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Posts for tag: Juvederm

By Dr. Alex Eshaghian, MD, PhD
September 21, 2018
Category: Skin Treatments
Tags: Juvederm   Aging Skin  

Liquid facelift before and afterThe aging process is a natural part of life, but you don’t have to accept the appearance of sagging skin thanks to the advanced treatments available at A E Skin in Encino, CA. The Juvederm family of products (Voluma, Vollure, and Volbella) is helping patients achieve smoother and younger looking skin. Discover the benefits of going to A E Skin for a Juvederm consultation. 

What Is Juvederm? 
As time goes by, the skin changes in appearance and fullness. The facial muscles move as you make certain expressions, like smiling, laughing, or frowning, causing deep lines to form. You lose volume and the skin begins to sag. Injecting the skin with the Juvederm family of products (Voluma, Vollure, and Volbella), which is composed of hyaluronic acid, will rejuvenate its appearance by giving it a plumper look and filling in some unwanted lines. This proprietary dermal filler is also used to add volume to aging hands and lips.

Juvederm Benefits
Juvederm is an FDA-approved skin solution that provides results without the need for an invasive plastic surgery procedure. These are some of the benefits of choosing this treatment to revitalize your skin:

- The appointment is quick and easy (about 15 minutes for the treatment).
- The formula includes a numbing agent to decrease the chance of discomfort during the procedure.
- You will enjoy your results for up to two years.
- This solution can make you look several years younger.

Juvederm: During and After the Appointment
Expect your entire visit to A E Skin in Encino, CA, including the pre-treatment, to take about an hour. After numbing cream is applied to your skin and left on for about 15 minutes, Dr. Alex will carefuly place the product into the cheeks and the middle of the face. The gel is very smooth and easily delivered beneath the skin. It’s normal to see minor swelling or irritation in the injection areas, but it should subside in under a week. Avoid doing anything strenuous, stay out of the sun, and avoid drinking alcohol after the appointment. Please contact us at your convenience should you have any complications or questions.

Set Up a Skin Consultation
After a short consultation, Dr. Alex will let you know if Juvederm is the right way to get the softer, younger looking skin you desire.

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

By Dr. Alex Eshaghian, MD, PhD
February 11, 2018
Category: Services
Tags: Juvederm   Botox   Voluma   Volbella   Vollure  

Liquid Facelift before and afterThe liquid facelift if one of our most popular treatments and we are getting amazing results. This treatment uses multiple liquid products such as Botox, Voluma, Vollure, Juvederm Ultra, and Volbella to improve wrinkles and restore lost volume to the face. As compared to a traditional surgical facelift, the liquid facelift does not involve anesthesia, surgery, or recovery. The liquid facelift treatment itself is customized for each person.

The patient whose picture is shown here saw significant improvement in her skin with the liquid facelift. This was complemented by using the A E Skin line of products. In this case 54 units of Botox, two syringes of Voluma, three syringes of Vollure, and two syringes of Volbella were used. This treatment provides over 10 years of youth. Those who have the liquid facelift treatment state that they have increased confidence and enjoy their interactions with others more.

Liquid Facelift Testimonial

Botox

Botox is used in the non-surgical facelift to address wrinkles associated with facial expression. Usually this is in the upper face. The most common areas treated with Botox are the horizontal lines seen on the upped forehead when a person raises the eyebrows, the vertical lines seen between the eyebrows when a person frowns, and the crow’s feet seen around the eyes when a person smiles or squints. Typically, 50-60 units of Botox are used in this area. Botox can also be used in the lower face to relax muscles that pull the face downward. This will provide a further lift.

Fillers

Fillers are used to restore lost volume in the skin. The Juvederm family of products is the most popular group of fillers in the United States for a number of reasons. First, the active ingredient in the Juvederm family is hyaluronic acid, a naturally occurring sugar found in the skin and elsewhere in the body. It binds 1,000 times its weight in water and draws water into the skin to fill the wrinkles and folds. It has a high safety margin because it can be dissolved in the case of undesired results or a rare adverse event. The Juvederm collection of fillers includes the Vycross family: VolumaVollure, and Volbella. These products use a new technology that allows patients to enjoy their results longer. It also provides very natural results.

