Filling harsh lines and wrinkles on the side of the nose and corners of the mouth is some truly immediate gratifying changes we offer at re*be®.
The products we use now are Juvederm® and Radiesse®.
When used with Botox® the combination is referred to as a liquid facelift.
Botox® is used around and between the eyes.
It is a material made up of compounds you already have in your body.
It is in a form that we can control and inject to immediately fill and lift up the skin flattening out harsh wrinkles.
Fillers are used to level depressed scars as well.
Not very much usually but it can be briefly uncomfortable.
We have several ways to help control the pain.
Injection local anesthesia can also be used and seems to be the best for this procedure.
Most people can tolerate the pain with a minimal local anesthetic.
The newer products from Allergan® Juvederm XC ® has local anesthetic mixed in with the product now.
Injections hurt less now than several years ago.
At re*be® we use a topical anesthetic to prepare your skin for the injections.
Is it expensive?
Somewhat but compared to alternatives like surgery the products are appropriately priced for what they do.
We think our prices are comparable to others providing similar services.
A 1 syringe of Juvederm® injected into the wrinkle runs $575.
Our re*be® patrons and those that participate in the Brilliant Distinctions program from Allergan(tm) can get additional discounts.
We do not save left over amounts anymore to use later. This practice is frowned on by the industry and may not be medically a good idea.
Juvederm® and Radiesse® are the same price per syringe and that includes the injection and all the supplies.
Are the changes permanent?
The changes will last 6 months to one year and there are claims for perhaps more.
There are some fillers that are permanent however this creates a problem as you age and we do not recommend you use them.
The contours of your face will change with time. A filler that does not will not be in the shape you need later.
A filler that is biodegradable is removed naturally and can be adjusted as needed to your changing contour.
How should I care for the area after my treatment?
Once treatment is completed you should avoid manipulating the area as to do so will move the filler into a new location.
This can be done by your doctor to change the shape or look of the injection.
A brief application of ice can help if there is discomfort immediately after the filler is injected.
generally there is no special care other than keeping an eye on the injection site for any problems.
How long do the treatments take?
Depending on the area most treatments take 5-15 minutes for the injections and about 20 minutes for the topical numbing medicine to work.
Do you use any other fillers?
We use Juvederm® and Voluma® from Allergan and Radiesse® from Mertz.
There are many fillers on the market however at this time we feel the advantages of Juvederm® from Allergan® for our practice surpass some products made by others.
Radiesse® is also used at re*be® when we can place it in a deeper and need a larger volume of product.
The volume of a syringe of Radiesse® is larger than Juvederm®
We charge the same price for Juvederm® and for Radiesse® so if you would like to discuss fillers please call and set up a complimentary consultation.
Ronald J. Kolegraff MD FACS FAACS RVT Varicose Veins, Cosmetic Surgery
Nicole M. Stall NP-C, DCNP Dermatology Nurse Practitioner
Clinics: Primghar, Okoboji, Pocahontas, Emmetsburg, Sibley, Rochester, Des Moines
Hospitals: Primghar, Spirit Lake, Estherville, Pocahontas, Emmetsburg, Spencer
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