Se habla Español
NEW 16311 Ventura Bl. Suite 845 
Encino, CA 91436 
 

AE Skin Facebook  AE Skin Twitter  AE Skin YouTube  Instagram  Our Dermatologist Blog  AE Skin Google Plus  AE Skin Yelp  Real Self

Posts for tag: Voluma

By Dr. Alex Eshaghian, MD, PhD
July 22, 2018
Category: Services
Tags: Voluma   temple  

Voluma temples demonstrationHollowing of the temples is a common concern. Fortunately, we are easily able to treat it with Voluma.

Why do people get hollow temples?

At birth, we have many fat pads in the face that provide volume, giving the face a youthful appearance. Over time these fat pads get smaller and sometimes move. The fat pads in the temples slowly get smaller, while those in the cheeks also move downward. Other factors contributing to these changes include weight loss and genetics.

What is Voluma?

Voluma is a dermal filler that is used to restore lost volume in various areas in the face. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the skin that draws water into the area to restore lost volume. Voluma is in the Juvederm family of fillers and provides a high degree of volumization, making it perfect for areas such as the temples as well as the cheeks, nose, chin, and jawline.

How does Voluma fill hollow temples?

Voluma is placed deep on the bone over the temple usually with just a single, slow injection. The Voluma treatment is very easy and takes only a few minutes. We apply numbing cream for about 15 minutes before the Voluma treatment to maximize your comfort. We also place a vibrator distractor near the area to provide further comfort during the Voluma treatment. Take a look at a demonstration of a Voluma treatment in the video below. The results after a Voluma treatment in the temples can be seen right away and most people enjoy their results from Voluma for one to two years. Dr. Alex usually starts with one syringe of Voluma per side and the results are assessed approximately two weeks later. At that point more Voluma can be used if further enhancement is desired.

Voluma for Hollow Temples Treatment Demonstration

Join our mailing list

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
May 20, 2018
Category: Events
Tags: Voluma   Volbella   Vollure  

Dr. Alex at the Allergan Medical Illumination TourOn Friday May 18, 2018 Dr. Alex attended the Allergan Medical Illumination Tour at the Westin hotel in Pasadena, CA. This is an event held in numerous cities nation wide to teach doctors about the newest technology and techniques in the use of dermal fillers for facial rejuvenation. The speakers with plastic surgeon Dr. Arthur Swift of Montreal, Canada and oculoplastic surgeon Dr. Steve Fagien of Boca Raton, FL.

What are dermal fillers?

Dermal fillers are injectable products used to restore volume in the face. Botox and dermal fillers are two of the most commonly used products for facial rejuvenation. Dermal fillers can be used to fill lines and folds such as the laugh lines (or nasolabial folds), improve hollowing under the eyes, restore the youthful apple of the cheeks, straighten a nose with a hump, enhance a weak chin, rejuvenate the jawline, and restore volume in the temples.

The products covered in the Allergan Medical Illumination tour were the fillers in the Juvederm collection. These include Juvederm Ultra and Juvederm Ultra Plus, the first ones available, as well as the newer products Voluma, Vollure, and Volbella. All of these products use a sugar found naturally in the skin called hyaluronic acid as the active ingredient. This brings water into the skin to restore volume and fill in wrinkles and folds. The newer products (VolumaVollure, and Volbella) use a new technology which allows you to enjoy your results longer than Juvederm Ultra and Juvederm Ultra Plus. These products are also softer, which allows them to move when you make facial expressions, providing a natural appearance.

What are the new techniques for using VolumaVollure, and Volbella?

The theme of the talk was light and shadows. These are two important things to understand when thinking about beauty. Makeup artists think about light and shadow all the time. The reflection of the light to highlight certain areas of the face is very important for beauty. At the same time, shadows formed on the skin provide a three-dimensional appearance of a contoured face. Using these ideas, the products are placed strategically in certain areas to maximize the effects of light and shadows. This allows for outstanding results without the requirement for a large amount of product. For example, certain points on the cheek should have maximum projection and more product is place there. Additionally, understanding anatomy allows injectors to place the products at the appropriate depth for safety as well as ideal results.

Dr. Alex attends numerous educational events to learn about the newest advances in the field of cosmetic medicine. He uses this knowledge to provide the best care for his patients in order to exceed their expectations. Dr. Alex also educates patients by writing a weekly blog and answering thousands of questions on Real Self. He also wrote a book, Everything You Ever Wanted to Know about Botox.

Join our mailing list

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.

Join our mailing list

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

 

Join our mailing list

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
November 26, 2017
Category: Services
Tags: Botox   Skin Tightening   IPL   Voluma   Kybella   leg vein   toenail fungus  

While the face is the most common area of concern for cosmetic treatments, treatments for other areas on the body are becoming more and more popular. Here we discuss a number of options for treatments from the neck down.