Voluma

Voluma is usually used in the upper cheeks to restore the apple of the cheeks. This provides a youthful appearance to the face and pulls up on the lower face. It can help improve the appearance of jowls and provide a more defined jawline. Voluma is a firm product and provides a noticeable but natural lift that is seen immediately. Unlike a traditional surgical facelift where only the skin is tightened, when using products such as Voluma, volume is restored to the face. Most people start with one syringe of Voluma per side, a conservative amount. The results of the Voluma treatment are assessed approximately two weeks later and more product can be added at that time if further enhancement is desired.

Vollure

Vollure is the second filler used in the liquid facelift. Vollure is slightly softer than Voluma and is commonly used in the nasolabial folds (the lines that go from the sides of the nose to the corners of the mouth) and the marionette lines (the lines that go from the corners of the mouth to the jawline). Most people start with two to three syringes of Vollure in this area, a conservative amount. The results of a Vollure treatment are assessed approximately two weeks later and more product can be added at that time if further enhancement is desired.

Juvederm Ultra

Juvederm Ultra is the original Juvederm product that uses the previous Hylacross technology. Similar to Vollure, Juvederm Ultra is used in the nasolabial folds and marionette lines. The difference is that Juvederm Ultra contains a higher level of hyaluronic acid, which means it brings even more water into the skin. Juvederm Ultra is best suited for those who have deeper folds in this area. Most people start with two syringes (one per side) of Juvederm Ultra in this area, a conservative amount. The results of a Juvederm Ultra treatment are assessed approximately two weeks later and more Juvederm Ultra can be added at that time if further enhancement is desired.

Volbella

Volbella is the softest filler available in the Juvederm collection of fillers. It is ideal to address fines lines on or around the lips as well as shaping the lips. Volbella can also be used to restore lost volume to the tear trough area. This is the area directly below the eyes where hollowing is commonly seen as people mature. Most people start with two syringes of Volbella in either of these areas, a conservative amount. The results of a Volbella treatment are assessed approximately two weeks later and more product can be added at that time if further enhancement is desired.

The liquid facelift is an ideal treatment for anyone who desires a more youthful appearance to make them look as good as they feel. When these treatments are combined, patients really love their results.

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

By Dr. Alex Eshaghian, MD, PhD
December 10, 2017
Category: Services
Tags: Juvederm   Voluma   Volbella   Vollure  

Dermal filler before and afterDermal fillers such as Juvederm and Vollure are some of the most common products we use for facial enhancement. New products become available regularly. Here we discuss the difference between Juvederm and Vollure, as well as other dermal filler products.

What are dermal fillers?

Dermal fillers such as JuvedermVolumaVollure, and Volbella are products that are used to restore lost volume in the skin. They have been used for many years for the smile lines, also called the laugh lines, parentheses lines, or nasolabial folds, the wrinkles that go from the sides of the nose to the corners of the mouth. Sometimes these wrinkles continue all the way down to the jawline, what are called the marionette lines. Fillers are also used to restore the apple of the cheeks, fill in hollowing in the temples, provide volume to the lips, and enhance the chin. The can also be used off the face, most commonly to restore lost volume to the backs of the hands.

What are dermal fillers made of?

