Indianapolis, IN Botox and Juvederm

Wrinkling, sagging, and sun damaged skin are all natural signs of aging which inevitably begin to show on our skin with time.  As we age, our skin is exposed to environmental pollutants and the sun's ultraviolet rays. The skin cells gradually lose their ability to produce hyaluronic acid. The skin tissue becomes dehydrated and the collagen and elastin fibers lose their structure, resulting in a loss of skin volume and the formation of the facial wrinkles folds that are common characteristics of aged skin. Fortunately, there are non-surgical options available to help you counteract these effects and can fill the gap between skin care products and a full-fledged surgical procedure. Neurotoxins (such as Botox and Dysport) and injectable dermal fillers are two options that can work in combination or separately to improve the appearance of lines, wrinkles, creases, and sunken facial areas. Injectable dermal fillers can also be used to augment facial structures such as cheeks or lips to give a fuller, more youthful appearance.

Before & After Photos Injectable Filler FAQs

If you are considering a cosmetic injectable procedure such as Botox or Juvederm in Indianapolis, it is important that you be in good physical health and that you have realistic expectations for your procedure's outcome.  Patients should understand that Botox, Juvederm and most injectable products provide only temporary results and, while they can improve or reduce the appearance of wrinkles and creases, most are not able to fully eliminate wrinkles. During a consultation with Dr. Hamilton of Indianapolis or his nurse, Elizabeth, we will consider several factors in order to determine the specific injectable(s) such as Juvederm and Botox that are right for you.
More frequently asked questions about injectable filler are answered here.

Appointments for dermal fillers can last 45-60 minutes to allow time for topical anesthetics to be used and/or anesthetic injections to enhance the comfort of the procedure. Very fine needles are used for these procedures, but the patient should have an expectation of some discomfort, temporary swelling, and possible bruising at the injection sites. There is very little recover or downtime associated with Botox/Juvederm and injectable procedures.

Indianapolis Botox

Botox has been popular since its FDA approval in 2002. Botox has withstood the test of time, and is one of the most popular injectable wrinkle treatments. The age range for safe Botox injections is 18-65. Since Botox lasts only 3-4 months, the treatment may be a good option for those just starting out with injectable facial rejuvenation. Indianapolis Botox injections are effective in treating a variety of wrinkles and lines, particularly frown lines between the eyebrows.

Side effects have occurred, but these are rare, and screening that takes place before treatment will determine a person's eligibility for Botox. Indianapolis Botox treatments are administered by first determining the optimal injection site for best results by discussing the patient's needs. Botox is then administered to these areas with a tiny needle. There is no downtime involved, and patients may return to regular activities that same day.

Indianapolis Juvederm

Juvederm is a smooth gel filler instead of a granular gel, like some other injectables. Smooth gel promotes comfort and a natural look that allows for long lasting results that surpass other fillers. Indianapolis Juvederm treatments are used to fill in facial lines and rejuvenate the look of the face. The product is carefully injected to produce smooth results. Nobody should be able to tell that Juvederm has been injected, but everyone will notice the youth restored to the face.

Juvederm works by replenishing the body's hyaluronic acid, which becomes less plentiful with age. Juvederm contains natural compounds, so the product is eventually absorbed into the body. Juvederm Ultra is used to erase lighter wrinkles, while Juvederm Ultra Plus is injected for more severe wrinkles. For those seeking a low-risk, long lasting dermal filler, Juvederm may be a good choice.

Neurotoxins
Neurotoxins can temporarily relax and reduce a variety of facial
wrinkles caused by facial muscle movement. Botox Cosmetic is the more commonly known neurotoxin with a long and proven safety record and a very high rate of patient satisfaction. Dysport is a newer product to the U.S., but has been used for several years in Europe.  Over the next year, other neurotoxin products are expected to be approved by the FDA as well.

These neurotoxins are produced from the bacteria Clostridium botulinum and are sterile and purified and do not cause systemic effects. They work by blocking the neurotransmitter receptors for acetylcholine that generates muscle contraction. The effect, however, is temporary lasting 3-4 months for most patients.

Botox or Dysport treatments take only 10-15 minutes and do not require an anesthetic. We do use ice for most treatments to increase the comfort level of the patient and reduce the chances of bruising. It takes most patients 7-10 days to see the full effect of the treatment. This treatment is ideal for wrinkles and creases such as the lines between the brows, crow's feet, or forehead lines.

If you are considering a treatment with Botox or Dysport, it is important that you be in good physical health. This treatment is not indicated for patients with ALS, myasthenia gravis, Lambert-Eaton syndrome, or other neuromuscular disorders. If you are lactose-intolerant, you should not have treatment with Dysport.  For more information, please go to www.BotoxCosmetic.com or www.Dysport.com.

