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Medical Aesthetics

Complete Guide to Injectables and Fillers

June 9, 2021
Someone getting an injectable

You can’t fight the passing of time. Or at least that’s what the mirror says when you lean in for a closer look at your skin. You might see crow’s feet, forehead wrinkles, sunken cheeks, thin lips, or the dreaded “11s” — those vertical frown lines between the eyebrows.

The good news is, you’re not stuck with those age-related issues. If topical treatments aren’t cutting it, but you’re not ready for invasive surgery, a course of injectables could deliver the youthful appearance you’re craving. Injectables can smooth wrinkles and folds or add definition and contouring, and with minimal downtime to boot.

Before you walk into your dermatology center or med spa, it helps to know more about injectables landscape. There are several treatment options, and they don’t all function in the same way. Read on for the scoop on the types of injectables available, including how they’re used, how much they cost, and what you can expect before, during, and after your treatment.

 

Injectables and Fillers Overview

What are injectables?

Injectables are a class of anti-aging treatments for the face, neck, and hands. They get their name from the method of application. A dermatologist or aesthetician injects a medicine into the skin as a temporary fix for wrinkles, lines, or the loss of contouring.

There are three types of injectables, each with a different method of action:

  • Neuromodulators freeze the facial muscles that cause wrinkles.
  • Dermal fillers, explained in more detail below, add volume underneath the skin.
  • Kybella breaks down fat deposits, specifically those that build up below the chin.

What are dermal fillers?

Dermal fillers are gel formulations that plump the skin. They can treat various anti-aging complaints, including thin lips, wrinkles and creases, and age-related definition loss. The face is the primary treatment area — lips, mouth, eyes, jawlines, cheeks, nose, and chin. But aestheticians may also use dermal fillers on the backs of the hands, which can also become sunken with age.

Ingredients you might see in a dermal filler include Hyaluronic Acid (HA), Calcium Hydroxylapatite (CaHA), Poly-L-lactic Acid, and Polymethylmethacrylate (PMMA).There is also a procedure that uses fat harvested from the patient’s body as a filler.

 

6 popular types of injectables and fillers

Botox

Botox is the original neuromodulator. Dermatologists and aestheticians use it to smooth crow’s feet, forehead lines, and creases between the eyebrows.

Xeomin

Xeomin, also a neuromodulator, works like Botox but has fewer inactive ingredients. The manufacturing process strips away unnecessary proteins to isolate the active protein, which is botulinum toxin Type A. Dermatologists believe Xeomin’s additive-free formulation prevents people from developing resistance to the treatment — which can happen with Botox. There is no definitive evidence that the purer formulation produces better or different results, however.

Xeomin is FDA-approved for use on creases between the eyebrows, though aestheticians also use it to smooth crow’s feet and forehead wrinkles.

Dysport

Dysport is also a Botox alternative. Compared to Botox, Dysport is more diluted and spreads out more easily after injection. For that reason, aestheticians may recommend Dysport over Botox for larger areas of the face like the forehead.

Juvederm

Juvederm is a brand of gel dermal fillers made of HA. The Juvederm product family smooths moderate-to-severe facial wrinkles. It can also add volume and restore lost contouring of lips, cheeks, and the area around the mouth.

Restylane

Restylane, like Juvederm, is a brand of dermal fillers. Restylane HA gels can correct wrinkles and folds around the mouth and cheeks. Aestheticians also use Restylane to add volume to the cheeks and lips.

Revanesse Versa

Revanesse Versa is a newer HA filler that’s designed to cause less swelling and last longer than other treatments.  As with Juvederm and Restylane, Revanesse Versa fills in facial wrinkles and folds around the mouth and cheeks.

 

Injectable and filler areas for the face

Lips

Lips can show aging earlier than other parts of the face. As skin breaks down with age, lips lose definition and start to look thinner. The corners of the mouth can also begin to droop.

HA fillers remedy those issues temporarily by adding volume and definition, directly to the lips or to the area around the mouth.

