Only doctors, dentists, registered nurses and registered practical nurses can legally administer cosmetic injections. Injectors should be trained in the art of aesthetic medicine.
A neuromodulator is a medication that works to stop the contraction of the treated muscle by using small amounts of purified botulinum toxin A. This medication is naturally occurring in the environment and has been harnessed for both cosmetic and medical purposes. There are three common neuromodulators on today’s market; Botox, Xeomin, and Dysport.
Neuromodulators are most commonly used to treat the upper one third of the face including the glabellar region (the 11’s or frown lines), the forehead, and around the eyes for crow’s feet. Neuromodulators can also but used to treat hyperhidrosis (excessive sweating), TMJ disorders and/or bruxism (grinding of the teeth). Neuromodulators can even be used for facial slimming!
Treatment is fast, most patients report that the procedure is relatively painless or report a pinching sensation. Botox is known at the “lunch time treatment” because it has no down time and you can go back to work after a quick treatment without anyone noticing.
When your neuromodulator starts to take effect depends on the product used, but usually within 36 hours and full effect is seen at 14 days. Treatments lasts on average 3-4 months for wrinkle relaxation in the face and usually 6-8 months for hyperhidrosis treatments (excessive sweating).
Dermal fillers are composed of hyaluronic acid which is sugar that is found in our connective tissues. Dermal fillers work by smoothing wrinkles and adding volume. There are several dermal fillers on the market including Teosyal, Juvederm, and Ravenesse.
Dermal fillers are usually used in the lower two-thirds of the face. Common areas to treat are the cheeks, nasolabial folds, jawline, and lips. As we age, our facial structure changes and we lose volume as a result of shrinking fat pads which result in a forward sagging appearance. Dermal filler can help to add volume back in, soften wrinkles, which lead to a more youthful appearance.
This is dependent on the area being treated and the product used. Some jawline, cheek and chin filler can last up to 18 months. Lip filler can last from 4 months to one year.
Please come with a freshly cleaned face or light makeup. Do not drink alcohol 3 days prior to treatment and discontinue the use of NSAIDS (Aspirin, Advil, Naproxen etc.) 7 days prior to treatment. Pineapple or pineapple juice can help to decrease inflammation due to the enzyme, bromelain, and is recommended up to 3 days prior to treatment.
- Do not massage or rub the treated area.
- Do not lie down for 3 hours after treatment.
- Do not work out or expose yourself to high heat (shower, sauna, hot tub etc.) for 48 hours post treatment.
- A mild headache can occur after treatment.
- Tylenol can be taken after treatment for pain relief or headache. Do not take NSAIDS (Aspirin, Advil, Naproxen etc.) as it will increase risk for bruising.
- Apply ice to decrease swelling.
- Do not drink alcohol for a few days after treatment as it will increase risk for bruising.
Deoxycholic acid is an FDA approved treatment to permanently reduce the appearance of moderate-severe submental fullness, also called the “double chin”, in adults. Deoxycholic acid is similar to a digestive acid that is found in our gut and it permanently breaks down fat in the treated area. The treated cells undergo a process called lysis, which permanently dissolves the fat cells and then over the next several weeks, the body disposes of the cellular debris.
Deoxycholic acid is FDA approved for the submental region, but there are off label areas that this procedure can treat such as the abdomen and the bra bulge, where small pockets of fat exist.
The nurse will assess the area and draw out a grid for the injection sites. There is a burning sensation that occurs after the injections, and Lidocaine is added to the product to decrease this sensation. Swelling occurs after the procedure, this is good, as it means the product is working! Swelling usually lasts 3 days, but can last for up to 14 days.
Every person is different, but results are typically seen after 2-3 sessions but up to 6 treatments may be required for some. Sessions should be 4-8 weeks apart.
Once completely treated, the results are permanent unless a substantial amount of weight is gained.