Treatments for the neck

laser skin tightening before and afterCommon concerns in the neck area include loose skin, fullness or a double chin, and loss of jawline definition. Over time and with sun exposure, collagen in the skin on the neck and on other areas is degraded. This leads to the appearance of loose skin and wrinkles. One of the most popular treatments is laser skin tightening. This is a no down time treatment that takes about 15 minutes. A series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. The double chin, also known as submental fullness, is very common and caused by age, weight gain, and genetics. We are now able to treat the double chin with Kybella, the first and thus-far only FDA-approved, non-surgical, injectable treatment for submental fullness. The active ingredient in Kybella is a salt used to digest the dietary fat. When injected into this area, Kybella will dissolve the fat and it is naturally eliminated by the body slowly over time. A series of two to six Kybella treatments is recommended and treatments are performed every three months. Unlike other treatments, maintenance treatments are not required with Kybella. Both laser skin tightening and Kybella will also help to define the jawline. To further enhance the jawline, Botox can be used just under the jawline to relax the muscle that pulls this area down in a treatment called the Nefertiti neck lift. This leads to an elevation of the lower face, improves the appearance of jowls, and provides improved definition of the jawline.

Treatments for the Chest

IPL before and after chestThe most common concerns on the chest are wrinkles and uneven color, whether it is dark spots or redness. The Forever Young BBL IPL photofacial can be performed on any area on the skin including the chest. The Forever Young BBL IPL photofacial will even out the color on the skin, providing improvements in dark spots and redness. A series off six Forever Young BBL IPL photofacial treatments performed every six weeks is recommended followed by one maintenance treatment every three months thereafter. The fractional CO2 laser resurfacing treatment can be performed on the chest, which will significantly tighten the skin and reduce wrinkles in a single treatment. For this treatment, be prepared for up to four weeks of recovery which includes redness and swelling.

Treatments for the Hands

Juvederm hands before and afterOver time changes on the skin of the backs of the hands are seen. Sun exposure leads to age spots and loose skin. At the same time volume is lost and veins and tendons in the area become more and more apparent. The hand rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with Voluma. The Forever Young BBL IPL photofacial treatment will address age spots while Voluma will restore lost volume to the area. The fractional CO2 laser resurfacing treatment can also be performed on the area to further improve uneven color as well as tighten loose skin on the area.

Treatments for the Belly

One of the most common concerns in the belly is the appearance of loose skin. This frequently occurs with weight gain and loss and is common in women who have had babies. Laser skin tightening works by heating the skin on the area. This tightens the skin by stimulating it to form its own natural, new, fresh, and healthy collagen. An initial series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. Laser skin tightening treatments take 15 to 20 minutes, are pain-free, and have no down time.

Treatments for the Legs

The appearance of veins on the legs can be a major nuisance to women who enjoy wearing shorts, skirts, and dresses. Fortunately, they can usually be treated non-surgically with laser leg vein treatments. Anywhere from one to three laser leg vein treatments is required and treatments are spaced out every two to three months. While the laser leg vein treatment completely treats the vein, often times new veins appear in nearby areas. This is because those people who tend to form veins in the legs frequently form new ones slowly over time. New veins can be treated as well as they appear.

Treatments for the Toes

Toenail fungus is very common and can be very disfiguring. Lasers can be used to kill the fungus and significantly improve the appearance of the toes. This works best in mild cases. In moderate and particularly severe cases, sometimes the appearance may not go completely back to baseline. However, significant improvement can be seen. A series of three monthly laser toenail fungus treatments is performed and the results are seen very slowly over time. It can take one to two years to see full results.

Join our mailing list

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
July 23, 2017
Category: Services
Tags: Voluma   Chin Augmentation  

The chin is a feature of the face that provides symmetry and balance to the rest of the face. A weak chin can affect the appearance of the entire face. Now we can augment a weak chin using hyaluronic acid dermal fillers such as Voluma. This is an outstanding option for those desiring enhancement of the chin without surgery.

What is a weak chin?

Voluma Chin Augmentation before and afterA weak chin is very common and has a decreased forward projection. It is commonly seen in combination with a poorly defined jawline. With age, we lose the volume and projection in the tip of the chin. At the same time, due to loss of collagen and gravity the lower face descends which decreases the jawline definition. This is jowls which appear on the jawline on either side of the chin. Also, fat accumulates under the chin over time forming a double chin, which further reduces the definition of the jawline. Treatment of a weak chin can be complimented by treating the double chin with Kybella.

What is involved in a chin augmentation treatment?

The treatment uses Voluma, which has several properties that make it the ideal dermal filler of choice for this area. Since the bony support structures in this area of the face are being enhanced a firm product such as Voluma is required. Voluma will provide the forward projection desired with a low amount of product. Since Voluma is a hyaluronic acid dermal filler it can be dissolved if the desired results are not achieved. It can also be dissolved in the rare event of an adverse effect.

