium-based microspheres, Radiesse® provides an immediate improvement to areas of volume loss, followed by stimulation of your own collagen for long lasting results, up to 12 months. Radiesse® is a great choice for restoring mid face volume, as well as lower face lines and folds.
At your initial consultation, your aesthetic nurse will evaluate your concerns to determine which dermal filler would be appropriate to produce the results you desire.