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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Fillers: How Long Do they Really Last?

I had my first filler injection in the the late 1990’s and have tried every filler on the market except Bellafill, a permanent filler.

There are more FDA approved fillers on the market today and more are awaiting approval.  The documented  length of time a Filler lasts is based on the results from the manufacturer’s clinical trials. Millions of dollars are spent on marketing campaigns and provider training courses.

Consumers should be aware that these results are guidelines only. 

The results that you get from any filler injection and how long it will last for you may differ than the documented results seen in the clinical trials. If you think that your filler will last 9 months and it only lasts for 6 months, don’t blame your injector. It’s not the product or the injector’s fault, it is the way your body metabolizes the filler and where it has been placed in your face. Lip filler is not going to last as long as filler under your eyes.

As a plastic surgery and aesthetic coach, I hear all too often from my clients that they are disappointed with their Dermatologist or Plastic Surgeon after getting for example, Voluma because it did not last 2 years as advertised. This is an average only. As the product is on the market longer the documented results may change.

Here is a realistic guideline to keep in mind when you budget for fillers.

  • All HA fillers are temporary. They will last between 6-9 months.
  • Fine line fillers Restylane Silk and Belotero may only last 6 months. In some cases less.
  • Voluma, a deeper filler may last UP TO 2 years. However, you will probably need more filler at 9 -12 months to give it a boost
  • Juvederm may last 9 months depending on placement
  • Restylane Lyft which is the same as Perlane lasts UP to 18 months. Realistic expectation 9-12 months

Non- HA Fillers

  • Radiesse lasts 9- 12 months. Realistic expectations- 9 months. Radiesse hand injections may last 9 months with a boost
  • Sculptra can last up to 25 months after the last treatment. You may need a touch-up in 12- 18 months
  • Bellafill is a permenant filler

If you have any questions or comments, I’d love to hear from you.

Remember: You Only Have One Face and One Body, Choose Wisely!

-Michele Garber

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…)

Tips for Getting Ready for that Special Occasion!

The time is approaching and you have a special event coming up. You’ve bought your dress, shoes, accessories, scheduled your hair and make-up.

You want to look your best.

Maybe you’ve been thinking about having a facial, a chemical peel, a little Botox, dermal fillers, Laser or IPL treatments. Since you want to look your best, you need to plan a schedule for these treatments allowing yourself the proper time for healing or any adjustments.  Don’t want until the week before your event.

Here are some factors to keep in mind when you book your appointments.

  1. Schedule a series of facials at least 4-6 weeks in advance. If you have sensitive skin you could break out. The goal is for glowing, healthy skin before the big day.
  2. If you plan to change skincare products, start 6-8 weeks before the event. Any change in products could cause your skin to react
  3.  If you are using Retin-A products. Stop one week before the event, so you are not red or peeling.
  4. Schedule any chemical peels at least 4 weeks before the event. You want your skin to glow-  not be red, flaky or peeling.
  5.  If you are planning on having any Botox or fillers- take arnica pre-injection and post to minimize bruising
  6.  Botox should be scheduled at least 2 weeks before the event. You may bruise, it takes 3-7 days to kick in and you may need to tweak the area.
  7. Lip fillers- at least 4 weeks in advance. You may be swollen for 7 days and you really will not see the final effect for two weeks. Juvederm swells more than Resytlane, but Juvederm tends to last longer in the lip area.
  8. Eye Hollows- at least two months in advance. You could have severe bruising in this area and puffiness. I would not take any chances. Two- three months of healing should be enough.
  9. Dermal Fillers – Two to three weeks in advance. You may bruise, and have swelling. Plus if you need any adjustments you will have time. This includes, Juvederm, Restylane, and Radiesse.
  10.  If you choose to use fillers such as Sculptra, you will need to start several months in advance, as this filler requires more injections and time to see results.
  11.  Looking to rid of brown spots with IPL? Chances you will need to have several treatments, Start as early as six months in advance, this advice is the same for any type of laser treatment, even vein therapy.

Always consult a board certified plastic surgeon or dermatologist. Safety First.

For more information on Safety Visit http://www.niptuckcoach.com