Injectables
Neuromodulators
Botox® & Dysport®
Botox® and Dysport®, the “neuromodulators,” are extremely popular agents used to treat the lines of motion that are accentuated with facial movement and expression. It is one of our favorite procedures to perform because of the extremely high patient satisfaction rate, and a great place to start if you are considering a cosmetic procedure for the first time. Commonly treated areas include the horizontal forehead lines, vertical frown lines, crow's feet, lip lines, pebbling of the chin, and neck bands. In addition, there are other subtle ways in which we can use neuromodulators, such as reducing a gummy smile or lifting a down-turning nose.
Fillers
Juvéderm® | Restylane®
Most of the products that we use at El Segundo Dermatology are hyaluronic acid fillers. We can do amazing things with filler and it’s now all about restoring the natural volume and contours to the aging face. We have learned over the years that it is not about filling lines, but lifting and re-inflating the face to its more youthful form. More and more evidence is available showing that placement of fillers can even stimulate collagen production, lending its anti-aging abilities long after the filler is gone. We see the best results when we combine fillers with neuromodulators (like Botox®), laser resurfacing and skin care.
In its natural form, hyaluronic acid is a sugar found in the skin and joints. Hyaluronic fillers are synthetic, biodegradable versions of these naturally occurring sugars and are considered to be extremely safe. You have probably heard of most of them: the Juvéderm® and Restylane® family of products are the most well known. Some injectors prefer one over the other, but in general they can both accomplish the same goals.
Of the Restylane® collection, our injection experts use the Kysse, Refyne and Defyne fillers the most. The newest in the collection—Restylane® Kysse—is used for lip augmentation and for correction of upper perioral wrinkles (lines around the mouth). Restylane® Refyne and Defyne are for mid-to-deep injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. We also use Restylane® Lyft for adding volume to the cheek area.
The Juvéderm® Collection fillers are used like the Restylane® family of products to smooth lines and folds and add volume to the face. Juvéderm® XC Ultra is commonly used for lip augmentation. Juvéderm® Voluma XC is used to correct age-related volume loss in the cheeks and midface for a lifted look. Juvéderm® Vollure XC and Ultra Plus XC are used to fill and add subtle volume to smooth moderate to severe facial wrinkles and folds. Juvéderm® Volbella XC softens the appearance of perioral lines, and adds subtle volume to the lips.
Sculptra®
Sculptra® Aesthetic is different than the other soft tissue fillers because it is used in a series of regular sessions to gradually volumize and resculpt facial contours over the course of several months. Results are incredibly natural in appearance and remarkably long-lasting, up to two years or more. It's ideal for the patient who has significant volume loss in the face, but it can also be used effectively for more subtle, natural-looking correction in any patient. One of the best parts about Sculptra® is the all-over glow that it gives to the skin as it stimulates your own collagen production.
