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Botox
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Collagen
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Fat Injection
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Alloderm
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Cymetra
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Porex
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Gore-tex
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Cheek Implants
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Chin Implants
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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:
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Call for a complimentary consultation:
John F. Farella, MD., F.A.C.S
(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
http://www.drfarella.com
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