Cheeks

When you’re young, your face has naturally occurring fat pockets that add shape and contouring to cheeks and other areas. With age, those fat deposits lose volume and can even move — leaving sagging skin behind.

HA fillers can restore the lost volume temporarily, which also corrects sagging skin.

Forehead

Forehead lines and wrinkles develop from repeated movement of the forehead muscles — usually caused by frowning. These can appear in your 20s and become more exaggerated over time, particularly with sun exposure.

Neuromodulators are the injectables of choice for smoothing out forehead wrinkles. Since these formulas freeze the muscle, they can also slow the formation of new wrinkles.

Chin/jawline

Aging-related volume loss in the chin can create an imbalance in facial features. The chin or jawline can appear weak or undefined as a result.

An aesthetician might recommend a dermal filler to restore chin or jawline definition, smooth wrinkles, or even to fill in a cleft chin. For a double chin specifically, Kybella is also an effective treatment.  

 

How much do injectables and fillers cost?

Neuromodulator injectables are sold in units. The units themselves are inexpensive, but the total price of treatment depends on how many units you need. A targeted treatment might be as low as $75, though most will pay $400 to $500 per session.

Dermal fillers cost more than Botox and its competitors. Depending on the type of treatment and the formula being used, you might pay $525 to $1,000 per treatment.

 

What to expect during your injectable or filler treatment

Your injectables procedure should always begin with a consultation. That’s when you share your skin concerns with your dermatologist or aesthetician. Based on your input and a skin exam, your skincare professional will recommend a treatment plan.

Neuromodulators

At the time of treatment, your professional will clean your skin. You should not need anesthesia for neuromodulator injections. The pain is minimal — you’ll feel only a small prick. You will need multiple injections, but the exact number depends on the treatment area. You might get four injections to smooth forehead wrinkles, and only two to correct lip wrinkles.

One thing that can be confusing is the difference between a unit of Botox or Xeomin and an injection. To be clear, each injection can include more than one unit of the medicine. For example, you might get 20 units of Botox administered in four shots.

Your neuromodulator treatment should take 15 to 20 minutes.

Dermal fillers

The dermal filler procedure is similar but with two key differences. First, the procedure may take longer — up to 60 minutes, depending on the treatment area. Second, specific to Restylane injections, you may receive a topical anesthesia. Juvederm and Revanesse Versa generally don’t require anesthesia.

 

Recovery time after receiving injectable and filler treatments

Most people experience minimal to no downtime after their injectable treatments. The most common side effects are swelling and bruising around the injection site. The swelling normally resolves itself within an hour but bruising and soreness can last up to two weeks. For that reason, it’s smart to clear your calendar of any special events for two weeks following your treatment. 

 

How long do injectable and filler results last?

The smoothing effects of Botox, Xeomin, and Dysport normally last two to four months. Dermal fillers can retain their effectiveness for up to one year.

 

Which injectable or filler is right for you?

Injectable treatments may seem routine and commonplace, but they are medical procedures. As such, it’s critical to work with a qualified provider who can recommend an individualized treatment plan — and then deliver that treatment safely and effectively.

milk + honey Medical Aesthetics partners with renowned dermatologist Dr. Tyler Hollmig so you receive the highest quality care available. Hollmig, along with a team of Board-certified medical professionals, can skillfully identify the best injectable treatment for your skin and your lifestyle.

Turns out, you can fight the passing of time. Set up a consultation today and get ready to look your best tomorrow!

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FAQ

How Often Should You Get a Facial?

January 7, 2021
Woman During Facial at milk + honey spa

Facials are a luxurious, yet effective way to care for your skin. After an hour or so of deep, but gentle cleansing, refreshing exfoliation, and a relaxing massage, it’s tempting to want to increase the frequency of your treatments. But how often should you get a facial? Depending on your skincare needs and goals, the frequency for which you should get a facial can vary from every three to eight weeks. The answer is different for each person; what’s best for you is probably different than what’s best for your friend because both of you likely have different skin types.

If you’re considering getting facials more often but aren’t sure how long you should wait between them, learn everything you need to know to help you set up a treatment schedule. 