Dermal fillers can be made of many different substances. The most popular are those with hyaluronic acid as the active ingredient. These include JuvedermVolumaVollureVolbella, the Restylane family of products, Belotero, and Revanesse. Hyaluronic acid is a naturally occurring sugar found in the skin that binds 1,000 times its weight in water, allowing it to draw water into the skin to fill in wrinkles. The great things about hyaluronic acid is that is can be dissolved if the results are not as desired or if there is an adverse effect. No other product has this safety feature. Radiesse is another dermal filler whose active ingredient is calcium hydroxyappetite, which works well to restore bony structures such as the cheeks. Sculptra is made of poly-L-lactic acid. This does not volumize by itself; rather it stimulates the skin to form collagen. Bellafill is another dermal filler; it’s active ingredient is poly-methylmethacrlate. Bellafill lasts many years. There are also many other products available overseas but not in the United States. Unlike the hyaluronic acid products, RadiesseSculptra, and Bellafill are not reversible.

Why are VolumaVollure, and Volbella better than other fillers?

VolumaVollure, and Volbella have some distinct advantages over other fillers. First, they are all made of hyaluronic acid, meaning they are reversible, providing a high degree of safety. Second, unlike some of the other hyaluronic acid fillers, they contain lidocaine, which numbs the skin. Third, they provide patients with Brilliant Distinctions points. The Brilliant Distinctions program is a rewards program developed by Allergan, makes of BotoxJuvedermVolumaVollureVolbellaKybella, and Latisse, where patients receive points for each treatment which can be used toward discounts at subsequent treatments. The most unique feature of VolumaVollure, and Volbella is that they use a new technology called Vycross, in which the hyaluronic acid has special cross-linking. This is a fancy way of saying that patients enjoy their results longer than other products.

What is the difference between Juvederm and the other products in the Juvederm family?

Juvederm was the original dermal filler produced by Allergan, makes of BotoxJuvedermVolumaVollureVolbellaKybella, and LatisseJuvederm is made using an older technology called Hylacross. The new fillers VolumaVollure, and Volbella use the Vycross technology, which allows patients to enjoy their results for longer.

What is the difference between VolumaVollure, and Volbella?

We know that VolumaVollure, and Volbella all use the Vycross technology which allows patients to enjoy their results for longer. But what are the specific differences between these three products. All of these products are identical except for the amount of hyaluronic acid they contain. Voluma contains the highest concentration of hyaluronic acid in this group (20 mg/mL). Volbella contains the lowest amount of hyaluronic acid in this group (15 mg/mL). And Voluma contains an intermediate amount of hyaluronic acid (17.5 mg/mL). What this means is that they are used for different concerns. Since Voluma has the highest concentration of hyaluronic acid, it provides more lift and is ideal for restoring the apple of the cheeks, filling in temporal hollows, and enhancing a weak chin. Volbella has the lowest amount of hyaluronic acid and does not provide as much volume or puffiness, making it ideal for fine enhancement of the lips such as filling fines lines on or around the lips and defining the lips, as well as for placement in the tear troughs, the hollows which can appear under the eyes. Vollure is ideal for the smile lines and for volumizing the lips. The video shown here demonstrates a liquid facelift, where all three of these products are used in different areas in combination with Botox.

Liquid Facelift Demonstration

 

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

By Dr. Alex Eshaghian, MD, PhD
June 18, 2017
Category: Services
Tags: Juvederm   Voluma   Volbella   Vollure  

The Juvederm family of dermal fillers now includes a variety of products which provide natural results when combined.

What are dermal fillers?

Voluma and Vollure before and afterDermal fillers are products that are used to restore volume in the face. They help rejuvenate the face and provide a youthful and refreshed appearance. The dermal fillers available in the United States include the Juvederm family of products, the Restylane family of products, Radiesse, Sculptra, Belotero, and Bellafill. Juvederm, Restylane, and Belotero are made of hyaluronic acid, a naturally occurring sugar found in the skin that binds 1,000 times its weight in water. They work by drawing water into the skin to provide volume. They have a good safety profile because they can be dissolved if the product is inadvertently placed into a blood vessel.

What is the Juvederm family of dermal fillers?

