are products such as collagen, hyaluronic acid and calcium hydroxyl apatite that rejuvenate facial skin by reducing or eliminating wrinkles, raising scar depressions, enhancing lips and replacing soft-tissue volume loss through facial injections. With age, our skin becomes more susceptible to wrinkles and sagging. Exposure to sun and years of muscle movement ( squinting, chewing, smiling ) contribute to tissue breakdown of the skin.
Facial fillers are temporary to long-lasting solutions administered through a few tiny facial injections on specific areas of the face. Various types of facial fillers are available; each is designed with one or several purposes, such as wrinkle reduction and lip augmentation. A qualified dental or medical professional can help you determine which facial injections and what injectable fillers treatments are right for you. Facial fillers will volumize creases and folds in the face in areas that have lost fat and collagen as we age. Hyaluronic acid is the natural filler substance in your body. The face starts to lack volume and appears aged with deeper nasolabial folds, unaesthetic marionette lines, a deeper mentalis fold, the lips start to thin, and turning down the corners of the lips. Hyaluronic acid fillers such as Restylane and Juvederm are then injected extraorally right underneath these folds to replace the volume lost which creates a younger look in the face. Dermal fillers can be used for high lip line cases, asymmetrical lips around the mouth, lip augmentation, and completingcosmetic dentistry cases by creating a beautiful, young-looking frame around the teeth.
While dermal fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:
- Smooth out lines around nose and mouth (a.k.a. marionette lines, smile lines, and parentheses)
- Enhance & restore volume to sunken cheeks or temples
- Diminish vertical lip lines
- Plump & enhance the lips
- Smooth out a chin crease
- Improve symmetry among facial features
- Hyaluronic Acid (HA)
- Hyaluronic acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment.
Botox is a trade name for botulinum toxin, which comes in the form of a purified protein. Botulinum toxin. The cosmetic form of botulinum toxin is a popular injectable that temporarily reduces or eliminates facial fine lines and wrinkles. The most commonly treated areas are frown lines, forehead creases, crow’s feet near the eyes. Several other areas have been treated such as thick bands in the neck, thick jaw muscles, lip lines and gummy smiles.
Botulinum toxin is a purified substance that’s derived from bacteria. Injections of botulinum toxin block the nerve signals to the muscle in which it was injected. Without a signal, the muscle is not able to contract. The end result is diminished unwanted facial wrinkles or appearance. Commonly known types of botulinum toxin type A injections include Botox®, Dysport® and Xeomin®.
How Does it Works
It is injected into the facial muscles and, within a few hours, it attaches itself to the nerve endings of the motor muscles, thereby affecting the nerve transmission to these muscles. It takes anywhere from two to ten days to block the nerve transmitters which innervate the muscles where it was injected. There is no loss of sensory feeling at all during the time that botulinum toxin A is effective. Once these motor nerve endings are interrupted, the muscles cannot contract. When the muscle does not contract, the dynamic motion that causes wrinkles in the skin will then cease. The only reason there are wrinkles in the skin in the first place is because the muscle is moving underneath it, thereby these are called dynamic wrinkles. Approximately three to ten days after treatment, the skin above these motor muscles becomes nice and smooth. The effects of Botox lasts approximately three to four months depending on various factors including the amount of botulinum toxin A injected, metabolic activity of the patient and lifestyle choices, which may cause the Botox treatment not to last as long. When the patient sees the wrinkles reappear, the patient needs retreatment.
This is one of the reasons that Botox has such an incredible safety record. Botulinum toxin A treatment by its nature is a temporary treatment and when the treatment effects are gone, they are gone completely. This is a little different than the usual mindset of dentists. Dentists don’t usually think of our treatments as temporary. The most common dental treatment that is like Botox therapy is teeth whitening. Teeth whitening is a temporary procedure that needs to be refreshed from time to time.