FACTORS THAT AFFECT HOW OFTEN YOU SHOULD GET A FACIAL

Your skin regenerates every 28 days, so ideally, you’ll want to allow ample time for new skin cells to generate and make their way to the surface, at which point they’re ready to be sloughed off — a la a refreshing facial. So when it comes to facials, you want to space them out enough so that they’re effective and far enough apart so they won’t irritate or damage your skin. No matter how good it can feel when it comes to facials, you can have too much of a good thing. 

The frequency of your facials really depends on how well you keep up with your at-home skincare routine and your individual skincare needs; the sweet spot for most people is about once every four to six weeks. It’s also worth noting that if you have oily and acne-prone skin, you may want to bump up your facial to every three weeks, whereas if you have sensitive skin, you might consider dialing it back closer to the eight-week mark. 

When you’re trying to figure out how often you should get a facial, the answer is that it varies based on your skincare needs. In order to get the most out of your facial, it’s important to talk to your esthetician to choose the best treatment and products for your skin. Also, after a thorough assessment, your esthetician can recommend an optimal schedule for your facials and at-home skincare routine. 

WHAT ARE THE BENEFITS OF A FACIAL?

Once you know how frequently you should get facials, you may be wondering if it’s worth it to schedule regular treatments. While you will see immediate results from a facial after only one visit, your skin will gradually go back to its former state over time which is why we recommend regular visits and proper after-facial care to maintain the results.

One of the biggest benefits of a facial is having an esthetician deep clean your skin. In most cases, much like our Signature Facial, your treatment will also include toning, exfoliation, extraction, and a facial massage. All of these processes work together to reveal, fresher more radiant-looking skin. 

Regular facials can help with:

  • Acne
  • Clogged pores
  • Hyperpigmentation
  • Dull skin 
  • Puffiness

And let’s not forget that sweet little ancillary benefit of feeling completely relaxed as your skin is massaged and indulged. To reiterate, you’ll see immediate benefits following a facial, but to maintain glowing, radiant-looking skin — we recommend getting facials regularly from a licensed esthetician in combination with a customized skincare routine they recommend for your needs and goals.

DIY vs. PROFESSIONAL FACIALS

Not all facials are created equal; homemade facials can help your skin stay clean and healthy between professional treatments, but for best results, you should work with an esthetician to develop a customized plan designed to achieve your skincare goals. A professional facial is customized to your unique skincare needs, whereas a DIY facial is more likely to be general for a wider range of skin types which can reduce its effectiveness. If you want to maintain the benefits you receive from a professional facial but don’t have the time or money for regular visits, your esthetician may work with you to develop a daily routine that incorporates products such as specific masks and tools suited for your skin. 

If you still aren’t sure how often you should get a facial, work with a licensed esthetician to create a customized schedule. Book an appointment with milk + honey spa and see how our experienced estheticians can help you achieve and maintain plump, radiant-looking skin.

FAQ

Swedish Massage vs. Deep Tissue Massage: Which One Do You Need?

January 7, 2021
Man During Massage at milk + honey spa

When clients schedule a massage, perhaps the most common questions asked of our massage therapists are “what’s the difference between a Swedish Massage and a Deep Tissue Massage?” or “which one would you recommend?” To begin with, most clients know that they are looking for something to loosen tight muscles, target pressure points, and relax, but they still don’t quite know what to ask for. In the end, they tend to choose the option that seems less invasive and more comfortable. For that reason, Swedish — or, our Signature — massages are often the most requested massages. And while massage therapists can do their best to make recommendations, you might have a more successful outcome if you understand the basic differences between the two and decide for yourself what you really need. 

Ahead, we’ll examine a Swedish (Signature) Massage vs. Deep Tissue Massage and walk you through the similarities and differences, so you can find the treatment that works best for you. 

Swedish Massage vs. Deep Tissue Massage

While a Swedish massage and a Deep Tissue Massage have some similarities, there are some key differences and choosing one over the other depends on what you’re looking for. Generally speaking, these procedures differ in the amount of pressure applied, the area it’s applied to, and the technique. 

