Injectable Hyaluronic Acid

Evolysse ~ Restylane ~ Refyne ~ Defyne ~ Restylane Contour~ Restylane Silk ~ Kysse ~ Radiesse ~ Juvederm Ultra ~ Juvederm UltraPlus ~ Voluma ~ Volbella ~ Vollure ~ Volux ~ Sculptra ~ Skinvive

Dr. Christine Brozowski is a leading Regenerative Aesthetic Physician and expert injector known for her advanced Hyaluronic Acid (HA) injection technique. More than any other Dermatologic treatment, the success of dermal injectables is based on the artistic skill of the physician. Dr. Brozowski combines top-tier medical training with her artistic training as a painter to produce the most attractive and natural results. She administers all treatments personally so you can be confident of safety and results. The use of Injectable Hyaluronic Acid has become one of the highest-satisfaction natural cosmetic procedures in our office.

Injectable Hyaluronic Acid, as an aesthetic procedure, has been used in the United States and Europe for two decades and continues to grow in popularity. HA Injectables are used to restore volume and fullness to the face and lips, and to correct wrinkles and deeper facial folds.  Studies suggest that much of facial wrinkling and hollowing of the face is the result of a loss of facial volume, rather than sagging of the skin.  Injectable HA therapy will fill in wrinkles, restore volume to face and lift cheeks.

NEW: Evolysse Form and Smooth are our two newest HA Injectables. The cold technology process makes these injectable dermal fillers smoother and softer than traditional HA products. Please ask the doctor is this is right for you!

NEW: We now offer Skinvive, a microdroplet hyaluronic acid injectable which is biostimulatory for natural overall hydration and soft volume, especially on the lower half of the face (cheekbone to jawline). Please contact us for information on this new product that is provides healthy moisture to the skin. It is especially effective in patients with hollowing of the lower face and/or crepey skin on the lower face.

Injectable HA therapy is a safer and more natural treatment for the reduction of wrinkles and restoration of lost volume associated with aging than plastic surgery, and is more cost effective. Injectable Hyaluronic Acid is administered in under an hour with a minimal recovery period.

Dr. Brozowski also injects biostimulatory Sculptra. Sculptra is not a traditional dermal filler, but provides overall fullness for loss of volume associated with aging. Scupltra is Poly-L Lactic Acid and is a fruit acid that stimulates your skin to make its own collagen. Biostimulators promote new collagen creation for up to three months. Thus, the results look more natural and last longer than traditional dermal fillers. Sculptra is excellent for hollowing of cheeks and temples and the lower face. For vertical wrinkles in the décolleté, Dr. Brozowski uses Sculptra to soften and fill in lines to create a smooth surface.

Reward Programs

Reward programs are offered for all HA injectables Dr. Brozowski uses in our office. We recommend all our patients enroll who use injectables or botulinum. This allows us to credit you points for each treatment.  As you earn points, the company then sends us an INSTANT credit towards a treatment!  Please call us for any questions!

For Injectable HAs: Juvederm, Juvederm Ultra, Volume, Voluma, or Volbella or Skinvive, please sign up for the Alle Brilliant Distinctions reward programs. Sign up online at: Alle.com

Patients who use Restylane, Refine, Defynye, Contour, Kysse, Lyft or Silk should sign up for the Aspire rewards program at AspireRewards.com.  Sculptra is also now part of the Aspire program, so patients who use Sculptra should also sign up at AspireRewards.com.

For patients with aging hands, Dr. Brozowski is a Radiesse Hand Certified injector, and can help minimize the signs of aging on your hands, to match your face. For the Radiesse rewards program, please sign up at: xperienceMerz.com.

Evolysse will have a rewards program also under Evolus, but as this product is new, it is not yet online.

The use of Injectable HAs to promote collagen production, aid in moisture retentaion and smooth facial wrinkles has become one of the highest-satisfaction cosmetic procedures in our office. Schedule a consultation to find out more about which Injectable HA product or biostimulatory might be appropriate for your skin and facial type. Dr. Christine Brozowski offers Injectable HA in both her Berkeley, California and Ketchum, Idaho offices.

 

Benefits

Injectable HA stimulate collagen and restore lost volume, which can slow aging and naturally enhance your appearance. Unlike plastic surgery, the procedure enhances, but does not exaggerate, your natural features, and can be artistically sculpted to give results that vary from subtle to dramatic, depending on your aesthetic and treatment goal. The result is smoother skin and the replaced fullness lost with age. Areas that can be treated with Injectable HA include:

  • Lip border definition and fullness

  • Cheeks and mid-face

  • Smile lines (nasolabial folds)

  • Laugh lines (marionette lines)

  • Tear troughs or dark circles under the eyes

  • Fine lines ('smokers' lines') of the upper lip or lateral face

  • Aging hands with prominent tendons

  • Frown lines between brows

  • Creases that turn down the corners of the mouth

  • Straighten a crooked nose

  • Straighten a jaw line -- fill in pre-jowls

  • Décolleté, correct vertical wrinkles

 

Before & After

Preventing Bruising

Here are some tips we share with out patients who have scheduled a treatment with injectables such as filler, Scuptra, Kybella or resorbable thread lift to decrease your chance of bruising. Bruising is a known and common side effect of Filler injections, so one must expect some degree of bruising with treatment.