The Juvederm family of dermal fillers are the most popular dermal fillers in the United States. They are made by Allergan, the same company that makes Botox, Latisse, Kybella, and Skin Medica products. We are happy to participate in the Allergan Brilliant Distinctions Program, a rewards program where patients receive points for receiving any of these treatments or purchasing these products. These points can be used for subsequent treatments. As mentioned above the Juvederm family of fillers are all composed of hyaluronic acid fillers, make them a safe and natural product to use. The original members of this family are Juvederm Ultra and Juvederm Ultra Plus. These use a proprietary cross-linking technology called Hyalacross. This is a fancy way of explaining the chemistry in the product. The three newest members of the family include Voluma, Vollure, and Volbella. These use a newer technology called Vycross, which allows them to last longer. Now Dr. Alex recommends these products as they provide longer lasting results and the results are very natural. The difference between Voluma, Vollure, and Volbella is the thickness of the products and what they are used for. Voluma has the highest level of hyaluronic acid, making it the firmest product in this group. Voluma is ideal for restoring lost volume in the upper cheeks and mid-face. Often times an immediate lift can be seen. Volbella, on the other hand, has the lowest amount of hyaluronic acid, making it the softest product in this family. Volbella is ideal for fine lines on and around the lips as well as shaping the borders of the lips. Volbella also works well for to restore lost volume under the eyes. Vollure has an intermediate level of hyaluronic acid. Vollure works well for the nasolabial folds or laugh lines, which go from the sides of the nose to the corners of the mouth, as well as the marionette lines, which are sometimes seen as the continuation of the nasolabial fold to the jawline. Vollure is also great for those wanting more fullness to the lips.

What are the results when the Juvederm products are combined?

When these products are used in combination beautiful results can be achieved. Typically, the results are subtle and natural, providing a rested or refreshed appearance. Dr. Alex recommends starting with a conservative amount of product, as more can always be added later. Conservative amounts usually start at two syringes, or one per side. In the photograph seen here, the patient received two syringes of Voluma (one per side) in the upper cheeks and two syringes of Vollure (one per side) in the nasolabial folds. The scar under her lip on the right side of the photograph was not treated. This patient enjoyed a natural result as seen by the lift in the mid face, improvement of the nasolabial folds, and the appearance of a heart-shaped lower face.

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

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
January 08, 2017
Category: Services
Tags: Juvederm   Botox   Voluma   Restylane   Kybella   Volbella   liquid facelift  

Liquid Facelift Demonstration

 

liquid facelift before and after

The liquid facelift is a treatment using a variety of products that rejuvenates your face without surgery. Now available at A E Skin, the treatment is customized for each person based on their condition and concerns.

What happens to the face as we age?

There are multiple changes we see in the face as we age. The bones that support the facial structure change in size and position. We lose the fat pads in various portions of the skin that provide us with a youthful look, leading to an older and tired look. We also stop producing as much collagen in the skin. Collagen is the protein that keeps the skin nice, tight, firm, and youthful in appearance. At the same time collagen is broken down by sun exposure, pollutants in the air, and oxidants that get into our body such as from the diet or from smoking. In a youthful face, the volume is in the upper face while the lower face is more thin, giving an inverted pyramid appearance. We also use our facial muscles to produce expressions; over time this can lead to wrinkles formation primarily in the upper face. With age the volume goes down, the face gets deflated and the skin sags. We see volume loss in the apples of the cheeks and under the eyes. Wrinkles appear in the lower face. The jawline definition disappears and jowls form.

What does a liquid facelift do?

A liquid facelift addresses these concerns to restore lost volume, decrease or eliminate the appearance of wrinkles, and provide an overall more youthful and rested appearance. A number of products can be used in this treatment and the specific treatment is tailored to each individual based on their concerns.

Botox

Botox is used primarily in the upper face to address wrinkles associated with facial expression. Common areas of treatment with Botox include the horizontal lines seen on the upper forehead when we raise the brows, the vertical lines (frown lines) seen between the brows when we frown, and the crow’s feet seen around the eyes when we smile or squint. Botox will relax the muscles and smoothen out the wrinkles. Botox can also be used in the lower face for a variety of purposes. Botox can be placed around the lips to provide a subtle pout, it can elevate the corners of the mouth, it can improve a bumpy appearance on the chin, it can help with jawline definition (Nefertiti lift), it can reduce the appearance of neck bands, and it can contour the lower face.

