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.
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.
/ per vial
(includes medication, all supplies necessary, diet & exercise plan, and the consultation with monthly follow up appointments)
(includes medication, diet, & exercise plan, and the consultation with monthly follow up appointments)
Following breast augmentation surgery, most patients are happy with the look of their breast implants. Occasionally, some women may experience an unsatisfactory result or rare complication. In these cases, patients may want to exchange their breast implants for a different size or type, or they may need them replaced to address an issue. Northwest Face & Body aids women in repairing less than ideal breast augmentation results. Dr. Ludwig Allegra offers his surgical experience and know-how to perform the best breast revision Bellevue and Kirkland offers.
While plastic surgeons apply “breast revision” to a variety of surgeries, the most common is the exchange of breast implants. Patients may want to change out their breast implants for a different size, type, or to repair a complication. A breast revision surgery may also correct other cosmetic issues with the breasts following augmentation such as asymmetry or sagging.
Patients may seek out a breast revision voluntarily such as to switch out to a more preferred breast implant type, or they may require a revision in the cases of rare complications. Dr. Allegra has years of experience performing breast revision surgery in Bellevue. He understands the many reasons women may choose to undergo a revision and works to achieve the best possible result.
As previously discussed, there are many reasons why a patient may seek out a breast revision surgery. While necessary revisions occur commonly in the first three years following breast augmentation, some women may seek out a revision because a new breast implant type became available, or simply because their lifestyle no longer calls for their breast implants.
Among some of the most common reasons patients may seek a Bellevue breast revision include:
Regardless of your reasons for wanting a breast revision, Dr. Ludwig Allegra and Northwest Face & Body will listen to your concerns and create a customized treatment plan.
No two breast revision procedures are exactly alike. Every patient has unique needs and goals. Therefore, a Bellevue breast revision can include a few different procedures based upon your motivations for breast implant revision and needs. A few of these procedures that Dr. Allegra may perform include:
An en bloc breast implant removal is a procedure often part of a breast revision. It removes the breast implant and the entire capsule around it. This is most common when capsular contracture occurs. Although Dr. Allegra may still perform an en bloc procedure even when capsular contracture did not occur.
Capsular contracture is a breast augmentation complication where scar tissue thickens around the breast implant. It is normal for a thin layer of scar tissue to form around the implant. However, if it causes pain, feels hard, or distorts the look of your implants, a breast revision may become necessary to treat and correct it.
When a patient chooses to replace their breast implants after an en bloc removal, the surgery becomes a breast revision. Some patients may choose not to replace their breast implants. Therefore, the surgery would simply be an en bloc breast implant removal.
Following the removal of your previous breast implants, Dr. Allegra will place new breast implants. Often, he can utilize the same breast pocket where your old implants sat. If this is not the case, he will create a new breast implant pocket. If you previously had breast implants above the muscle, this offers an opportunity to place them below the pectoral muscle. With a double bubble, Dr. Allegra may need to repair the breast implant pocket.
Dr. Allegra will then place your new Bellevue breast implants. For silicone implants, Dr. Allegra utilizes the “no touch method” which uses a device known as a Keller funnel. With this technique, Dr. Allegra nor any of the surgical staff physically touch the breast implant. This significantly decreases the chances of implant contamination. Therefore, reducing the chances of capsular contracture.
Some patients may need a breast lift to achieve the best results from their breast revision in Bellevue. In this case, Dr. Allegra will make an incision likely to extend down the breast and possibly through the fold. The incision depends on the amount of breast ptosis. This results in perkier breasts that will better complement your new breast implants.
How can you tell if you may need a breast lift as part of a breast revision surgery? If your nipples point downward, or breasts noticeably sag, this is a good indicator you may need a lift. Patients more likely to need a breast lift may include:
The choice to undergo a breast revision surgery often takes time to make. It can include consulting with multiple surgeons and research. At Northwest Face & Body, our renowned plastic surgeons will always make you feel comfortable and welcome. Our Medicare-certified surgical center uses state-of-the-art technology to give you the best breast revision experience.