What will the results of a chin augmentation look like?

Voluma can provide a natural appearance without looking like work was done. The ideal candidate is a person in overall good health who desires more of a projection of the chin and/or an improvement in his/her jawline definition and does not want to undergo surgery. Depending on the individual Dr. Alex will individualize the treatment to provide a pointy or square appearance with a fullness and projection to provide a harmonious balance with the other facial features.

What happens during the chin augmentation treatment?

The treatment itself takes only a few minutes and results are seen instantly. Patients resume their normal activities right away without looking like a treatment was performed. Most patients enjoy their results for one to two years depending on the individual and the amount of product used. In our office, we apply complimentary topical numbing and use a vibrating distractor which is placed on the skin called the Beauty bar to maximize our patients’ comfort.

What are the side effects of a chin augmentation treatment?

Side effects are rare for a chin augmentation treatment. The most common side effects are swelling and bruising, which usually resolve in two weeks. Although most people enjoy the swollen appearance, it can be decreased by applying cold compresses such as ice packs to the area. We treat bruises with a laser as early as the next day, which makes the bruise resolve usually in one to three days; however, it could still last a full two weeks. With any injection, there are other risks including, but not limited to, pain, bleeding, redness, tenderness, and infection.

What should I do after a chin augmentation treatment?

After a chin augmentation treatment Dr. Alex recommends that patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours. After that patients may return to their normal activities.

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
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
March 05, 2017
Category: About Your Skin
Tags: Botox   Voluma   Kybella   jawline   Fractional CO2 laser  

face pictureOne of the most common concerns people have is a loss of their jawline definition. Instead of being sharp and defined, over time the jawline can become softer or even invisible. We now have a number of treatment options to help improve jawline definition.

What causes loss of jawline definition?

The jawline is seen be the protrusion of the jaw bone, or mandible. Over time there are many changes that affect the appearance of the jawline. These occur from both above and below the jawline.

Above the jawline, the fat pads in the mid-face get smaller. At the same time the bony structure of the face changes; the cheekbones move downward and inward. These fat pads and bony structures normally hold up the face and, as a result, the face moves downward. Over time we also naturally lose collagen, the protein in the skin that keeps it firm, tight, and youthful in appearance. As collagen is lost the skin becomes loose and saggy and with gravity the skin of the mid-face and lower face goes down. All of these changes make the jawline less defined.

Below the jawline other changes occur. One is the increase of submental fat. This is the fat under the chin commonly called the double chin. A double chin can be due to age, weight gain, or genetics and is very common. When this gets larger the protrusion of the jaw bone is not as evident and we lose the definition of the jawline. Simultaneously the muscle in the neck just under the skin called the platysma becomes stronger with more use over time. This muscle pulls down on the lower face and when contracted it can also distort the jawline.

How can jawline definition be treated?

To improve your jawline definition all of these factors can be addressed. First it is important to apply sunscreen daily to minimize the effects of sun damage. The sun destroys the collagen in the skin, causing looseness and sagging of the skin.

Voluma

Voluma is a filler used in the mid-face to restore lost volume. By placing fillers such as Voluma high on the cheek bone, the entire lower face becomes lifted, improving the visibility of the jawline. It also restores the youthful apple of the cheek that is naturally lost over time. By pulling up on the face Voluma also addresses other concerns such as laugh lines (nasolabial folds) and marionette lines.

Fractional CO2 Laser Resurfacing

Fractional CO2 laser resurfacing stimulates your body to naturally produce new, fresh, and healthy collagen. Doing this will tighten the skin, providing a youthful appearance while pulling up on the jawline. Fractional CO2 laser resurfacing has other benefits including treating fine lines, wrinkles, discolorations, and acne scars. Fractional CO2 laser resurfacing can also be used to treat surgical scars and stretch marks. Results are seen slowly with this treatment so patience is important.

Kybella

Kybella is the first and thus-far only FDA-approved non-surgical injectable treatment for the double chin. The active ingredient in Kybella is a naturally occurring substance produced in the body. When injected into the double chin Kybella will dissolve the fat and it is eliminated naturally by your body over time. A series of Kybella treatments is required over several months. Unlike other treatments such as Botox and fillers, with Kybella maintenance treatments are not required. When the fat in the double chin is removed, the jawline appears more visible and defined.

Botox

Botox is a purified protein used to address muscles associated with facial expression. In the neck, Botox can be placed in the platysma muscle, a thin muscle just beneath the skin that pulls the lower face downward. When it becomes very strong sometimes vertical neck can be seen. Botox can be placed in this area to relax the muscle, softening the bands and preventing the muscle from pulling down on the lower face. When this happens the lower face and mid-face are lifted thus improving the jawline definition.

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

 

Join our mailing list

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.



Contact Us

A E Skin

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