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BOTOX® Cosmetic is commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. BOTOX® Cosmetic is made from a purified protein that interrupts selectively the nerve impulses over the regions of the muscles where it is injected. This results in a more relaxed and rejuvenated expression. The lines and wrinkles caused by hyperactive muscles will be softened. At Advanced Laser and Wellness Centers, we have been using BOTOX® for a number of years to treat excessive sweating, chronic headaches, muscle spasms ("tics"), and neck spasms.

Soft Tissue Fillers

As we age we lose volume all over, however, this loss is more noticeable on the face. At the Advanced Laser and Wellness Centers we adhere to a less is more approach. Very rarely on a 30, 40, or even 50 year old person a face lift, blepharoplasties, or neck lifts are "necessary." Most of the time all we need is to suspend, fill, or contour the affected areas. For that purpose we offer a wide array of fillers such as Restylane®, Radiesse™, Sculptra™, and Hylaform® to name a few.

Restylane® is designed to smooth wrinkles, sculpt lips and shape facial contours. It is a clear gel of hyaluronic acid, a natural substance found throughout the body. This synthetic compound does not carry a risk of allergic reactions and with its unique ability to bind with water, Restylane® remains in your skin for many months. The most common areas for treatment are lips, frown lines, and the nasolabial folds (the crease from the nose to the mouth). Treatments take only minutes to perform and the effects are immediate with very little side effects.

When a longer duration of the correction is desired and/or the severity of the defect warrants a deeper semi-permanent filler, Radiesse™ is an excellent option. Radiesse™ is a synthetic injectable filler that reduces wrinkles, creases and scars by augmenting the body's natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse™ is made from the same minerals found in our bones, so it does not carry a risk of allergic reaction. Radiesse can be used on many areas of the body, but the most popular areas are the lips, nasolabial folds, perioral lines, depressed scars and oral commissures. Treatments are done in the office and require only local anesthesia. Side effects such as swelling or bruising are minimal. Results are visible immediately after the injection and can last for months or years, although the procedure can be repeated as often as you wish.

Another long lasting and deeper tissue filler is Sculptra™. Sculptra™ may be used with excellent results. Sculptra™ is composed of a naturally occurring substance in our body, calcium hydroxyl apatite, so it carries no risk of an allergic reaction. Results last from months to years.

Sculptra™ is a new injectable product used to counteract the loss of fat beneath the skin, a condition called lipoatrophy. Sculptra™ is injected into the deeper layer of the skin to improve the appearance of sunken cheeks, hollow eyes, indentations and wrinkles. There is no need for allergy testing, since Sculptra™'s main component is an alpha hydroxy acid that has been used for 20 years in surgical products such as dissolvable sutures. Clinical trials have shown that the benefits of Sculptra treatments last up to two years.

Hylaform® or hylan B gel is FDA-approved to temporarily reduce minor lines and wrinkles on the face by adding volume to the skin. Hylaform® is made with purified hyaluronic acid, a sugar found naturally in the body that works with collagen to keep the skin smooth and supple. Aging, exposure to sunlight and other factors cause the hyaluronic acid in our cells to break down. Our skin loses volume, and lines and wrinkles appear. Hylaform® injections replace those sugars and restore the skin to its youthful appearance. Frequently treated areas are the nasolabial (smile) lines, vertical lip lines, frown lines between the eyes, and marionette lines. No pre-treatment skin test is necessary. Treatments are quick and done under local anesthesia, and results are natural-looking and immediately visible. Effects last for a few months and then begin to fade as Hylaform® is re-absorbed by the body.

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