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Conclusion
HA products have revolutionized how Dr. Rosenthal can build
up, create and rejuvenate your face in a
caring and gentle
manner. A consultation with Dr. Rosenthal prior to the
procedure allows for a proper
evaluation and treatment plan.
The HA products do not replace good skin care, treatments and
products
supplies by our professional staff, nor are they a
solution for those who are in need of surgically lifting
and
re-supporting your face and eyelids.
We hope you will find the HA products as satisfying as those
patients who have already benefited from
Dr. Rosenthal’s
artistic handing of these fillers.
Jeffrey S. Rosenthal, M.D.
How do the
HA products produce a contour improvement?
They work in two ways to fill and shape lips, lines and
creases.
The HA products come in various forms depending upon the number
of particles suspended in the solution. Perlane and Juvederm
Ultra Plus are best for the deeper creases and contour changes
around the mouth, jaw and cheeks. These act a as platform onto
which the smoother and slightly thinner Restylane or Juvederm
can then be added to complete the process. Imagine the bottom
layer as the bottom of a cake. It rises up to form the base of
the cake. The top HA layer is like the icing used to finish off
the shape and make the cake look pretty.
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to questions
How many
syringes of product will you need?
Typically, most patients require at least two syringes to
start the process, but this will depend upon how many areas are
to be softened and contoured. The more areas of concern require
additional volumes to fill. It is like waxing your floor. Put
a bit of wax in the middle of the floor and spread it out. If
the floor is small, you will be able to cover the entire area.
Larger floors will be inadequately covered or only have a very
thin veneer of wax. So too, the HA products can only be spread
so far. You may have a procedure and after a few weeks require
additional HA to complete the contouring.
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How long
does it last?
The manufactures note that the HA products may last 6-9
months. However, certain areas of the face, such as the lips
will have faster volume depletion due to their movement. Each
person is an individual, so predicting precise longevity is
difficult.
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Does it
hurt?
Most physicians will only place a cream or ointment on the
top the skin and then inject the HA products. As you can
imagine, this would be less than comfortable.
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The process of numbing your mouth requires up to 1 hour by Dr.
Rosenthal. First, an ointment is put on to decrease the
sensitivity and potential later bruising. Secondly, a gel is
placed on your gums and inner lips to numb these areas before a
numbing liquid is injected, similar to a dentist. Thirdly, more
numbing liquid is placed deep under the skin to allow you the
most comfort during the HA procedure. Generally, the areas to
be injected with the HA products are fairly numb to afford you
the most comfort during the sculpting procedure.
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Will I be
bruised and swollen?
Since the HA products draw fluid into the skin, one can
expect swelling for a few days. They also affect clotting in
the areas of injection causing some bruising. The degree and
extent of swelling varies and may last between 3-7 days on
average. Makeup can be used the day after the procedure to
camouflage these areas. Back
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Are there
potential risks?
With any procedure there are potential risks of
complications. These are generally few and infrequent.
Bruising that lasts a bit longer (longer than 7-10 days) than
expected with swelling can occur. The injections to sculpt your
face require multiple entry points with a very fine needle
(after the area is numb). These pin points may stay around for
more than 1-2 weeks, and there is always the rare occurrence
where the mark(s) does not disappear.
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The face is not even or symmetrical, and thus only relative
symmetry can be obtained. No face is symmetrical before or after
the HA products. Since the products fill the skin and hold
fluid, there is a chance of having extra fullness or small
thickenings in or under the skin. Usually they disappear with
time and massage, but there is the rare chance of their
staying. Allergic reaction or the HA products causing temporary
or permanent discoloration to the skin is another rare
complication.
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What to
expect:
The HA products enable Dr. Rosenthal the opportunity to
artistically sculpt your face to a softer, fuller and more
youthful appearance. By taking the time to properly numb your
face, mouth and lips, Dr. Rosenthal can produce a natural
fullness. This transformation comes about by layering the
products in such a way to lift, contour and augment your own
tissues.
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to questions
Lips
The pink lining of the lips began to sag and lose taughtness.
This is due to loss of muscle volume of the lips. Restylane or
Juvederm can be used to build up and enhance your lip line and
lip fullness. Back
to questions
Corners of
the mouth
These droop like other areas of face. The HA products can
subtlety elevate these folds.
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Lip lines
Vertical and horizontal lines in the upper and lower lips
can be softened and contoured.
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Creases next
to the mouth
Folds extending from the nose to the corners of the mouth
and beyond are attributable do to the laxity of the cheek
tissues. The HA products act as a scaffolding to re-support and
contour these folds. The deep folds are pleasingly softened
with great care to not overfill them which would result in
unsightly bulge.
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Jaw line
When the jaw line sags a bit and is no long crisp and
smooth, HA products can build up some of the depressions
adjacent to the chin.
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Cheek-Forehead-Temples
Hollows in this area can be softened with HA products;
however, deep cavities will require another product called
Sculptra.
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Sculptra
Unlike other fillers, actually causes
your own skin to build up thickness. The process requires 3-5
treatments which are spaced at 4-8 week intervals. This product
may last up to 3 years. When contouring with Sculptra it can be
used in the temple, cheeks, jaw and junction of the nose and
cheek. Sculptra is the best product for large area contouring.
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When do I
see Dr. Rosenthal again?
We have a complimentary follow-up evaluation 2-4 weeks after
the first treatment session. This is to judge the contour
improvement and to see if additional filling with the HA
products is necessary to achieve the desired results.
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