9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
Tel: 214.827.2814

Treatment for Early Facial Aging in Dallas – Face Lift Dallas – Thermage Dallas – Ulthera Dallas

Tag Archives: Juvederm

I’ve seen many patients in their late 30s and early 40s who are interested in treating early facial aging. Most are familiar with Botox and fillers such as Juvederm, Restylane and Radiesse, but they want to learn about options with longer lasting results.

A facelift consists of repositioning deep facial soft tissue and tightening of the skin. Although it remains the gold standard for treating signs of facial aging, it is an invasive surgical procedure and requires 2-3 weeks of recovery. Some patients don’t have the time for this, or feel that they are too young for this option.

There are other options for signs of early facial aging in Dallas. The first is a new treatment called Ulthera, which is offered at EpiCentre Dallas and EpiCentre Legacy (Plano). This involves deep ultrasound treatment to reposition and tighten the deeper facial fat and soft tissue. Although the results are not as dramatic as those seen with a facelift, Ulthera offers proven clinical results with minimal downtime. Another treatment, which is effective for skin tightening, is Thermage. Thermage uses radiofrequency, or heat, to tighten the skin. This can effectively tighten the skin of the lower face and neck with virtually no downtime.

If you would like to learn more about surgery for facial aging in Dallas, as well as noninvasive treatments, including Ulthera, Thermage, Botox, Juvéderm, Restylane, and Radiesse, don’t hesitate to contact Dr. Jejurikar’s office at (214)827-2814.

Allergan introduced Juvederm XC several months ago. It combines the traditional hyaluronic acid filler Juvéderm with 0.3% lidocaine. Because of the even mixture of the lidocaine into the filling agent, it provides a much less painful experience for patients than traditional forms of Juvéderm or Restylane.

Pricing is similar to that of standard Juvéderm,. It is an effective treatment for improvement of the lower eyelids and tear troughs, nasolabial folds (marionette lines), and augmentation of the lips.

Should you have any questions regarding this or any other dermal filler, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Juvéderm is a hyaluronic acid filler which is commonly used in cosmetic surgery procedures. Hyaluronic acid, after collagen, is the next most common component of human skin. Filling agents utilizing hyaluronic acid therefore feel natural with virtually no allergic reactions.

Juvéderm is the most frequently used dermal filler and is commonly used as a lip plumper. Patients receive topical anesthesia with numbing ointment placed over their lips. In some cases, Dr. Jejurikar augments this with a series of lidocaine injections within the mouth to completely numb the lower one-third of the face. Juvederm is then injected directly into the lips over a span of 10-15 minutes, creating full, plump lips immediately..

Other than bruising and minimal discomfort with the procedure, there are virtually no side effects with Juvederm lip augmentation. The results typically last from 6-12 months.

If you would like more information about this procedure, contact Dr. Jejurikar’s office at 214-827-2814.

Treatment of lower eyelid wrinkles and tear troughs with dermal fillers is a frequently performed procedure. The most popular agents used for this are Juvéderm and Restylane, which are hyaluronic acid derivatives. Restylane and Juvederm injections are performed in the office without the need for anesthesia. Dermal filler injections are performed relatively quickly, in usually less than 60 minutes. Results typically last 6-12 months.

Some patients are prone to bruising after Restylane and Juvederm injections into the lower eyelids. To minimize the risks of bruising, patients should refrain from using alcohol, aspirin, ibuprofen, or any other blood-thinning agent for at least 10 days prior to dermal filler injections. In addition, utilizing the over-the-counter herbal supplement Arnica Montana, either topically or in pill form, can help reduce post-procedure bruising.

If you have questions or would like to schedule a consultation, contact Dr. Jejurikar’s office at 214-827-2814.

Despite the downturn in the economy and the nationwide drop in invasive cosmetic surgery procedures, an American Society of Plastic Surgeons survey of physicians found that minimally invasive procedures, such as facial injections of Botox, Juvederm, Restylane, Radiesse and Dysport, rose 6 percent this year. Not only are patients finding these treatments to be less costly options to surgery, but are utilizing these treatments as an effective way to appear youthful in the work place.

Facial injections can be used to treat marionette lines around the mouth, smooth eyelid wrinkles, treat forehead wrinkles and frown lines, and treat early jowls. Results of treatments with Botox and Dysport generally last from 3-6 months, whereas those with facial fillers such as Juvederm, Restylane and Radiesse can last 9-18 months. These treatments can be performed with minimal to no downtime with results that are visible shortly after the procedure is performed.

For more information, call Dr. Jejurikar’s office at 214-827-2814 to set up an appointment.

This story is taken from the Wall Street Journal

A Johnson & Johnson (JNJ) unit has decided to stop making and selling a product called Evolence, used to fill facial lines in cosmetic procedures.

Ortho Dermatologics, a division of J&J’s Ortho-McNeil-Janssen Pharmaceuticals, has a note on its Web site regarding the withdrawal, which it said was announced on Tuesday. The company confirmed the move in a statement.

The Evolence halt is part of an effort “to refine strategic priorities and focus investment on other growth opportunities,” Ortho Dermatologics said.

Many options for future management were explored before this decision was made, the company said. It added that patients and medical professionals can be assured that Evolence “remains effective for the correction of moderate to deep wrinkles and folds with a favorable safety profile.”

The facial filler gained approval from the U.S. Food and Drug Administration in June 2008, but it has been available in certain international markets since 2004. The U.S. arrival coincided with a rough time in the market for cosmetic medical products, which usually are not covered by insurers and came under pressure due to the recession.

J&J announced on Tuesday that it plans to lay off as many as 8,200 workers worldwide as part of a plan to save up to $1.7 billion in 2011.

