Archive for the ‘Juvederm’ Category

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Can hyaluronidase leave scars, holes? Does the enzyme break down a persons own acids and what affects are there?

Monday, January 25th, 2010

Facial Fillers is an enzyme that breaks down hyaluronic acid such as fillers used for cosmetic purposes like restylane, juvederm, perlane, etc.  It doesn’t seem to affect natural hyaluronic acid and has a predominate affect on filler injected.  The reason for this is due to the fact that natural hyaluronic acid is found around a substructure within the skin.  When natural hyaluronic acid is degraded it is reformed almost just as quickly.  In fact, natural hyaluronic acid is turned over on a daily basis so your body naturally degrades its own hyaluronic acid and replaces.  With your natural foundation, the hyaluronic acid is formed all the time so the enzyme injected and its effects will be reversed quickly.  It does not leave scars or holes,  except in the area of previous filler injections.  You have to be conservative in the amount that you use otherwise you can get depressed areas in the previous area that you augmented.  That is the only temporary risk.  Some suggest a skin test for the enzyme in case of an allergic reaction.  But I know of hundreds to thousands of patients who ht tave received this in surgery centers with no issues at all.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Fillers / Facial Fillers, Juvederm, Perlane, Restylane | Comments Off on Can hyaluronidase leave scars, holes? Does the enzyme break down a persons own acids and what affects are there?

lumps and bumps 3-4 days after lip augmentation with Restylane

Monday, December 7th, 2009

The swelling in the lips usually takes a while to go down after Lip Augmentation (lip filler, lip enhancement, lip plumper, younger lips, lip injectibles) with Facial Fillers. Your lips are very vascular and with that comes easier bruising and swelling. 3-4 days is on the early side. I usually wait for the first 2 weeks for the swelling to go down.  During these first 2 weeks is when massage can really help dissipate the swelling.  Enzyme injections are also another way of removing restylane, juvederm, perlane but they are more of a permanent removal of the restylane.  If enzymes are injected during the first 2 weeks, this may be a mistake.  The swelling that would normally go down the first 2 weeks will further go down more if enzymes are injected the first 2 weeks.  Sometimes waiting at least 3 weeks is even better.  One thing to remember is that restylane and other hyaluronic acid fillers can be shaped though and you shouldn’t have to go through 6-9 months of a less than desirable result.  Enzyme’s can help shape your results after 2-3 weeks.  Notice how in the example that the lower lip in the after maintains the size that is 2 times greater than the upper lip.  From the viewer standpoint, it doesn’t look wierd to them.

Thanks for reading!

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Before Restylane Injections / Lip augmentation

Before Restylane Injections / Lip augmentation

After Restylane Injections / Lip augmentation

After Restylane Injections / Lip augmentation

Posted in Fillers / Facial Fillers, Juvederm, Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip, Perlane, Restylane | 5 Comments »

Fillers, Botox or Lasers for the Under Lower Eyelid Area?

Thursday, October 15th, 2009

This was a question I answered for someone recently:

Restylane is a filler and can be used to fill in the lost volume that is really the cause of the majority of the reason why your lower eyelid looks the way it does. Fat injections, the YoungLift, Juvederm, Perlane, Radiesse are other fillers that can be filled into the lower eyelid area.  The temporary fillers last from 6 months (restylane) to a year or more (radiesse) with perlane and juvederm in between.  Fat injections can last much longer but this isn’t guaranteed but is the best shot for a long term correction.

Botox prevents the muscle around the eyes from squinting which can make the wrinkles less noticeable. Dysport (or botox / bo tox / botulinum / neurotoxin / disport) is a great option.  But these do nothing for the surface quality of the skin and neither does the filler. But the fillers can decrease the amount of wrinkles by filling up the volume.

This is where the co2 laser or other resurfacing procedure (erbium yag, active fx, ultrapulse, deep fx, max fx, total fx, traditional co2 laser resurfacing, laser peel) can help with by decreasing the wrinkles and actually tightening the skin.  A small amount of volumizing also occurs with lasers with their creating of a thin collagen layer deep to the skin.

I hope that helps some!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Botox, Dysport, Botulinum, Chemical Peels, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Juvederm, Perlane, Radiesse, Restylane, Wrinkle Treatment, YoungVolumizer | Comments Off on Fillers, Botox or Lasers for the Under Lower Eyelid Area?

What are the options for sunken cheeks besides temporary dermal fillers?

Wednesday, August 5th, 2009

This is a questions I answered for someone that was wondering what option there were for sunken cheeks besides temporary Facial Fillers. Fat Transfer or Facial Implants can give you the long term volume you desire in the cheek.

