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    What’s a Nonsurgical Nose Job? By Dr. Sam Jejurikar

    Tag Archives: Radiesse

    Many patients come to the office, complaining about the appearance of their nasal hump. Some of the patients want the hump to go away, but don’t necessarily want surgery to fix it.

    The great news is that dermal fillers can be used to correct this. The most commonly used filler used for this is Radiesse, which is made out of calcium hydroxylapatite.  Although the results are not permanent, they generally last 12-18 months.  Radiesse is not a great treatment for and overly long or short nose, a wide or bulbous nasal tip, or an overly wide nose.

    If you are troubled by the appearance of your nose, and you would like to learn more about nonsurgical nose jobs and surgical rhinoplasty, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

    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.

    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.

    Treatments with injectable fillers, such as Juvederm, Restylane, Radiesse, and Evolence, 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 fantastic after your treatment with injectable fillers, but you’ll feel pretty good during the treatment too!



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

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