Dermal filler injections are among the most popular cosmetic procedures in the United States with over a million injections performed every year. Within the dermal filler category, hyaluronic acid fillers are by far the most popular due to their good safety profile and versatility.
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Dermal filler injections are among the most popular cosmetic procedures in the United States with over a million injections performed every year. Within the dermal filler category, hyaluronic acid fillers are by far the most popular due to their good safety profile and versatility. Two filler manufacturers offer hyaluronic acid fillers–Restylane and Juvederm. Both are about equal in usage and most providers offer both. Northwest Face & Body offers the best Juvederm Bellevue and Kirkland provides.
Juvederm is a type of cosmetic injectable known as a dermal filler. It is injected for two main purposes: to fill hollows and wrinkles or to augment areas of the face. Primarily used on the face, dermal fillers like Juvederm are among the top non-surgical procedures for anti-aging. With millions of filler injections performed every year, it is an extremely popular and versatile tool for looking younger and achieving your ideal facial aesthetic.
Within facial fillers, some subcategories refer to what the filler is made out of. Juvederm belongs to the largest and most used classification: hyaluronic acid fillers. This means that Juvederm is lower risk than semi-permanent fillers and can treat more places such as the lips.
The master injectors at Northwest Face & Body are masters at using Juvederm to artfully augment and fill in facial features. Northwest Face & Body provides the best Juvederm Bellevue and Kirkland offers.
Juvederm has many applications across the face. Some of the areas Juvederm can treat include:
Patients can usually treat multiple areas at once. Juvederm also pairs well with neurotoxin treatment such as BOTOX or Dysport. Your master injector will discuss which areas you are a candidate for treatment and the best Juvederm filler for each area.
Hyaluronic acid is found naturally in the body, the largest concentrations of which are in the eyes and joints. Therefore, while rejection or allergy to the filler is possible, it is highly unlikely. Another major benefit of hyaluronic acid filler is that they have a natural reversal agent, hyaluronidase.
When injected, it breaks up the filler. If you experience major side effects or complications or end up unhappy with your new look, there is an easy antidote. This also increases the safety of hyaluronic acid fillers when compared with other types of fillers. If occlusion (the injection of filler into a blood vessel) or an adverse event occurs, it can be immediately addressed in the office.
While it may not seem like an advantage at first, the temporary nature of hyaluronic acid fillers allows patients to stop treatments whenever they want, try out various filler options, and try out different looks each time. This experimentation allows patients to find the exactly right filler option and technique for them.
Juvederm makes a few different fillers that each have a slightly varied consistency and tend to be used in different areas. The main Juvederm offerings are Juvederm Ultra, Juvederm Ultra Plus, and Juvederm Voluma. Your master injector can discuss each option with you in detail and help determine which is best for the area you are treating and your goals.
The first step for undergoing Juvederm filler injections in Bellevue is to attend a consultation with a master injector. At this appointment, your master injector will ask you about your goals, medical history, history with fillers, and lifestyle. They may also briefly examine the area to evaluate the skin quality, thickness, and other factors that influence the filler choice and process.
If they believe you are a good candidate for your chosen procedure, they will discuss the many fillers you have to choose from. In some cases, you may undergo filler injections the same day. Otherwise, you can schedule your appointment at your convenience or before leaving the office.
First, your master injector will prep the injection sites. This involves disinfecting the areas with alcohol and cleansing them of any makeup or environmental debris. After this, they will likely apply topical numbing cream. This will sit for around ten to twenty minutes. During this time, your injector will prepare the Juvederm.
Your master injector will then begin the filler injections. Depending on the treatment, they may use a needle or cannula. If using a needle, they will start injections immediately. With a cannula, they will make a small entry point for the cannula using a small needle. After inserting the needle or cannula they will slowly inject the filler. They may move the needle within the injection point or inject at multiple sites to add volume evenly for the ideal results.
For most areas, the injections themselves do not take longer than about ten to fifteen minutes. You can have multiple areas treated at the same time. Along with the topical numbing cream, the Juvederm contains a small amount of lidocaine to help ease the filler as it is injected.
In the days following the injections, you may notice some common side effects such as:
For the most part, these side effects should clear up in a week or two. For a day or two following Juvederm injections, your master injector may recommend avoiding strenuous exercise, alcohol, and certain blood-thinning medications and supplements.
Your filler will continue to settle for about two weeks. If you still notice lumps, unevenness, or the result does not fit your goals after two weeks, our master injectors can perform a quick touch up.
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20 Units
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30 Units
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per month
(includes medication, all supplies necessary, diet & exercise plan, and the consultation with monthly follow up appointments)
per month
(includes medication, diet, & exercise plan, and the consultation with monthly follow up appointments)
Aging is an inevitability. There is no true way to stop wrinkle formation or the loss of production. Modern science and technology can help us slow down how quickly we show our age. Whether it be through injections such as Botox, skin rejuvenation like microneedling, or even at-home skincare, there are several ways to prolong the aging process. When non-surgical methods are no longer enough, facelift surgery may become an option. One of the most effective facelift techniques is known as a deep plane facelift. Dr. Ludwig Allegra at Northwest Face & Body performs the best deep plane facelift Bellevue and Kirkland offers.
