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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!

Medical Aesthetics

First-Time Xeomin Experience: What I Really Think

November 16, 2020

Age: 29

 

Skin Type: I would say my skin type is combination. I never drink enough water (though I try!), so it can get dehydrated. I’m prone to hormonal breakouts and depending on the season, my skin can also be pretty sensitive.

 

Feelings on medical aesthetics pre-treatment: I’ve always had really positive feelings in regards to getting “work” done. Perhaps that’s thanks to many years spent watching The Real Housewives or maybe it’s simply seeing the great results my friends have had with medical aesthetics procedures. Either way, it’s totally normalized to me. If you could wave a magic wand and love the way you look even more, why wouldn’t you? I can love myself and love that these enhancements are available thanks to modern science. And I do!

 

Walk us through your experience:

To be completely honest, my decision to get Xeomin was extremely last-minute. I was at milk + honey receiving a touch up for my Versa Lip Filler and mentioned to Allison (the amazing Nurse Practitioner at milk + honey) that I’ve always wanted to do something about my 11s. I explained that I (unwillingly) sleep with my forehead scrunched and often wake up with red lines on my forehead from furrowing my brow all night. We talked a little bit about Botox vs. Xeomin vs. Dysport and I ultimately chose Xeomin because it’s newer, doesn’t have the protein encasements or additives, and (let’s be honest) Gwyneth Paltrow had just posted about getting Xeomin on Instagram.

Continue Reading…

Medical Aesthetics

INTRODUCING: milk + honey Medical Aesthetics

October 5, 2020

We are thrilled to officially launch milk + honey Medical Aesthetics, our enhanced spa experience in partnership with renowned dermatologist, S. Tyler Hollmig, M.D., in our milk + honey Arboretum Market location. Schedule your consultation now. Plus: there’s more milk + honey Medical Aesthetics on the way! Houston, Fort Worth, and additional locations in Austin are coming soon. Join the waitlist for future launches at other milk + honey locations.

 

Meet the Team

S. Tyler Hollmig, M.D.

Dr. Hollmig is Director of Dermatologic Surgery and Director of Laser and Cosmetic Dermatology at Ascension Texas. He attended Duke University, graduating magna cum laude. Dr. Hollmig attended medical school at the University of Texas Southwestern and graduated valedictorian. He underwent dermatology residency at Stanford, followed by a fellowship in Mohs and Dermatologic Surgery at the Medical University of South Carolina.

Dr. Hollmig returned to Stanford as Mohs surgeon and Director of Laser and Aesthetic Dermatology, and was on the medical faculty there for five years. Dr. Hollmig has a special interest in skin cancer removal and advanced, highly aesthetic surgical reconstruction, along with laser & cosmetic dermatology.

 

Allison Deshotel, MSN, APRN, FNP-C

Allison is a Board-certified, Family Nurse Practitioner with over 15 years of experience in the medical field. After graduating with honors, and obtaining dual degrees in both Nursing and Business Administration from the University of Louisiana at Lafayette, she went on to obtain her Master’s of Science in Nursing degree from the University of South Alabama.

After years of specializing in Family Practice, with additional experience in Emergency Medicine and Urgent Care settings, Allison was introduced to the world of aesthetics where she developed a passion for non-surgical face and body rejuvenation.

Allison has acquired a multitude of aesthetic certifications and specializes in cosmetic injectables including neuromodulators, dermal fillers, Kybella, and sclerotherapy, as well as laser therapies, microneedling, and more. She believes in taking a preventative and proactive approach to facial aesthetics, and strives to produce beautiful, yet natural looking results with each client’s aesthetic goals in mind.

 

Our Medical Aesthetic Treatments:

We vet all medical aesthetic treatments for utmost safety and efficacy in order to offer the best of state-of-the-art, minimally-invasive enhancement procedures.

Our Medical Aesthetic services include:

  • BBL photofacials
  • Moxi laser treatments for fine lines and skin rejuvenation
  • Neurmodulators (Xeomin, Botox, Dysport)
  • Soft-tissue fillers (Juvederm, Restylane, Revanesse)
  • Microneedling
  • Chemical peels
  • Dermaplaning
  • Hair restoration treatments

Learn more about milk + honey Medical Aesthetics.

Do you have medical aesthetics questions? Drop them below in the comments.

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