Voluma

Voluma is a dermal filler designed to restore volume to the upper cheeks. With a Voluma treatment you will get back the youthful apple of the cheek. Voluma also pulls the lower face upward, addressing wrinkles in the lower face and loss of jawline definition.

Restylane

Restylane before and afterRestylane is another dermal filler that works well in the tear trough area under the eyes. Restylane will restore the volume in this area to eliminate the tired appearance.

Juvederm

Juvederm is also a dermal filler which works best in the lower face. It can be used to treat what we call the naso-labial folds. These are the wrinkles that go from the sides of the nose to the corners of the mouth. In some people this wrinkle continues all the way down to the jawline, forming what is called marionette lines, which can also be treated with Juvederm. Juvederm can also be used to provide volume and fullness to the lips, another common concern.

Volbella

Volbella is a new filler in the Juvederm family designed for subtle enhancement of the lips. Volbella can fill in fine lines on or around the lips and help define the lip borders. Volbella can be combined with Juvederm in the lips for further enhancement.

Kybella

Kybella is the first and thus-far only FDA-approved non-surgical treatment for the double chin. Kybella dissolves the fat in this area and improves the appearance of the double chin and at the same time improves the definition of the jawline.

The liquid facelift can also be combined with other treatments for even more enhancement. For example, a fractional CO2 laser resurfacing treatment will address the color and texture of the skin. A good skin care regimen such as products from the A E Skin line will enhance the results of all of these treatments.

 

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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
December 15, 2016
Category: Skin Care
Tags: Juvederm  

Find out how this dermal filler could smooth and even out your skin.

Are you tired of looking in the mirror and only seeing wrinkles? It’s amazing how even the smallest wrinkle can affect your appearance juvedermand your self-esteem. This is where our Encino, CA dermatologist Dr. Alex Eshaghian comes in. Find out more about Juvederm and what it can do for you.

What is Juvederm?

Juvederm belongs to the hyaluronic acid dermal filler family. When these dermal fillers are injected into the skin it can target moderate to severe wrinkles and folds in the face. It is a particularly great option for someone looking to reduce the appearance of lines around the corners of their mouth.

This smooth hyaluronic acid gel is a sugar that is already naturally occurring in the body. When injected into the skin, hyaluronic acid naturally holds water to provide added volume to the area and to smooth out the skin.

Does getting Juvederm hurt?

When people hear injections they immediately worry that it will hurt. You’ll be happy to know that besides a slight pinch when they enter the skin, these needles are very small and produce minimal discomfort. If you are still worried about the discomfort we can also apply a topical numbing cream to the area beforehand.

When will results show up and how long will results last?

You may notice some swelling right after your injections but this should go away after a day. Once swelling goes down you should notice that your skin is visibly smoother.

Juvederm results are only temporary but if you are happy with your results and want to maintain them you can get follow-up injections about every 9 months to one year. During these follow-up treatments, smaller injections will be used in order to achieve the same results.

Don’t let fine lines and wrinkles dictate your appearance. Turn to the skin care experts at AE Skin in Encino, CA to get the smooth, beautiful complexion you want.

By Dr. Alex Eshaghian, MD, PhD
July 24, 2016
Category: treatment
Tags: Juvederm   Voluma   Restylane   Radiesse  

We all know about how dermal fillers such as Juvederm, Restylane, Radiesse, and Voluma are used to rejuvenate the face. But did you know that these dermal fillers can also be used to rejuvenate the hands?

Why do I need dermal fillers?