Swedish Massage (we call it our “Signature Massage”)

A Swedish massage is gentler than a deep tissue massage, and it’s ideal for those looking for stress relief and relaxation. During a Swedish massage, your therapist will apply light to firm pressure to loosen tight muscles, stimulate your circulation, and provide relaxation. Swedish massage is beneficial for relieving tension in the neck, shoulders, and lower back. So, if your muscles are sore from hunching over your computer all day, this type of massage might be a good fit. 

Moreover, Swedish massage is often used to stimulate blood flow and increase flexibility. Not to mention, most folks appreciate how the long gliding strokes of a Swedish massage just seem to ease away tension and reduce feelings of emotional and physical stress. 

Swedish massage uses five basic strokes, all of which you can expect during your treatment. These include:

  1. Effleurage – long gliding strokes that help the therapist identify problem areas
  2. Petrissage – kneading of muscles to release tension 
  3. Friction – circular rubbing that creates heat and promotes circulation 
  4. Tapotement – fast tapping that relaxes tense muscles 
  5. Vibration – rapid shaking of muscles using the fingertips or palms 

Swedish massages are great for first-timers and perfect for those simply looking to relax and unwind. Generally, they use a lighter touch than deep tissue massage, and the pressure is customizable to your liking; just be sure to keep the lines of communication open with your therapist. 

Deep Tissue Massage

As its name implies, deep tissue massages target deeper muscle structures and fascia (also known as connective tissue) to release tension deep within the tissue.  As you might suspect, deep tissue massage is not quite as relaxing as a Swedish massage. Let’s just say it’s more results-oriented. Because it works by releasing muscle tension layer-by-layer, deep tissue massage is best suited for those with chronic pain or for treating sports and small muscle injuries. 

During a deep tissue massage, your therapist will use their fingers, fists, and even elbows to penetrate deep into the muscle and connective tissue to release tension and deep knots. While deep tissue massage uses long strokes and kneading techniques that are similar to a Swedish massage, the therapist will apply more pressure and force to trouble spots. 

It may be worth noting that while it may seem more forceful and invasive, a deep tissue massage should not hurt. If you feel pain, be sure to let your therapist know. Also, you may feel some soreness two to three days after your treatment. This is simply a result of your deep tissue and deep muscle work. 

Should You Get a Swedish or Deep Tissue Massage?

While Swedish massage and deep tissue massage share a few similarities, they differ in the amount of pressure the massage therapist uses. If you’re not sure what type of massage to get, think about what you’re trying to accomplish. If you’re just looking to ease some tension and loosen tight muscles, you may want to consider a Swedish massage; if you need deeper work on your muscle for an injury or chronic condition, opt for a deep tissue massage instead. Moreover, your choice may all depend on the amount of pain and discomfort you’re willing to take. In both cases, it’s always best to speak to your therapist about your particular concerns and trouble spots so they can target those effectively. 

If you’re interested in getting a Swedish or Deep Tissues massage, book an appointment at milk + honey spa. Each appointment includes a thorough consultation with our licensed massage therapists so we can tailor your visit to address specific needs. If you’d like to give a massage as a gift to someone else, you can also purchase a gift certificate that can be redeemed at any of our locations.

 

FAQ

After-Facial Care: What to Do and What to Avoid

January 7, 2021
Woman after Facial Treatment at milk + honey spa

Spa facials can work wonders for your skin. They deep clean to remove impurities, and with a little exfoliation and a facial massage, they leave you feeling refreshed and restored. But without the proper after-facial care, the time and money you invested into this luxurious treat may be all for naught. 

The immediate effect of your facial: plump, radiant-looking skin — will typically last anywhere from three to five days. No doubt that stellar results like that will always beg the question: how do you keep it going? 

To help you keep your post-facial glow long after you’ve left the spa, here are three things to do and four things to avoid after a facial.

5 THINGS TO DO AFTER YOUR FACIAL 

1. Hydrate 

When it comes to your skin, hydration is the key to pretty much everything. On any given day, hydration helps your skin cells function effectively; it helps you flush out toxins and leaves you with glowing skin. While a good facial will leave your skin feeling deeply moisturized, you’ll want to keep it going by drinking about two liters of water daily.

