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Botox VS. Dysport- Which Is Right For You?


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Choosing the right wrinkle relaxer can be confusing for many patients with so many options available. Two of the most popular products on the market are Botox and Dysport. Both Botox and Dysport are Botulinum toxin medications that work to block muscle contractions to reduce lines and wrinkles. In this article we’ll compare the two to help you decide which is right for your treatment. 


How do Botox and Dysport Work?

Botox and Dysport are both injectable medications that work by stopping communication between the nerve and muscle. When the muscle doesn’t get the signals to contract it can’t move to create lines and wrinkles.


What are Botox and Dysport made from?

What is Botox made from?

Botox (onabotulinumtoxinA injection) is a toxin created by Clostridium botulinum bacteria. This is the same toxin that causes botulism, but it has been purified and studied extensively to be used safely in medicine. Each vial of Botox also contains human albumin and sodium chloride. When injected correctly it can be used to block muscle signals to reduce lines and wrinkles.

What is Dysport made from?

Dysport (abobotulinumtoxinA injection) is a toxin created by the bacterium Clostridium botulinum. After being purified it is used to block signals to muscles which reduces their ability to fire. This can help eliminate lines and wrinkles.  Each vial of Dysport also contains serum albumin and lactose.

Are Botox and Dysport the same?

Botox and Dysport are both made from Botulinum toxin type A and have the same mechanism of action to stop the muscle contractions that lead to fine lines and wrinkles. However they do have a few key differences:

  • It takes 2.5-3 units of Dysport to equal 1 unit of Botox.
  • Dysport contains lactose (a milk protein) as a stabilizer and can not be used by people with milk allergies or sensitivities, or people that are vegan.


How much do Botox and Dysport cost?

How much does Botox cost?

Botox usually costs $12-$14 per unit and most treatment areas require about 20 units, which is $240-280 per area. A full treatment, frown lines and forehead will be closer to the $400+ range.

How much does Dysport cost?

Dysport costs $4-$6 per unit but usually takes 3x more units to equal a Botox treatment. With the number of units so much higher, the cost ends up being about the same.

Is Dysport cheaper than Botox?

It is cheaper per unit but takes 2.5-3 units of Dysport to equal one unit of Botox. So the cost ends up being about the same. For example: if one unit of Botox costs $12 and one unit of Dysport costs $4 the cost is the same because Dysport usually requires 3 units to equal one of Botox 4×3=$12. To learn more about Botox pricing, check out this article


What are Botox and Dysport used to treat?

What are Botox and Dysport used to treat?

Both Botox and Dysport can be used to treat the same things including:

  • Crow’s feet
  • Frown lines
  • Bunny lines
  • Lip flips
  • Glabella frown lines
  • Forehead lines and wrinkles

Does Botox have more uses than Dysport?

Botox has more FDA approved indications than any other toxin on the market but it is very common to use each medication “off label”. This means that the clinician is experienced and knows how to use the medication in one FDA approved area (say for 11’s lines), but also knows how to apply that knowledge to safely treat another area like the crow’s feet that is not explicitly FDA approved. So theoretically all of the toxins can be used off label to treat anywhere indicated that the clinician is trained to administer the drug safely.


What are Botox and Dysport procedures like?

Both Dysport and Botox are quick outpatient procedures that will not be extremely painful. After arriving at the office the injector will walk you through the procedure and probably ask you a few questions to make sure it is safe to treat you.  When performed by a highly trained professional, the injections themselves should take under 10 minutes and the experience should feel like a quick pinch. After this you’ll be free to head on your way with minimal downtime.


What are the side effects of Botox and Dysport?

Botox and dysport have the same side effects including:

  • Swelling at the injection site
  • Bruising
  • Redness
  • Itching
  • In some cases patients can have an allergic reaction to the toxin

It is best to discuss these side effects with your injector prior to treatment.


Is Dysport less safe than Botox?

Due to the fact that Dysport takes more units to be effective (remember 3 units equals one of Botox) it has the highest potential to spread of any of the toxins. In some areas, like the forehead this may be desired. But it can also cause more unwanted side effects when it spreads where you don’t want it to go. Dysport also contains lactose which is a protein from cow’s milk. This means it is not safe to inject on people with milk allergies and can not be used by vegan individuals.


What is aftercare like for Botox and Dysport?

Both Dysport and Botox require little down time after the procedure, though you will want to avoid strenuous activity for a short period of time. Though specific instructions from your injector may be slightly different, aftercare for both Botox and Dysport may include:

  • Avoid touching or rubbing the injections site for 24 hours
  • Consider waiting to apply makeup for 24 hours after your treatment
  • To avoid spreading the toxin consider not laying down for 4 hours
  • Refrain from drinking alcohol if you have any bruising
  • Always apply sunscreen to protect your skin


When will the results of Botox and Dysport show?

When will the results of Botox show?

Results of your Botox injections may begin to show within a week of your injections, the final results will show in 1-2 weeks after your injections.

When will the results of Dysport show?

Dysport has been known to show quicker results than Botox, with it only taking 2-4 days to start showing results and final results within 1-2 weeks depending on the person.

Does Botox have better results than Dysport?

When injected by an experienced injector that is familiar with each medication they can both get great results. However, Dysport does run the risk of causing more unwanted side effects due to the higher risk of spreading.


Does Botox or Dysport have longer lasting results?

In general both medications will last an average of 3 months depending on the area injected. The length of time Botox lasts for depends on your body’s ability to metabolize it, the area being treated, and the amount injected.


Is Botox better than Dysport?

Botox and Dysport can both be great medications and give wonderful results. However, due to the increased risk of spreading (because of how it is mixed) as well as containing lactose (could trigger allergy response) we have chosen to  not to offer Dysport at this time at Elite Medical & Aesthetics. We believe in only offering the safest products that can consistently give the best results. 

At the end of the day it is more about the injector than the product you get. With the right injector, you can get great results with any of the wrinkle relaxing medications.


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Everything You Need to Know About Laser Skin Tightening


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As we age our bodies slow down their production of elastin and collagen. When this happens our skin can start to loosen, losing its firm look. To keep skin tight many will seek surgical skin tightening options. But in many cases, clients could have amazing results without surgical procedures by using laser skin tightening treatments. In this article we’ll talk about laser skin tightening, the types of treatments, how they work, and how much laser skin tightening costs. 


What is laser skin tightening?

Laser skin tightening is a non-surgical procedure that uses lasers to increase collagen production for skin tightening.  This can help the skin appear firmer, tighter, and less crepey.


How does laser skin tightening work?

There are many different types of lasers but the general premise is that they cause controlled damage or heating of the skin in order to increase collagen production. Some of them are ablative, meaning they remove the outer layer of skin or parts of it. Others are non-ablative, meaning they do not break the skin. They all cause controlled damage that stimulates a wound healing response and collagen production. 


Who should get laser skin tightening?

Laser skin tightening works best for clients ages 30-65 who would like tighter, firmer, and less crepey skin. Those who haven’t had noticeable loosening of the skin yet may also find it to be beneficial as a preventative measure. If you are a patient with skin that has become extremely lax, a better alternative may be a surgical lift procedure.


What types of treatments are used for laser skin tightening?

There are many different types of lasers available for skin tightening so we’re just going to focus on a few of our favorites that we offer here at Elite.

IPL

IPL is technically not a laser but a light energy that targets skin discoloration. However, the light beams are able to heat up water in the skin creating a tightening effect when the treatment is done consistently. For more info visit our IPL page.

