Neuromodulators: BOTOX® Cosmetic and Xeomin

Bye-bye wrinkles!

Learn More about BOTOX® Cosmetic

Botox contains tiny amounts of a highly purified botulinum toxin protein refined from the bacterium, Clostridium botulinum.

Botox targets one of the underlying causes of frown lines and crow’s feet, which is the repeated muscle contractions from frowning and squinting over the years. We inject these muscles with Botox to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.

Wrinkles result from a combination of many factors. It’s not just about cellular changes that can occur over time, reduction of collagen or damage caused by free radicals in the sun and the environment. When you frown or concentrate, the muscles between your brows contract, causing your skin to furrow and fold. And when you squint, the muscles around your eyes contract and cause crow’s feet. Botox works beneath the skin’s surface and targets the underlying muscle activity that causes frown lines and crow’s feet. It is a safe, non-surgical treatment. You’ll look like yourself, only with less noticeable frown lines and crow’s feet.

Botox and Xeomin treatments are technique-sensitive. You should not lose the ability to show expression when you are treated by a specialist who is licensed, trained and a medical expert in facial anatomy and cosmetic surgery. Real, noticeable results may be visible within 48 to 72 hours for moderate to severe frown lines, with visible results lasting up to 3 months. Botox can also be use to arch or flare the brows and open up the eyes. Results vary.

Actual patients: Before and After

Alternative to Botox : XEOMIN®

Xeomin, incobotulinumtoxinA, is an FDA approved prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults. Frown lines form when facial expressions are made as the muscle under the skin contracts. Over time, as your skin ages, these repeated expressions cause lasting frown lines.

Xeomin had already been FDA approved for use in adults with cervical dystonia (abnormal neck movements and pain) and blepharospasm (abnormal, involuntary spasm or blinking of the eyelids).

Neurotoxins like Xeomin and Botox Cosmetic are prescription medications that block the release of chemicals that cause these muscle contractions, so frown lines are softened. Xeomin differs from Botox in that it is “naked”, meaning that there are no protein additives. It is thought that the lack of additives may lessen a patient’s likelihood of developing antibodies to Xeomin.


BOTOX® for Hyperhydrosis (Excessive Sweating) Perspiration Treatment

Primary axillary hyperhidrosis, or severe underarm sweating, is a medical condition that involves hyperactive sweat glands. Sweat is your body’s temperature regulator. In severe primary axillary hyperhidrosis, sweating significantly exceeds the body’s normal requirements. Botox is FDA-approved for severe underarm sweating that is not adequately managed with topical agents. Treatment helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don’t receive chemical signals, the severe sweating stops. About half of patients who had a treatment experienced significant reduction of underarm sweating lasting at least 201 days or 6.7 months. It is not a cure; your symptoms will return gradually, and you will know when the time is right for another treatment.

For more information about severe underarm sweating, visit the International Hyperhidrosis Society Web site at



Juvederm is an injectable gel for areas of facial tissue where moderate to severe facial wrinkles and folds occur to temporarily add volume to the skin, especially around the nose and mouth.


Radiesse is a volumizing dermal filler that is indicated for hand augmentation to correct volume loss in the back of the hands, and for smoothing moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). Radiesse is used to plump the skin. It is injected through a small needle and placed under the skin. Immediately, this soft tissue filler works to add volume under the skin and over time, the benefits continue by naturally stimulating your body’s own natural collagen. The natural results have been shown to last a year or more in many patients, making the treatment results both immediate and long lasting.

Radiesse is a biphasic filler, comprised of Calcium Hydroxylapatite (CaHA) microspheres suspended in an aqueous gel carrier. Once injected, it provides immediate volume and correction and continues to work by stimulating the body to produce its own natural collagen. Over time, the gel is absorbed and the body metabolizes the tiny, smooth CaHA microspheres, leaving behind only your own collagen.


Bellafill for Wrinkle Treatment

Bellafill, formerly called ArteFill in the US, is a unique, injectable collagen filler with microspheres that can instantly smooth facial wrinkles (nasolabial folds) for beautiful, natural-looking correction that lasts. Bellafill is FDA approved for the treatment of facial wrinkles known as nasolabial folds or smile lines and the correction of moderate to severe atrophic, distensible acne scarring on the cheeks in patients over the age of 21 years.