2. Moisturize 

If your facial includes exfoliation, remember that means the layer of dead skin cells is being removed from the surface of your skin — and along with it, the natural oils that usually protect your skin. So, in addition to hydrating your skin by drinking plenty of water after your facial, you should also use a gentle moisturizer to replenish and lock in that moisture. If you’re looking for a moisturizer to help keep your skin hydrated after a facial (and everyday in general), check out our Intense Hydration Cream, which boosts hydration and restores luminosity. 

3. Be Gentle 

Following deep cleansing, extractions, and exfoliation, your skin may be a bit sensitive after a facial. For that reason, it’s important to stick to gentle cleansers (and you might want to skip the toners for a few days, too). After a deep cleaning, harsh skincare products are unnecessary, not to mention, they can likely exacerbate any minor irritation. Furthermore, when washing your face in the days following a facial you should use lukewarm water and pat dry.

4. Use a Clean Pillow Case and Fresh Towels   

A facial deep cleans your pores leaving them open and exposed, so make sure you’re using a clean pillowcase so dirt and oil doesn’t clog pores when you sleep. The same goes for towels, or anything else that might come in direct contact with your face for an extended period of time.

5. Follow the Esthetician’s Instructions and Advice 

Depending on the type of facial you get and the unique characteristics of your skin, your esthetician will provide instructions including what to do after your facial. Additionally, the esthetician may provide recommendations including specific products to incorporate into your skincare routine, or lifestyle tips to help you achieve your skincare goals.

4 THINGS TO AVOID AFTER YOUR FACIAL

1. Picking at Your Skin 

While refraining from picking at your skin is essentially skincare 101, never is this more important than in the days immediately following your facial. If you’ve ever had a facial, then you know what happens within the next two to three days. Your skin will begin to purge. As your skin expedites its recovery, it pushes everything to the surface, and the end result is a healthy mix of whiteheads, pimples, and even blackheads. While it can be a bit maddening, rest assured that it’s a good sign. The important thing to remember is that under no circumstances should you pick at your face after a facial. Doing so can lead to further irritation and even scarring. 

2. Wearing Makeup 

“Can you wear makeup after a facial?” This question seems to pop up repeatedly, and the answer to that is, “Ideally, no.” Immediately following a facial, it’s probably best to stay away from your makeup (at least for 24 hours). Again, remember that your pores are still open, and anything you apply to your face can irritate your skin and lead to a breakout. This is particularly true for makeup and the tools you use (including your fingers) for its application because they tend to harbor healthy doses of bacteria. Needless to say, you don’t want that setting up shop in your pores. Moreover, when you forego your makeup for a short stretch, serums and moisturizers have a little breathing room of their own to do their magic. If you absolutely have to use makeup for an important event, make sure to clean your brushes or applicators first. 

3. The Gym 

After a facial, your skin needs a minute to calm and repair itself. So, it may be best to skip the workout for a day or two, as sweat and other pollutants can cause or worsen irritation. Similar to the warning about wearing makeup after a facial, remember your pores are likely still open from the steam used during your treatment. You certainly wouldn’t want any sweat to make its way into those freshly cleaned pores.

4. The Sun 

Freshly exfoliated skin is decidedly more vulnerable to harmful UV rays. So, after-facial care requires a conscious effort on your part to stay out of the sun. That’s not to say that you should avoid going outdoors altogether, but extended periods of time in direct sunlight is not the best move. If you are using Retinol or retinoids as part of your skincare routine, minimizing sun exposure is crucial, and at the very least, always apply SPF before leaving the house. 

Make the Most of Your Next Facial

Now that you know what to do and what to avoid after a facial, you can make the most of your next trip to the spa and maintain the radiant glow following your visit.

If you’re interested in getting a facial, book a visit at milk + honey spa and choose from a wide variety of treatment options along with enhancements to customize your experience. Our licensed skincare expert will customize your facial based on your skin type and goals.

Book a facial at milk + honey spa today!

 

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