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.
The newest generations of silicone breast implants come with a lifetime warranty. While complications from breast implants are becoming less common, there are several reasons why a patient may choose to have their breast implants removed. Many patients are beginning to prefer the en bloc capsulectomy method for their explant surgery. Dr. Ludwig Allegra at Northwest Face & Body regularly performs the en bloc technique for breast implant removal. Northwest Face & Body offers the best en bloc breast implant removal Bellevue and Kirkland provides.
Breast implant removal is a surgical procedure that removes breast implants. In some cases, the implants are replaced with new ones. However, sometimes, a patient simply wants to remove their breast implants for good. Dr. Allegra usually tries to utilize the same incision used for the original breast augmentation surgery. Though, this is not always possible. A breast implant removal almost always uses an inframammary fold incision.
The term for the surgery that removes breast implants is capsulectomy because it usually removes scar tissue along with the implant. An en bloc removal involves taking out the implant and scar tissue in one piece. Traditionally, this method was used in the case of a known implant rupture of a silicone implant.
Though, many women are choosing the en bloc technique when getting their breast implants removed to prevent leaving any trace of the implant behind. The surgery is much more difficult and technical than a basic capsulectomy. Thus, this makes choosing your plastic surgeon vital to getting the best results.
Much like the decision to get breast implants, the choice to have them removed is deeply personal. Every patient will have their own reasoning. However, there are some cases where the procedure is recommended or necessary. Some of the causes and reasons that women have their breast implants removed include:
Regardless of the reasons, Dr. Allegra will work with you to create a surgical plan for removing your breast implants. He will discuss all of the possible surgical methods and the one right for you that makes you feel most comfortable and confident. Dr. Allegra may also employ Vectra 3D imaging to help you visualize your results once he removes the implants.
The en bloc capsulectomy technique offers patient numerous benefits. Though, it is important to understand and know all the possible methods, their benefits, and their risks. Some of the possible benefits of en bloc implant removal include:
There are three main techniques that plastic surgeons employ to remove breast implants. Dr. Allegra is experienced in all three and can discuss which one is right for you. En bloc breast implant removal is among the most popular technique today.
A partial capsulectomy earns its name because only part of the scar tissue is removed. Generally, Dr. Allegra will remove the breast implant and some scar tissue as necessary. This leaves scar tissue from breast augmentation. This approach is most popular when placing new implants because new scar tissue is going to form anyway. Therefore, fully removing the scar tissue would be redundant.
In patients without major symptoms of rupture, capsular contracture, or breast implant illness, a partial capsulectomy is perfectly appropriate. Symptomatic patients will likely better benefit from one of the other two capsulectomy options.
A full capsulectomy removes the breast implant and the entirety (or as much is safe) of the scar tissue. However, unlike an en bloc procedure, Dr. Allegra will remove the scar tissue in pieces. Some of it may come out with the implant and then he will remove more scar tissue as needed.
This is also a common technique and is effective for most patients. If a large rupture or leak occurs or the patient has breast implant illness, Dr. Allegra may recommend the en bloc capsulectomy technique for peace of mind and safety.
In French, “en bloc” means “as a whole.” Therefore, this technique consists of removing the breast implant and the scar tissue surrounding it as a whole entity. This method is preferred when there is a breast implant rupture or leak. Many patients experiencing breast implant illness prefer this method for reassurance that no residual elements of their implants remain.
Dr. Allegra is happy to accommodate an en bloc breast implant removal as long as the patient understands that it involves a larger incision and that in some cases it is not possible to safely remove the scar tissue in one piece. While most of the time, there are no safety concerns when removing the scar tissue, sometimes it can adhere to important anatomical structures. This may require more careful removal or cauterization.
Unless a patient is experiencing problems with their breast implants or has another personal reason, there is no reason for a capsulectomy surgery. As far as removing the scar tissue, it is not technically necessary in all cases. However, it is preferred because it helps return the breasts as close as possible to their original state. Removing scar tissue can also help lift the breasts along with a breast lift.
Yes, for the first few months of your recovery, you may lack upper projection of the breasts. They may also take on a slightly concave look above the nipple. This is perfectly normal and as your body heals and tissues settle, the breasts should return to a natural look. This is referred to as “fluffing” because the breasts appear to fill out.
The recovery associated with an en bloc breast implant removal is exceptionally similar to the original breast augmentation recovery. Dr. Allegra will provide personalized instructions based on your needs and specific procedure. Some of the common directions include:
A breast lift surgery and breast implant removal complement each other well and are often combined. Breast sagging is normal and occurs due to several factors such as age, genetics, and pregnancy. When many patients seek an en bloc, they are also experiencing breast sagging. This can further improve results.
Dr. Ludwig Allegra is an experienced plastic surgeon who has over thirty years of experience in the field. He routinely adopts new techniques and technology such as the Vectra 3D imaging system that helps patients visualize and better understand the probable results of any breast surgery.
As one of the founders of Northwest Face & Body, Dr. Allegra has served the Pacific Northwest for years. Along with breast surgery, he also regularly performs body contouring such as tummy tuck and liposuction. Dr. Allegra is a skilled injector of Botox and dermal fillers. His well roundness as a provider allows him to present all possible options to his patients to help them make an informed decision.
Choosing the right breast surgeon takes time and research. At Northwest Face & Body, our plastic surgeons have decades of experience performing all types of breast surgeries. With refined skills in cosmetic breast surgery, our Bellevue plastic surgeons will answer your questions, address your concerns, and provide you with a comprehensive surgical plan for en bloc capsulectomy.
Northwest Face & Body is a premier plastic surgery practice located in Kirkland, WA. Easily accessible from I-405 and minutes away from Bellevue, Northwest Face & Body provides the Eastside with the best breast implant removal surgery. Dr. Ludwig Allegra is an accomplished surgeon who has practiced in the Greater Seattle and Bellevue areas since 1983.