Neurotoxins

 Price per unit – $

Botox – $16

 Dysport – $8

Common problems 

                        Forehead wrinkles, a saggy brow line and lines
between eyebrows – BOTOX – $900 per area

 Crow’s feet-BOTOX – $600, DYSPORT – $400

 Hyaluronic acid
fillers

 Juvederm XC – $1000 per 1ml syringe

 Juvederm Ultra XC – $1000 per 1ml syringe

 Juvederm Ultra Plus XC – $1000 per 1ml syringe

Juvederm Voluma XC – $1200 per 1ml syringe

 Belotero – $1200 per 1ml syringe

 Restylane – $900 per 1ml syringe

 Common Problems  

Nasolabial folds and wrinkles-Juvederm XC,
Juvederm Ultra XC, Juvederm Ultra Plus XC, Belotero, Restylane – $900 per area

 Volume loss in cheeks, chin or jawline-Juvederm
Volume XC – $900 per side

 Thin lips-jgvederm Voluma XC – $600 per area

JUVEDERM

Juvederm is a family of injectable hyaluronic acid dermal fillers used to provide 9 months to one year of correction for moderate to severe facial wrinkles and folds, such as nasolabial folds (lines from the nose to the corners of the mouth).

APPROVED USES

JUVÉDERM VOLUMA® XC injectable gel is for deep injection in the cheek area to correct age-related volume loss in adults over 21.

JUVÉDERM® XC injectable gel is for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds.

JUVÉDERM® Ultra XC is for injection into the lips and perioral area for lip augmentation in adults over 21.

IMPORTANT SAFETY INFORMATION

Are there any reasons why I should not receive any JUVÉDERM® injectable gel formulation?

Do not use these products if you have a history of multiple severe allergies or severe allergic reactions (anaphylaxis), or if you are allergic to lidocaine or the gram-positive bacterial proteins used in these products.

What precautions should my doctor advise me about?

Tell your doctor if you are pregnant or breastfeeding. The safety of these products for use during pregnancy or while breastfeeding has not been studied

The safety of JUVÉDERM® XC and JUVÉDERM® Ultra XC injectable gels in patients under 18 years, and the safety of JUVÉDERM VOLUMA® XC in patients under 35 years or over 65 years has not been studied

The safety and effectiveness of JUVÉDERM® XC for areas other than facial wrinkles and folds, and JUVÉDERM® Ultra XC for areas other than the lips and perioral area for lip augmentation, or facial wrinkles and folds, have not been established in clinical studies

The safety and effectiveness of JUVÉDERM VOLUMA®XC in areas other than the cheek area have not been established in clinical studies

Tell your doctor if you have a history of excessive scarring (eg, hypertrophic scarring and keloid formations) or pigmentation disorders, as use of these products may result in additional scars or changes in pigmentation

Tell your doctor if you are planning other laser treatments or a chemical peel, as there is a possible risk of inflammation at the treatment site if these procedures are performed after treatment

Patients who experience skin injury near the site of injection with these products may be at a higher risk for side effects

Tell your doctor if you are on immunosuppressive therapy used to decrease the body’s immune response, as use of these products may result in an increased risk of infection

Tell your doctor if you are using medications that can prolong bleeding, such as aspirin, ibuprofen, or other blood thinners, as this may result in increased bruising or bleeding at the injection site

Minimize strenuous exercise, exposure to extensive sun or heat, and alcoholic beverages within the first 24 hours following treatment

What are possible side effects?

The most common side effects include tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. With JUVÉDERM® XC and JUVÉDERM® Ultra XC injectable gels, most side effects are mild or moderate and last 14 days or less. For JUVÉDERM VOLUMA® XC, side effects are moderate (uncomfortable) and last 2 to 4 weeks.

One of the risks with using this product is unintentional injection into a blood vessel, and while rare, the complications can be serious and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring.

As with all skin injection procedures, there is a risk of infection.

BOTOX

BOTOX® is the only approved treatment to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow’s feet lines in adults.

BOTOX® targets one of the underlying causes of frown lines and crow’s feet—the repeated muscle contractions from frowning and squinting over the years. Your specialist will inject these muscles with BOTOX® to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.

