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Botox & Fillers FAQs

Juvederm Injectible Gel – Frequently Asked Questions

1. What is Juvederm? Juvederm is an injectable filler for facial folds, lip augmentation, and wrinkles that is made up of hyaluronic acid. It instantly restores your skin’s volume and smoothes away facial wrinkles and folds like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).

2. What is hyaluronic acid? Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.

3. Why does Dr. Lopez use Juvederm instead of Restylane? Restylane is a great filler. However, Dr. Lopez has found that Juvederm is a little longer lasting and in his practice the risk of palpable areas has been less with Juvederm. Juvederm is also the only hyaluronic acid (HA) filler FDA approved to last up to 1 year.

4. What is Juvederm used for? Dr. Lopez uses Juvederm to fill areas of the face that have thinner skin such as the lips and the lower eyelids.

5. Can Juvederm work for me? You should not use Juvederm if you are allergic to any ingredient of Juvederm. You should also not choose Juvederm if you desire very short-term results.

5. How does Juvederm work? Once injected, Juvederm immediately adds fullness to your face giving you a visible result at the first treatment session.

6. Do injections of Juvederm hurt? As with any injection, injections with Juvederm may hurt. Juvederm is injected in small amounts using a very fine needle. Dr. Lopez uses advanced techniques to minimize the discomfort.

7. Does the correction last forever? No. Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.

8. Are skin tests needed before treatment with Juvederm? No skin testing is required prior to use.

9. Can people with different skin tones/colors be treated with JUVÉDERM™? Yes. Juvederm injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with Juvederm showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.

10. Should I tell Dr. Lopez what medications I am taking? Yes. You should tell Dr. Lopez about all the medicines you are taking, even over the counter medicines or treatments. If you are taking blood thinners or medications that may interfere with clotting of the blood, such as aspirin, you might be more likely to have bruising or bleeding at the injection site. There have been no studies of possible interactions between Juvederm and drugs or other substances or implants.

11.What can I expect to happen at a treatment session?

Dr. Lopez will answer all of your questions and prepare you for the treatment.
The area where the injections will be given will be cleaned with an antiseptic.
Juvederm will be injected in small amounts into the skin using a very fine needle.
An ice pack may be applied to the treatment area before or after treatment to help reduce swelling.

12. What are possible side effects of treatment with Juvederm? The most common side effects are redness, bruising, or swelling. These side effects generally last for a short time and are mild in nature. As with all procedures that involve an injection through the skin, there is a risk of infection.

13. How quickly can I get back to my daily activities? Most patients feel comfortable going back to their normal activities immediately after treatment with Juvederm.

14. How many treatments are required? Generally, significant changes may be achieved in a first treatment. An enhancement procedure may be required to achieve optimal results.

15. What to expect after your Juvederm treatment. Dr. Lopez will inject the optimal amount of Juvederm during your treatment. You will then have your maximal amount of swelling 48-72 hours after your treatment after which your final result will take shape. In Dr. Lopez’s experience, Juvederm lasts about 9 to 12 months.
Radiesse – Frequently Asked Questions

1. What is Radiesse? Radiesse is an injectable filler for facial folds and wrinkles that is made up of calcium hydroxylapatite.

2. What is Radiesse used for? Dr. Lopez uses Radiesse to fill moderate to severe facial wrinkles and folds in the areas of the face that have thicker skin such as the nasolabial folds– the creases that extend from the corner of your nose to the corner of your mouth.

3. Can Radiesse work for me? You should not use Radiesse if you are allergic to any ingredient of Radiesse. You should also not choose Radiesse if you desire only short-term results.

4. How does Radiesse work? Once injected, Radiesse immediately adds fullness to your face giving you a visible result at the first treatment session. Radiesse contains microspheres made of a natural material called calcium hydroxylapatite in a water based gel carrier.

5. Do injections of Radiesse hurt? As with any injection, injections with Radiesse may hurt. Radiesse is injected in small amounts using a very fine needle. Dr. Lopez uses advanced techniques to minimize the discomfort.

6. Are skin tests needed before treatment with Radiesse? No skin testing is required prior to use.

7. Should I tell Dr. Lopez what medications I am taking? Yes. You should tell Dr. Lopez about all the medicines you are taking, even over the counter medicines or treatments. If you are taking blood thinners or medications that may interfere with clotting of the blood, such as aspirin, you might be more likely to have bruising or bleeding at the injection site. There have been no studies of possible interactions between Radiesse and drugs or other substances or implants.

8. What can I expect to happen at a treatment session?

Dr. Lopez will answer all of your questions and prepare you for the treatment.
The area where the injections will be given will be cleaned with an antiseptic.
Radiesse will be injected in small amounts into the skin using a very fine needle.
An ice pack may be applied to the treatment area before or after treatment to help reduce swelling.

9. What are possible side effects of treatment with Radiesse? The most common side effects are redness, bruising, or swelling. These side effects generally last for a short time and are mild in nature. As with all procedures that involve an injection through the skin, there is a risk of infection.

10. What can I expect after treatment? Immediately following a treatment session with Radiesse redness, bruising or swelling may occur in the treatment area. These signs usually go away in a short period and are generally mild in nature. An ice pack may be applied to the treatment area to help reduce swelling.

For approximately 24 hours after treatment:

Avoid significant movement or massage of the treated area.
Do not apply makeup.
Avoid extensive sun or heat exposure.

After you leave the office, you may experience redness, bruising or swelling for a few days. Not all patients experience these, but please note that such effects can occur and are not out of the ordinary for such a treatment.

You may be able to feel the area where Radiesse was injected for some period after injection. Over time, the injected area will feel more and more like your own tissue.

11. How quickly can I get back to my daily activities? Most patients feel comfortable going back to their normal activities immediately after treatment with Radiesse.

12. How many treatments are required? Generally, significant changes may be achieved in a first treatment. An enhancement procedure may be required to achieve optimal results.

13. What other things do I need to know? The Microspheres in Radiesse can be seen in X-rays and CT Scans. It is very important that you inform your doctor and other health care professionals that you have Radiesse injected in your face. Even though Radiesse can be seen in X-Rays and CT Scans, there is not a high risk that it would cause your doctor concern, as long as s/he knows that you have had Radiesse injected in your face.

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