Botulinum toxin can be used to
- Smooth crow’s feet, forehead furrows, frown lines, lip lines and bunny lines
- Diminish neck bands
- Improve the appearance of skin dimpling of the chin
- Lift the corners of the mouth
- Soften a square jawline
- Correct a gummy smile
The FDA has approved the use of Botox® for the frown lines and crow’s feet, while Dysport® and Xeomin® are approved for frown lines only. All other uses are considered “off label.”
A platelet-rich plasma (PRP) also known as autologous conditioned plasma, or platelet-rich fibrin (PRF) treatment. Creating that rich plasma begins by taking about 2 ounces of your blood and spinning it in a centrifuge that separates components by their weight. The red blood cells are at the bottom of the tube, plasma with very few platelets is on the top, and in between, there is a “buffy coat,” where the platelet rich plasma is to be found. injects you with your own blood platelets or stem cells to stimulate your body to grow new, healthy cells and promote healing. These treatments promote your own collagen to grow and regenerate tissue, resulting in naturally smoother and tighter skin and hair growth stimulation.
This treatment is good for
- improving skin texture and thickness
- reducing fine lines and wrinkles
- increasing volume via the increased production of collagen and elastin
- stimulating hair growth
- diminishing the appearance of scars
Areas typically treated for aesthetic purposes and skin rejuvenation include:
- around the eyes
- cheeks and mid-face
- chest and décolletage
- backs of hands
- scalp (hair growth treatment)
also known as autologous conditioned plasma, is a concentrate of platelet-rich plasma protein derived from whole blood. Creating that rich plasma begins by taking about 2 ounces of your blood and spinning it in a centrifuge that separates components by their weight. The red blood cells are at the bottom of the tube, plasma with very few platelets is on the top, and in between, there is a “buffy coat,” where the platelet rich plasma is to be found. PRP can mean just pure platelets, or it may include white blood cells and/or fibrin, the product of fibrinogen. So overall there can be four different forms of PRP based on how long and fast the blood spins in the centrifuge. But once made, in less than an hour in the doctor’s office, they are “activated” causing them to release their signals and growth factors and injected into the problematic body part.
PRP’s value is where this aid to healing is applied. Bones, cartilage, and tendons have poor blood supplies compared to other tissue. As a result, all the cellular goodies necessary for healing transported through the blood have difficulty getting to these tissues, and healing is slowed.
Mesotherapy is a technique that uses microinjections of a serum containing vitamins, hormones, minerals and proteins into the deeper layers of the skin called the mesoderm to rejuvenate and tighten skin, as well as remove excess fat.
The serum feeds the rapidly dividing skin cells in the mesoderm. This helps promote growth of new, healthy skin and hair cells and help increase collagen and elastin production which has an anti-ageing effect.
Indication and Action
- remove fat in areas like the stomach, thighs, buttocks, hips, legs, arms, and face
- reduce cellulite
- fade wrinkles and lines
- tighten loose skin
- recontour the body
- lighten pigmented skin
- treat alopecia, a condition that causes hair loss
– corrects hormone imbalances in and around the hair follicle
-delivers nutrients to the hair and improves blood circulation
- Melasma & Striae
- Active Acne
- Pink Cheek or Lips
The technique uses very fine needles to deliver a series of injections into the middle layer (mesoderm) of skin. The idea behind mesotherapy is that it corrects underlying issues like poor circulation and inflammation that cause skin damage.
There isn’t a standard formula for the substances injected in mesotherapy. Doctors use many different solutions, including:
- prescription medicines like vasodilators and antibiotics
- hormones such as calcitonin and thyroxin
- enzymes like collagenase and hyaluronidase
- herbal extracts
- vitamins and minerals
Mesotherapy in a nutshell
• Relatively pain free especially if numbing creams are applied to the skin beforehand.
• Natural ingredients = natural results
• No downtime
• Lasting results
• Perfect anti ageing recipe when combined with anti ageing injectables; botox and fillers and skin peels.
In summary, mesotherapy involves injecting a cocktail of vitamins, minerals and proteins into the areas of the skin that is most needed.