Sunken cheeks is a natural aging process.  When you age you lose fat in your cheeks and this can lead to your tissues descending, wrinkles developing, folds developing, lower eyelid fat protruding, eyelid bags, etc.  Dermal fillers like restylane, juvederm, radiesse, perlane, are temporary and last from 6 months to a year or more.  Of these fillers radiesse is a bone product made up of calcium hydroxyapatite while the others are made up of hyuloronic acid.  There are more permanent fillers like silicone injections, and artefill.  The problem with permanent fillers is that they have the potential to cause infections, scarring and granulomas (balls of chronic infection) that can present years later after you think everything is okay.

Other more permanent options for sunken cheeks include fat injections and silicone implants.  Silicone is very compatible to place in the cheeks.  The silicone atom is one step below carbon on the atomic chart and hence makes it really compatible.  The infection rate with silicone is very low and its use has a long history of safety.  Silicone implants can be placed within the cheek to give a person a more permanent volumizing and lift up sunken cheeks.

Fat injections are another way of volumizing the cheek. Perrmanency depends on whether the fat survives.  This depends on many factors: technique, health of the patient, care of the patient after the procedure, etc.  If fat lasts for more than 6 months to a year, it will likely survive for many years sometimes 10-15 years or longer.

I refined an amazing volumizing procedure called “the YoungLift”. This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done. This is not a facelift and requires no incisions. Only pinpoint puncture sites are used and these heal imperceptibly. The YoungLift can be done without general anesthesia and without drains, and large bandages. You also have a lot less downtime and discomfort compared with traditional facelift procedures. I employ the very best techniques from around the world into one volumizing procedure and I use my internationally acclaimed understanding of facial beauty to create the youthful volume you once had.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Cheek Augmentation, Facial Implants, Fillers / Facial Fillers, Juvederm, Perlane, Radiesse, Restylane, YoungVolumizer | Comments Off on What are the options for sunken cheeks besides temporary dermal fillers?

Can a forehead augmentation be done after a brow lift?

Wednesday, August 5th, 2009

Forehead augmentation can be done but can affect the results of previous browlifts. You can augment the forehead with silicone after a browlift.  One of the issues is that the augmentation will affect what was done with the previous browlift and you will sometimes need to refix the brows and allow them to fixate in the newer position.  Browlifts depend on the fixation of the bone to the bone covering and the soft tissue that covers the forehead.  When you dissect to implant something into the forehead it will break that bond.  Also with the implant fixating the brows to a new position will present some challenges as well depending on where the implant is placed.  Implants placed in the forehead can establish needed volume that is lossed with aging.  Most of the time, however, forehead augmentation is used to fill in defects from trauma and for reconstructive purposes. Also depending on what implant is used and the size you may need longer incisions such as a variation of the coronal incision that goes from ear to ear.  Not all of this incision is needed most of the time.  In terms of augmentation, you can use silicone sheets / blocks, Facial Fillers or fat augmentation.  Silicone and fat are the options that offer more of a longer lasting results with silicone being more permanent than fat.  Fat injections, however, can be done with no incisions most of the time with less downtime associated with long incisions. Augmenting the forehead can potentially help with wrinkles in the forehead, eyebrow drooping, extra eyelid skin and temple hollowing depending on how and where the augmentation is done.

I refined an amazing volumizing procedure called “the YoungLift”.  This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done.  This is not a facelift and requires no incisions.  Only pinpoint puncture sites are used and these heal imperceptibly.  The YoungLift can be done without general anesthesia and without drains, and large bandages.  You also have a lot less downtime and discomfort compared with traditional facelift procedures.  Dr Young employs the very best techniques from around the world into one volumizing procedure and he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Browlift / Eyebrow Lift / Brow Lift, Fat Transfer / Fat Injections, Fillers / Facial Fillers, Juvederm, Perlane, Radiesse, Restylane, YoungVolumizer | Comments Off on Can a forehead augmentation be done after a brow lift?

Will Juvederm totally take away the smile lines and nasolabial folds?

Thursday, July 9th, 2009

This a question someone asked me on line about whether Facial Fillers completely removed the nasolabial folds because she hoped that some of it remains so that she can still smile:

With augmentation with Juverderm, the nasolabial folds will be reduced but they will not completely go away.  When you smile the nasolabial folds will deepen with the action of the muscles but will not be totally gone with juvederm injections.  Also juverderm will only last around a year or less.  This is a temporary treatment.  Also if you don’t like the augmentation or what was done there is an enzyme injection that can be administered that will take away some of the juvederm if you desire.  Experience is important to make sure that too little or too much is given with these injections.

