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Tissue Fillers and Neurotoxins
Dr. Jewell offers injectables to improve facial wrinkling from muscular action and restore facial volume that is lost with aging. Currently, there are two excellent FDA-approved neurotoxins available, BOTOX® Cosmetic and Dysport®. Dr. Jewell has extensive experience with Dysport and BOTOX in his Eugene, Oregon, practice and will help you decide which is best for you. Regarding tissue fillers to restore facial volume, there are many options also. These include the hyaluronic acid-based fillers such as Restylane®, Perlane®, Juvederm Ultra/Ultra Plus®. These fillers are compounded with lidocaine to reduce discomfort during injection.
Who will be doing the injections?
Dr. Jewell performs his injections for tissue fillers and neurotoxins himself. He also has trained nurse injectors for neurotoxins that work under his direction, once a treatment plan has been developed.
New Voluma XC Lifts, Sculpts and Adds Volume to the Face.
Clinically proven Voluma XC, an injectable hylaronic acid, restores facial contour by adding volume for at least 18 months, and in some cases up to 2 years. Hylaronic acid (HA) is a naturally occurring, hydrating substance found in our skin and facial tissue. As we age, we start to lose HA, which causes skin and facial tissues to lose structure and volume to the cheek area; it literally lifts the face up. It is injected deeper into the cheeks which is more comfortable and has less bruising than superficial fillers. Voluma XC feels very soft and natural. Dr. Jewell, who is an expert injector, can comfortably do this procedure in his medical spa to instantly provide a more youthful profile.
I have heard about the “instant” facelifts using injectables. Does it work?
“Liquid lifts”, on the right person is a good option. Fillers can increase volumne, in depleated areas of the face and fill in lines and wrinkles. These are temporary and are not able to do what surgery can when a person is in need of a facelift.
Can I use my own fat as a tissue-filler in the face?
Fat grafting to enhance facial volume is an excellent option for some patients. This involves a liposuction procedure to obtain fat graft from an area such as your abdomen. The fat is then injected as a filler to restore facial volume. While fat can be used to enhance lip contours, Dr. Jewell believes that synthetic fillers such as Restylane® or Juve’derm® offer better outcomes, with less bruising, swelling, or lumps. Not all of the fat graft survives and it is usually necessary to undergo a second fat graft procedure in order to optimize your results. Fat grafting is a surgical procedure versus synthetic fillers that can be injected in a treatment room.
Are permanent fillers a good idea?
Dr. Jewell and the Physicians Coalition for Injectable Safety believe that while permanent fillers seem like a good option, there are substantive drawbacks and late term risks that occur years following injection. Permanent fillers such as Artefill® or injectable silicone when used off-label have been associated with late-term complications such as infections, granulomas and scarring. Permanent fillers can produce permanent, devastating complications years after injection.