Non-Surgical Procedures

Posted by on in Non-Surgical Procedures

b2ap3_thumbnail_shutterstock_527745967.jpgWhen headlines recently alleged that celebrity Kylie Jenner may be pregnant, many wondered if the reality star would continue to get her signature lip fillers during pregnancy. In recent years, Jenner has become equally as well known for her allegedly cosmetically enhanced physique as she has for her reality show. But what many people may not realize is that cosmetic treatments like lip fillers and Botox aren’t safe for pregnant women - and no reputable doctor will perform them on a pregnant patient.

Why? Because there have been no studies proving the effects of Botox or fillers on an unborn child. While there have been cases of women getting these procedures without knowing they are pregnant and going on to deliver healthy babies, there is no guarantee that this will be true for every patient, and it's simply not worth the risk.

b2ap3_thumbnail_ear-guage.jpgIf you’ve ever seen an earlobe piercing with an enlarged opening and a large silver hoop lining the inside of that opening, then you’ve seen the trendy piercing known as a "flesh tunnel." Though flesh tunnels are becoming increasingly popular today, they date back to ancient times, where they were used as a sign of wealth and status in tribes throughout Asia and Africa.

Dermal Fillers are very popular means to rejuvenate a volume-depleted face or to enhance certain facial features such as the lips or cheekbones.  In the last 10-15 years, the number of minimally invasive cosmetic procedures performed in the US has grown exponentially.  Millions of dermal filler injections are performed each year in the US alone.  Today there are many excellent dermal fillers on the market, each with unique characteristics.  As the popularity of minimally invasive procedures continues to grow, new dermal fillers are being developed and approved by the FDA relatively regularly.  While there are many factors to consider in order to determine which filler may be best for an individuals needs, most patients want to know how long a filler is going to last in their face once injected.  Fillers are commonly classified as either being temporary, semi-permanent or permanent.  The hyaluronic acid fillers such as Restylane or Juvederm are considered temporary.  Hyaluronic acid fillers are most commonly used; work beautifully for their intended purposes but last from 6 months to 2 years depending on the filler used and the location of injection.  Temporary fillers require repeated injections in order to maintain the desired result.  Radiesse (calcium hydroxylapatite) and Sculptra (Poly-L-lactic acid) are commonly considered semi permanent fillers but typically last 18-24 months and they do reabsorb with time.

Artefill (Polymethacrylate) is the only FDA approved permanent (Non-absorbable) filler on the US market today.  This gives Artefill a dramatic benefit over other fillers in that it never reabsorbs. Artefill is unique because it contains microspheres that are not absorbed by the body and create a support matrix for enduring wrinkle correction by working together with your body’s own collagen.  The microspheres are made of polymethacrylate (PMMA), which is one of the most widely used biocompatible synthetic materials.  PMMA has a proven safety record in over 60 years of clinical use.  The safety profile for Artefill is similar to temporary fillers. Artefill is FDA approved for use in the nasolabial folds (smile lines).  It is used successfully in other areas of the face (such as the cheeks) but is considered off label if not injected into the nasolabial folds.  Using Artefill allows for progressive facial enhancement.  In other words, because the initially injected Artefill will not dissipate, you can have additional Artefill injected at a later time if desired for additional correction.  With Artefill you will experience:  Immediate, visible wrinkle correction; volume restoration in deflated facial regions; a natural feel; fewer injections; filler that is simple, safe and effective.


I have been injecting Artefill regularly for three years.  In my hands and with my experience, I find Artefill to be an excellent dermal filler in appropriately selected patients.  Surprisingly there are few physicians injecting Artefill in the Las Vegas area.  There are two reasons for this lack of use.  First, I believe that many injectors feel they will lose business by injecting permanent filler into their regular patients when they would rather repeat temporary injections every 6-12 months.  Second, because Artefill is permanent, if the Artefill is not injected correctly or if it somehow becomes malpositioned, or the patient is not satisfied with the filler, it could and likely will be difficult to remove. 


To date, I have not had a single case of poorly positioned product.  I have not been asked to remove it from any of my patients (greater than 100 injections) nor have I seen any granuloma formations.  My patients and I have been quite satisfied with the results.  I had one unsatisfied patient but it was not from poorly placed Artefill but instead, she required more product.  I may have not counseled her well enough on the possibility of needing more product than we injected in order to satisfy her expectations.


In conclusion, I find Artefill to be an excellent dermal filler in appropriately selected patients.  The cosmetic outcome from my use of this product has been satisfactory.  Although the initial cost for Artefill is more than the majority of temporary fillers, ultimately patients will save time and money as repeated injections of temporary fillers over time would not be necessary.  If you have been using temporary fillers in the past and you are happy with the results or if you have considered facial volume rejuvenation, Artefill may be right for you.


Dr. Mitchell of Contours and Curves, Mitchell Plastic Surgery, provides a wide range of cosmetic treatments for patients in his practice. Patients who are ready to tackle the signs of aging may speak with him about treatments such as dermal fillers and neurotoxins. Las Vegas area patients must understand that both of these work differently, though they are commonly used together for amazing results.


Neurotoxins such as Botox, Xeomin, and Dysport are made of botulinum toxin type A. This medication is known to relax muscles and block the nerve connections that cause muscles to tense. By injecting this medication into specific muscles of the upper portion of the face, patients can reduce muscle contractions and thus smooth the skin. This releases the appearance of fine lines, wrinkles, and folds in the area. Neurotoxins are typically used on areas around the upper portion of the face, including between the eyebrows (glabellar lines), around the eyes (for crow's feet), and along the forehead. These neurotoxins are FDA approved for safety and effectiveness for cosmetic improvement.


Dermal fillers, on the other hand, are used in a different manner. These fillers are designed to "fill" the lines and wrinkles on the face and add volume to areas of fat loss. They are injected directly into the area of concern to plump the skin and reduce the appearance of the signs of aging. These are used on different areas of the face, including around the mouth, the nose, and can even be used to augment the lips. Popular dermal filler brands used in our practice include Juvéderm, Voluma, Artefill, Perlane, and Belotero.


Patients who want facial rejuvenation without undergoing plastic cosmetic surgery may benefit from a combination of neurotoxins and dermal fillers. Patients can take years off their appearance by combining these cosmetic treatments for optimum results.


Contact Contours and Curves today to learn more about dermal fillers, neurotoxins, and other treatments available through our practice including Dermapen, eyelid rejuvenation, face lifting, skin resurfacing, and chemical peels.

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