For the crow’s feet area, your specialist will inject 3 areas of the orbicularis oculi, the muscle that frames the side of the eye. This will be repeated on the orbicularis oculi muscle on the other eye.

For the frown lines area, your specialist will administer 5 injections into muscles in your forehead—1 in the procerus muscle and 4 in the corrugator muscles.

Your specialist may use ice to numb the treatment area. If you are concerned about discomfort, your specialist may apply a topical numbing cream before administering your treatment.

What were common side effects seen in clinical studies?

Three percent of patients experienced eyelid drooping in the frown lines studies and 1% of patients experienced eyelid swelling in the crow’s feet studies. Other possible side effects include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems: double vision, blurred vision, decreased eyesight and dry eyes; and allergic reactions. These are not all of the possible serious side effects of BOTOX® Cosmetic.

You should not consider Botox if you:

Have weakened facial muscles

Have allergies to bovine products

Are taking antibiotics or blood thinners

Have wrinkles caused by gravity, skin infection, or sun damage rather than by underlying facial muscles

Are pregnant or breastfeeding

Are living with a neurological disorder

RADIESSE

Radiesse is an FDA-approved injectable filler used to treat moderate to severe facial wrinkles and smooth marionette lines around the mouth. It can also be used to correct volume loss in the back of the hands. In many patients, results can last a year or more.

 

BELLAFILL

Bellafill® is approved is approved by Health Canada for the correction of facial wrinkles known as nasolabial folds, or smile lines. Only one dermal filler is proven safe through 5 years.

Treatment with Bellafill® is very similar to treatment with conventional fillers. Bellafill® immediately adds volume to wrinkles known as smile lines for a smoother, more youthful appearance. In addition, Bellafill® re-creates the firm structure of younger-looking skin by supporting production of your body’s own collagen. Bellafill® requires an optional skin test to identify those patients who may have an allergy to lidocaine or bovine collagen.1*

The beautiful benefits of Bellafill®

Immediate correction and lasting improvement with visible benefits through 5 years for wrinkles known as smile lines.4

PMMA helps replace lost collagen by working with your body’s natural processes.1*

A simple, in-office treatment with little to no downtime. You can immediately resume your normal daily activities.

Injection comfort with 0.3% lidocaine.4

Satisfied patients. In a consumer survey, 91% of patients were likely to recommend Bellafill.4 In a 5-Year Post-Approval Study, 83% of patients were satisfied to very satisfied with their nasolabial fold correction at the end of 5 years.2

JUVEDERM

What Our Team Wants You to Know About Juvederm

While facials can do wonders for your skin, there are times when it takes something more to smooth wrinkles. That’s where treatments using Juvederm come in handy. This type of injectable hyaluronic acid is the ideal dermal filler. For a period of between nine months and one year, this filler aids in smoothing facial wrinkles and folks. That includes what is known as nasolabila folds which run from the nose to the corners of the mouth.

What are Some of the Approved Applications?

Different forms of Juvederm are used for specific conditions:

• JUVÉDERM VOLUMA® XC is an injectable gel suitable for deep injections in the cheeks. The gel reverses volume loss and is used for adults over 21.
• JUVÉDERM® XC injectable gel is used for smoothing moderation to severe wrinkling of the facial skin. that includes wrinkles around the nose and on each side of the mouth.
• JUVÉDERM® Ultra XC is used for plumping and shaping the lips and the area immediately around the lips. This form is used for clients over the age of 21.

Juvederm and Safety Testing

Before seeking Juvederm treatments in New York, you should know that:

• The impact of these treatments on women who are pregnant or breastfeeding have not been studied.
• Studies do not currently exist that establish the safety of using JUVÉDERM® XC and JUVÉDERM® Ultra XC injectable gels for patients who are under the age of 18.
• The use of JUVÉDERM VOLUMA® XC in patients under 35 years or over 65 and the associated safety level has not been studied.
• Safely using JUVÉDERM® XC for any application other than smoothing facial wrinkles and folds has not been established.
• The safe use of JUVÉDERM® Ultra XC for areas other than the lips and perioral area for lip augmentation, or facial wrinkles and folds, has not been established in clinical studies
• The safety and effectiveness of JUVÉDERM VOLUMA®XC in areas other than the cheek area have not been established in clinical studies

Health Conditions and Concerns That You Must Discuss Before Undergoing Juvederm Treatments

Allergies: You should not receive any type of Juvederm treatments if you have a proven history of allergic reactions to lidocaine or any of the other ingredients used in these products. People with a history of allergies or several allergic reactions (up to and including anaphylaxis) should seek another solution for wrinkles removal in NYC.

