Botox injections

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.


How to Avoid A Bad Botox Experience

Despite the economy, according to the American Society of Aesthetic Plastic Surgery (ASAPS) Botox ranked #1 in non-invasive treatments and was up by 8% in 2009. The average Botox patient is between 40-59 and 82 %of patients see an improvement within a week of treatment.

Botox, botulinium toxin A, injections are extremely popular. Yes, I am a self-professed Botox junkie. I started getting Botox injections years before it was FDA approved in 2002.

Over the years I have experienced; bad injectors, excellent injectors, too much or too little, shorter durations between injections, bruises, bumps, uneven brows, raised brows, the “Spock” effect… and yet I keep coming back. 🙂   It is one thing, I will probably never give up!!  My children tease me that one day  I will be in a nursing home screaming for my Botox. 🙂

So to avoid or minimize a negative Botox experience here are a few things to consider:

1. Go to an experienced injector, the person on the other side of the needle plays a key role in the outcome. Injecting Botox is an art form. Your facial anatomy is important and individual muscles vary- therefore Botox injections must be personalized.

I have found that most RN’s who work in  cosmetic surgeon’s or dermatologist’s offices are often the best injectors. Dermatologist’s sometimes are better injectors than most cosmetic surgeons.  A cosmetic surgeon maybe an excellent surgeon but not necessarily a good injector.  I would shy away from other MD’s who inject Botox for a profit center such as; an OBGYN, Dentist, Chiropractor, Urologist,  etc. I also hesitate to go to a chain medi-spa. Some of the staff in these facilities have only minimal training.  If you do get a bad result,  luckily it is temporary, lasting  3- 4 months. Sometimes you can correct a bad Botox look with another injection, ie for raised or uneven brows.

2. Buyer beware of price. If it sounds too good to be true – it probably is. Special  MD pricing is usually around $10-$12.00 a unit.  Average price is around $12-$15.00 per unit. Be leery of low cost Botox unless you know the facility and injector personally. I prefer to pay per unit, then per area, this way I know how much I am getting in each area.