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Posts for tag: Restylane

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 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 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 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 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 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 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
November 26, 2016
Category: Services
Tags: Restylane  

A common concern for many people is dark circles under the eyes. Dark circles under the eyes make people look tired and old.

Why are there dark circles under the eyes?

Restylane before and afterThere are a number of reason why we see dark circles under the eyes. When we are born we have a fat pat directly under the eyes. As we age the fat pad moves downward into the upper cheek, leaving a hollowing under the eyes. This can create a shadow and lead to the appearance of a dark circle. In addition to volume loss, dark circles under the eyes can be a result of poor diet, lack of hydration, not enough sleep, allergies, or genetics.

How are dark circles treated?

If dark circles are caused by volume loss which occurs naturally as we age, it can be addressed by restoring the lost volume with a dermal filler. Dr. Alex recommends Restylane in this area because Restylane provides enhancement without drawing too much water in the skin (as in Juvederm) which can lead to a puffy appearance. While a puffy appearance may be desired in the lower face, puffiness under the eyes can be just as bad as, or worse than, dark circles themselves.

What is Restylane and what does it do?

Restylane before and afterRestylane is a dermal filler used to restore volume loss in the face. Similar to Juvederm, Voluma, and Volbella, Restylane is made of hyaluronic acid, a naturally occurring substance found in the skin that binds 1,000 times its weight in water. This also provides a high level of safety because hyaluronic acid can be dissolved in the case of an adverse effect, which is not the case with certain other fillers such as Radiesse, Sculptra, or Bellafill. Dr. Alex places Restylane directly on the bone under the eye. This brings all of the structures upward to the surface, restoring the lost volume and providing a youthful and refreshed appearance.

When do you see results with Restylane?

The great thing about Restylane is that the results are seen right away. With any injection there is a risk of swelling and this is frequently seen with Restylane. However most people enjoy the appearance of the swelling. It is important to understand that the final results are seen approximately two weeks later once all of the swelling has subsided.

How long does Restylane last?

Some fillers such as Voluma can last up to two years. However there is a lot of motion on the face around the areas of the eyes. For this reason the results of filler treatments in this area do not last as long. Most people enjoy the results of their Restylane treatment under the eyes for approximately six months. At that time a maintenance treatment is recommended.

What are the side effects of a Restylane treatment?

Restylane before and afterWith any injection there is a risk for pain, bleeding, bruising, swelling, redness, and infection. At A E Skin we take special precautions to minimize the risks of such adverse effects. For example we always apply complimentary numbing cream on the area before the treatment to maximize your comfort. We also provide complimentary laser bruise treatment as early as the next day. The area under the eyes contains many veins and has an increased risk for bruising compared to other areas. Bruising can last up to two weeks, but after a laser treatment, most bruises resolve within one to three days.

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.


Restylane Under Eye Injection Demonstration

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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
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.

By Dr. Alex Eshaghian, MD, PhD
April 17, 2016
Category: treatments
Tags: Juvederm   Voluma   Restylane   fillers   Sculptra   Radiesse  

HylenexFillers are used to restore volume to various parts of the face. Some fillers can be corrected. Filler correction is a service available at A E Skin in Encino, CA.

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring substance found in the skin that binds 1,000 times its weight in water. It is the active ingredient in many fillers such as Juvéderm, Restylane, Belotero, and Voluma. Some other fillers such as Radiesse, Sculptra, and Belafill contain different active ingredients.

Why do fillers need to be corrected?

Sometimes too much filler is injected in an area. Sometimes a lump is left from the filler not completely smoothened out. The most important is when the filler is injected into an artery. This is an emergency because it can lead to death of the skin (necrosis), scar formation, or even blindness, depending on where it is injected. Depending on the filler, this can be corrected.

How are fillers corrected?

Fillers are corrected by injecting a material called hyaluronidase, which breaks down hyaluronic acid, the active ingredient in many fillers.

Which fillers can be corrected?

The fillers that can be corrected are those made of hyaluronic acid. These are JuvédermRestylaneBelotero, and Voluma. The hyaluronidase breaks down the hyaluronic acid and corrects the filler. Since hyaluronidase only dissolves hyaluronic acid, fillers such as RadiesseSculptra, and Belafill cannot be corrected.

What fillers are the safest?

The safety level is higher with the hyaluronic acid fillers: JuvédermRestylaneBelotero, and Voluma. This is the reason why at A E Skin we exclusively use hyaluronic acid fillers. Dr. Alex has extensive training and experience in injectable and other cosmetic treatments. In Dr. Alex's experience of over 1,000 injectable treatments we have never had an emergency case and have only corrected one lump that was left over after a treatment.

At A E Skin patient safety is our number one priority which is why Dr. Alex does all of the treatments and why we use the safest fillers available. Contact us for a free consultation with Dr. Alex at our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
October 11, 2015
Category: Services
Tags: Juvederm   Voluma   Restylane  

filler for lips before and afterOn October 1, 2015 the FDA cleared the dermal filler Juvederm for augmentation of the lips for people over the age of 21.

What is Juvederm? What does Juvederm treat?

Juvederm is a dermal filler made by Allergan, the same company that makes Botox, Voluma, and Latisse, that has been used since 2006 for filling of age related volume loss in the lower face. The most common areas of treatment with Juvederm are the smile lines which extend from the sides of the nose to the corners of the mouth and the marionette lines which go from the corners of the mouth to the jawline. Juvederm is also used for the so called smokers lines, the vertical lines above and below the lips that are visible at rest for some people and become more pronouced when you purse your lips as in when kissing or sucking.

