What the pros know: brand-new York City\"s Dr. David Shafer of Shafer Plastic Surgery provides us the lowdown on what come expect before visiting her dermatologist or cosmetic surgeon for a little pick-me-up.

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Botox is a brand name yet has likewise become a common name encompassing an entire product classification of injectables the relax dynamic wrinkles of the upper face. As soon as administered properly, the outcomes leave the challenge refreshed, relaxed, smoother, and brighter.

What to expect:

Your doctor will advice the wrinkles about your eyes once you smile, between your eyebrows once you frown and on her forehead once you raise her eyebrows. The wrinkles that show up with movement of the underlying muscle are dubbed dynamic wrinkles. Botox Cosmetic works by softening the contracting the the underlying muscle and also decreasing the overlying wrinkles. All of these muscles occupational in harmony, so it is very important to have actually an proficient injector who knows the basic anatomy and natural movements of the face. In many cases, the Botox cosmetics injections can be performed the same time as your early consultation.

Where come apply:

FDA-approved uses: Botox cosmetics is commonly used to the crow\"s feet wrinkles come the political parties of the eyes when smiling or squinting, come the upright glabellar lines (the 11s) in between the eyebrows as soon as squinting, and frontalis (forehead lines).

How lengthy does that last?:

Botox cosmetics starts working around three to 5 days after ~ the injections. Therefore if friend look in the mirror appropriate after you gain home, you room not walk to notice any difference. However, after ~ a few days, girlfriend will an alert the wrinkles begin to soften. The impacts last for roughly three to five months. Many patients return every 4 months for repeat treatments. It\"s crucial to have actually your following treatment prior to the effect wears turn off so you don\"t lose the helpful effects of tension reduction in the skin.

Price:

Botox is usually priced per unit. Different areas of the face require different amounts of units.For example, the crow\"s feet through the eye requires in between 10-15 units per side, the glabella between the eyebrows requires in between 20-30 units and the forehead in between 10 to 20 units. The average variety of units mine patients use is 50 systems per session. The unit price in mine office is $25 per unit, but prices can range based on geographic location and experience of the injector. An alternative an approach for pricing is every area. For example, $700 for the crow\"s feet, $700 because that the glabella, and also $700 for the forehead. I like unit pricing, together the patient knows they are getting exactly what they are paying for.

For your Lips – Juvederm ULTRA XC and also Juvederm VOLBELLA XC



Juvederm Ultra XC and Juvederm VOLBELLA XC from Allergan\"s Juvederm family members of fillers. The JUVEDERM family of fillers space hyaluronic acid (HA) dermal filler that differ in concentration the (HA) and also bonding between the (HA) molecules. The bonding and also concentration provides the assets different properties for injecting based upon location and depth the the tissue.

What to expect:

JUVEDERM ULTRA XC was FDA-approved for lip augmentation in October 2015 and also VOLBELLA in June 2016. If you\"re interested in lip injections, your doctor will speak to you around the kind of look at you desire to achieve – an ext definition, alignment, symmetry or a fuller, pillowy watch – all very natural. Based upon what kind of look you\"re trying to achieve, there will be a collection of tiny injections along the vermilion border, cupid\"s bow, and inside the lips. It\"s crucial to talk to your doctor about your goals and also expectations as there are numerous different \"looks\" with lips. Fillers boost what you currently have, adding definition and volume. Over-injection certainly can look at fake, so it\"s crucial to walk to an competent injector and also plan on perhaps a collection of treatments—especially the very first time you space doing your lips—to reach the last result. Suppose some swelling the very first day or two, for this reason don\"t have lip injections the same afternoon as crucial date or meeting. Patients occasionally return after the ede goes far wanting much more injections due to the fact that they liked the \"swollen\" look. Ns often find myself as a gatekeeper reminding patient what looks typical or not and occasionally patients come earlier after seeing one more doctor that adds an additional syringe i m sorry now needs to be \"melted\" as they clearly look end injected. Over there is always hyaluronidase to melt the product if you want to soften the look, yet its best to gain the injections right the an initial time roughly if possible.

Where come apply:

FDA-approved uses: Dermal fillers can be injected almost anywhere. The many common areas are the cheeks and also chin (Juvederm Voluma XC), the nasolabial folds and also marionette lines approximately the mouth (Juvederm Ultra plus XC) and the lips (Juvederm Ultra XC).

How long does that last?:

Juvederm Ultra XC and also Ultra plus XC both last in between six and also 12 months. It progressively metabolizes end time. So, patients regularly return in half that time for maintain treatments. However, every patient is different and also the location of the injection additionally affects the term of action. One nice home of HA fillers is the presence of Hyaluronidase, one enzyme which soon \"melts\" the filler. This is a great safety network for patient worried around whether lock will like the results or not and additionally for patients who may have gone to an inexperienced injector.

