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Posts for: May, 2017

By Dr. Alex Eshaghian, MD, PhD
May 28, 2017
Category: Services
Tags: Juvederm   Voluma   Volbella   Vollure  

The Juvederm family of dermal fillers is one of the most popular group of products used for facial rejuvenation. The three newest members, Voluma, Volbella, and Vollure, provide the longest lasting results in their category.

What are dermal fillers used for?

Voluma before and afterDermal fillers are products such as Juvederm, Voluma, Volbella, Vollure, Restylane, Radiesse, Belotero, and Sculptra that are used to address wrinkles on the face associated with volume loss. These include areas such as the nasolabial folds or laugh lines which go from the sides of the nose to the corners of the mouth. Sometimes the nasolabial folds continue all the way to the jawline as what are called the marionette lines. Dermal fillers such as Volbella work well to address fine lines around the mouth. At the same time, dermal fillers such as Voluma are used to restore volume in the mid-face. This allows us to restore the youthful apple of the cheek, which cannot be done even with a face lift. Volbella can be used to fill in hollowing that is commonly seen under the eyes.

What are dermal fillers made of?

Most dermal fillers available in the United States use hyaluronic acid as the active ingredient. These include Juvederm, Voluma, Volbella, Vollure, Restylane, and BeloteroHyaluronic acid is a naturally occurring sugar found in the skin which binds 1,000 times its weight in water. This means that when placed in the skin, it draws water into the area to volumize the skin. This fills in wrinkles and restores volume loss in areas such as the upper cheeks, tear trough, and lips.

What are the members of the Juvederm family?

The Juvederm family of fillers is made by Allergan, the same company that makes Botox, Kybella, and Latisse. The original product was Juvederm Ultra and shortly thereafter Juvederm Ultra Plus was released, which is a slightly thicker product. In the last few years Allergan has release Voluma, Volbella, and Vollure. These new products are made using a novel technology called Vycross technology.

What is Vycross technology?

Vycross technology is what is used to make the newest members of the Juvederm family, Voluma, Volbella, and Vollure. The previous technology used to make Juvederm Ultra and Juvederm Ultra Plus was Hyalacross technology. With Vycross, different sizes of hyaluronic acid are used and the amount of cross linking between the molecules is higher. This allows the products to last longer.

What is the difference between Voluma, Volbella, and Vollure?

Voluma, Volbella, and Vollure are use the Vycross technology. The difference is the amount of hyaluronic acid they contain and consequently what they are used for. Voluma has the highest level of hyaluronic acid, making it a thick and robust product used to restore volume in the upper cheek and lift the lower face. Volbella, on the other hand, has the lowest level of hyaluronic acid. This makes it a softer product that is used for fine lines such as those around the lips. Vollure, the newest member of the Juvederm family, contains an intermediate amount of hyaluronic acid. Vollure is used to fill wrinkles such as the nasolabial fold and marionette lines. It can also be used for radial cheek folds which are parallel to the nasolabial folds seen in some people when they smile. Most people enjoy the results of their Voluma, Vollure, and Volbella treatments for two years, 18 months, and 12 months, respectively, with optimal correction. Depending on the individual, multiple products can be combined to provide a youthful and rested appearance.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.


By Dr. Alex Eshaghian, MD, PhD
May 21, 2017
Category: Products
Tags: Hydrating Serum   Alastin  

Wrinkles on the face are some of the most common concerns we use and Botox and fillers such as Juvederm, Voluma, Volbella, Vollure, Restylane, and Radiesse to address these concerns. Topical products such as the Alastin Restorative Skin Complex and the A E Skin Hydrating Serum enhance the results of these treatments.

What is Botox used for?

Botox is used to treat wrinkles associated with facial expression. Common areas of treatment with Botox include the horizontal lines on the upper forehead seen when we raise the brows, the vertical lines between the brows seen when we frown, and the crow’s feet around the eyes seen when we smile or squint. Botox works by relaxing the muscles that we use to make these expressions and smoothening the overlying wrinkles.

What are fillers used for?

Fillers such as JuvedermVolumaVolbellaVollureRestylane, and Radiesse are used to restore areas of volume loss in the face and off the face as well. Perhaps the most common area of treatment is the nasolabial fold, the wrinkle that goes from the sides of the nose to the corners of the mouth. Sometimes this wrinkle extends to the jawline as what are called the marionette lines. In these areas, as well as wrinkles directly around the mouth, the products serve to fill in the wrinkles. In the mid-face fillers such as Voluma can be used to restore volume loss that occurs with aging. This provides the apple of the cheek and pulls up on the lower face to address wrinkles, sagging, and jowls. Fillers such as Volbella can also be used to fill in hollows under the eyes and to plump the lips.

What is the Alastin Restorative Skin Complex?