Juvederm before and after pictures


How else can I enhance my lips?

In addition to getting Juvederm treatments to increase the fullness of the lips, a small amount of Botox can be used above and below the lips to provide a subtle puckering of the lips.

When do you see results with Juvederm?

The great thing about Juvederm, and other dermal fillers such as Voluma and Restylane, is that results are seen right away. There is ofen some swelling that is due to the injection itself. The swelling typically subsides within one to two weeks and final results are seen at that time. Appllying cold compresses such as ice packs will minimize swelling.

How long does Juvederm last?

In the clinical trials for Juvederm to treat the lips over 78 % of patients were satisfied with the look and feel of their lips at one year after the treatment. Seventy-nine percent of the patients in the trial saw a "meaningful improvement" in the fullness of their lips three months after their treatment.

What is the difference between Juvederm and Botox?

Juvederm is a dermal filler used to treat age related volume loss. Botox is a purified protein used to treat wrinkles caused by facial expression. Both Juvederm and Botox treat wrinkles on the face, but different ones. Read this blog post to learn more about the difference between Juvederm and Botox.

What is the difference between Juvederm and Restylane?

Juvederm and Restylane are both dermal fillers that treat age related volume loss. Juvederm is more hydrophilic than Restylane. This means that it draws water into the area. This is good in the lower face. But in certain areas such as under the eyes it can look too puffy. So Restylane works better in these areas. Schedule a consultation with Dr. Alex to see what is best for you.

What is the difference between Juvederm and Voluma?

Juvederm and Voluma are also both dermal fillers that treat age related volume loss. Voluma is designed to go in the upper cheeks, restoring the loss of volume that occurs in this area naturally over time. Often times Voluma and Juvederm are used in combination.

Who should not receive Juvederm?

Juvederm treatment in the lips has not been studied in people younger than 21 years of age, women who are pregnant, women who are trying to get pregnant, or women who are breast feeding. You should not have a Juvederm treatment if you have previously had an adverse reaction with Juvederm or other hyaluronic acid filler such as Restylane or Voluma. It should not be used in people who have severe allergies or in patients allergic to Gram-positive bacterial proteins of lidocaine.

What are the side effects of Juvederm?

The most common side effects of a Juvederm treatment are temporary injection site redness, bruising, swelling, itching, pain, tenderness to the touch, firmness, lumps, and bumps. Applying cold compresses such as ice packs after the treatment will minimize these reactions. Also, Dr. Alex recommends gently massaging the area five minutes at a time, five times per day, for the first five days to smoothen out any lumps or bumps.


Juvederm Testimonial

Juvederm Frequently Asked Questions

Dermal Fillers

Dr. Alex has performed thousands of cosmetic treatments including Botox, Juvederm, Voluma, Restylane, and various laser treatments. Contact us for a free consultation with Dr. Alex.

By Dr. Alex Eshaghian, MD, PhD
October 04, 2015
Category: Services
Tags: Juvederm   Restylane  

RestylaneOne of the most common concerns we address is circles under the eyes. As with anything else, in order to address this concern we need to understand what is going on.

What causes under eye circles?

There are a number of things that can happen under the eyes. Hollowing under the eyes is common and is due due volume loss. The fat pads directly under the eyes slowly get smaller as we age. This leads to a shadow that appears under the eye which looks like dark circles.

How do you treat these under eye circles?

While many women try to correct this with makeup, it is often not effective. Instead you need to address the cause of the problem: loss of volume. Restylane is an outstanding filler that will help restore the volume under the eyes. A small amount is injected in the tear trough under the eyes right on the bone. This pushes the skin back up, restoring age-related volume loss.

What is the difference between Restylane and Juvederm?

Many people ask to have Juvederm injected here, as Juvederm is another dermal filler that is very popular. While Restylane and Juvederm are similar in that they are both dermal fillers, they both treat volume loss, and they are made of the same product (hyaluronic acid), they slightly differ in their chemistry. Because of the chemistry, Juvederm attracts more water to the area than Restylane. This is good in the smile lines because it provides a good amount of volume. However, under the eyes the results from Juvederm may lead to excess puffiness, which is not desirable in this area. Restylane, on the other hand, does not have this effect, making it perfect for the area.

What are other causes of under eye circles?

There are a number of other causes of under eye circles. Some people get darkening of the skin under the eyes. This can be due to genetics, allergies, or sun damage. While we cannot change our genes, we can address allergies with medications and trigger avoidance and we can address sun damage by using sunscreens, eye products like the Elta MD Renew Eye Gel, and brightening agents such as the A E Skin Brightening Cream and Triple Antioxidant Serum. Sometimes we see bags or bulges under the eyes, which are called festoons. In this case surgical repair is the best option. Some people get loose skin and wrinkles are seen under the eyes. This is do to sun damage over time which leads to collagen loss. To address this we need to use treatments such as Ultherapy to stimulate collagen. Sometimes the wrinkles become more pronouced with certain facial expressions such as smiling. These wrinkles are best addressed with Botox, which will relax the muscles.

How do I know what I need for my under eye circles?

With so many causes of dark circles under the eyes and so many different treatments, it can be confusing and everyone's skin is different. While one person my require Restylane, another may require Botox or even surgery. The best thing you can do is have a consultation with an expert to see what would be best for you. Dr. Alex has done thousands of cosmetic treatment with many satisfied patients. For a limited lime we are offerring over $100 off one syringe of RestylaneContact us for a free consultation with Dr. Alex.

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16311 Ventura Bl. Suite 845 Encino, CA 91436