Cosmetic Services: Botox® and Restylane® Dermal Fillers

Botox®

Often described as the "fountain of youth," our BOTOX® treatment is the brand name for Botulinum Toxin Type A. BOTOX® was developed by dermatologists in 1980 to treat muscle disorders such as uncontrolled blinking and was later put to cosmetic uses for the first time in 1987.

Currently, our BOTOX® treatment is being used primarily to treat frown lines, forehead lines, crow's feet and other wrinkles and fine lines that tend to accumulate over time and are the result of years of squinting and frowning. BOTOX® works on these wrinkles by temporarily relaxing the underlying muscles and results are seen just a few days following the botox treatment.

BOTOX® can also be very beneficial for patients with sweaty palms. This condition, also known as hyperhidrosis, can be very bothersome for people, especially in professions where they are regularly required to shake hands. The treatment is simple and involves tiny injections of BOTOX® on the palms. Results last for months at a time and patients have reported a very high satisfaction rate. Special pricing for this area applies, so please ask when you call for your appointment.

Typical Recovery Time: Treatment with injections and other fillers are done on an outpatient basis with numbing cream as needed. For lip augmentation, a local anesthetic block with Lidocaine is recommended by Dr. Palmer. Many patients come in on their lunch hour as these procedures only take 15-20 minutes (add 20-30 extra if you want numbing cream since it takes about that long to work). After your treatment, you might have some redness or swelling. This will normally last for only a few hours -- a day or two at most, although everyone is different. Sun exposure should be avoided until any redness or swelling disappears.

Injection quantity (averages) and Pricing:

	women	men	cost per unit
Forehead:	18-20 units	26-28 units	$10 per unit
Frown lines:	12-14 units	16-18 units
Crow’s feet:	10-12 units/side or 20-24 units for both sides
Palms:	variable

Dermal Fillers

Restylane® treatment is a cosmetic dermal filler made of hyaluronic acid, a natural substance that exists in the human body. It can effectively fill in the nasolabial folds and plump lips. Restylane® lasts about 6 months for most people -- twice as long as collagen-- so treatments are typically scheduled twice a year. Restylane® pricing is $480 per ml., or $300 per .4 ml.

Perlane® is similar to Restylane® and is made from non-animal stabilized hyaluronic acid (NASHA) gel. No pre-testing is required, since hyaluronic acid is a substance that exists in the human body. The difference beteween the two products is that the particals in Perlane® are larger than in Restylane®, which take longer for the body to break down. It is for this reason that Perlane® lasts longer than Restylane®.

Radiesse® is FDA approved to safely correct wrinkles and folds around the nose and mouth. It lasts longer than many of the popular fillers on the market, which means fewer injections and office visits. Radiesse® also stimulates your skin to produce new collagen and treatment can be done over your lunch hour. Radiesse® is made of unique calcium-based microspheres that are suspended in a natural gel that is injected into the skin through a simple, safe and minimally invasive procedure.

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