Pregnancy and Breastfeeding: Before undergoing any treatments, females must inform the physician and the staff if they are currently pregnant or breastfeeding.

Scarring and Pigmentation Issues: Tell your doctor if you have experiencing severe scarring in the past or have some type of pigmentation disorder.

Additional Treatments: If you are considering treatments that would also affect the skin, discuss them with your doctor. This includes plans for chemical peels or any type of laser treatment. Failing to do so increases your risk of inflammation.

Immune System Issues: Advise your physician of any medications or conditions that minimize the body’s natural immune system function. A compromised immune system places you at an increased risk of infection.

Blood Thinners: If you are taking prescription or over the counter products for blood thinning, discuss them with your doctor in advance. Blood thinners could increase the potential for bleeding or bruising.

Skin Injuries: Injury near the injection site could expose you to a higher risk of side effects.

Taking Care of Yourself After a Treatment

Curtail strenuous exercise for at least a full day after a treatment. Consumption of alcohol and exposure to direct sunlight and excessive heat should also be avoided during that first 24-hour period.

Understanding the Possible Side Effects

Many people experience few if any side effects. There may be some redness or discoloration in the hours after the treatment. You may find the area itches for a short time. Tenderness is not unusual and there may be slight swelling or a sense of firmness around the point of entry. Lumps or bumps may appear and begin to subside in the days after the treatment.

As with any type of injection, there is a slight risk of infection.

The side effects associated with JUVÉDERM® XC and JUVÉDERM® Ultra XC injectable gels, are mild to moderate. They can last for up to 14 days after the treatment. Similar side effects may appear after the use of JUVÉDERM VOLUMA® XC and last for up to 2-4 weeks.

The decision to undergo Juvederm treatments does mean experiencing a possible injection directly into a blood vessel. The complications can be severe and possibly permanent. Scarring, temporary scabs around the point of entry, and increased risk of stroke are possibilities. You may also experience a decrease in visual acuity up to and including blindness.

BOTOX

If you are an adult seeking to minimize moderate to severe frown lines on the forehead or between the brows, BOTOX® is the only approved treatment on the market. The product is also used to decrease the appearance of crow’s feet around the eyes.

The product works by reducing the muscle activity that leads to those lines and crow’s feet. Injected directly into the muscles, you will notice that the lines begin to smooth quickly. The effect can reverse years of wrinkling due to squinting and frowning in times past.

Where are the Injections Administered?

The injection sites vary based on the the type of issue you wish to correct:

If the plan is to smooth out crow’s feet around the eyes, the expert will administer three injections directly into the orbicularis oculi. This is the muscle found along the side of each eye. The expert will complete the injections on one side and then move on to the other eye.

When you are seeking to smooth out frown lines, the specialist will administer five injections into two different forehead muscles. The placement of the injections calls for one directly into the procerus muscle and the remaining four in the corrugator muscles.

Before the injections occur, the expert may apply ice as a way to numb the injection sites. There is also the option of applying a topical cream designed to numb those areas.

Have Any Clinical Studies Identified Side Effects Related to BOTOX® Use?

Clinical studies do indicate the potential for some side effects. Many patients will experience few if any of these effects. Some studies indicate as many as 3% of patients experienced eyelid drooping. Around 1% experienced some swelling of the eyelids.

The decision to undergo BOTOX® treatments could lead to the following side effects:

• Dry Mouth
• Pain at the injection site
• Fatigue
• Headaches
• Pain in the Neck
• Eye issues including dry eyes, double vision, blurred vision, and a decrease in visual acuity
• Allergic reactions

Other side effects are possible based on the current state of your health. Discuss all health conditions with your specialist before undergoing treatments.

