BOTOX® Cosmetic corrects wrinkles made when expressing and also prevents static wrinkles from forming. Static wrinkles are wrinkles seen even when we are sleeping or relaxing and often lead to our loved ones asking, “Are you mad?” The only way to stop or soften the movement is to use a neuromodulator such as Botox. Botox temporarily suspends the facial muscle action that causes them. Within 3 to 5 days, the treated areas will begin to soften and smooth out, and the wrinkles will continue to fade over the course of the next few weeks. At Wink, we take the time to consult and understand the result you are looking for.
BOTOX® helps prevent the formation of static wrinkles that make us look “sour” all the time. They are caused by the contractions of underlying facial muscles every time you smile, laugh, or frown. The more emotion you show, the deeper these wrinkles and lines are likely to be. You can soften the movement; therefore, softening wrinkles over time by staying on top of your BOTOX® treatments. Generally speaking, BOTOX® lasts about 3-4 months for most patients.
BOTOX® works by partially blocking the nerve impulses to the tiny facial muscles that are related to expression lines. This causes the muscles that are related to expression to relax. After about 10-14 days, the overlying skin will be smooth and unwrinkled while your untreated facial muscles will still function normally.
BOTOX® is a simple and safe procedure. We use a tiny needle to cause minimal sensation and discomfort. For those that are a little needle phobic however, we are happy to ice the areas prior to injections.
BOTOX® Cosmetic injections are primarily used for lines in between the eyebrows, lines on the forehead, and lines around the eyes. In addition, we commonly use Botox for “bunny lines” on the nose, chin creases, and to help upturn the corners of the mouth. We also commonly administer lip injections with Botox to both turn up the “cupid’s bow” on your lips as well as to help diminish those “smoker lines” even though you have never smoked.
Most everyone is a patient for BOTOX® because we all express. Contraindications are minimal. We do ask that if you can safely stop taking any blood thinners such as aspirin, Motrin, Aleve, and fish oil, 3-5 days prior that you do. This will lessen the likelihood of temporary bruising. There is always a chance of bruising but usually is very minimal with the BOTOX® injections.
Because the effects of Botox are completely reversible, any side effects are temporary. In addition to bruising, patients may experience heavy brows, especially around day 10-14 and will diminish quickly over time. As well, patients can experience unevenness which can easily be corrected by running into the office for a quick five minute touch up.
Botox can either be administered lightly to give you a more youthful appearance by merely softening the ability to express or more strongly to give you the “frozen” look that some patients prefer. Whichever your preference, we do a thorough consultation to understand your desired look so that you may have the outcome you love.
JUVÉDERM ® Collection of Fillers
JUVÉDERM ® Voluma™ XC
Do you ever stand in front of the mirror, pulling your cheeks back and think, “If
only my face would stay like this?” Then, Juvederm Voluma is right for you! It not
only helps pull back extra skin to help lift your jowls, but also gives you back your
natural looking cheeks that have unfortunately slowly slid down your face. The most common quote after being injected with Voluma is, “WHY haven’t I done this sooner?!”
JUVÉDERM® XC is the smooth gel filler that your doctor uses to instantly smooth away wrinkles around your mouth and nose. With just one treatment, you’ll get smooth and natural-looking results that last up to a year.†
JUVÉDERM® XC is manufactured using HYLACROSS™ technology, creating a smooth-consistency gel. It is infused with lidocaine to improve comfort during treatment. With JUVÉDERM® XC you get the smooth results you expect, with the improved comfort you want.
Long-lasting Hyaluronic Gel for mid-face Volume. Volume – As we age we lose volume. Losing volume in the face alters the way you look and often that altercation makes you look “older”. Getting older is fine, but looking older is not something any of us are excited about.
The new mid-face filler Juvederm Voluma is the first filler specifically formulated for restoring volume to your deflated cheeks and chin area. Voluma is FDA approve to last up to 24 months* so it’s a product we are very excited to bring to our patients. “Instant cheekbones” Full cheeks are a sign of youth. With Voluma you can get your cheekbones back! Also, adequate chin projection plays into the balance of facial contours and is often overlooked. Juvederm Voluma instantly re-plumps the cheeks, ift the jowls and balances the chin giving you a more youthful appearance.
Treatable Areas Using Juvederm Voluma:
- Mid face
- Cheekbone area
JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM VOLUMA™ XC adds volume to the cheek area.
What else should you know about JUVÉDERM Voluma™ XC?