ResurFX 

ResurFX is non-ablative fractional laser technology that is able to resurface and tighten the skin. It’s great for fine lines, wrinkles, and crepey skin. For more info visit our ResurFX page.

RF Microneedling

RF microneedling combines the power of microneedling, well known for increasing collagen, with RF (radiofrequency) to heat up the skin. It’s like getting a 2-in-1 to tighten loose, crepey skin as well as reduce the appearance of acne scars, fine lines, and wrinkles. RF (radiofrequency) technology is often used alone for skin tightening as well. For more info visit our RF Microneedling page.


How much does laser skin tightening cost?

Laser skin tightening treatments will vary in cost based on the type of procedure you’re having, what part of the body the procedure is being done on, and who is performing it. Remember, each of these procedures will require 3-6 treatments to see desired results. Below is a guide on how much it may cost based on the type of treatment.

IPL

$250-450/treatment

ResurFX

$700-900/treatment

RF Microneedling

$500-700/treatment


What areas can you have laser skin tightening done on?

Laser skin tightening can be done on any part of a patient’s body, but is most commonly used to tighten skin on the:

  • Face
  • Neck
  • Stomach
  • Arms 
  • Legs


What should you do before laser skin tightening?

Always follow the instructions given by the provider doing your procedure for the best results. In general though you’ll want to :

  • Avoid sun exposure for 2-4weeks before treatment
  • Avoid Retinoids and other products that could lead to sensitivity for 2-4 days before treatment
  • Stay hydrated and drink plenty of caffeine-free fluids for 24 hours before your treatment (many lasers target water in the skin so you want to be hydrated)
  • Let your provider know about any medical conditions you have and any medications you are on


What is laser skin tightening treatment like?

Most treatments require numbing prior to the procedure to help with pain. So usually while the provider is talking to you about what to expect and going over any necessary medical history, they will have a numbing cream sitting on the treatment area for 15-45 minutes.

Then your face will be washed and the treatment will start. Usually the procedures are quite tolerable but some areas can still be sensitive. 

After treatment, as the numbing wears off, some discomfort is expected. Most people feel like they have a sunburn after laser treatments and their skin is quite sensitive. Your provider will go over aftercare or you may already have instructions that were given to you.


Is laser skin tightening painful?

Most laser procedures are quite tolerable but even with numbing cream there are always a few sensitive areas. Talk to your provider about the specific type of laser treatment you are having and what to expect. There are always things that can be done to minimize pain and discomfort.


What is laser skin tightening aftercare like?

Talk to your provider about aftercare for your specific treatment, in general:

  • You’ll want to avoid any harsh chemicals or scrubs for up to a week post-treatment for non-ablative treatments and longer for ablative
  • Avoid touching or picking your treatment area as this can lead to infection, scars, and permanent changes in pigment
  • You’ll want to avoid sun exposure for 4-8 weeks post-treatment depending on what you had done
  • You’ll want to keep your skin clean and dry and use only products approved by your provider
  • Avoid hot tubs or any soaking of the treated area until approved by your provider


What are the side effects of laser skin tightening?

Side effects for this procedure are generally mild but may include:

  • Warm or stinging skin in the area treated
  • Bruising
  • Changes in your skin color
  • Redness
  • Swelling
  • In rare cases loss of pigment or darkening of pigment may occur
  • If the skin is broken, infection is another rare side effect that can occur


How much downtime is there for laser skin tightening?

Skin tightening is a favorite procedure for EMA clients because the types we offer have very minimal down-time. Most clients are able to get back to light activities immediately after the procedure and feel fairly normal within 24 hours


Before and after laser skin tightening

Laser Skin Tightening Before and After on Neck

Before and After Laser Skin Tightening on Neck


How long does it take to see results from laser skin tightening?

You may begin to see some changes immediately after your first treatment but these are not permanent and are usually from mild swelling. It is recommended that you have 3 treatments spaced out every 4 weeks to achieve the best results for most types of treatments. Some practitioners say the best results will appear 3 months after your last treatment because the skin continues to produce collagen and remodel itself for 3-6 months after.


How long does laser skin tightening last?

For patients that use sunscreen and work to take care of their skin, laser skin tightening should last for 2-3 years. After this point, patients can book the procedure again to maintain the results. Many people will do maintenance treatments yearly to keep up with their results. 


Does laser skin tightening really work?

Depending on the technology, and the provider administering the technology, laser skin tightening can really work. Here are just a few studies on the various technologies we talked about in this article:.

 IPL has been shown to be extremely effective in tightening the skin, as highlighted in this piece. As above, this is because it is able to not only reduce pigment but also create new collagen production by heating up the water in the skin.

RF microneedling also has great studies on skin tightening and is being used more and more for not only the face but also the body, as highlighted in this case study. 

This study talks about non-ablative fractional resurfacing technology (like ResurFX) and how it is safe and effective for all skin types, even darker tones.


What is the difference between laser skin resurfacing and laser skin tightening?

These two terms go hand and hand. When the goal is skin resurfacing, to reduce unwanted pigment as well as fine lines and wrinkles, there is also a skin tightening effect. This is because the controlled damage to the skin increases collagen production therefore tightening the skin.

However, some products are better for skin tightening and others better at resurfacing. Talk to your provider about your goals and what technology is best for you.


What is the best non-surgical skin tightening procedure?

When we’re talking about a goal of skin-tightening usually the RadioFrequency (RF) technologies are the best (in our opinion) when weighing risks, benefits and outcomes. This is especially true when combined with microneedling to get a controlled depth of tissue damage with controlled energy. This helps to tighten the skin without going too deep and causing unnecessary damage or also dissolving fat in areas we don’t want to (like in the face). 

These treatments are also much more tolerable and come with less side effects than some of their competitors such as ultrasound skin tightening technologies like Ultherapy.


Should you get laser skin tightening?

Whether something is “worth it” or not is highly subjective but we have had immensely positive feedback about IPL, ResurFX, and RF Microneedling. These minimal downtime procedures work across many different areas and can last 2-3 years.

If you live near Denver, CO consider coming in for a consultation at Elite Medical & Aesthetics by booking an appointment below.

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Chin Filler 101

before and after chin filler


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When most people think of dermal fillers, chin filler is probably not on their minds. But for many clients, precisely injected chin filler gives them the opportunity to enhance the shape and proportions of their chin. In this article we’ll break down what chin filler is, what the procedure is like, and how much chin filler costs. 


What is chin filler?

Chin fillers are dermal fillers injected into the chin with the goal of enhancing the shape, size, or proportion of the chin. It can be done as a single treatment or as a series of injections spaced 2-4 weeks apart, depending how much the chin needs to be built up. It is a nonsurgical procedure that is not permanent but can last several years. Many clients getting chin fillers hope that the procedure will give them a stronger, more balanced chin.


How much does chin filler cost?

Chin filler cost is mainly dependent on the type of filler used, the amount of filler needed, and where you have the procedure done. For most procedures chin filler will cost between $500-$1500. This is the point where we have to remind you that the most expensive type of filler is the kind you have to have twice. Make sure you pick the right injector, not just the cheapest.


What is chin filler treatment like?

A chin filler treatment is a very quick outpatient procedure that should take an hour or less. The injection portion of the procedure may only be a few minutes. When you get to the office the injector will walk you through the procedure and assess the structure of your face. After going through any questions you may have, they will carefully select where to place their injections using a needle and syringe or in some cases a cannula. The injections will be done quickly and without much discomfort and after some brief aftercare instructions, you will be on your way to resume your day. 


