Skin Rejuvenation and Injectables
Since the introduction of BOTOX injections and Restylane to the cosmetic injectable market in 2002 and 2003, the options available to physicians have markedly grown. Today there are a number of soft tissue fillers available and now two separate muscle-paralyzing agents, BOTOX injections and Dysport.
Dr. Marin’s extensive experience with non-invasive procedures gives him the flexibility to make the best recommendations for our patients. In San Diego, demand for skin rejuvenation treatments such as BOTOX Cosmetic injections and dermal fillers continues to climb whether they are used to postpone or refine surgical intervention. They also serve as a great tool to maintain an ongoing relationship with patients.
“Injectables are really the icing on the cake because surgery does not do it all. Dermal fillers add the artistic completion of the picture for post surgical patients. Those who are not surgical candidates can still enjoy subtle, improvements to their appearance. Injectables give me the platform to meet patients anywhere along the continuum. I don’t want to have someone else start or finish my work for me.”
BOTOX and Dysport Injections
BOTOX and Dysport injections are not soft tissue fillers, but a purified botulism toxin that can act to selectively paralyze small muscles in the face to improve facial lines and wrinkles. These products can help to improve a patient’s appearance, soften “frown” lines and elevate drooping brows all in the course of a two minute treatment. BOTOX injections are by far the most common cosmetic procedure performed in the United States with over 2.5 million men and women undergoing BOTOX injections treatment last year alone.
Hyaluronic Acid Soft Tissue Fillers
Hyaluronic Acid (HA) fillers are comprised of a natural occurring substance in our body that exists beneath the skin. A number of different products are currently on the market that provide an “off the shelf” replacement for age related losses of facial volume – JUVÉDERM Ultra and JUVÉDERM Ultra Plus, Restylane and Perlane. Several of these products are great for plumping thin lips, softening smile lines, filling facial wrinkles or enhancing cheeks. These products have also had a local anesthetic lidocaine added to their mixture to help improve our skin rejuvenation patients’ experiences when receiving the products.
Radiesse (Calcium Hydroxylapatite)
Radiesse is a soft tissue dermal filler which provides a longer lasting result from the use of small calcium based microspheres that are suspended in a water based gel. These spheres stimulate the body to produce its own collagen and help restore lost facial volume recreating that desired “youthful fullness.”
Sculptra (Poly-L-Lactic Acid)
Sculptra is a soft tissue filler designed to enhance facial volume on a broader scale. It was initially designed to correct facial fat loss in patients taking HIV medication and has since been FDA approved for its cosmetic use. Sculptra does not cause an immediate correction, but stimulates your body to generate new collagen along the cheeks, smile lines, and jaw. Sculptra usually requires more than one treatment to achieve peak results, but the effects last from two to three years.
Artefill (Polymethylmethacrylate Microspheres – PMMA)
Artefill is the only FDA approved permanent soft tissue filler on the market today. It is comprised of tiny PMMA spheres in bovine (cow) collagen and contains the anesthetic lidocaine. When the product is placed at the right depth, the PMMA spheres stimulate the body to make and maintain new collagen in the smile lines, cheeks and chin. This has been scientifically show to last for at least five years. Because of the bovine collagen, a skin test is required to ensure that you wont have an allergic reaction to the collagen.
Off label Uses
Many of the treatment areas where dermal fillers and BOTOX injections are used are commonly in locations considered “off-label” by the FDA. This means that the FDA has approved the particular product for a very specific area, and any use outside of this is “off-label.” Physicians have the right to use any FDA approved drug in this manner as long as it is consistent with the original intent of the approval. This is how many of the most important discoveries in medicine have been achieved.
As an example, BOTOX injections are only approved to treat the frown muscles between the brows, but not on the forehead. Physicians have safely found it to be as, if not more effective, in many other areas of the face producing wonderful “off-label” results. It is likely that Dr. Marin may suggest an off-label use of the dermal fillers or BOTOX injections depending upon your particular needs.
It is for these reasons that all dermal fillers and BOTOX injections should be performed by a fully licensed and trained physician.
Skin Rejuvenation Consults
Contact our office to schedule a skin rejuvenation consultation with Dr. Marin.