Price:

Dermal filler prices room per syringe. Every syringe of Juvederm is one cc. In mine office, I charge $1,200 per syringe of Juvederm Ultra XC and also Ultra to add XC. Most patients use 2 syringes per treatment session. As with Botox cosmetic the prices have the right to vary by geographic location and by suffer of injector. When again, ns caution patients no to pick their injector based upon price alone. Additionally, in much more established and also high-volume techniques such as mine us offer extr services such as Hyaluronidase treatment to \"melt\" the filler and also Vbeam Perfect laser come erase bruising, if needed, contained in the cost. As component of a full-service practice, patients find this convenience well worth it.

For her Cheekbones – Juvederm VOLUMA XC



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

What to expect:

Your doctor will evaluate your face from countless angles – spring at your deep wrinkles and creases, as well as volume deficits seen with aging. It\"s necessary to comment on what locations bother you v the physician so lock can explain how the filler will occupational to correct the area. Sometimes, the filler requirements to it is in injected over or below the area of concern to achieve the optimal result. As an example, with Voluma, injecting in the midface/cheek area helps improve the nasolabial lines about the mouth and also the tear v area under the eyes. One inexperienced injector or patience may insist on just injecting straight into the nasolabial lines, i m sorry may result in an worse result. The injections are performed v a small needle. The product (XC version) has actually anesthetic mixed right right into the product that helps nearly immediately with any kind of discomfort. You have the right to expect minimal ede and little possibility of bruising. The initial outcomes are visible immediately.

Where to apply:

FDA-approved uses: Dermal fillers deserve to be injected almost anywhere. The many common locations are the cheeks (Juvederm Voluma XC), the nasolabial folds and also marionette lines about the mouth (Juvederm Ultra plus XC) and the lips (Juvederm Ultra 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 entire time and also then immediately disappear. It gradually metabolizes end time. So patients frequently return in half that time for maintenance treatments.

Price: Dermal filler prices are per syringe. Every syringe of Juvederm is one cc. In mine office, I fee $1,500 per syringe that Voluma XC. Many patients usage 2 syringes per therapy session.

For Your twin Chin - KYBELLA:


Up till recently, your only choices for double chin therapy were fat removal through liposuction or CoolSculpting to freeze the fat. Now there is an injectable, otherwise well-known as fat modulators. This classification is restricted 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 also cholesterol caused by eating fat foods. The difference between the deoxycholic acid in KYBELLA and that in your body is the KYBELLA is plant-based and also therefore much less likely to cause skin allergies or irritation.

What to 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. Most of mine patients that come in say, \"THIS has BEEN BOTHERING ME for A lengthy TIME…\" and also \"There is naught I have the right to do to remove it,\" i m sorry is true offered the just other alternative is surgical. The really treatment requires 25 come 30 little injections at a time, i beg your pardon sounds like a lot of — till you take into consideration that the typical treatment that Botox involves somewhere around 15 come 20 small injections, relying on how many areas you treat in ~ a time. ~ the treatment, the most common side effect you see is short-lived swelling or that deserve to last a week and may be noticeable to other people. Some patients describe it as a \"bullfrog\"-like swelling, and 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 requires a very precise application of the product in the submental fat listed below the chin. The injections are minimal to the midline that the neck i beg your pardon is the larger difficulty area for many people. KYBELLA can not be injected in the jowls, face or other areas as this can lead to enhanced sided effects. For therapy of these areas, timeless liposuction may be the ideal option. Furthermore patients with loose skin, may opt because that a skin tightening procedure or therapy in added to KYBELLA. Right now, the usage of fat modulator injections is limited to a handful of plastic surgeons and also dermatologists who have been trained generally on proper administration for the finest results.

How lengthy does the last?:

Unlike fillers and neurotoxins, which market semi-permanent results. KYBELLA is supposed to permanently death the fat cells, dissolve them, and aid your skin tighten increase a bit and also improve contour. Full results requires treatments every four weeks because that a full of 2 to six sessions relying on the amount of fat, therefore the outcomes are not instant, yet they room permanent.

Price:

It varies but you\"re feather at around $1,500-$2,500 every treatment and will need at least two, mean four, and up to 6 treatments spread out every 4 weeks. CoolSculpting in the submental area is $750 every treatment.

For her Chin/ Jawline – Juvederm VOLUMA XC

Previously approved for the mid-face, Juvederm Voluma XC was approved for an additional indication - the chin area - in June 2020. Juvederm Voluma XC indigenous Allergan\"s Juvederm household of Fillers, which room all hyaluronic acid (HA) dermal fillers that differ in concentration the (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 depth of the tissue.

Where to apply:

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

How lengthy does that last:

Juvederm Voluma XC lasts as much as 2 years. This is the longest lasting HA filler. It\"s vital to note that the filler does no last that whole time and then instantly disappear. It progressively metabolizes end time. Therefore patients regularly return in half that time for maintenance treatments.

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


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