Is chin filler painful?

The chin filler procedure can be mildly uncomfortable but tolerable. The mentalis muscle (chin muscle) can be a bit tender, especially afterward because we move the chin so much to talk and eat. The quick pricks with a needle will feel mildly uncomfortable in some areas and sharper in others. Most fillers used for the chin have small amounts of lidocaine to help reduce the discomfort of the injections.

After your procedure, your chin may feel a bit sore and possibly heavier than it usually feels which may make things uncomfortable temporarily while it heals.


What types of filler are used for chin filler?

In general, injectors use a thicker filler for the jaw and chin area to add volume. In most cases, injectors will use a Hyaluronic Acid (HA) filler or a calcium hydroxylapatite (Radiesse) filler “off label” for the procedure. Some of the commonly used fillers are:

  • Restylane Lyft (HA)
  • Radiesse (calcium hydroxylapatite) 
  • Juvederm Voluma (HA)

To learn more about these fillers, check out our guide on filler.


How long does chin filler last?

Depending on the type of filler injected, and how much was injected, chin filler can last quite a long time, between 10-24 months. At that point, patients will often have the procedure redone to maintain results. They may also come in at regular intervals for touch-ups to maintain the treatment.


What should you do to prepare for chin filler?

Talk to your injecting provider for a complete list of pre-care instructions and things to avoid. In general, it will likely be recommended that you:

  • Avoid over the counter blood-thinning medications and supplements like ibuprofen, fish oil, and aspirin (unless these are prescribed for a health condition).
  • Eat pineapple in the week leading up to your treatment if you are nervous about swelling. You can also take Bromelain tablets in the 24 hours before treatment to help reduce pain and swelling.
  • Consider taking arnica which will help limit bruising at the injection site.
  •  Avoid drinking alcohol prior to your treatment. You’ll be unable to consent to the procedure and it may also make your recovery slower by increasing bleeding and bruising.
  • Consider limiting the amount of sodium you consume prior to your appointment. Sodium can cause your body to retain more water which will increase your swelling.
  • Talk to your injecting provider about any medical conditions or concerns that you may have. 
  • Show up with a clean, makeup-free face.


What is chin filler aftercare like?

You’ll want to talk to your injector about specific aftercare instructions that may be specially geared to your situation. Most likely, you’ll be able to return to mild activity immediately following your procedure. In general, it will be recommended that you:

  • Consider applying an ice pack to the area injected to reduce swelling for the first 24 hours.
  • Avoid touching or massaging the area treated.
  • Take acetaminophen as directed to alleviate any pain or discomfort. Ibuprofen can delay the healing of bruises or make them worse if present.
  • Avoid any heat with the area (places like saunas and hot showers, as well as hot wax) unless instructed to use warm compresses for bruising after the first 24 hrs.
  • Consider taking arnica to help reduce any bruising or discomfort
  • Avoid alcohol or exercise for 24 hours afterward to keep down the potential bruising.


Is chin filler safe?

Dermal fillers like chin filler are generally very safe when injected by an experienced professional like Ali. Make sure you do your research and read reviews of different injectors before having your procedure done. That being said, any aesthetic procedure comes with inherent risks, talk to your injector about any concerns you may have. 


What are the side effects of chin filler?

In the days following your procedure you may experience the following mild side effects from your chin filler injections:

  • Redness
  • Itchiness at the injection site
  • Mild bruising
  • Swelling in the area treated
  • Soreness
  • Possible bone resorption (see below)


Can chin filler move?

Some injectors will massage filler after injecting it to prevent lumps and make sure that it has accurately treated the area. After your treatment, your injector will most likely advise that you do not touch the area treated and avoid certain activities that may cause it to migrate. That being said, filler migration in the chin area is rare but possible. Talk to your injecting provider about all possible side effects.  

Can chin filler cause bone loss?

A recent study of 80 patients in Asia showed unexpected bone loss of the chin after injections of hyaluronic acid fillers. It was correlated with the amount of filler used. The more filler used, the more bone loss there was. However, there was no change in the aesthetic effect of the chin despite this side effect. 

This phenomenon is not seen in other areas of the face like the cheeks or jawline, even when the filler is also injected directly on the bone. There are many theories on why this may happen. Talk to your injecting provider about his risk and all risks associated with aesthetic procedures.


Can chin filler fix a weak chin?

Chin filler can be injected in a way that adds definition to the chin and makes it appear stronger. This procedure can help patients that have a small, weak, or receding chins achieve more balance and harmony of their facial profile. 


Can filler get rid of a double chin?

Though chin filler will not remove tissue, sometimes the appearance of a double chin may come from the shape and structure of the chin. In these cases filler can be used to reshape the jawline and chin to give it a stronger look. 

If there is significant submental fat (fat below the chin) causing the appearance of a “double” chin, then Kybella is a great treatment to do in combination with chin and jawline filler to reduce the extra tissue. See other alternatives below. 


Client's before and after chin filler

before and after chin filler

chin filler before and after


What other procedures are an alternative to chin filler?

Chin implant

What is a chin implant: a chin implant is a surgical procedure where an implant of the desired shape and size is placed in the chin area to enhance this feature. 

Cost: $3000-5000

Benefits: This is a permanent procedure where the exact shape and size of the chin can be determined.

Negatives: This procedure requires surgery which always comes with risks and is more expensive than other options.

As above, when an enhanced chin profile is desired it may also be necessary to slim and contour the jawline for best results. This can be accomplished in many different ways but a few treatments often done with chin filler include:

  • Kybella/Deoxycholic acid for submental fat or “double chin” 
  • RF microneedling at deeper depths can tighten the skin and reduce fat 
  • Jawline and neck liposuction or “facetite” procedure done with a plastic surgeon to suction out versus melt fat along the jawline and below the chin


Is chin filler worth it?

Whether something is “worth it” or not is highly subjective but we have had immensely positive feedback from all of our chin filler clients. It is one of those areas that is subtle but quite noticeable and can really enhance someone’s look while ensuring they still look like themselves. 

If you live near Denver, CO consider coming in for a consultation at Elite Medical & Aesthetics, link below.

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Botox Brow Lifts

Woman with no lines after botox brow lift


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Almost all of us develop lines in between our brows as we age and our skin begins to lose elastin in that area. To soften these lines patients can undergo a surgical procedure called a brow lift or they can use a neuromodulator like Botox to raise the eyebrows. In this article we’ll explore what a Botox brow lift is, who may benefit from one, and how much it costs.


What is a Botox brow lift?

A Botox brow lift is a procedure that uses Botox to raise the eyebrows and eliminate the frown lines in between the eyes. The Botox injections relax the muscles creating the frown lines which allows the forehead to pull the brow upwards.

Small doses can also be placed under the eyebrow or at the tip of the eyebrow to release the pull from the orbicularis oculi, the circular muscle that goes all around the eye and also pulls the middle and outer brow down.


What types of neuromodulators can you use for a brow lift?

Some patients may find that they build resistance to Botox or Dysport due to a protein coating that they build antibodies to (more info on this can be found here). These patients are typically able to use a “Naked” Botulinum toxin like Xeomin to obtain the same results.


Who should get a Botox brow lift?

Almost everyone is a good candidate for glabellar Botulinum Toxin injections. Those with heavy lids, heavy brows, flat brows, or with 11’s lines will see the most benefit.