With age we lose volume in the skin. This is apparent on the face when the cheek fat pads get smaller, leading to a descent, giving the appearance of the smile lines or laugh lines (nasolabial foods), marionette lines, a square shaped face, jowls, and decreased definition along the jawline. Dermal fillers are used to restore this volume and provide a youthful appearance.

What other areas can be rejuvenated with dermal fillers?

Facial rejuvenation is very common because your face is the first thing people see when they look at you. But it the face is rejuvenated and other areas are not, there is a mismatch. For example, you meet someone and their face looks great. But when you shake her hand, the hand looks much older. This is a dead giveaway that treatments were done. Now rejuvenation is done on other areas. The backs of the hands is another area where we lose volume over time. This leads to visibility of veins and tendons. Dermal fillers such as JuvedermRestylaneRadiesse, and Voluma can be used to restore the volume in the hands and provide a youthful appearance there too.

What happens during a hand dermal filler treatment?

The dermal filler treatment is very straight forward. The areas are numbed with a cream for about 15 minutes, just like the face. A small needle is used to inject the material into the skin and it is easily massaged to smoothen it out right after.

What is a cannula?

Sometimes we use a cannula to inject dermal fillers. A cannula  is similar to a needle but it is longer and has a blunt tip instead of a sharp tip. This provides multiple advantages. There is only one injection site for improved comfort. A blunt tipped cannula will not pierce blood vessels. This is important because if the dermal filler gets into an artery there can be necrosis, or skin death, in the nearby area. Also the risk of bruising is decreased.

Is the dermal filler treament painful?

At A E Skin we apply complimentary numbing cream for about 15 minutes prior to your dermal filler treatment to maximize your comfort. Most people tolerate the dermal filler treatment very well.

How long does the dermal filler treatment take?

The dermal filler treatment usually takes less than 15 minutes.

How much dermal filler will I need for my hands?

The amount of dermal filler used for the hands is variable and depends on the amount of volume loss. The more volume loss, the more hollow the hands appear, and the more dermal filler will be required. Most people require anywhere from two to four syringes for both hands, but some people require even more. Dr. Alex recommends returning two weeks after your dermal filler treatment to assess your results and decide if you want more dermal filler.

When will I see results after a dermal filler treatment in the hand?

You will see the results right away after you dermal filler treatment in the hands.

How long do the results of dermal filler treatments in the hands last?

You will enjoy your results of you dermal filler treatment in the hands for about six months. This is less than the longevity of fillers in the face because we use our hands for numerous activities and the dermal filler gets metabolized more quickly.

What should I do after my dermal filler treatment?

After your dermal filler treatment avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours. Gently massage the areas for five minutes at a time, five times per day, for the first five days. This will help smooth out the dermal filler (but it doesn’t degrade it). You can apply a moisturizer on the skin to help massage the area.

How can I schedule an appointment?

Please contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.

Video Demonstration of Dermal Fillers for the Hands

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By Dr. Alex Eshaghian, MD, PhD
June 05, 2016
Category: treatments
Tags: Juvederm   Volbella  

Juvederm Volbella before and afterThis week Juvederm Volbella was approved by the FDA for treatment of volume loss in and around the lips. Juvederm Volbella was first approved in Europe in 2011. It is currently distributed in over 70 countries in Asia, South America, and North America (Canada) and it will be available soon in the United States.

What is Juvederm Volbella?

Juvederm Volbella is a filler used to add volume to the lips and fill in lines around the lips. These are often called smoker's lines, but can be seen in non-smokers as well. A number of factors lead to smoker's lines including, sun damage, genetics, and use of the lips for tasks such as smoking or sucking on straws.

What is the difference between Juvederm and Juvederm Volbella?

Juvederm has been approved and used for many years for the laugh lines, the wrinkles that go from the side of the nose to the corners of the mouth often seen when we smile. Sometimes thee lines continue all the way down to the jawline. Juvederm has not been tested in the United States for use in and around the lips. Now Juvederm Volbella has. Juvederm Volbella uses a proprietary Vycross technology developed by Allergan, makers of Botox, Voluma, Kybella, and Latisse.

