A World-Class Breast Surgeon in Oregon
Learn why Dr. Jewell is the best choice for your breast surgery.Learn More
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.
Tips to Prevent Post Procedural Bruising
Avoid Aspirin & NSAIDS
Aspirin, NSAIDS (Ibuprofen, Aleve, Advil, Motrin, and Naproxen) and NSAID-containing products (Excedrin, Midol cold medicine) are the most potent of the “bruisers”. All these medications stun your platelets which are the cells in your bloodstream that stop bleeding and bruising when your blood vessels and capillaries are damaged. If your platelets are unable to do their job in sealing off the tiny capillaries that are disrupted during surgery, injectable treatments and Ultherapy, your likelihood of getting a bruise is much higher than normal. Avoid all of these medications for at least two weeks prior to your procedure. If you need pain medication, consider Extra strength Tylenol as a substitute.
Avoid Green Tea, Vitamin E and Herbal Supplements
High doses of Green Tea, Vitamin E, Fish Oil, Omega 3 Fatty Acids, Ginseng, Gingko Bilbao, Flaxseed Oil and herbal supplements like St. John’s Wart, Garlic and Red Yeast Extract and many others, act like mild versions of prescription blood thinners and definitely increase your chances of bruising. Green Tea Extract is known to be one of the most potent bruisers on the market so make sure to curb it well before any injectable treatment.
Choose a qualified Injector
This seems like a no brainer, but be careful. There are no enforceable regulations on who is allowed to inject dermal fillers and neurotoxins. So there are tons of unqualified injectors out there. Be extremely cautious about getting injected in clinics offering extremely low prices because they tend to rely heavily on counterfeit products.
Apply a cold pack to the treated area both before and after the injection. Cold applied to the skin constricts blood vessels which become smaller and much less likely to get in the way of the needle during injections. Also cold desensitizes the area so you will feel less discomfort.
If your injector applies numbing cream about 20-30 minutes before the injections, it will help prevent bruising and make your injections more comfortable. Some of the anesthetic creams constrict blood vessels slightly making bruising less likely.
Arnica and Bromelain have been shown to help dissipate bruising. Take Arnica 4 days before and 4 days post the procedure to aid in potential bruise reduction. Arnica comes in pill-form which you place under your tongue or a cream which is applied to the treatment zone. This ancient dietary supplement has been known to reduce bleeding and inflammation. Arnica is available at our clinic. Bromelain is a pineapple-based enzyme which works similarly.
Skip the Gym
Exercise and physical activity increases your heart rate, blood pressure and flow of blood through your vessels, including the ones that can get damaged during injectable treatments. Damaged capillaries need two things to repair themselves after treatment: functional platelets and minimal blood flow. Allow 24-48 hours before returning to the gym or doing exercise in a warm to hot environment.
No excessive heat or sun until initial swelling and redness subsides. Sunscreen is always important. Our clinic offers a choice of different broadband (UVA & UVB) protection. We suggest having a sun protection factor of SPF 30 or more. Wearing protective clothing is helpful and a hat should be considered essential.
We suggest you make your appointments for injections at least two weeks before an important event just in case you bruise. However a maximum concealer such as Jane Iredale make-up is available to help hide a temporary bruise.