Ghada Y. Afifi, MD, FACS
Board Certified Newport Beach Plastic Surgeon
You. Just Better.

Injectables

Introduction to Injectibles

 As we age, our face undergoes tissue descent (or sag) as well as loss of volume.  We also have more wrinkling.  There are two major categories of Injectibles:

1)  Neurotoxins - which act on the muscles of facial animation to relax or paralyze them, thus resulting in less wrinkles.  

     Areas treated include:

     Glabella (corrugator muscle) - the frown area, often called the "11's"

     Brow (frontalis muscle) - brow wrinkles

     Periorbital (orbicularis oculi muscle) - crow's feet wrinkles

    Specific types of neurotoxins include:

       a)  Botox

       b)  Xeomin

       c)  Dysport

 

2) Fillers - these are substances, well researched, that fill wrinkles or support tissue for volume effects. 

Fillers may be categorized in 3 manners:

TEMPORARY

1)  Hyaluronic acid based - this is material naturally occurring in human body, promotes fullness and volume

     Restylane

     Restylane Lyft

     Restylane Silk

     Juvaderm Ultra and Ultra Plus

     Voluma

     Vollure

     Volbella

     Belotero

 

2)  Calcium hydroxyapatite based - heavier and denser than hyaluronic acid, so usually injected deeper levels,

     Usually found in bones, so usually does not cause immune or allergic reactions.

     Radiesse

 

SEMI- PERMANENT

Thicker substances that last longer> 

Scuptra - poly-L-lactic acid, biodegradable synthetic filler, thicker than hyaluronic acids

 

PERMANENT FILLERS

Belafill:  polymethylmethacrylate (PMMA) microspheres are not absorbed by the body.  

   Used for thick skin areas such as nasolabial folds, NOT recommended for around eyes or in lips

DR. AFIFI DOES NOT RECOMMEND THIS FILLER DUE TO RISK OF REACTIONS BY TISSUE AND POSSIBLE LUMPS WHICH MAY BE REPLACED BY SCAR TISSUE AND BECOME PERMANENT.

 

PLEASE NOTE THAT FOR ANY NEUROTOXIN OR FILLER, YOU ARE PAYING NOT JUST FOR THE MATERIAL                                BUT FOR THE EXPERTISE OF THE INJECTOR.  THE INJECTOR WOULD GUIDE YOU ON:

The best option filler for the aesthetic outcome you desire.

The best technical method to place the agent.

The best way to minimize any complication, which is extremely low with Dr. Afifi.


 


 


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