To begin the process of undergoing a breast revision in Bellevue, you will come for a consultation with Dr. Ludwig Allegra. He will want to understand your concerns with your breast implants and your goals for a revision. Dr. Allegra will also want to garner a good understanding of your medical history.
At this point, Dr. Allegra will physically examine your breasts. He can then decide if you are a good candidate for breast revision surgery. Dr. Allegra may also use Vectra 3D imaging to simulate your results. Upon determining your candidacy, Dr. Allegra will create a personalized surgical plan focused on promoting the best possible results.
On the day of surgery, you will come to our Medicare-certified, ambulatory surgical center in Kirkland. The Northwest Face & Body team will prepare you for surgery and Dr. Allegra will make pre-operative marks. Following a successful check-in and pre-operative exam, a licensed anesthesia provider will place you under general anesthesia.
Dr. Allegra will then begin surgery. The surgery itself will vary based on your needs, but usually, he will remove your breast implants first. Once Dr. Allegra removes the implants and necessary scar tissue, he will prepare to place the new breast implants. If placing saline breast implants, Dr. Allegra will fill them following placement. If you choose silicone or gummy bear breast implants, he will use the “no touch method” to place your implants.
Following breast implant placement, Dr. Allegra will perform any other procedures needed to obtain the best results. This could include a skin excision procedure such as a breast lift, or may only include closing the breast augmentation incisions.
A breast augmentation revision recovery is often noted to be easier and less time than the first augmentation. Likely this has to do with the stretching of the chest muscle. If your breast implants were placed under the muscle, then subsequent implants placed do not stretch chest muscle as much.
Despite this, while patients may experience less pain during a breast revision, it still requires time off and a recovery period. Normally, patients can return to work and most activities in about a week. Like with the first breast augmentation surgery, Dr. Allegra may continue to restrict certain activities for a few weeks.
Possibly, this largely depends on which breast augmentation incision your surgeon used for the original surgery. If it was the inframammary fold incision, Dr. Allegra can almost certainly utilize this incision for your breast revision. He can also likely reuse a periareolar incision.
Generally, the transaxillary and transumbilical breast augmentation incision cannot be reused for breast revision purposes. Dr. Allegra will likely need to create a new incision (likely one in the inframammary fold) to achieve the best results.
In some cases, Dr. Allegra can perform a procedure to correct breast augmentation results without switching out breast implants. This occurs often when the breast implants cause no physical problems and the patient has only cosmetic concerns.
Many patients want only a small increase or to fill in rippling. A fat transfer to the breasts or fat grafting may achieve these goals without replacing breast implants unnecessarily.
Yes, many women do downsize their breast implants during breast revision surgery. This is extremely common when the size of breast implants no longer matches a patient’s lifestyle. Dr. Allegra can discuss the size and implant type possibilities for your Bellevue breast revision at a consultation.
Most plastic surgeons recommend waiting at least one year after your breast augmentation to seek out a breast revision surgery. You should also follow up with your original surgeon to discuss your concerns, if possible, before coming to Dr. Allegra.
If it has been more than one year since your breast augmentation and reaching the original surgeon is not a possibility, Northwest Face & Body is happy to see you and discuss your Bellevue breast augmentation options.
Breast revision surgery with Dr. Allegra will vary widely based on what he needs to accomplish. Your breast implant choice also impacts the cost. To best serve you, we keep our base prices on our Price List. Additionally, we also utilize the Price Simulator™ app which allows you to explore your plastic surgery options at Northwest Face & Body. After choosing the ones you are interested in, Price Simulator™ provides you with a customized, preliminary price quote.
Northwest Face & Body is a premier plastic surgery clinic in Kirkland, WA that has served the Eastside since 1983. Our ambulatory surgical center meets the most rigorous standards and is Medicare accredited. Located on the shores of Lake Washington, Northwest Face & Body provides the best plastic surgery procedures in Bellevue and Kirkland.
Dr. Ludwig Allegra is an accomplished plastic surgeon with over two decades of experience providing high quality surgical procedures. He is an experienced breast surgeon who performs many breast surgeries, including breast revisions, every month. A dedicated plastic surgeon, Dr. Ludwig Allegra, aims to exceed patient needs and expectations.