Is a Botox brow lift safe?

Botox brow lifts are safe and fast when performed by trained injectors. To ensure that you’re getting the best results and the safest procedure make sure to find a trained injector like Ali from EMA. Keep reading to find out more about some of the potential side effects of this procedure.


What should I do to prepare for a Botox brow lift?

As with any procedure, talk to your injecting provider about what to expect and how to prepare for your appointment. In general though, some of the major things to do before your Botox brow lift might include:

  • Researching your injector thoroughly. Check out their reviews and their credentials prior to booking.
  • Tell your injector what medication you’re currently taking.
  • Consider taking zinc prior to your appointment. Zinc may help the Botox last longer. 
  • Schedule your appointment for a good time when you can have a moment to recover without work or activities.
  • Consider icing the area prior to being injected if you’re nervous. It will make the procedure less painful and may reduce post injection bruising.

Some things to consider not doing before your appointment include:

  • Taking things that will thin your blood like aspirin, ibuprofin, omega-3, ginseng, and fish oil (unless prescribed for a health condition) as they can increase bleeding and bruising.
  • Smoking cigarettes, smoking impacts how long it takes for you to recover.
  • Drinking alcohol prior to your appointment. It has the potential to slow recovery time and make bruising worse. You also cannot legally consent to your procedure if under the influence of drugs or alcohol. 
  • Using skincare products that could irritate your skin prior to your appointment.
  • Wearing makeup to your appointment. Your injector will need to easily see where they’re injecting.
  •  

For more info on what to do and what to avoid before getting Botox, check out our guide


What is a Botox brow lift like?

A Botox brow lift is a very simple outpatient procedure that generally takes under an hour. The procedure itself may only be a few minutes. A good portion of the appointment will be a discussion with the injector and some prep. The injections themselves will be brief and shouldn’t be too painful, feeling like minor pricks. If you are worried about the pain involved, talk to your injecting provider about this, they may have solutions.


When will I see results from a Botox brow lift?

According to studies, and in office observations, we have found that results of Botox brow lifts generally show within a week of the injections. For some products, such as Xeomin, results may show within 24 hours for certain individuals.


What is Botox brow lift aftercare?

Most injectors will have specific aftercare instructions so be sure to follow your specific injectors instructions, but common consideration for aftercare treatment may include:

  • Avoiding lying down for 4 hours after your injections. This is a theoretical precaution to stop the medication from migrating. 
  • Wait at least 8 hours before resuming strenuous exercise and preferably 24 hours. Exercise increases blood flow to the face which theoretically could also cause migration of the medication. Sweat may also irritate the injection sites. 
  • Use a cold compress or ice pack on the area injected to reduce redness and swelling if you need it.


Is there any downtime after a Botox brow lift?

There is very little downtime for Botulinum Toxin injections. Following the aftercare instructions above you should be able to get back to work or other light activities immediately after

The most common after effects to plan for are small bumps that look like mosquito bites, those typically resolve within 30-45 minutes. Minor redness will resolve within this amount of time as well. Very rarely does bruising occur and it usually just looks like a tiny freckle, usually under the eyes. 


What are the side effects of a Botox brow lift?

Mild side effects of Botox brow lifts can include:

  • Soreness
  • Headaches
  • Pain or swelling at injection site
  • Temporary Numbness
  • Mild bruising 

Talk to your injector about all the potential side effects prior to receiving your treatment.


Can a botox brow lift help hooded eyes?

Hooded eyes occur when an extra portion of skin covers the crease of the eye. This gives the eyes the appearance of the eyelid being smaller. This can be genetic or occur with aging. When the muscles that pull the brows down are deactivated with Botox this allows the brows to lift, therefore lifting the extra “hooded” skin.


What Hooded Eyelids Look Like
Image Courtesy of Beautylish


How much does a Botox brow lift cost?

A Botox brow lift can take anywhere from 20-40 units of Botox (or up to 120 if Dysport is used). This can cost anywhere from $200-$500+ depending on units and what your provider charges.


How long does a Botox brow lift last?

Botulinum Toxin injections will last 3-4 months for most people between the brows in the 11’s area (the glabella). The small doses around the eyes to aid in the brow lift may only last 6-8 weeks because the dose is smaller and it’s a high movement area.


How does a botox brow lift compare to a surgical brow lift?

A surgical brow lift will lift the brows permanently (until further aging occurs at least) whereas a Botox brow lift is only temporary. The Botox can also only do so much depending on each person’s unique anatomy.

For someone with heavy lids, they would likely need an eyelid surgery called a blepharoplasty. This surgery is also permanent (until further aging occurs). So a younger person, or someone looking for a mild change, could consider the Botox brow lift.  An older person, or someone seeking a more drastic and permanent change, should consult with a board certified Plastic Surgeon to talk about surgical options.


Is a Botox brow lift worth it?

Aesthetic procedures like a Botox brow lift are a personal choice that only you can decide on. A Botox brow lift may be the right answer for those with heavy lids, heavy brows, or 11’s lines. If you would like to learn more or chat about this procedure, book a quick consult below.

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Everything You Need to Know About Baby Botox

Womans face with baby botox


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Sometimes we like to dip our toes into the pool before diving in. When it comes to injectables, dipping our toes in can seem like it is entirely out of the question. But with baby Botox (smaller amounts of Botox) we can see some of the natural looking results of Botox without making a major leap into the injectable pool. In this article we’ll break down what baby Botox is, who it may be right for, and how much it costs.


What is baby Botox?

Baby Botox is extremely similar to regular Botox injections. It is simply injecting smaller amounts of Botox into areas prone to fine lines and wrinkles. The goal of baby Botox is to show the most natural results without completely relaxing the muscles. It is a great way for people worried about injectables to get an idea of what the effects would be like.


How does baby Botox work?

Just like regular Botox injections the goal is to decrease lines and wrinkles. “Baby Botox” also trademarked “MicroTox” is when a trained provider injects very superficial amounts of Botulinum Toxin under the top layer of skin with a goal of not quite reaching the muscle. These tiny doses will smooth and relax the skin while still allowing for more natural movement. However, even baby Botox  can drift around 1cm so it’s always possible it will affect the muscle. 


What areas can you get baby Botox injected?

Baby Botox is perfect for areas with fine lines and wrinkles where you would want a natural look. It is used in many of the same areas that traditional Botox would be used, like:

  • Around the lips
  • Neck
  • Jaw area
  • Crow’s feet
  • Forehead wrinkles
  • Frown lines between brows

Areas that patients get baby Botox
Image courtesy of Westlake Dermatology


Who is a good candidate for baby Botox?

Baby Botox is best for younger clients or those with minimal lines and wrinkles because it’s going to be a modest effect compared to traditional injections. However, it can also be used strategically in clients with more severe lines and wrinkles to give natural appearing results in combination with full treatment. A good example is using this technique right above the eyebrows to allow for some lift of the brow while still smoothing the skin.


What are the benefits of baby Botox?

  • Possibly a more natural appearance 
  • Can diminish signs of aging like lines and wrinkles without disrupting facial movements
  • Can be used in combination of full treatments for more control over the final result


Is baby Botox safe?

It is important to note that all aesthetic procedures come with inherent risks. Baby Botox done by a trained injector with years of experience is generally very safe. It has been studied and may have even fewer side effects than traditional Botox because of its smaller doses.


What are the side effects of baby Botox?