The Bellafill Difference

In the world of injectables, Bellafill is distinctive. It is the first injectable filler available in the United States that delivers on the promise of long lasting results. Current published five-year safety and efficacy data concludes that this soft tissue filler demonstrates continued improvement and persistence of correction over the 5-year post treatment period. There is anecdotal evidence that supports the persistence of correction at 10-years post treatment.

What is Bellafill

Bellafill is a biphasic, volumizing dermal filler that consists of polymethylmethacrylate (PMMA) microspheres suspended in a collagen gel matrix, containing 0.3% lidocaine. The collagen immediately adds volume to the skin to lift wrinkles known as smile lines. The PMMA microspheres create a matrix that supports your body’s own collagen production. Bellafill is FDA approved for the correction of facial wrinkles known as nasolabial folds or smile lines since 2006. Bellafill requires a skin test to identify patients who may be allergic to the lidocaine or collagen in Bellafill. Bellafill isn’t just an exceptional cosmetic treatment option, it has a proven safety profile. You will see visible correction with the very first treatment. The collagen in Bellafill provides immediate volume and lift while the PMMA microspheres remain in place and create a matrix that supports collagen production in your skin for very long lasting improvement.


Are You a Bellafill Candidate?

The ideal Bellafill candidate is the patient who has done well with previous soft tissue filler treatments, but desire a long-lasting result. Other ideal candidates for Bellafill are the patient in whom fat grafting is indicated but does not wish surgery and the patient who has had fat grafting for facial rejuvenation, but needs additional volume replacement to offset fat absorbed (up to 68%) by the body after grafting. Treatment with temporary filler can be costly for patients who require significant volume replacement. Bellafill treatment appears relatively expensive in comparison but is advantageous in final analysis. It is equivalent to owning your filler, instead of renting it.


Bellafill vs. Temporary Dermal Fillers

Temporary fillers such as Restylane, Perlane, Juvederm XC, Voluma, Belotero are eventually absorbed by the body and repeat injection sessions are needed to keep your results. The PMMA microspheres in Bellafill provide the permanent support you need for balanced, long-lasting wrinkle correction.



Bellafill for Acne Scars Correction

Acne is the most common skin condition in the United States. It affects about 40 to 50 million Americans per year, with up to 95% of acne sufferers ending up with scars. Different published studies have documented the negative impact acne scars have on the self-esteem and self-confidence of affected men and women.


Bellafill is the only filler on the market approved for the correction of acne scars. With a simple in-office treatment, Bellafill offers both immediate and lasting results by adding volume to the skin to lift and smooth out pitted acne scars to the level of the surrounding skin. Bellafill microspheres remain in place, reminding the skin to continue to make collagen for continued improvement over time


To find out if Bellafill is right for the treatment of your acne scars, come in for a consultation with our experienced facial cosmetic surgeon.


Belotero is a prescription injection that is approved to temporarily smooth out and fill in moderate-to-severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth).   Benefits of treatment are that it helps smooth moderate-to-severe etched-in facial lines and wrinkles, feels natural to the touch, maintains normal movement and facial expressions, is a quick, easy treatment that provides immediate, noticeable results and requires little to no downtime.

Belotero is a hyaluronic acid (HA) injectable filler that completely integrates into the skin tissue. While some fillers are designed to rebuild facial volume and structure, Belotero is specially formulated to treat moderate-to-severe etched-in lines and wrinkles such as crow’s feet and vertical lip lines above and around the lips.

Cortisone Injections

Have an important event or a big date and you have a “spot” where you would rather not? Rapidly improve and resolve cystic acne and inflammation caused by ingrown hairs and insect bites.

Are you Suffering from Acne Scars?

The only dermal filler on the market approved for the correction of moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years is Bellafill®


Learn more about BELLAFILL® Bellafill for Acne Scar Treatment

Bellafill is a unique, injectable collagen-based filler with PMMA microspheres. It is the only FDA approved filler on the market indicated for the correction of moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years.

Bellafill immediately adds volume below the atrophic acne scar to lift it to the level of the surrounding skin for a smoother look to the skin surface.

When patients in a recent Bellafill study were asked to rate their satisfaction with the appearance of the acne scars chosen for correction, 90% were satisfied by 12 months.

Actual Patients’ Results

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