I refined an amazing volumizing procedure called “the YoungLift”.  This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done.  This is not a facelift and requires no incisions.  Only pinpoint puncture sites are used and these heal imperceptibly.  The YoungLift can be done without general anesthesia and without drains, and large bandages.  You also have a lot less downtime and discomfort compared with traditional facelift procedures.  I employ the very best techniques from around the world into one volumizing procedure and he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had. The YoungLift techniques can help with filling up the lips as well.  You can great results with fat injections in the lips.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Fillers / Facial Fillers, Juvederm, YoungVolumizer | Comments Off on Will Juvederm totally take away the smile lines and nasolabial folds?

When should you consider reinjecting juvederm in the lips?

Monday, July 6th, 2009

2 weeks is the most common time to do this and this is the time point that you should consider reinjecting juvederm in the Lip Augmentation. Sometimes if there is significant oozing and bruising during the procedure, the swelling may persist for greater than 2 weeks. So waiting a full month is another more conservative option in this setting. Generally 2 weeks is when I have patients come back to have either more filler injected or to have some of it taken out if there is augmentation that is not as desirable to get as perfect results that you can possibly get. Ultimately you should not notice any changes for about a week and know that the augmentation is stable before considering reinjected and this occurs usually about 2 weeks to a month.

Knowing the correct aesthetics makes a huge difference in the lips. The lips should really be the shape of the ideal eye in the reverse manner and the lower lips should match the eye the most. The upper lip should only by at most 1/2 an iris width high and 1 iris width wide. Although mathematical, the presentation to the person is very beautiful to the viewer.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Fillers / Facial Fillers, Juvederm, Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip | Comments Off on When should you consider reinjecting juvederm in the lips?

Reusing stored Juvederm, is it safe?

Tuesday, June 30th, 2009

Reusing previously injected Facial Fillersreally depends on the physician. It is generally not recommended to do this practice. I never reuse previously used Juvederm. In my opinion, Juvederm is sterilized for one time use. Injecting Juvederm later only invites an increased risk of infection whlie it sits in the stored environment. No matter where you store it, the Juvederm will accumulate bacteria and when reinjected will only increase the risk of infection. I would be careful when this is done in my opinion.

Consulting a Board Certified Facial Plastic Surgeon would be something that I would recommend. We specialize in the face and are highly qualified to help you with this.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Fillers / Facial Fillers, Juvederm | Comments Off on Reusing stored Juvederm, is it safe?

Lower Lip Asymmetry and lumps after Juvederm

Monday, June 29th, 2009

In my experience, when there is extra oozing in the area, Juvederm is likely to pull in more volume than Restylane and can give you extra swelling in the area that has more oozing. This will go down over the course of a week. Don’t worry though you can always take some of the hyaluronic acid away with an enzyme injection consisting of hyaluronidase or wydase.

This can be done in a judicious way to make it look the way you want it to look.  the same goes for the lump. Massage is another way to help alleviate the differences.  You should ask your doctor to help you though this.  Massage is less likely to improve the lump and my experience the enzyme injections can really help in this situation.

I refined an amazing volumizing procedure called “the YoungVitalizer”.  This is an innovative technique that volumizes your face to bring out the younger and natural you without looking like you had something done.  This is not a facelift and requires no incisions.  Only pinpoint puncture sites are used and these heal imperceptibly.  The YoungLift can be done without general anesthesia and without drains, and large bandages.  You also have a lot less downtime and discomfort compared with traditional facelift procedures.  Dr Young employs the very best techniques from around the world into one volumizing procedure and he uses his internationally acclaimed understanding of facial beauty to create the youthful volume you once had. The YoungLift techniques can help with filling up the lips as well.  You can great results with fat injections in the lips.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Fillers / Facial Fillers, Juvederm, Restylane, YoungVolumizer | Comments Off on Lower Lip Asymmetry and lumps after Juvederm

Juvederm dissolution through hyaluronidase injections

Sunday, June 28th, 2009

Hyaluronidase per vials is a lot less expensive than Facial Fillers like juvederm and restylane. For this you are paying for the cost of the time from the injector and will depend on their rates on an hourly basis. For your lips, I wouldn’t expect that would be more than $250 more or less. The doctor or injector that did your procedure should really help you with this to help you achieve the best results.

Don’t worry, you can get your lips the way you want; it’s not actually that hard as it seems. Before you get injections in your lips, it is helpful to go to a doctor with a great sense of aesthetics.

Dr Young is located in Bellevue near Seattle, Washington

Posted in Fillers / Facial Fillers, Juvederm | Comments Off on Juvederm dissolution through hyaluronidase injections

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