Though baby Botox may have fewer side effects than traditional Botox, you may still run the risk of:

  • Bruising in the areas injected
  • Swelling around the injection site
  • Headaches
  • Potential for it to drift deeper leading to the same effect as regular injections

Always consult with your injector about the possible side effects before having a procedure done.


What is the difference between baby Botox and Botox?

Baby Botox and traditional Botox are extremely similar. They both utilize onabotulinumtoxin-A or another type of toxin to weaken muscles. This process weakens muscles and lessens lines and wrinkles. Baby Botox is focused on using less of the same toxin superficially to achieve more natural results. Using less produces less noticeable effects but can still help lessen wrinkles and lines. This makes it great for clients that have never tried Botox before.


How much does baby Botox cost?

Baby Botox prices are determined by the type of toxin used and the injector you choose. That being said, baby Botox procedures may require half as much toxin as a traditional Botox treatment. But the cost may be the same due to the advanced training of the clinician to perform this treatment and also the additional time it takes for all of the extra injection sites. For instance, a traditional forehead treatment might be 5-10 sites of a regular treatment and double or triple that for Baby Botox. Some of the costs might be:

  • Around the lips: $100+
  • Neck: $200+
  • Jaw area: $200+
  • Crow’s feet: $200+
  • Forehead wrinkles: $200+
  • Frown lines between brows: $200+


How do you prepare for baby Botox?

 For any medical procedure you’ll want to check with your injecting provider for a full list of instructions. In general most patients prepare for baby Botox the same way they would prepare for regular Botox procedures.

This may include: avoiding blood thinning medications and supplements (unless prescribed for health reasons), icing beforehand if needed, taking zinc, and showing up with a makeup clear face. For more information on what to do to prepare, check our Botox prep guide.


What is a baby Botox procedure like?

The baby Botox procedure is a very quick process that generally takes less than 30 minutes and up to 60 minutes for full face and neck.

The procedure will generally start with your injector talking to you about what will happen and asking you a few questions. After that they will wipe your face with a cleaning solution. Over the next few minutes the practitioner will inject Botox into the target areas. The injector will then explain aftercare treatment for you. From there, you’ll be on your way to continue on with your day.


What is baby Botox aftercare?

Talk to your injecting provider for a complete list of aftercare instructions. In general though, aftercare is fairly straightforward and may include: 

  • Avoid rubbing or massaging the area treated. This could cause the toxin to move around and have unwanted effects. As well as increase risk for infection (hands are dirty!).
  • You may also consider not laying down for 4 hours after your treatment to make sure the toxin doesn’t move around.
  • Consider avoiding strenuous exercise after the procedure to avoid swelling and inflammation.
  • In some cases, icing the area can help reduce discomfort from the procedure since it’s a lot of pokes to spread the baby Botox around! You can ice for 5 minutes on and 5-10 minutes off as needed in most cases. Consider not wearing makeup immediately post-procedure to keep the injections site clean and to avoid rubbing and spreading the toxin. Always discuss aftercare with your injector to make sure you’re properly following their instructions. 
  •  


What types of neuromodulators can be used for baby Botox?

Some patients may find that they build resistance to Botox or Dysport due to a protein coating that they build antibodies to (more info on this can be found here). These patients are typically able to use a “Naked” Botulinum toxin like Xeomin to obtain the same results.


How long does baby Botox last?

Baby Botox typically lasts for 6-8 weeks depending on where it is injected. In higher movement areas, like the area around the mouth, it tends to have a shorter life. You’ll want to make sure you set up an appointment for another round of injections at this point to maintain the results.

Does baby Botox last as long as regular Botox?

Baby Botox generally does not last as long as regular Botox which can last for 4 months or longer. It doesn’t last as long because it is lower doses that are spread out more.


Is baby Botox worth it?

Having any type of aesthetic procedure is a personal choice and you have to decide for yourself if it is worth it. If you’re newer to injectables or have never tried Botox, this may be an easy way to get a glimpse of what it would be like. If you would like to learn more or chat about this procedure, book a quick consult below.

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All about under-eye filler

EMA client before and after Under Eye Filler


Table of Contents

All about under-eye filler

Have you gotten tired of trying under-eye creams hoping that they would help you get rid of the dark sunken look under your eyes? For many clients this area is extremely frustrating, but the good news is that there is a low maintenance solution. Under-eye (tear trough) filler can give the area under your eyes increased volume and reduce the appearance of dark spots. In this article we’ll dive into what types of fillers are used, what the procedure is like, and what under-eye fillers cost.


What is under-eye filler?

Tear trough filler is a treatment where hyaluronic acid (HA) dermal fillers are injected using a needle or cannula into and around the dark hollows under the eyes. It can be done alone or in conjunction with cheek filler. It’s important to address the whole face when treating this area for a natural and balanced look. Oftentimes under eye hollows can be from loss of volume in the cheek so it’s important to determine the underlying cause of the deficit before treating. 

It’s also important to go to an experienced provider as this area can not only be dangerous to inject but also difficult to inject in the correct plane (the correct level).


What types of filler can be used in the under-eye region?

Most of the softer HA (hyaluronic acid) fillers can be used in the under-eye area. Sometimes firmer HA’s can be used in severe cases or when they are diluted. It is not advised to use non-HA fillers in this thin sensitive area. 

The most commonly used hyaluronic acid fillers for under-eyes are:

Other fillers such as collagen, Sculptra and Radiesse are NOT recommended in this area due to risk of overfilling, pain, reaction and nodules. This is a high movement area that needs a soft and gentle HA filler for best results.  

For more information on fillers, check out our filler guide.


What does tear trough filler treat?

Our bodies can naturally lose volume in our tear trough as we age due to volume loss.  We also have separation of the fat pads under the eyes and the cheeks. This leaves an indentation or dark hollowing under the eye which can be softened with dermal fillers. 


Who is a good candidate for under-eye filler?

A good candidate for under eye filler is someone who:

  • Has always had dark under eye hollows genetically
  • Developed dark under eye hollows with aging
  • Has good skin quality and good cheek support

 

  • A poor candidate for under eye filler is someone:
  • Who has large under-eye bags rather than hollows 
  • Has extremely thin or fragile skin that appears “see-through”
  • Has full-face hollowing and requires full-face intervention prior to under-eye filler


Are tear trough fillers safe?

All medical and aesthetics procedures come with risks. Under-eye fillers done by experienced medical providers can be done safely. It’s important to consult with your injecting provider to discuss the risks and benefits of any procedure. Some of the risks involved in tear trough filler include:

  • A poor result, usually over-filling with a puffy appearance
  • Prolonged swelling from poor product selection or placement
  • A blue tinge under the eyes (tyndall effect) from too much filler, filler placed too superficially or filler placed on a poor candidate
  • A vascular occlusion where dermal filler gets into the artery (angular artery) which can lead to severe complications


Vascular system for under eye fillers
Image Courtesy of Plastic and Aesthetic Research


What are the benefits of tear trough filler?

  • Tear trough filler can add volume to lessen the “hollowness” under the eyes
  • It can give you a more rested and youthful appearance 
  • Filler will diminish under-eye bags (in certain cases) 
  • It will eliminate or lessen dark circles under the eyes


How much does under-eye filler cost?

Under-eye filler varies in cost based on the type that you receive, where you have the procedure done, and who is performing the procedure. Below is a breakdown of the cost  on average.

