FAQ on Injectables

1. What are injectables?

Injectables for the purpose of improving one’s appearance are classified into 3 groups:

  • Neuromodulators which inhibit muscles from contracting. In USA these are Botox, Dysport and Xeomin, and are commonly used to prevent frown lines, crow’s feet and in a number of other sites as well. Both Drs Dale and Michelle Abadir have been using neuromodulators for 20 years
  • Filling injections which can be used for obliterating hollows, and helping fine lines and acne scars etc. These are numerous and all have different properties. The injector should understand the various properties and which are best suited for the individual patient’s needs. Both Drs Dale and Michelle Abadir have been using all the various “fillers” since each became available and offer all these to their patients unlike some other practices that only purchase from one manufacturer.
  • With the recent FDA approval of “Kybella”, a fat shrinking injection to permanently treat “double chins” we have a new “fat dissolving” type of injectable. Our office is among the first to offer this to our patients.

2. What is the difference between Botox and Dermal fillers?

Botox relaxes muscles which cause lines, while Dermal fillers do, as their name implies, fill—anything from hollows to fine lines.

3. What areas can be treated with Injectables?

Areas which can be treated with injectables are anywhere on the face, neck, decolletage and the backs of hands.

4. Are there other off-brand uses for Injectables and is this safe?

In USA when an injectable is approved by the FDA, it is legal to use it “off label” i.e. for a use not precisely what it was approved for, as long as it is not advertised or promoted in any way for this alternate use. For instanced, when Botox was first approved it was only for frown lines, but quickly we realized the potential to use it in many other areas and did so.

5. Which dermal filler is best for forehead wrinkles?

Forehead wrinkles have to be treated very carefully so there are no ridges when the forehead is relaxed. For this reason, Restylane Silk or Belatero are best as they are specific for fine lines.

6. Can I be allergic to Injectables?

Allergies to the injectables used these days are extremely rare. In the past, many were allergic to injectable “collagen” but this has not been used for many years as we have far better products available now.

7. I’ve heard of Voluma, is that different from dermal fillers?

Voluma is a denser, heavier type of product which, when used correctly, can give some lifting of sagging cheeks as well as filling hollows.

8. Can Injectables be used with other treatments?

We are constantly combining injectables with other treatments. Fractionated laser to smooth the skin surface, Thermage and other skin tightening procedures, microdermabrasion, and mini liposuction of jowl and under chin fat to name a few.

9. Can I use dermal fillers on my lips?

Dermal fillers are often used on lips as lips they tend to become thinner as we age and fuller lips are associated with youth and sensuality. They have to be used very carefully in order to produce a natural, attractive appearance, and not the ” sausage”, overfilled or “duckbill” look!.

10. What is the best Injectables for anti-aging?

All fillers help with anti-aging! The injector must have the experience and aesthetic sense to decide which will give the most desirable result in the various areas of the face, neck or other sites.

11. Are injections painful?

Most injections are done with very fine needles and are well tolerated. Anesthetic creams can be applied for a period of time beforehand if a patient wishes.

12. Can Injectables take place of a facelift?

Injectables can, and do replace facelifts, especially if started relatively early. Far fewer facelifts are being done these days.

13. Who should I trust to treat me with Injectables?

It is extremely important to choose an injector who has experience. Many practitioners of all different specialties are attending courses, often as short as 2 hours long to “learn” this art! Get a reference from a friend or relative who is having these treatments and you think looks good. These days, having injectables for cosmetic enhancement is becoming as common as going to the beauty parlor and people are more ready to talk about it than used to be the case.

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