-By Jon Kamp, Dow Jones Newswires

Treatments with injectable fillers, such as Juvederm, Restylane, Radiesse, and Sculptra, not to mention others, can restore a youthful appearance to the lips, nasolabial folds, marionette lines, midface, jowls and lower eyelids, with minimal to no downtime. Many patients avoid these treatments, though, because they have heard horror stories from friends or colleagues about the pain associated with these treatments. Suffice it to say, this needn’t be the case – there are steps your plastic surgeon can take to make these treatments more comfortable.

Recently, BioForm Medical, Inc., makers of Radiesse, received approval from the Food and Drug Administration to mix the filler with lidocaine, an injectable local anesthetic, prior to injection into the skin. This approval was based on a large study of patients, in which 100% of patients reported feeling less pain when Radiesse was pre-mixed with lidocaine. Many plastic surgeons, including me, have begun to pre-mix lidocaine with all fillers, including Juvederm, Restylane, and Evolence, not to mention Radiesse, prior to injecting into patients. The results of treatment are still great, but patients are significantly more comfortable during treatment.

Others things your plastic surgeon can do to make your treatment with injectable fillers more comfortable include:
•    Using topical anesthetic gel for at least 30 minutes prior to commencing any injections.
•    Augmenting treatment with topical anesthetic gel with injections of local anesthetic into nerves above and below the lips.
•    Using small gauge needles and slow injection techniques

Combining all of these treatments can ensure that you’ll not only look great after your treatment with injectable fillers, but you’ll feel pretty great during the treatment too!

The world of dermal fillers has evolved significantly over the past two decades. Once a leading option for non-surgical facial rejuvenation, collagen fillers have largely been replaced by hyaluronic acid (HA) fillers as the go-to choice for patients and providers alike. But why have collagen fillers fallen out of favor, and what makes HA fillers the superior option today? Let’s explore the key differences, benefits, and limitations that have shaped this shift in aesthetic medicine.

What Are Collagen Fillers?

Collagen fillers were among the first widely used dermal fillers, offering a way to restore volume and smooth wrinkles. Derived from bovine (cow) or human sources, collagen fillers work by supplementing the skin’s natural collagen levels, which decrease with age.

Popular collagen-based fillers in the past included Evolence, Zyderm and Cosmoderm. These products provided temporary results, typically lasting around 2-4 months, before requiring re-treatment.

What Are Hyaluronic Acid Fillers?

Hyaluronic acid fillers, introduced in the early 2000s, have become the gold standard in non-surgical facial rejuvenation. Hyaluronic acid is a naturally occurring substance in the skin that helps retain moisture, provide hydration, and add volume. HA fillers like Juvederm, Restylane, and Belotero offer immediate, customizable results that can last from 6 months to 2 years, depending on the product and treatment area.

Why Collagen Fillers Lost Popularity

Collagen fillers were groundbreaking in their time, but several limitations led to their decline:

Shorter Duration:
- Collagen fillers typically last only 2-4 months, requiring frequent re-treatments.
- HA fillers offer significantly longer-lasting results, reducing patient downtime and expense over time.
Allergy Testing Requirement:
- Bovine-derived collagen fillers required allergy testing weeks before treatment, adding inconvenience for patients.
- HA fillers are biocompatible, meaning they rarely cause allergic reactions and do not require pre-treatment testing.
Less Versatility:
- Collagen fillers were primarily used for fine lines and wrinkles.
- HA fillers are much more versatile, effectively addressing wrinkles, folds, volume loss, and even contouring areas like the cheeks, jawline, and lips.
Advancements in Technology:
- HA fillers incorporate advanced technology, such as cross-linking, to improve their durability and effectiveness.
- Collagen fillers lacked these advancements, making them less competitive as newer options emerged.
Safety and Reversibility:
- HA fillers can be dissolved with an enzyme called hyaluronidase, offering a safety net if patients are unhappy with results or experience complications.
- Collagen fillers do not have this reversibility feature, making corrections more difficult.

Why Hyaluronic Acid Fillers Dominate Today

Hyaluronic acid fillers have set the standard for non-surgical facial rejuvenation thanks to their many advantages:

Natural-Looking Results:
HA fillers integrate seamlessly into the skin, providing a soft, natural appearance.
Hydration Benefits:
Unlike collagen fillers, HA fillers attract and retain water, enhancing skin hydration and improving texture.
Customizable Treatments:
HA fillers come in a variety of consistencies, allowing providers to customize treatments for different areas of the face, from delicate lines around the mouth to deeper folds and volume restoration.
Improved Patient Experience:
With no allergy testing required, minimal downtime, and long-lasting results, HA fillers offer a more convenient and patient-friendly experience.
Ongoing Innovation:
Manufacturers continue to improve HA fillers, introducing products with more natural integration, longer-lasting effects, and targeted uses (e.g., Juvederm Volux for jawline contouring).

Are There Any Benefits to Collagen Fillers?

While collagen fillers have become less popular, they still have a place in aesthetic medicine. For patients who are specifically looking for subtle, temporary enhancements, collagen fillers may be an option. Additionally, advancements in bioengineered collagen products, such as Sculptra (a poly-L-lactic acid injectable that stimulates collagen production), have renewed some interest in collagen-stimulating treatments rather than collagen as a filler material.

The Bottom Line

The rise of hyaluronic acid fillers over collagen fillers is a testament to the progress and innovation in aesthetic medicine. While collagen fillers paved the way for modern injectables, HA fillers offer superior longevity, versatility, safety, and results, making them the clear choice for patients and providers today.

If you’re considering injectable treatments to rejuvenate your appearance, schedule a consultation with a board-certified plastic surgeon or experienced injector. They can guide you through your options and recommend the best product to help you achieve your aesthetic goals.

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Suite 600, Dallas, TX 75231
Tel: 214.827.2814

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