  • Hyaluronic Acid Fillers like Juvederm, Belotero, and Restylane generally cost between $600-$1200 per treatment. This does not including any other filler that may be recommended. When combined with other facial fillers the cost for the under-eye portion may be lower. 


How do you prepare for under-eye filler?

Talk to your injecting provider for a complete list of instructions but in general, it will likely be recommended to:

  • Avoid over the counter medications that may thin your blood like aspirin, ibuprofen, fish oil  (unless prescribed).
  • Not consume alcohol 24-48 hours before your procedure
  • Come to your appointment with a clean face and no make-up if possible. 

You can also consider icing under your eyes for 10-20 min prior to your procedure to decrease the risk of swelling or bruising. You can also consider taking arnica tablets to prevent bruising and swelling. As with any medication or supplement, talk to your provider about any medications or supplements you decide to take.


What is an under-eye filler treatment like?

Under-eye filler appointments are generally about 30-60 minutes. The actual procedure itself may only take about 5-minutes per side, but the preparation and discussions prior to the appointment will take up extra time. Your injector may also recommend injecting other areas first, such as the cheeks and midface, to support the tear trough area and for a better result which takes additional time.


What is under-eye filler aftercare like?

Every injector will have their own specific aftercare instructions. Below are some of the general recommendations for under eye filler aftercare:

  • Try to avoid using concealer or other eye makeup for the first 24 hours.
  • Do not rub the treated area for at least 24-48 hours after your injections. 
  • Avoid intense physical activity for 24-48 hours, if possible, as exercise may increase swelling to the area treated
  • Consider avoiding alcohol for 48 hours after your treatment. Drinking could increase the swelling and bruising.
  • Use an ice pack to ice the area for 5-10 minutes off and on for the first 48 hours. This will help you reduce  swelling quicker. It’s also a great reason to sit on the couch and relax.


When will I see results from tear trough filler?

Immediately after the procedure, you will be able to see your results. For many people, there will also be some swelling immediately post-procedure. The swelling will start to go down in about 48 hours. You will be able to see the final results in 7 to 14 days in most cases but in rare cases, it may take longer, especially during allergy season.


How long do under-eye fillers last?

Over the years we have discovered that filler tends to last much longer in this area than in other high movement areas. Lasting even longer than the lips. The same filler brand that may only last 6-8 months in the lips may last 1-2 years under the eyes.  More cross-linked fillers, such as the Juvederm family, can last 2-3 years, but this does come with an increased risk of reactions and late-onset nodules. Talk to your injecting provider about what dermal filler is best for you.


What is the best under-eye filler?

Hyaluronic acid fillers are the best fillers for under-eye treatments and we have tried almost all of the available brands on the U.S. market. Our favorites have been Belotero Balance and Restylane-L for most cases. 

We also use other, firmer HA fillers or Radiesse in the cheeks prior to doing under-eye fillers to support the area and also give a more natural look.


Under eye filler before and after

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All About Lip Flips


Table of Contents

Introduction

Many patients seeking fuller lips are nervous to get lip filler and often opt to start with a lip flip. Some are also nervous about a ducky appearance and have heard that a lip flip can help with this!

In this article we’ll dive into what lip flips are, how much they cost, and why it may make sense for some patients to pair a Botox lip flip with traditional lip filler. We’ll also talk about who may be a candidate for a surgical lip lift if a lip flip is not enough. 


What is a Botox lip flip?

A lip flip is an “off-label” procedure done by injecting Botulinum toxin into the border of the upper lip into the lower portion of the orbicularis oris muscle. This is the circular muscle that controls lip pursing (known as duck face). 

By injecting botulinum toxin into the lower region the lower muscle is slightly deactivated. This allows the upper portion of the orbicularis oris to flip the top lip up a bit. It also helps with “smoker’s lines”around the lips.

The effect is a modest 1mm change to the upper lip that lasts around 2-months.


How much does a Botox lip flip cost?

Lip flips are generally for cosmetic purposes and are not covered by insurance. Pricing depends on how many units are needed, who is doing the procedure, and also if the procedure is done alone or with lip filler. Most patients use 4-10 units of Botox which can cost $100-$500. This is generally less expensive than getting a full set of lip fillers which can cost $500+.


Who is a good candidate for a Botox lip flip?

A Botox lip flip is the perfect procedure for:

  • People looking for a fuller appearing top lip without adding volume
  • Individuals hoping to get a more visible upper lip while smiling
  • Those that plan to get lip filler but have a longer philtrum column and don’t want to look ducky (more below)

A Botox lip flip should be avoided by:

  • Those allergic to botulinum toxin
  • Women that are pregnant
  • Patients with active infections or illnesses


Is a lip flip the same as lip filler?

No, they are actually quite different but patients can use both depending on the goals. A lip flip uses Botox and lip filler uses dermal fillers.

Lip filler is a non-surgical procedure where a gel-like substance is injected into the lip to enhance the shape, volume and contours of the lip. When done in a certain way it can flip up the top lip and shorten the philtrum column (distance between the bottom of the nose and top of the lip). See image above. 

When necessary, patients can use it in combination with a lip flip to enhance the upper lip.


What are the benefits of a Botox lip flip compared to lip fillers?

One benefit of the lip flip over lip fillers is the cost. Most lip filler procedures cost between $600-800 whereas a lip flip might start out at $125.

Both the lip flip and lip filler can decrease lines in the lips called “smoker’s lines” or “kissing lines.” The lip filler will last longer on average though.

For someone with a long philtrum column (the distance between the bottom of the nose and top of the lip) the lip flip can be used with lip filler. This works to prevent a ducky appearance. In some other cases, if the distance is severely long, patients may need a surgical consult for a lip lift (see below).

Another major benefit of this procedure is that it can be a good intro into lip procedures, only lasting 2 months. Only lasting 2 months can also be a con when you consider lip filler lasts roughly 8-12 months. In the long run, the lip flip can be more expensive if done regularly.


What is a lip lift?

A lip lift is a surgical procedure where a plastic surgeon removes a small amount of skin from the philtrum column. This shortens the distance between the nose and the top lip. The goal is usually to have a few mm of top teeth showing when the mouth is relaxed but lips are slightly parted. The lip lift procedure costs on average between $2000 and $5000


lip lift before and after
Image Courtesy of Nayak Plastic Surgery


What is the difference between a lip flip and a lip lift?

A lip flip is where Botox or another Botulinum toxin is injected into the top lip. This temporarily flips up the cupid’s bow and shortens the philtrum column (around 1mm).

A surgical lip lift is a permanent surgery to do the same thing. The difference is that the surgeon can measure exactly how much skin to take for each unique person. The average is around 3-7mm or 1/3rd of the distance depending on the person and their unique appearance.


What are the pros and cons of a lip flip versus a surgical lip lift?

The pros of the lip flip over a surgical lip lift is that the Botox lip flip is temporary, only lasting 2 months or so. It’s also cheaper in the short term. The cons are that it only lasts 2 months and that the change is very modest, around 1mm. So someone with a very long philtrum column the lip flip will not do much.

The pros of the surgical lip lift is that it’s permanent and the exact amount of change for the best aesthetic results can occur. The cons are that it is surgery which always comes with risks and it will leave a small scar. It is also permanent in the rare case the top lip has been shortened too much, though it does relax and “stretch” out over time. 


Should I get a lip flip or lip lift?

One thing you can do at home to determine if you have a long philtrum column is look at yourself in the mirror with your face and lips still and neutral.  Then open your mouth about 1-2 cms. Do your top teeth show at all or does your top lip cover them completely?