To Prevent Bruising:

1.       Discontinue all blood-thinners including baby aspirin, Ibuprofen, Aleve, Fish and (possibly) vitamin supplements. Avoid eating fish or taking fish oils for two days.

2.       Eat a pineapple and/or take oral Bromelain the evening before and morning of procedure.

3.       Do not drink wine or any alcoholic beverage within 24 hours of procedure.

4.       Come in early to ice a full 15 minutes before procedure (note:  this is not for pain management, it causes vasoconstriction of blood vessels.  When vessels are smaller, there is less chance of injuring them with a needle and if punctured, they bleed less, resulting in less bruising).

5.       Ice after procedure for a full 10-15 minutes in the office, and then as much as possible over the next 24 hours.

6.       Start oral Arnica before procedure.

To Remedy Bruising

1.       Ice.  Do not push the ice into the filler, simply hold ice gently against skin. Ice frequently in the first 24 hours after treatment.

2.       Take Ibuprofen -  wait at least 2 hours after procedure to start, then take 2-3  200mg tablets every 6-8 hours for the next 3 days.

3.       Take oral Arnica.  We provide this with each treatment. Patients that run out of the Arnica but experience bruising may come by the office for an additional complimentary strip of Arnica.

4.       Take Bromelain supplements, found at a Natural Pharmacy.

5.       Use topical Auriderm post-op gel (available in our office).

6.       Use Corrective Colors by Jane Iredale (available in our office).

Q&A

What are the results of Injectable HA therapy?

Adding Injectable HA can increase the natural collagen production of your skin and last several months to two years, depending on the filler used. In some facial areas, such as the brow and lips, Botox injection will make the filler last even longer. Touch-ups are recommended to maintain volume and prevent recurrent lines from forming. Properly applied, Injectable HA can decrease aging, but will not make you look different or effect normal facial expression.

What are the different Injectable HA options?

All the Injectable HA products used in our office are highly purified, have an excellent safety profile and are FDA approved. Hyaluronic acid fillers, such as Restylane, Restylane Silk, Juvederm Ultra, Juvederm UltraPlus, Restylane Silk, Kysse, Volbella, Evolysse Form and Evolysse Smooth, Restylane Lyft, Restylane Refyne & Restylane Defyne, Volbella and Voluma are natural Injectable HA products that Dr. Brozowski utilizes to promote collagen production and slow the aging process.

The Biostimulatory products, Radiesse & Sculptra, have a longer-lasting ability, with Radiesse 12-18 months and Scultpra up to two years. They are used to provide an overall fullness to hollow cheeks or a narrow face. Radiesse is also excellent for volume in aging hands, and Sculptra can be used to soften vertical wrinkles of the décolleté. Skinvive is the newest biostimulatory product, but unlike its predecessors, is injected superficially on the lower half of the face for cheek hollowing or crepe-y skin providing excellent moisture retention and collagen stimulation.

It is recommended that you consult with Dr. Brozowski, who will determine what results you may achieve with each of the filler options and recommend the best Injectable HA for your facial aesthetic.

What are the safety concerns and possible side effects?

Safety is of utmost importance.  Therefore, cosmetic services are performed exclusively by the physician. Dr. Brozowski has performed more than five thousand Injectable HA procedures over the past decade, without any permanent complications. Therefore, you can be confident that you are receiving the highest quality medical care. With all injectables, it is especially important to have a licensed physician trained in Cosmetic Dermatology administer the procedure.

When used by an experienced doctor, the most commonly reported side effects are temporary redness and swelling at the injection site and/or bruising with some downtime. These typically resolve within a few days but the bruising may last longer. The use of ice, Ibuprofen, Arnica and bromelain can minimize swelling or bruising after the procedure, and are recommended.

What is collagen?

Collagen is a natural substance that provides strength and elasticity to the skin.  Young, healthy skin contains an abundance of collagen and hyaluronic acid.  As we age, we lose approximately 1% of our dermal collagen per year.  This is exacerbated by overexposure to the sun and the loss of volume and fat beneath the skin.  Where collagen diminishes, unwelcome lines, wrinkles and sagging skin begin to appear.  Injectable HAs stimulate dermal collagen production in specific areas for a fuller effect. Biostimulatory products can cause a natural increase in the production of collagen for up to 3 months.

What is the level of discomfort during and after the treatment?

Depending on the area treated, topical or injected anesthesia may be used to minimize discomfort. Immediately after the treatment, you can expect a slight redness, swelling, tenderness or itching in the treated area. This is a normal result of the injection. The discomfort is only temporary and generally disappears in a few days. Patients are able to continue their daily routine after the treatment.

What are patients saying about their experience with Injectable HAs in our office?

Patient comments include:

"I am thrilled with the results from the filler treatments I have been receiving from Dr. Brozowski. My forehead and brow were beginning to show the signs of aging. I now look much more relaxed and have had many compliments on how good I look."

"My lips make me look like a teenager! Thank you."

"I can't believe the difference! It still looks natural! It's like sculpture. I would recommend this to friends!"

"I've had the following done by Dr. Brozowski: microdermabrasion, filler, Botox and a Blue Peel -- and loved them all, in particular the filler, which in combination with everything else has really made me look younger and feel better about myself. I would highly recommend all of the above."

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Please call us to schedule a consultation with Dr. Christine Brozowski in either our Berkeley or Ketchum office, to determine if you would benefit from Injectable HAs.