When facelifts began more commonly performed in the mid-to-late 20th century, surgeons largely only tightened the skin of their patients. This lead to the windswept look often associated with bad facelifts. However, facelifts evolved to also tighten the underlying muscles. This became known as a SMAS facelift and part of the standard facelift. SMAS facelifts do look more natural than their predecessors.
However, the exact technique for lifting the SMAS has begun to vary in the latest evolution of the facelift. This is what differentiates the SMAS technique from a deep plane facelift. Still, for most patients in the United States, SMAS facelifts are the most commonly performed, but the deep plane technique will likely start to become the standard.
SMAS stands for superficial musculoaponeurotic system and is a fibrous network of tissue that connects the facial muscles to the skin. When lifting the SMAS, there are two primary techniques.
First, during a traditional SMAS facelift, the skin and SMAS layer are separated. This allows the surgeon to tighten each portion separately. This can and does look natural in most circumstances and tends to age well. Thus, why the technique has been the standard for facelift surgery for several years.
The second technique is the one used during a deep plane facelift. In this technique, the surgeon does not separate the skin and SMAS. Instead, they lift them and remove excess tissue together. Many believe that a deep plane lift looks more natural since the connections between them are not completely severed.
A deep plane facelift surgery comes with many benefits for patients wanting to address skin sagging and loss of laxity. Among some of the benefits that patients may enough following a deep plane facelift include:
The risks of a deep plane facelift procedure are generally considered low and minimal. However, like any surgery, there are inherent risks. For most healthy patients who are good candidates, significant complications are extremely unlikely. However, it is still important to know and understand them. Dr. Allegra will also evaluate the risks with your health history and profile as this can affect the likelihood of developing complications. The risks of a deep plane facelift may include:
Overall, most patients have a low risk of significant complications. However, patients who smoke or have certain major diseases may be at a higher risk of complications. Dr. Allegra will evaluate and discuss this with you at your consultation.
Men and women can both undergo a deep plane facelift. While facelifts are more associated with women, the number of men seeking out facelifts and plastic surgery, in general, is increasing. While technically the same procedure, Dr. Allegra does slightly alter the surgical techniques because men and women have certain different anatomical structures and features that warrant slight deviations to ensure a good result for both. The table below details some of the possible differences between a deep plane facelift for men versus women.
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Every facelift is different. Some women with naturally sharp features may not want the softer results. Additionally, some men may be able to benefit from traditional facelift incisions without alteration. Dr. Allegra will examine your unique facial features and structures to determine the ideal facelift surgery for you.
It depends. In most cases, yes, medical conditions that as well managed often pose little extra risk that will stop you from having surgery. However, certain medical conditions such as blood disorders, immune-suppressing disorders (or those that require you to take immune-suppressing medications), untreated or severe diabetes, a history of deep vein thrombosis, or significant heart conditions may complicate your candidacy. Dr. Allegra evaluates each patient as an individual and holistically to determine if they are a good deep plane facelift surgery candidate.
Healing from a deep plane facelift is generally found to be fairly easy when compared to other major surgeries. Patients typically take about one week off of work and cease using prescription pain medication after two to three days. Many patients can get up and be fairly functional after three days or so, but this will vary based on medical history and the specifics of the surgery.
Side effects are expected and usually not severe. Side effects may include:
Patients can use cold compresses or ice to help with swelling in the first two days following surgery. Though, most side effects are fairly mild and resolve within two weeks. From there, patients tend to return to work between five and ten days following surgery. Dr. Allegra will clear you to return to work during one of your post-operative appointments.
Facial aging has several contributing factors. First, the body starts to produce less collagen as you get older which means it may begin to show signs of aging such as wrinkles and hollowing. Additionally, environmental factors such as sun damage, air pollution, and free radicals can all speed up the process of aging. Finally, not taking care of your skin and smoking can cause premature aging.
While there is no surefire to completely stop or prevent aging, there are several ways to promote more graceful aging. Some of the ways to slow and prevent aging include:
It depends on the patient’s starting anatomy. On average, patients tend to look ten to fifteen years younger following a deep plane facelift. However, for people with more advanced aging or correction necessary, they may expect a result somewhere closer to seven to ten years younger.
Once Dr. Allegra can examine your anatomy and understand your goals, he will be able to provide a more accurate idea of what you can expect from deep plane facelift results.
Northwest Face & Body is a top-rated plastic surgery practice in Kirkland, Washington. Having served the Eastside for over three decades, it is conveniently located minutes away from downtown Bellevue and Kirkland. Our Medicare-certified surgical center meets the highest standards and takes advantage of the newest technology. Northwest Face & Body’s facility allows them to provide the best deep plane facelift Bellevue and Kirkland offers.
Dr. Ludwig Allegra is a board-certified surgeon who bridges the gap between aesthetics and medicine. Not only is Dr. Allegra a talented and capable plastic surgeon, but he is also an Ear, Nose, & Throat specialist who has performed many sinus surgeries. Thus, he has extensive knowledge of facial anatomy and aesthetics. He utilizes this knowledge and skill as one of the best Bellevue plastic surgeons.
To schedule a consultation at Northwest Face & Body, call us at 425-576-1700. You can also connect with us online via our contact page, Price Simulator, or chat.
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