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.
Restylane - L / With Nurse
/ per vial
A tummy tuck, or abdominoplasty, has become a well known phrase and procedure. Many misconceptions surround tummy tuck surgery. One of the biggest myths is that a tummy tuck is a weight loss procedure. This is not true. Tummy tuck surgery often treats and removes excess skin following massive weight loss. Another not commonly known facet of a tummy tuck is that it is not a one-size-fits-all procedure. The tummy tuck incision and the procedure are custom tailored to fit each individual. Therefore, there are three main types of tummy tuck: the mini, standard, and extended. Dr. Ludwig Allegra of Northwest Face & Body offers the best extended tummy tuck Bellevue and Kirkland provides.
An extended tummy tuck is a tummy tuck that includes a scar that wraps around the hips to address the love handles. While the incision is longer than other tummy tuck incisions, it is still often concealed easily by everyday clothing because it is below or even with the pubic bone.
The most extensive version of a traditional abdominoplasty, an extended tummy tuck, often dramatically alters bodily contour. Like a standard tummy tuck, it will tighten the abdominal muscles and remove extra skin. Yet, due to the increased number of treatment areas, an extended tummy tuck will correct structures past the hips.
While a full tummy tuck would still benefit most extended tummy tuck candidates, they may be left with dog ears. Dog ears are flaps of skin leftover that can affect bodily contours. Dr. Allegra may recommend an extended tummy tuck if a full may not offer the results you want, or may leave you with dog ears.
Determining whether a mini, full, or extended tuck will provide you with the results you want is best determined by a qualified Bellevue plastic surgeon. Additionally, every procedure involves similar surgical processes, each address differing body areas, and levels of correction. In the table below, you can see the major differences between the different types of tummy tucks.
An extended abdominoplasty comes with many notable benefits, especially for patients who need more extensive correction. Among the benefits of an extended tummy tuck include:
Any surgical procedure, including an extended tummy tuck, comes with some risk. As an elective surgery, you should consider the risks when planning for your Bellevue extended tummy tuck. Your Bellevue plastic surgeon will also assess your risks before determining you are a good candidate.
Some of the risks of an extended abdominal tuck include:
Dr. Allegra takes every precaution to reduce the risk of an extended tummy tuck in Bellevue. This includes screening patients, advanced surgical techniques, and thoughtful post-operative care.
In general, good elective surgery candidates are those that are in good general health, do not smoke, have no unmanaged health conditions, and have realistic expectations for the procedure. When it comes to an extended tummy tuck, patients should have extra skin along the lower abdomen, hips, and love handles. They may also need muscle tightening of the abdominal muscles and removal of diet resistant fat.
Good candidates for a Bellevue extended abdominoplasty often have lost large amounts of weight. These candidates will find even more benefit from an extended tuck because the procedure will reveal the body’s true contours. Additionally, an extended tummy tuck is sometimes used as a revision tummy tuck surgery.
Beginning your tummy tuck journey starts with a consultation at Northwest Face & Body. You will meet with Dr. Ludwig Allegra at our Kirkland office where he will determine if you are a viable candidate for an extended tummy tuck surgery.
First, Dr. Allegra will want to get a good idea of your goals and expectations for the surgery. Next, he will review your medical history and discuss your lifestyle. At this point, he will conduct a physical examination of your abdomen and nearby anatomy. After a thorough exam, Dr. Allegra can then conclude if you are a good candidate for an extended tummy tuck in Bellevue.
Finally, to end the consultation, Dr. Allegra will describe the procedure and results you can expect following the procedure. He will craft a customized surgical plan catered to your body and needs. Before leaving the office, you will receive a personalized price quote and financing information.
The day of your extended tummy tuck will begin with checking in at our Medicare accredited surgical center. The Northwest face & Body team will prepare you for surgery and run the tests necessary before surgery. You will then meet with Dr. Allegra where he will make surgical markings. After a successful check-in, a licensed anesthesia provider will place you under general anesthesia.
Dr. Allegra will make the incision. While the exact positioning and length of the incision vary between patients, the average one will follow a typical tummy incision from hip to hip. It will then extend around the back of each hip to address the love handles.
Utilizing this incision, Dr. Allegra will remove excess skin and fat. Depending on your anatomy, he may repair the abdominal muscles and pull them tight. Dr. Allegra may also use liposuction to remove fat and enhance body contours. The last step will involve tightening and redraping the abdominal skin. Dr. Allegra will then stitch the incision.
An extended tummy tuck at Northwest Face & Body is performed on an outpatient basis. Therefore, this means that you will go home and begin recovery the same day as surgery. You will need someone to stay and care for you for at least the first 24 hours after surgery. The first day after surgery is an extremely important one and can set the tone for the rest of your recovery.
Dr. Allegra often gives patients post-op instructions based on their specific procedures. Some of his instructions may include:
No, although the two procedures are similar. A lower body lift incision encircles the entire lower body, while an extended tummy tuck incision only extends to the back of the hips. Dr. Allegra may recommend a lower body lift instead of an extended tummy tuck if you have significant extra skin or sagging in your lower back or buttocks.
In most cases, yes. If stretch marks are present in the lower abdomen or love handles, an extended tummy tuck will likely remove them or greatly improve their appearance. Stretch marks present in the upper abdomen or areas not as affected by the procedure may receive some improvement, but are unlikely to be fully treated.
Dr. Allegra can provide a better idea of what extent of removal and treatment of stretch marks is possible with your Kirkland extended tummy tuck. Often, the appearance of stretch marks on the abdomen is greatly reduced or diminished after an extended tummy tuck.
Pain is an expected part of any surgical recovery. With an extended tummy tuck, the amount of pain experienced is highly individualized. Most patients do experience some level of pain after an extended tummy tuck.
Dr. Allegra will prescribe medications to help manage the pain and discomfort. Usually, patients can discontinue prescription painkillers for over-the-counter painkillers in about a week.
It depends. Not every patient will require liposculpture to achieve a good result. With that said, most extended tummy tucks will use liposuction or may benefit from added lipo. Dr. Allegra can discuss the surgical techniques and options during a consultation at Northwest Face & Body.
The cost of a Bellevue extended tummy tuck will depend on the specifics of your procedure and if you are combining it with any other plastic surgeries. Accordingly, to get an idea of the starting price of an extended tummy tuck in Kirkland, refer to our Price List. You can also explore all of the tummy tuck options available and find all of their costs instantly with our Price Simulator™ app.
Northwest Face & Body provides the gold standard of plastic surgery in Bellevue and Kirkland. Having served the Eastside and Seattle areas since 1983, Northwest Face & Body offers high-end plastic surgery and non-surgical procedures. Our surgical facilities adhere to the highest standards and offer a safe and comfortable environment for your Bellevue extended tummy tuck. We also offer unique accommodations for Vancouver tummy tuck patients and those coming from out of town.
Dr. Ludwig Allegra is an accomplished plastic surgeon. With decades of experience providing comprehensive plastic surgery to the Eastside and using his expertise in body aesthetics and technical skill, Dr. Allegra performs the best extended tummy tuck Bellevue and Kirkland offers.