If your top teeth show then your best bet is likely lip filler with or without the lip flip depending if you have lip lines or how much top teeth show.

If your top teeth don’t show, then you should consider whether you would undergo surgery to enhance the appearance of your lips. If you would not, then make an appointment with an experienced injector and see what they think about lip filler with a lip flip. They may be able to do it, but in severe cases may recommend you have a surgical consultation with a surgeon. They usually have someone they trust that they can refer you to.

If you know you want a permanent change, do your research and get a few consults with well known, board certified plastic surgeons for a lip lift procedure.


No teeth showing with lips parted= risk to look ducky with filler. Photo credit, Maybelline


Teeth showing= less risk to look ducky with lip filler. Photo credit, Valeria Boltneva


Does a lip flip hurt?

In most cases, ice or numbing cream is used before the injections for a lip flip. The lips are very sensitive and because the needle is being injected deeper, into the muscle, this area can be quite tender. It is very quick though and most people tolerate it well


Is a Botox lip flip safe?

Botox, and other neurotoxin treatments, are safe and highly researched. Due to the small amount of medication being injected, the risk is even smaller than many other procedures. That being said, you should always consult and book with a pro that has performed the procedure numerous times like Ali from EMA. The most expensive aesthetics procedures are the ones you have to have twice due to a poorly trained injector.


What are the side effects of a Botox lip flip?

Minor side effects of a Botox lip flip include:

  • Swelling
  • Bruising
  • Soreness in the area injected
  • Inability to fully purse lips or annunciate certain words

Talk to your injecting provider for a complete list of side effects and warnings to look out for after any procedure.


Does a lip flip change your smile?

A lip flip can make the top lip show a bit more when smiling but the effect is subtle. In rare cases, when the injection is not done correctly it can actually cause a crooked smile as well. Make sure you go to someone that has experience in lip flips before having this procedure done.


What is Lip Flip Aftercare?

Talk to your injecting provider and ensure that you are following all of their specific recommendations after any procedure. In general, aftercare is simple and usually involves keeping the site clean, avoiding massaging the area and avoiding intense exercise for 4-8 hours post procedure


How long until I see results from my Botox lip flip?

Depending on which medication is used (Botox, Xeomin, Dysport, Jeuveau) results will likely start to show within 4-5 days with final results between 10-14 days.


How long will my Botox lip flip last?

Unfortunately, results only last up to 2-months in this high movement area. That means the procedure needs do be done again every 2 months.


Are lip flips worth it?

Having any type of aesthetic procedure is a personal choice and you have to decide for yourself if it is worth it.

We have done many lip flips at Elite and find that lip filler tends to have a more desirable and longer lasting effect, with or without the lip flip. 

We’ve also found that many people look “ducky” from poorly placed or migrated filler done elsewhere and when we dissolve and redo it we get a great result.

In rare cases, we have also referred clients for plastic surgery consults. But for most clients we can give at least a subtle treatment to enhance their look.

If you want to learn more or chat about these procedures book a consult below to chat.

Read more about how to tell if you’ll look lucky ducky in this article.

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Everything You Need to Know About ResurFX


Table of Contents

Intro

Many of our clients are continually seeking out a way to clear up scars, sunspots, and wrinkles without an invasive surgery. For many, ResurFX could be a great solution. In this guide we’ll break down what ResurFX is, how it works, and what it can treat.


What is fractional laser treatment?

A fractional laser treatment is a procedure where tiny laser beams are directed into targeted sections of the skin. The treatment leaves little dots all over the skin as it  creates controlled damage to these fractions while leaving the surrounding skin untouched. By doing so, the surrounding skin that has not been treated can help speed up recovery time by signaling healing cells including stem cells for new tissue growth. The cells that have been treated (those that are unwanted like hyperpigmented cells) are damaged and naturally expelled by the body.

 

The two major types of fractional treatments are ablative meaning the laser breaks the surface of the skin, and non-ablative where the goal is just to create controlled damage and usually coagulate the tissue without breaking the skin.


What is a non-ablative laser and why should I use it?

A non-ablative fractional laser such as ResurFX does not break or damage the top layer of skin making it safe for all skin types with minimal downtime. It shoots laser beams just below the top layer of skin coagulating sections of the deeper tissue. A healing cascade is signaled and the old skin is removed by the body leaving room for new healthy tissue. This creates a tightening effect and a more even complexion. 

Additionally, because the treatment is fractional, the treatment zones will heal more quickly. However, it will take multiple treatments to get the desired results. 


What does ResurFX treat?

ResurFX is an excellent treatment option with minimal downtime, it is able to treat:

  • Wrinkles and fine-lines
  • Hyperpigmentation
  • Scarring
  • Sunspots
  • Stretch marks
  • Loose skin


What are the benefits of ResurFX compared to other treatments?

ResurFX is one of the best non-ablative fractional lasers on the market. It has a proven safety record with excellent results. As above, this type of laser is wonderful for all skin types and has minimal down time.


How does the ResurFX fractional laser work?

ResurFX works by sending controlled laser beams (targeted by depth and energy) to varying levels of the skin. The targeted tissue is treated in fractions leaving the surrounding tissue intact. The intact skin is able to help heal the treated tissue faster meaning there is less down-time. Most people can go about their normal activities and even wear make-up within a few hours after treatment. 


How much does ResurFX cost?

ResurFX varies in price due to the size of the area being treated. For smaller areas like scars it may only cost $250, larger areas like the face and neck could cost upwards of $1200.

Estimated cost breakdown by area:

  • Small scars: $125 each
  • Medium scars: $200 each
  • Large scars: $275 each
  • Under eye and crows feet: $350
  • Forehead and glabella: $350
  • Full face: $800
  • Full face and neck: $1200
  • Decolletage: $800
  • Stretch marks: $400+


What is the ResurFX treatment like?

ResurFX is generally a 20-30 minute procedure depending on the size of the area being treated. At the office, the clinician will walk you through the procedure and ask if you have any questions. After this, they’ll prep the area with a topical anesthetic that will help ensure the procedure is less painful. Once the skin is prepped and clean the clinician will use the laser tool to begin treating the skin. 

The first treatment is usually done conservatively to see how your skin responds and ensure there is no post inflammatory hyperpigmentation in those with darker skin tones. Sometimes a 1-2 month prep before treatment is needed for darker skin types or those prone to hyperpigmentation. After great results from the 1st treatment, each consecutive treatment can get more aggressive depending on the goals of treatment.


How should I take care of my skin after my fractional laser treatment?

Immediately after your appointment, the clinician will use a cooling gel or fan on the skin to reduce some of the discomfort. They’ll then apply a protective sunscreen on your sensitive skin. After this you should make sure to:

  • First 24 hours: Avoid skin-irritating products like retinol creams, salicylic acid, and benzoyl peroxide. Also, avoid using a rough washcloth on your face. To reduce the sunburnt feeling you can apply a cool compress to your face in short intervals. 
  • 24-48 hours after: Wash skin with a mild cleanser and avoid makeup. Apply an SPF 30+ sunscreen and a moisturizer. 
  • 72 hours after: continue washing with a gentle cleanser. Make sure to continue applying an SPF 30+ sunscreen and a moisturizer. 
  • 5 days after: You can resume using products like retinol creams, salicylic acid, and benzoyl peroxide. The skin may be sensitive.
  • Between days 4-7 you can also start exfoliating the skin as it may feel rough and gritty. Only exfoliate if the skin is completely intact and there is zero sensitivity. 

