Botox:
Some wrinkles are the result of overactive
muscles. A popular treatment for this is Botox. Botox (a controlled toxin) is
a paralyzing agent injected directly into the muscles to reduce muscle activity.
Common places to inject include the horizontal forehead furrows, vertical lines
between the eyebrows and "crow's feet" around the eyes. Botox is temporary (3-4
months). It is an office-based procedure that does not require anesthesia and
has little to no downtime.
Collagen:
Collagen is an injectable filler made from cow protein
and is used to fill or plump wrinkles or furrows. Popular places to inject include
the lines between the eyebrows, lines between the nose and lips (nasolabial folds),
lines to the side of the mouth, and lines around the lips. It is done as an in-office
procedure, and does not require anesthesia. Recovery is usually one day. Keep
in mind; collagen is temporary (3-4 months), therefore, repeated treatments are
needed. Also, a test dose is required for first time users to determine the possibility
of an allergic reaction.
Fat Injections:
Fat taken from your own body is used as a soft tissue
filler material. Since it is taken from your own body there is little possibility
of an allergic reaction. Fat is taken from areas such as your abdomen, buttocks,
or thighs using a small needle attached to a syringe. This is an in-office procedure,
where the fat is injected in multiple thin strands into the treatment area. It
is the belief that autologous fat injections may be long lasting or even permanent.
Keep in mind; your body will absorb some of the fat and therefore repeated injections
of stored fat may be needed for optimal results.
Alloderm: Alloderm is a soft tissue filler made from cadaver dermis.
It comes in a sheet and is soaked in a salt -water solution prior to insertion.
It can be used to enlarge lips, fill lines between the nose and lips, and in areas
where soft tissue augmentation is needed. It is hard to predict the longevity
of this product, however, it seems to have a long-lasting result. Unfortunately,
there are some patients that absorb this material sooner than expected. The product
is processed in such a way that infections from the donor or patient rejection
are not a concern. Alloderm acts as a structural framework for the body and becomes
an integral part of human soft tissue starting at two to three weeks.
Cymetra: Cymetra is an injectable, soft
tissue filler that consists of micronized Alloderm. Popular places to inject include
the lines between the eyebrows, lines between the nose and lips (nasolabial folds),
lines to the side of the mouth, and lines around the lips. As with Alloderm, this
filler may have long-lasting results if used correctly. Unfortunately, multiple
treatments are needed to obtain a long-lasting augmentation. As with Alloderm,
some patients metabolize or absorb the Cymetra sooner than expected. Cymetra injections
can be performed in the office simply with manufactured syringe preparations.
Dr. Farella has used it by itself and in conjunction with sheet Alloderm.
Porex:
Porex
is a non-absorbable, permanent facial implant made by Med Pore. The material is
made of Porous Polyethylene. It is fabricated in various shapes and sizes. It
is used in cheek augmentation, chin augmentation, and nasal re-profiling. Its
main advantage is tissue adherence and lack of implant movement. Dr. Farella has
used Porex successfully to augment the ethnic nose.
Gore-tex:
Gore-tex is a non-absorbable,
permanent, soft tissue implant that is used in cheek, chin, lip, and nasoabial(nose-lip
line) augmentation. It can be purchased in various shapes and sizes. This material
is soft and flexible. The multi-strand Gore-tex product has been used successfully
in nasolabial augmentation (with the benefit of not being able to feel the implant).
Cheek Implants or Malar Augmentation give patients fuller cheekbones
by creating a more sculpted look. They may also reduce the depth of nasal-labial
folds. Cheek implants come in different sizes and are inserted through an incision
in the mouth or below the lower eyelids. This procedure can be done in conjunction
with a face lift or eyelid surgery. It is done as an out-patient under anesthesia.
Within the first week sutures are removed. Swelling will diminish with time. Keep
in mind, the final results are not apparent until months later. Patients need
to be patient while the swelling diminishes.
Ideal
Candidates:
Chin Augmentation or Mentoplasty creates a balance between the chin
and other facial features giving the face better harmony. Chin augmentation may
be done in conjunction with Rhinoplasty. The implant may be inserted one of two
ways. One method is through the mouth. Another method goes through an incision
on the underside of the chin, inserting the implant between the bone and chin
tissue. That method leaves a faint scar that is barely visible. Usually a liquid
diet is adhered to a couple of days following surgery. Non-strenuous activities,
work/school may be resumed within one week. After surgery you will have a more
balanced profile and pleasing facial contour.
Ideal
Candidates:
| Call for a complimentary
consultation: (914) 241-7111
Lexington Avenue Suite 104 - Mount Kisco, NY 10549
(914) 997-9090
311 North Street Suite 408 - White Plains, NY 10605
(718) 548-5200
3333 Henry Hudson Parkway Suite 1-A - Riverdale, NY 10463
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