Alastin Restorative Skin ComplexThe Alastin Restorative Skin Complex is a new topical product that is used for facial rejuvenation. When used with treatments such as Botox and fillers, the Alastin Restorative Skin Complex will enhance the results. It does this through its proprietary TriHex peptide technology, which stimulates the skin to form collagen and elastin. Collagen and elastin are two proteins in the skin that maintain the youthful appearance by providing structural support and keeping the skin tight. As we age the amounts of collagen and elastin in the skin decrease, leading to signs of aging such as fine lines and wrinkles. When the skin produces its own natural new, fresh, and healthy collagen and elastin the skin becomes tighter and the appearance of wrinkles and fine lines is improved. Additionally, the Alastin Restorative Skin Complex contains other ingredients to volumize the skin, effectively boosting the effects of fillers. The Alastin Restorative Skin Complex also contains potent antioxidants to protect the skin from further damage and to smoothen out the skin tone. When the Alastin Restorative Skin Complex is used, the results of treatments such as Botox and fillers (JuvedermVolumaVolbellaVollureRestylane, and Radiesse) are enhanced. This means better results are seen and patients enjoy their results for a longer period of time. For a limited time we are offering $50 off the Alastin Restorative Skin Complex with purchase of two syringes of fillers.

What is the A E Skin Hydrating Serum?

The A E Skin Hydrating Serum is one of our most popular products. It is like drinking a glass of water for the skin. The A E Skin Hydrating Serum contains hyaluronic acid, a naturally occurring sugar found in the skin that binds 1,000 times its weight in water. When applied topically to the skin the A E Skin Hydrating Serum draws the water into the skin providing hydration. This helps fill in fine lines on the surface of the skin. Hyaluronic acid is the same ingredient in many fillers such as JuvedermVolumaVolbellaVollure, and Restylane. When fillers are injected into the deep layers of the skin and the A E Skin Hydrating Serum is applied topically to the skin surface the effects of hydration are increased. This allows for an improvement in the wrinkles and for the results to last longer.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us for a free consultation with Dr. Alex in our Encino, CA office.


By Dr. Alex Eshaghian., MD, PhD
May 14, 2017
Category: Services
Tags: Volbella  

While cosmetic treatments are very popular with women, more and more men are interested in cosmetic enhancement as well. One of the newer treatments available is Volbella.

What is Volbella?

Volbella before and afterVolbella is a hyaluronic acid filler in the Juvederm family designed for subtle enhancement of the lips and areas around the lips. Volbella can provide subtle volume or address fine lines on or around the lips. Hyaluronic acid is a naturally occurring sugar found in the skin that binds 1,000 times its weight in water. This draws water into the area where it is injected to restore lost volume and fill in lines and wrinkles. Similar to Voluma and Vollure (the newest filler available in the Juvederm family) Volbella uses Vycross technology. This allows the product to last longer and most people enjoy the results of their Volbella treatment for a full year.

What happens to the lips as we age?

As we age there are structural changes in the bones above and below the lips. There is also volume loss in the lips themselves. This leads to the appearance of smaller lips, loss of the pout, and fine lines. Volbella is used to reverse these changes to provide a natural, yet youthful appearance to the lips.

Why do men need Volbella?

These changes occur in both men and women. Sometimes one lip is smaller than the other lip. In these cases, Volbella can be used to restore the balance. In the photograph seen here a single syringe of Volbella was used in the upper lip only. The amount of product in one syringe on Volbella is approximately one tenth of a teaspoon. This allowed for subtle enhancement of the volume of the upper lip, restoring a natural appearance.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.


By Dr. Alex Eshaghian, MD, PhD
May 07, 2017
Category: Services
Tags: Vollure  

Vollure is the newest dermal filler available at A E Skin and we are excited to announce that we are getting outstanding results.

What is Vollure?

VollureVollure is the newest member of the Juvederm family of fillers available in the United States. Vollure is a hyaluronic acid product the restores volume to areas of volume loss such as wrinkles. It has been used in Europe for several years under the name Volift. Similar to Voluma and Volbella, Vollure is made using Vycross technology. This means that different sizes of hyaluronic acid are used and it has a higher level of cross linking, which makes it last longer.

What does Vollure treat?

Vollure is designed to address moderate to severe wrinkles on the face. These include the laugh lines (also known as nasolabial folds) that go from the sides of the nose to the corners of the mouth. In some people the lines extend to the jawline as what are called the marionette lines. Additionally, Vollure can also address secondary wrinkles around these areas.

What is the difference between Juvederm, Voluma, Volbella, and Vollure?

There are now four members of the Juvederm family: Juvederm, Voluma, Volbella, and Vollure. Juvederm is the first product that has been available for many years now. The manufacturer (Allergan) developed the new Vycross technology to allow the product to last longer. The first product using Vycross technology that was released in the United States is Voluma. Subsequently Volbella was approved last year and Vollure more recently this year. The difference between the three products in the Juvederm family that are made using Vycross technology is the amount of hyaluronic acid in them. Voluma has the highest level of hyaluronic acid, allowing for volumization and a lift in the upper cheeks. Volbella has the lowest level of hyaluronic acid, making it a softer product suitable for the lips and fines lines around the lips. Vollure has an intermediate level of hyaluronic acid, making it ideal for laugh lines and marionette lines.

When will I see results with Vollure?

The great thing about Vollure is that the results are seen right away. There is some swelling that lasts up to two weeks after a Vollure treatment. Most people actually enjoy the swelling because it improves the appearance of wrinkles. Final results with Vollure are seen once the swelling subsides after approximately two weeks.

How long does Vollure last?

Most patients enjoy the results of their Vollure treatment for up to 18 months with optimum correction. Some people have touch up Vollure treatments to maintain desired results.

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring sugar found in the skin that binds 1,000 times its weight in water. When injected into the skin, hyaluronic acid will draw water into the area to fill wrinkles and folds.

Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us for a free consultation with Dr. Alex in our Encino, CA office.




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A E Skin

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