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Injectables (Fillers, Botox, Fat Injection)

Fillers & Botox

Injectable fillers and Botox have become popular treatments for the management of early wrinkles. They are used by people who do not yet require surgery, but are noticing some early wrinkles that are beginning to cause concern. Occasionally, they are used in conjunction with surgery.

Injectable fillers are used to smoothen out wrinkles. The temporary fillers are generally based on hyaluronic acid, with newer fillers such as Juvederm lasting six to nine months.

Semi-permanent fillers such as ArteSense, which are based on a collagen derivative mixed with a fine dust of plastic, are also available. The injectables are used most frequently to make lips fuller and to smoothen lines or wrinkles in the cheeks, around the mouth and on the forehead.

Botox works by weakening muscles that cause wrinkles. These typically are the frown lines between the eyebrows, the forehead wrinkles and the crow's feet wrinkles beside the eyes. Sometimes Botox can also be used for wrinkles around the mouth and neck creases. The effect of Botox generally lasts about four months.

Dr. Neu does all the injectables himself to confirm a consistently high standard of administration.

The injections are performed in the office, and most do not require anesthesia. Patients may develop minor bruising, but usually are able to resume regular activities the following day.

Patient Examples

Click on any photo for larger version and more views of that patient.

Fat Injection

Fat injection is becoming increasingly popular to fill in defects of the face and other parts of the body. It is sometimes used to counteract the atrophy of facial aging, particularly around the eyelids. Fat is harvested through fine liposuction technique from one part of the body, is processed, and then injected back into other areas through the use of syringes and needles. The procedure is carried out in the operating room, under local or general anesthesia.

It is wonderful to have access to a substance that is entirely one’s own, and where there is no concern about the origin of the substance. One disadvantage of fat injection is that it can cause a considerable amount of swelling and bruising in the area of injection, particularly the face. For this reason, some patients may wish to take off two weeks after facial injections. Another disadvantage is that the "take" of the fat cells injected can vary from 40 to 80%. It is reasonable to expect the need for repeat injections, depending on the percentage of take of the fat cells.