Who Should Not Consider BOTOX® Treatments?

If you have any of the following conditions, talk with your specialist about alternative treatments:

• Weakened facial muscles
• Known allergies to products used in bovine treatments
• Currently taking blood thinning medications or antibiotics
• Have wrinkles due to sun damage, infections, or gravity (other than facial muscles)
• Pregnant or currently breastfeeding
• Living with any type of neurological disorder

Contact us today and arrange for a consultation at no charge

RESTYLANE

Restylane is another option that does not involve surgery and requires a minimum of recovery time. There are several types of Restylane that can be used to accomplish the following:

• Improve the fullness and general volume of your cheeks (Restylane® Lyft)
• Reduce or eliminate smile lines and various types of facial wrinkles and folds (Restylane & Restylane Lyft)
• Enhance the apperance of your lips to create a full look (Restylane® Silk)

This solution allows you to enjoy results without the need for anything other than a minimally invasive procedure. The results are natural looking and can be tailored to bring out the best of your features.

Possible Side Effects

Most side effects are minor and will pass in seven days or less. The more common examples include an itching sensation and some tenderness at the injection site. You may also have some bruising and redness near the site. Swelling is also possible along with some minor pain.

Keep in mind treatments involving the lips could produce mild side effects that last for up to two weeks.

While rare, severe side effects can develop. Infections may appear in the days and weeks after the treatment. Superficial necrosis at the injection site is also a possibility. Patients who are taking any type of blood thinner or platelet inhibitors are at an increased risk for bleeding and bruising. If you have herpes simplex, the treatment may increase the risk of an eruption.

Call us today and arrange for a free consultation to determine if Restylane is the right solution for you.

RADIESSE

Moderate to severe facial wrinkling can be treated using Radiesse. As a filler approved by the Food and Drug Administration, Radiesse works well for smoothing areas around the mouth. The filler can also be used to smooth cheeks and provide a more youthful appearance.

Unlike some other types of fillers, Radiesse can be used to reverse the loss of volume in the back of the hands.

Many patients result that this solution lasts for at least a year.

Contact us today and arrange for a free consultation. Together, we’ll find out if Radiesse is the right choice for you.

BELLAFILL

When your main concern is smile lines and wrinkles between the nose and the mouth. Bellafill® is worth considering. As one of the fillers approved by Health Canada, this option has a solid track record for safety and longevity. Exhaustive studies reveal that this solution is safe for up to five years.

What’s the Treatment Process?

Treatments using Bellafill® are much like those used with any other kind of facial filler. The area around the injection site is numbed using ice or some type of topical cream. An expert takes care to not inject the filler directly into a blood vessel. The recovery time is short and you can get back to your normal activities in a short time.

One of the things that sets Bellafill® apart is how it helps to encourage the body to produce higher levels of collagen. Since collagen production decreases as people age, this reversal goes a long way toward keeping your facial skin strong and supple.

What Kind of Testing is Required?

Before you undergo treatments with Bellafill®, there is an optional skin test the doctor will recommend. The test reveals if you have any type of allergic reaction to lidocaine or bovine collagen.

How About the Benefits?

With Bellafill®, you experience a quick change in your appearance. Smile lines and wrinkles are corrected without any delay. The replacement of lost collagen improves the skin texture and you do not have to be concerned about downtime. Many of your day to day activities can be resumed within an hour or two of having a treatment.

To aid in avoiding discomfort at the injection site, 0.3% of lidocaine is administered.

What’s the Satisfaction Rate

A consumer survey among patients who have received Bellafill® indicate that 91% would recommend this filler to their friends. A separate study focused on reactions five years after receiving the treatment indicate that 83% of patients were satisfied to very satisfied with the results of their nasolabila fold corrections at the end of the five-year period.

Contact us today and arrange for a free consultation about this and other solutions. Our offices are located for your convenience at 216 E 39th St Suite 1, New York, NY, 10016 today. After an examination and a discussion with our team, it will be easy to determine which medical procedures are right for your condition.