Make-up can technically be applied immediately post treatment but we usually recommend waiting until the skin is no longer sensitive and is starting to exfoliate, usually around day 3. 


How long until I see results from my ResurFX fractional laser treatments?

It is recommended that patients receive at least 3 ResurFX treatments with 4 weeks in between treatments. That means it can take upwards of 3 months to see the full results of your ResurFX treatment. You will also continue seeing skin improvements for up to 6 months following the completion of treatment.


What are the side effects of ResurFX treatments?

Immediately after your treatment, you will feel like your skin has been sunburned. This hot feeling should dissipate after the first 1-2 hours. After this, most patients experience dry,  pink, or bronzed skin for 2-4 days with peeling or flaking (most common) as the treatment works to remove damaged skin. In some patients, it may take up to a few weeks for redness and irritation to fully subside. 

Potential rare, but serious side effects include:

  • Severe swelling or blistering
  • Infection
  • Skin hyperpigmentation
  • Scarring

Most all of these side effects can be avoided by going to a trained medical professional that knows how to keep you safe for this treatment. Closely following pre and post treatment instructions are also crucial to great results. For instance, since the skin is not broken during the treatment, picking is the most common reason people might get an infection.

If any of these happen after your treatment, immediately contact the provider that did your treatment.


Are there any treatments I can have with ResurFX?

  • IPL for a photofractional treatment to really target dark spots and discoloration
  • Dermaplaning, light peels and enzymes can be done prior for a more intense treatment
  • Injectables such as Botox or Xeomin can be done immediately after the treatment but we usually recommend against this because the skin is so sensitive to touch.


How many ResurFX fractional laser treatments will I need?

As mentioned above, the best results from ResurFX will take 3 sessions spaced a month apart. This ensures collagen stimulation and long-lasting improvement in the skin. Many providers will offer packaged deals if you book 3 or more appointments. 


How long before I will need more ResurFX?

The results of your ResurFX treatment should last forever on the areas treated. That being said, as we age new spots, lines and scars  will often appear naturally that will need to be treated as they develop.


Is ResurFX the same as Fraxel laser treatment?

Fraxel is simply another brand of non-ablative fractional laser. It has gotten a bad rap for severe side effects such as scarring, hyperpigmenation and severe pain. However, the company that makes this product has updated their machine (so we’re told). It should also be said that bad side effects are often created by technicians that don’t have proper training or experience so you can’t just blame the brand or company.

From our research ResurFX has a higher track record of safety, great results and patient satisfaction which is why we chose this brand over the many other competitors.


ResurFX Before and After

Womans face before and after resurfx on nose
Before and Afer of ResurFX on nose scars

side profile before and after resurfx on cheeks
Before and After of ResurFX on a dark spot on the cheek

Are you ready for ResurFX?

If you’re looking for a way to wrinkles, scars, and other skin considerations ResurFX is an excellent option with minimal downtime. If you’re in the Centennial, Colorado area just outside of Denver, book an appointment now to talk to our amazing staff.

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Should You Get Needleless Lip Filler?


Table of Contents

Intro

For many, needleless lip fillers, such as the Hyaluron Pen, seem like the perfect cheap alternative to traditional lip fillers. But are the results the same? Is the Hyaluron Pen even a safe treatment? In this article we dive into needleless lip fillers to give you an expert opinion on results and risks of the Hyaluron Pen. 


What are needleless lip fillers?

Hyaluronic Acid (HA) Lip Infusion pens are pressurized devices that infuse HA serum into the top layers of skin. It does not use a needle to inject an HA solution like traditional fillers. The companies market these products as a way to promote collagen production and add volume to the area treated.

 

Unlike standard lip filler treatments that need to be done by licensed injectors, these procedures can be done by non-licensed professionals and are even available for at-home use.


How much do needleless lip fillers cost?

It will usually cost around $300 to have this procedure done each time. 


Are needleless lip fillers safe?

The short is answer is no. These devices use pressure to force the hyaluronic acid into the superficial (shallow) layers of the skin which can lead to: ulcerations in the lips, swelling, bruising, uneven results, vascular occlusions, infection, and cold sore outbreaks.

 

If you’re thinking that some of the above results can occur with regular lip filler, you’re correct. The difference is that when lip filler is injected by a trained medical professional they know how to avoid those side effects and also treat them in the rare instance they may occur. A non-trained individual may think all discoloration is a bruise whereas a medical professional (RN, PA, NP, Physician) will be able to identify a vascular occlusion and be able to respond immediately.

 

 

Because of so many adverse events these devices have been banned in other countries, such as Canada, and are getting more and more bad press for requiring medical attention post procedure.


Do needleless lip fillers work?

It can be temporarily effective to have needleless lip filler, but it may not give you the desired outcome. A major problem with needleless lip filler is that the product diffuses to a large area which can mean your body rapidly processes it in a short period of time. Results typically only last only 2-weeks. According to the Hyaluron Pen makers, “The skin gets a bit swollen at first, then the effects last for a couple of weeks, maybe a month, and the situation looks as it was before – no better, no worse.” 

It is also very difficult for someone that doesn’t have medical experience and proper training to achieve safe natural looking results. Anatomy of the lips, and a natural result, is a complex process that takes a lot of training and practice. You have to respect the natural borders, tubercles, and shape of each person’s unique set of lips along with having the technique to create the desired result. 


What’s the difference between needleless lip filler and regular lip filler injections?

Regular lip filler injections are done by trained medical professional that know the proper technique, anatomy, and safety. They can place precise threads of filler into the lips, exactly where they want it, to give a beautiful natural result. On the other hand, there is almost no control over where needleless lip filler will go and there doesn’t have to be any medical training for those injecting.


Does needleless lip filler work as well as regular lip filler injections?

No, as above these products are only going to last for around 2-4 weeks according to the manufacturers. Additionally, the product placement cannot be controlled in the pens like they can for injections. So the results won’t look as good, won’t last as long, and there are just as many risks or more due to being administered by anyone with or without training. 


Who can perform needleless lip fillers?

The biggest problem with needleless lip fillers (Hyaluron Pens) is that you don’t have to be a licensed medical professional to offer this treatment. Because of this, many spas will offer the procedure without having anyone specially trained to perform it on staff. This can lead to accidents and adverse events (bruising, vascular occlusions, infection, ulcers, etc.) as mentioned above, and may not be recognized as dangerous if no medical professional are present.


What is the recovery time like for needleless lip filler?

If there are no complications, then recovery time is fairly brief with less general swelling and bruising than with traditional lip injections. 

In most cases, swelling should go down in 24-48 hours but some consumers report having swelling for up to 1-2 weeks, just like with regular lip injections. 


Should you get needleless lip filler in our opinion?

At the end of the day you are an adult and you are gonna do what you are gonna do. Some people are hell-bent on saving a buck and will try the cheap DIY home product no matter what anyone says. If that’s you, just know the risks versus benefits. Know what to look for in case of an emergency like infection or vascular occlusion, and know where to go to have it fixed if it does occur.

 

With that in mind, remember that the most expensive procedure you’ll ever get will be the one you have to get twice. So if you do something at home, and it’s horrible or dangerous, you will have to pay to get it dissolved or to go to the emergency room. Then you will have to pay to get it fixed if you still want the result.

 

If you are in the Denver, CO area and want to talk to a trained medical professional, come see us at Elite!

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