Dermal Fillers
Over the last several years there has been an evolution of injectable dermal fillers from collagen to more “permanent” solutions. Due to its lack of duration and issues related to allergic sensitivities, collagen is no longer the preferred class of fillers.
Fillers made from hyaluronic acid (a natural complex sugar found in all mammals) are probably the most popular at this time and do not require skin testing prior to the procedure. Hyaluronic acid is s major component of the connective tissue matrix in the dermis- the dense, inner layer of the skin beneath the epidermis. The matrix is made up of hyaluronic acid as well as two connective fibers – collagen and elastin.  By its nature, hyaluronic acid retains water like a sponge, absorbing more than 1,000 times its weight. This helps to attract and maintain water within the extracellular space, hydrating your skin, and increasing its volume and density. Hyaluronic acid is also involved with the transport of essential nutrients to the skin’s viable cells. Hyaluronic acid provides volume, helping to contribute to the improvement of the skin’s overall appearance. This filler class includes names such as Juvederm Ultra, Juvederm Ultra Plus, Restylane, and Perlane.

Juvederm Ultra and Juvederm Ultra Plus have been FDA approved to last up to one year. We use Juvederm Ultra and Ultra Plus for a variety of deeper facial wrinkles, filling the nasolabial folds (the lines between the nose and mouth) and marionette lines (the lines between the corners of the mouth and chin). We also use Juvederm products for cheek and lip augmentation as well as correcting deeper acne scars. Juvederm Ultra and Juvederm Ultra Plus have been found to last up to 1 ½ years with a “touch-up” treatment at 6-10 months after the initial treatment. Juvederm product results are smooth and have a high rate of patient satisfaction. For more information on Juvederm Ultra and Juvederm Ultra Plus, please go to www.Juvederm.com.

Restylane was one of the first hyaluronic acid fillers approved in the U.S.. Perlane is made by the same company as Restylane, but is used for deeper folds. Although Restylane and Perlane have FDA approval to last 4-6 months, we have found they generally have a duration of around 4-6 months. Restylane and Perlane are preferable if someone wants to “try” a dermal filler (such as lip augmentation), but are just not sure they are going to like the result for the long term. For more information on Restylane and Perlane, please go to www.RestylaneUSA.com.

RADIESSE®

Click here to learn more about RADIESSE® Volumizing Filler.

Belotero is a dermal riller has unique properties that allow it to adapt within the skin for soft and even correction. The versatility of the product makes it strong enough to handle deep treatment areas such as nasolabial folds (smile lines around the mouth), yet soft enough to treat more delicate areas such as vertical lip lines (thin lines that appear above the lip line). For more information on Belotero, please go to www.Belotero.com.

Radiesse is in a different class of dermal fillers as it is made from a calcium base. It is used for deep facial folds, such as the nasolabial folds and marionette lines. Radiesse can be used for cheek augmentation, but is not indicated for lip augmentation. Radiesse can last up to one year or more. 
For more information on Radiesse, please go to www.Radiesse.com.

Artefill is the first non-resorbable (permanent) FDA approved injectable filler in the U.S., although its safety has been proven through 15 years of use in Europe. Artefill is made with a unique microsphere-enhanced collagen and is considered to be a more “permanent” solution to deep facial folds. The collagen gel in Artefill is absorbed by the body while the microspheres remain in place to provide the support the skin needs for long-lasting wrinkle correction. With Artefill, the patient will see immediate results and the results continue to improve over the course of several months.  Artefill does require a skin-test prior to treatment. For more information on Artefill, please go to www.Artefill.com.

Sculptra is a newer facial injectable treatment indicated for the correction of shallow to deep nasolabial folds and other facial wrinkles. It works gradually to replace the collagen that is lost during the aging process. SculptraAesthetic contains poly-L-lactic acid, or PLLA, which is biocompatible (meaning “does not harm the body”). PLLA has been used for many years in dissolvable stitches and medical implants and has been used cosmetically in Europe since 1999.  Sculptra does not require skin testing prior to treatment and, usually, takes a series of treatments to obtain optimum results. For more information Sculptra, please go to www.SculptraAesthetic.com.

Frequently Asked Questions

Q - Where do injectable filler procedures take place?
Injectable fillers are usually administered in a surgeon's office.

Q - Will I receive anesthesia for my injectable filler procedure?
Local anesthesia, a topical anesthetic or a numbing agent may be used for your injectable filler procedure.

Q - How long is the procedure for an injectable filler procedure last?
The procedure is a quick one, usually taking no more than forty-five minutes to complete. A series of treatments may be necessary for some injectables.

Find more answers to your injectable filler questions.