Voluma® is a longer acting product from Allergan used to fill deeper areas of volume loss.
The product is very similar to Juvederm® in that it is made from hyaluronic acid but seems to last up to 2 years.
We use Juvederm® XC and Juvederm® XC Plus products that have local anesthetic mixed in with the product.
Xylocaine will numb up the area that the Juvederm® is injected and reduce the discomfort.
Since Juvederm® XC was made available to us we have been very happy with the reduction in discomfort over the older preparations that did not contian Lidocaine.
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.
Injections hurt less now than several years ago.
At re*be® we use a topical anesthetic to prepare your skin for the injections.
Cold compress after the injections can be used briefly to reduce your discomfort also.
We think our prices are comparable to others providing similar services.
A 1 syringe of Juvederm® injected into the wrinkle runs $525 for our re*be patrons with the Brilliant Distinctions discount from Allergan(tm) the cost is about $500.
We do not save left over amounts to use later.
This practice is frowned on by the industry and may not be medically a good idea.
Our re*be® patrons will get a $25 discount per syringe if they buy two at the same time.
Juvederm® and Radiesse® are the same price.
This includes the injection and all the supplies.
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.
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 immediatly after the filler is injected.
generally there is no special care other than keeping an eye on the injection site for any problems.
There are many fillers on the market however at this time we feel the advantages of Juvederm® from Allergan® for our practice surpass some of the products that may likely be equivalent.
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 compilmentary 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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