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)
The chin is one of the main structural components of the face that contributes to face shape, appearance, and profile. A weak or recessed chin can contribute to various concerns that patients have with their facial appearance. Depending on the cause and severity, people with a weaker chin may seek out cosmetic procedures to improve the look of their lower face. One of these options includes a chin augmentation procedure. Dr. Ludwig Allegra at Northwest Face & Body provides the best chin augmentation Bellevue and Kirkland offers.
A chin implant is a usually silicone device placed in the chin to increase the size and alter the shape of the chin. The procedure that places a chin implant is known as chin augmentation. Though chin augmentation does not exclusively use chin implants and is not always surgical.
The procedure can achieve various cosmetic results based on the anatomy and goals of the patient. It most commonly treats a chin that does not project enough to provide a symmetrical and aesthetic appearance. Some of the concerns and conditions that a chin implant can improve or remedy include:
Chin implants are designed to look and feel just like the natural chin bone. They come in all shapes and sizes to best match individual patients. Every patient will have a different idea of the perfect result and Dr. Allegra will discuss your chin implant options with you during a consultation.
The most common cause of a recessed or weak chin is genetics. Some people are simply born with or slowly develop a weak chin as they mature. The appearance can run in families. Another frequent cause is aging. As people age, they often naturally lose volume including fat and bone in the face. They may also see the fat in their face descend. This can happen in the chin as well.
The two aforementioned causes account for the majority of chin augmentation cases. However, other factors may influence chin appearance, including medical conditions like Treacher Collins syndrome and Downs syndrome. A child with a pronounced overbite may develop a weak chin or more prone to developing one. Prolonged thumb sucking and a long term soft food diet can also contribute.
Not all of these causes of a weak chin can or should be corrected. Some may be better corrected with other procedures, such as braces for an overbite. Dr. Allegra will examine your chin and medical history to determine the probable cause of your weak chin and whether you are a good candidate for chin augmentation surgery in Bellevue.
Chin augmentation carries many benefits for patients. The procedure can go a long way in restoring lost confidence or addressing insecurities. This can relieve stress and worries that may weigh on the patient. Along with the often mental benefits of undergoing facial plastic surgery, chin augmentation also has benefits like:
A chin implant is not the only way to augment the chin. Dermal fillers are another popular choice for chin enhancement. The procedure is often referred to as non-surgical chin augmentation or chin filler.
Choosing the right procedure for you may not be straightforward, especially when each procedure comes with unique benefits and drawbacks. The table below details some of the differences between the procedures to help you make an informed decision about which might be best for you.
Before undergoing chin surgery in Bellevue at Northwest Face & Body, you will meet with Dr. Ludwig Allegra. At the consultation appointment, he will ask about your concerns with your chin and goals for surgery. Next, he will review your medical history and lifestyle to determine you are a fit surgical candidate. Finally, he will physically examine the chin and face. Dr. Allegra can then conclude whether a chin implant surgery is best for you or if another procedure would better meet your goals.
If he believes that chin augmentation will benefit you, he will discuss the procedure and your chin implant options. If he does not think chin surgery is right for you, he may discuss alternatives which may include liposuction, Kybella, facelift, or dermal fillers.
Before leaving the Kirkland Northwest Face & Body office, you will receive a personalized price quote and information about our financing options. At this point, patients are usually free to schedule surgery.
During your consultation, Dr. Allegra may have discussed any necessary medical clearances you need to obtain before surgery. This is an important first step for preparing for your chin augmentation surgery if needed. Otherwise, you will have a pre-operative appointment where your pre-op coordinator will discuss what you need to do to prepare for surgery as your surgery date gets closer. Other steps you can take to prepare or that may be discussed at your pre-op appointment include:
On the day of your chin augmentation surgery, you will come to Northwest Face & Body’s Kirkland surgical facility. A member of the team will take your vitals and instruct you to get change. Dr. Allegra will meet with you briefly to go through the plan for surgery and make surgical markings. After finishing the required tests, a licensed anesthesia provider will place you under either local or general anesthesia.
There are a few techniques used to place chin implants. The most common uses an intraoral incision, which means positioning the chin implant through a small incision inside the mouth. Dr. Allegra will make the incision and create space for the implant. He will then carefully place the chin implant to form with your existing facial structure.
Another technique features the same maneuvers except through an incision under the chin. Dr. Allegra places his incisions discreetly and will recommend the best technique for your chin augmentation in Kirkland. Following the successful placement of the chin implant, Dr. Allegra will close the incision.
Immediately after chin augmentation surgery, you will likely feel groggy and tired. After a brief recovery period, your caregiver will drive you home and stay with you for the first 24 hours. You may start to see mild side effects such as swelling, bruising, tenderness, and pain settle in during this time. Dr. Allegra will prescribe medications to help you manage these side effects during your recovery.
Generally, patients can return to work after about a week. Though, this will depend on what your job is and how well you heal. Patients can usually resume all their normal activities, including their full exercise routine after four to six weeks. After the first few days, light activity is usually fine.
In two weeks, most side effects should be gone or imperceptible to most people. Swelling can stick around for several weeks, but is easily covered with makeup after about two weeks. Many patients discontinue the use of their pain medications within the first week. You will continue to see Dr. Allegra for post operative appointments over the next few weeks.
You will see some immediate results after surgery. However, this will become distorted by swelling and sometimes bruising within a couple of days. Any plastic surgery takes around nine months to one year for the results to be considered final. Your skin and tissues take time to heal and mold around the new chin implant. Many patients are pleased with their results after a few months.
Yes, sometimes when a patient’s chief complaint is an undefined jawline, the culprit is a slightly recessed or weak chin. Augmenting the chin with an implant or filler can enhance the jawline.
Chin implants come with many of the same risks as other bodily implants. Overall, the surgery itself and the implants have a low complication rate when performed by an experienced surgeon like Dr. Allegra. Any surgery comes with risk and Dr. Allegra will discuss these with you and ensure you have a low individual risk. Some of the risks associated with chin implants and chin augmentation surgery can include:
As previously noted, these risks are rare and unlikely to occur with an experienced provider and with optimal aftercare. Dr. Allegra will monitor you throughout your recovery.
Chin implants are usually considered permanent and designed to last for a lifetime. Patients usually enjoy their chin implant for several years, if not the rest of their life.
The cost of chin augmentation in Bellevue at Northwest Face & Body starts at $4,995. This price can vary based on several factors including what your procedure involves, financing method, and if you choose to combine it with other procedures. At your consultation, you will receive a price quote customized to meet the needs of your procedure.
Plastic surgeon, Dr. Ludwig Allegra comes with decades of experience performing cosmetic surgery of the face, body, and breast. As a board certified otolaryngologist in head and neck surgery, Dr. Allegra is especially adept at facial surgery, including chin augmentation. He has a deep and unique understanding of facial anatomy and aesthetics that allows him to provide the best chin augmentation Bellevue and Kirkland offers.
Along with chin implant surgery, Northwest Face & Body also offers all of the top plastic surgery procedures as well as injectables and skincare. Our team includes plastic surgeons, injectors, and master estheticians all with the expertise to help you reach your cosmetic goals.