What is Vycross?

Vycross is a technology which has to do with the chemistry of the hyaluronic acid in Juvederm Volbella (and also in Voluma) when the material is made. Different sizes of hyaluronic acid are used in Juvederm Volbella, this makes the material smoother. Also the particles are cross linked so that it lasts longer.

Is Juvederm Volbella safe?

The safety of Juvederm Volbella has been demonstrated in multiple studies. The most common side effects are the same as those with other fillers such as Juvederm, Restylane, Radiesse, and Voluma: swelling, bruising, redness, lumps, tenderness, redness, itching, and discoloration. Most of these resolve on their own within 30 days.

How long does Juvederm Volbella last?

In the Juvederm Volbella studies, two thirds of patients saw improvement in lip fullness and lines around the mouth at one year.

When will Juvederm Volbella be available?

Juvederm Volbella will be available in the United States in October 2016.

Contact us to schedule a free consultation with Dr. Alex.

By Dr. Alex Eshaghian, MD, PhD
May 08, 2016
Category: treatments
Tags: Juvederm   Botox   Voluma   Restylane   bruise  

under eye bruiseInjectable treatments such as Botox, Juvederm, Restylane, Radiesse, and Voluma are outstanding to address various signs of aging and for facial rejuvenation. For this reason they are some of the most common treatments we perform at our Encino, CA office at A E Skin. But any time you have such a treatment, there are risks such as bruising.

What causes bruising from Botox?

Treatments such as BotoxJuvedermRestylaneRadiesse, and Voluma (and now Kybella for the double chin) use needles to inject products into the skin. The skin contains a variety of different tissues including small blood vessels. If the needle passes through a blood vessel, the blood can come out of the vein or capillary and leak into the surrounding skin, leading to the appearance of a bruise.

How can I prevent getting a bruise after a Botox treatment?

Since the tiny blood vessels in the skin are microscopic, injectors cannot see them when performing BotoxJuvedermRestylaneRadiesse, or Voluma treatments. So unfortunately it is impossible to completely prevent bruising after these treatments. There are some things we can do to minimize the risk of bruising. We recommend stopping the use of blood thinners such as aspirin for a few days before and after your treatment. At A E Skin in Encino, CA we use cold air during our Botox treatments which serves two purposes: it increases your comfort and it decreases the risk of bruising. We also provide complimentary ice packs to all patients receiving BotoxJuvedermRestylaneRadiesse, and Voluma. Applying a cold compress such as an ice pack after these treatments will also decrease the risk of bruising.

How long does a bruise from a Botox injection last?

Bruises from injections with treatments including BotoxJuvedermRestylaneRadiesse, and Voluma can last up to two weeks, or sometimes longer. This depends on the size of the bruise and the individual. Small bruises will go away faster. Some people recover from bruises more quickly than others.

Can bruises be treated?

Yes, bruises can be treated with lasers. Dr. Alex has done thousands of laser treatments using lasers for bruising, dark spots, redness, leg veins, skin tightening, toenail fungus, and more. The treatment of a bruise is simple and takes less than one minute. The laser is applied to the bruise and a few pulses are all that is required. The light from the laser is absorbed by the blood, destroying the bruise. The treatment is comfortable and patients tolerate it very well. Usually the bruise is significantly better if not completely resolved in 24 hours. At A E Skin in Encino, CA, we treat all bruises for free; all you have to do is call us to let us know you are coming in for a treatment, no appointment necessary. This is one of the extra things we offer to make our patients enjoy their experience.

Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office. At A E Skin, we participate in the Allergan Brilliant Distinctions Program, where you get points for purchasing BotoxJuvederm, Voluma, Kybella, Latisse, and the SkinMedica TNS Essential Serum. You can use these points and get discounts on future purchases.



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A E Skin

818-835-1833
16311 Ventura Bl. Suite 845 Encino, CA 91436