First and only Hyaluronic Acid (HA) filler FDA-approved to instantly add volume to the cheek area, resulting in a subtle lift
Clinically proven to last up to 2 years with optimal treatment
JUVÉDERM VOLUMA™ XC is from the makers of the #1 family of fillers
After 24 hours, you should be able to resume your normal activities
Side effects are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.
Hyaluronic Acid (HA) is a naturally occurring, hydrating substance found in your skin. As you age, you start to lose HA, which causes the skin to lose structure and volume.
Where Does It Work?
Everyone’s skin ages differently and JUVÉDERM® XC may be used to rejuvenate multiple problem areas.* From smile lines to vertical lip lines, you can smooth away unwanted wrinkles and restore natural contours. Learn more about the individual treatment areas by rolling over the list below.
JUVÉDERM ® Vollure
Juvederm Vollure™ XC for laugh lines and marionette lines is a new Hyaluronic Gel filler in the Juvederm family. Clinical tests showed up to 18 months longevity.
Improved fillers – improved results. As fillers improve, you get to expect a longer correction and smoother correction. The patented Vycross® technology blends different molecule weights to achieve a particularly smooth result. Vycross cross-linking makes the fillers more malleable and easier to inject, further improving the outcome. The fact that Vollure lasts so long makes it very appealing to those who want to “fill it and forget it”. Clinical study results of 18 months are based on optimal correction. Results may vary.
Vollure for moderate to severe lines in the mid face:
- Laugh Lines (Parentheses lines)
- Marionette Lines
- Horizontal Chin Lines
- Vertical Cheek Lines
JUVÉDERM ® Volbella for Lip/Mouth Area
Do you have annoying “smoker’s lines” even though you never smoked? Are you wanting to take the crepiness out of your lips that has slowly happened over time?
Volbella softens the appearance of vertical lip lines above the lips often caused by sun exposure or repeated muscle movement (smiling, sipping, puckering, smoking, etc). Volbella is also a great filler for lip rejuvenation without adding Volume! We love Volbella because it assures a soft, natural feel. The gel fills in lip lines and wrinkles while the hyaluronic acid within attracts and retains moisture for incredibly soft lips.
What do we do when Botox and Dermal Fillers such as Juvederm Voluma aren’t enough? Sculptra® Aesthetic is the answer. Sculptra is all about improving global volumization loss. Whether it’s a result of dramatic weight loss or simply just getting older, this is for patients who lack the structure, support, and volume in their face that’s necessary for fillers to make a desired difference in their appearance. Sculptra can work as “sticky scaffolding” for collagen and elastin proliferation to which fillers can be layered on top.
Sculptra is an injectable volumizing treatment made of Poly-L-Lactic Acid. It is the synthetic form of lactic acid, which your body produces naturally following exercise. It is perfectly safe, FDA-approved, and contains absolutely no animal by-products or human DNA. Because the main component of Sculptra, poly-L-lactic acid is derived from natural components and does not harm the body, there is no need to test for allergic reactions. Poly-L-lactic acid has been used in surgical products for more than 20 years.
Sculptra acts as a bio-stimulator to build up the body’s own collagen to smooth out lines and wrinkles and restore lost facial volume. It stimulates your own collagen, allowing tissue to volumize gradually. Sunken cheeks and temples are common areas treated. However, many patients see great benefits from Sculptra when injected in the chin and the jawline too. Even more, many are choosing to reverse the signs of aging on their chests by having Sculptra injected in their chest wrinkles and folds, as well as knees.
Sculptra is for the “patient” patient. It is not for patients who need instant gratification. But if you can be patient, the results are absolutely worth the wait. Sculptra is one treatment administered over three appointments usually 4-6 weeks apart. Results are not immediate and are generally noticed about 1 month after their second treatment. Patients will continue seeing changes through the 9th month however, and at that time full results are expected. Sculptra will last 2-3 years once the series of treatments are completed. Since most patients want to keep up their results, most come in once a year for a booster treatment to keep collagen stimulation.
Technically, there is no actual downtime and most appointments are one hour. After the treatment, most patients feel that they can go about their normal activities. Because Lidocaine with Epinephrine is used, the chances of bruising are lessened, however there is always the risk of bruising due to the mere fact that a needle is being injected into the skin. Pain is also minimized with the use of topical numbing cream, ice and Lidocaine within the injection. Tenderness, swelling and redness the next few days are possibilities just like any other filler injection.
A complimentary 20-minute consultation is available to determine if you’re a good candidate for treatment. The general rule of thumb for Sculptra is one vial per decade of life. So if you’re in your 40’s, you will most likely need 4 vials. There are exceptions to this rule depending upon volume loss however.