Lip Plumping

What To Know Before You Get Fillers This Holiday Season

You’ve heard about new facial fillers such as Juvederm Volbella® or Restylane Refyne®. Your doctor or nurse injector has many fillers in their tool box. How do they know which ones to use?  What fillers are the longest lasting  and what  should you know about each facial filler. When you’re planning on getting fillers for your lips, smile lines, temples or cheek area its important to be well informed. 

The most common fillers are Hyaluronic acid HA is a natural substance found in your body. These fillers are easily dissolved with Hyaluronidase if you are overfilled, have complications or don’t like the way it looks. However, it’s important your injector knows how to use this product, as too much can dissolve your natural tissue, this is not permanent.

I’ve tried all the Hyaluronic acid  fillers on the market today. I’ve been injected by the most skilled plastic surgeons, dermatologists and nurse injectors.  I still experience swelling, bruising and have had fillers dissolved.  Recently, I tried newer fillers like  Juvederm Vollure ®,  Juvederm Volbella® as well as Restylane Refyne® and Restylane Defyne®. My body breaks down fillers rapidly, therefore some fillers have a shorter duration.  Due to different technologies and your body’s chemistry some fillers  may cause more swelling and bruising than other fillers. Expect swelling and bruising especially with lip and under the eye fillers.

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2015 Aesthetic Trends: The Year of Tighten, Lift, Sculpt

It’s that time of year again when many magazines and bloggers write articles on what was hot in fashion and beauty for 2015 and some predictions for 2016.

For my end of year episode on The NipTuck Talk Show, I recently asked several medical experts in Plastic Surgery and Dermatology to weigh in on what the hottest trends were in 2015 and what we can expect in 2016.  Non-surgical treatments won in all the categories.

Cellulite Treatment and Killing Underarm Sweat and Oder

Cellfina is the first and only FDA approved device for long-term treatment of Cellulite!  We have seen results lasting over 3 years with no end in sight!  It is easy with no down time, local anesthesia and minimal discomfort.

Mirday, a permanent, non-invasive solution to eliminate underarm sweat is another technology that created a lot of buzz. “Throw away your deodorant. Miradry is a safe and easy way to stop underarm smell and sweat! ”  The other technology that remains popular for skin tightening is Ultherapy.  “Ultherapy lifts and tightens the face, neck, brow, and chest.  It’s the only device with FDA approval for non-surgical lifting and tightening of the face and neck.  In 2016 Cellfina will surge ahead of all cellulite treatments.  Miradry treatments will gain in popularity.  Ultherapy will dominate all non surgical treatments for lifting and tightening of the face, neck, forehead and chest.” –Dr. Grant Stevens, Clinical Professor of Surgery, USC School of Medicine, division of Plastic Surgery, Director of the Marina-USC Aesthetic Surgery Fellowship, Medical Director of Marina Plastic Surgery Associates, Marina Del Ray, CA

Skin Tightening, Body Sculpting  and Vaginal Tightening 

“In 2015, energy-based contouring devices stormed the aesthetic marketplace with CoolSculpting and ThermiRF .  They were strong game-changers in the world of non-surgical body sculpting, offering treatments with little downtime.  ThermiRF, in particular, proved itself in not only the neck area but also in the knees, the arms, and in other previously challenging body areas before which we had very few options.  For those patients wanting improvement in their sexual function following children or the aging process, the ThermiVA procedure showed women how to tighten, brighten, and dramatically improve the appearance and function of their vaginas.  2016 should be an even more exciting year as those of us who use these devices push the boundaries and learn how to harness the power of energy-based body sculpting and take it to a new level. ”  –Dr. Gregory Buford, Medical Director of  Beauty By Buford, Denver Colorado.

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The ABC’s of Getting Fillers For the First Time

You may be what I call  “virgin aesthetic patient” thinking about getting Fillers or Botox for the first time.

You’ve seen many holiday specials, read stories online and have friends who’ve indulged.

Here are some helpful tips to keep in mind:

Less is more when it comes to plumping up. Start gradually. You can always get more.

Only use a reversible filler in the Hyaluronic acid family. If you don’t like the look, it can be dissolved.

Numbing cream will numb the area to be injected so it won’t  hurt. If you are getting your lips plumped for the first time, ask for a dental block.

Don’t get injected before a big event, you may bruise.

Prepare by stopping all your supplements 10 days before your appointment. 

Buy Arnica sublingual tablets 12c and start taking it the night before and right after the injections.

You may be swollen and have red marks where the needle went into your skin. Ice! 

Wait 10 days for the filler to settle before you make a judgement. 

Bumps can be massaged out by your injector, if necessary.

Only go to a Board Certified Dermatologist,Plastic Surgeon or Trained Nurse Injector.

The New Lip Plumper for Softer, Sexier Lips

Just in time for Valentine’s Day.

Sexy, soft, plumper lips.
lip injection

What woman doesn’t want sexy, plump natural looking lips? Now there is a new  Hyaluronic Acid (HA) filler on the block, Restylane Silk, which is a softer version of Restylane and the first FDA approved HA filler specifically for the lips and pucker lines.  The nice thing about all HA fillers is that if you don’t like the results, you don’t have to live it. The filler can be quickly dissolved with Hyaluronidase, an enzyme that degrades HA.

“In the FDA trial of Restylane Silk, which involved 221 mostly female patients, 98 percent had visible improvement 14 days after injection, and 76 percent still had lip improvement at six months. Study participants were offered an optional second injection at two weeks, and some took advantage of it” Allure.com

My lips have never had much of a cupid shape.  I’ve aged my lips have lost volume and shape. In my quest for fuller, plumper lips I’ve tried Restylane, Juvederm and Perlane.  My experiences have included looking like a duck and getting an allergic  reaction to Perlane.  After these HA fillers my lips have  felt chapped and a little hard.  It’s been awhile since I have indulged in lip filler, so when  I heard about Resytlane Silk,  I was eager to try it to see how it compared to the other fillers.

I’ve always considered Lip rejuvenation an art, realizing that not all dermatologists or plastic surgeons are skillful at injecting lips. Therefore, physician injector selection is very important.

There were only a small number of medical practices across the country that were privileged to get a sampling of Restylane Silk in December 2014, before its official launch.  Restylane Silk is made up of smaller particles than Resytlane and the injection technique differs slightly from regular Resytlane.  According to Galderma, the manufacturer, Restylane Silk should be injected very slowly.

Dr.Victor Lacombe, a Board Certified Plastic Surgeon in Santa Rosa, California was one the first practices in Northern California to receive specialized training for Restylane Silk and had the product available. Dr. Lacombe, aside from being a skillful artist in facial plastic surgery, has an expertise in lip filler. I was excited to try Restylane Silk, and made my appointment with Dr. Lacombe at Artemedica in Santa Rosa. (more…)