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
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When it comes to aging, the face and skin are often top concerns for patients. This can dramatically change one’s appearance, despite still feeling youthful. While everyone can take anti-aging measures, it is impossible to completely halt the aging process. Eventually, good skincare, neurotoxins, fillers, and other anti-aging techniques will not achieve the results they once did. If a patient has loose, sagging skin in the lower face, a facelift may address this and slow aging. Two of the top facelift surgeons from Seattle and the Eastside, Dr. David Santos and Dr. Ludwig Allegra, provide the best facelift Bellevue, Kirkland, and Seattle offers.
The facelift procedure is one of the most common techniques we utilize for facial rejuvenation. Modern techniques allow for excellent long-term results with surprisingly little recovery or discomfort. The facelift is not well named: it is a neck and jowl lift that rejuvenates the lower half of the face. Conversely, a brow lift addresses the upper half of the face.
We all experience similar changes over time which result in the typical aging changes of the lower face. These include a loss of the youthful jawline and the development of jowling. Aging affects the midface causing more prominence of the folds of skin to the sides of the mouth and nose. The neck area often will lose its youthful profile and develop “bands” of excess tissue. General laxity of tissue occurs due to the loss of structural support, elastic tissue, and collagen. This loss of resilience and spring to the skin quality adds to lines and wrinkles.
Various other non-surgical procedures and a healthy lifestyle can promote less aging over time. Even if you take good care of your skin, aging will still eventually occur. Fillers can disguise wrinkles and lines, such as the ones that form between the nose and mouth. When these lines are not the only problem or become especially deep, a facelift may be the best option. A facelift physically tightens the skin and muscle structures to address wrinkles and loss of elasticity.
There is considerable variability of aging from person to person. However, there are definite common causative factors for skin aging:
One of the most important considerations for facelifts is the attention to detail important in avoiding a “surgical” appearance. It is essential to avoid the typical “over-stretched” appearance we are all too familiar with. Important details recognized include:
Hairline: It’s important to not shift the position of the hair in front of the ear or create a “notched” effect at the hairline behind the ear. It should be possible to wear the hair pulled back and not see a significant scar.
Tissue suspension: The support structures under the skin should remain supported and the skin itself not simply trimmed and pulled. By achieving strong support under the surface, the skin simply ‘comes along for the ride’ in a natural and youthful direction.
Attention to these areas will result in an extremely pleasing natural and long lasting result. The overall expectation should be one of improvement and enhancement of facial youthfulness and vigor and an increased sense of beauty.
Our plastic surgeons, Dr. Ludwig Allegra and Dr. David Santos each have over thirty years of experience performing facelift surgery. Dr. Allegra and Dr. Santos are both board-certified facial plastic surgeons. Each surgeon pioneered new, minimally invasive techniques for facial plastic surgery. Their experience and advanced techniques promote a quicker, easier recovery.
Dr. Ludwig Allegra has served the Bellevue and Kirkland areas for over three decades as a facial plastic surgeon. He regularly performs facelifts, brow lifts, rhinoplasty, and blepharoplasty procedures. Dr. Allegra was one of the first to adopt endoscopic facial plastic surgery and led the nation in embracing these surgical techniques. Recently, Dr. Allegra has begun combining his facelifts with a laser resurfacing procedure. This increases skin quality and promotes longer lasting results.
Dr. David Santos is a facial plastic surgeon who specializes in non-invasive facelift techniques. Dr. Santos has performed or supervised thousands of facelift surgeries throughout his decades long career. He has held multiple medical directorships both related to plastic surgery and as a medical professional. Dr. Santos continues to refine his craft. Looking to reduce the risk of facelift and mini facelift surgery, Dr. Santos spearheaded the use of local anesthesia during facelifts. This allowed him to change more lives with facelift surgery while also reducing risk and recovery time.
A licensed anesthesia provider will place you under general anesthesia for your Bellevue facelift surgery. The recovery from the anesthetic is usually about one hour, after which you can usually go home. Dr. Santos also often performs facelifts under local anesthesia. This can reduce the risk of general anesthesia and can lead to a reduced, easier recovery. Patients who are good candidates for a facelift usually have a say in their choice of anesthesia with Dr. Santos.
The actual procedure requires approximately one to three hours and involves a meticulous elevation and freeing of tissue. Your plastic surgeon will also elevate a second layer of supporting tissue (the SMAS layer). It is this layer that your plastic surgeon firmly re-suspends the deeper tissues. This also includes a deep plane facelift. Your plastic surgeon will treat excess fatty tissue with liposuction particularly in the fat pad under the chin area. Following this, the skin tissue is “re-draped” in a natural direction with the removal of excess skin.
Meticulous closure along the incision lines then helps assure excellent camouflage of the incision. A wrap around dressing is then applied to reduce the tendency for swelling or bruising. The head turban pressure dressing is kept in place overnight and removed the following day in the office. Individuals may go home if reasonably nearby or may elect to stay at the hotel across from our Carillon Point office.
Recovery is rapid with a reasonable, socially presentable appearance between five days (with makeup) to approximately ten days (often without makeup). Generally, you can expect only minor bruising or swelling in the lower neck area. Pain is usually minor and rarely even requires medication. Many patients are up and reasonably active by the second day.
Your plastic surgeon will instruct you to place cold compresses around the face and neck areas. The patient is requested to keep the head elevated for one to two days. Your plastic surgeon will remove the dressing in the next few days in the office. Hydrogen peroxide placed on Q-tips may treat and clean the wounds in and around the ear. Bacitracin is placed on the incisions in front of the ear.
You can begin showering the day after the procedure. It is important to refrain from performing any rigorous exercise or strenuous activity until at least two weeks after the surgery: lifting, bending over, and exercising. This can increase bruising and will slow healing down. You should minimize any head movement as well. Lateral stretching of the head (which might occur when driving) is not recommended for the initial week. Your plastic surgeon will remove clips after five to seven days and at which point you can apply makeup.
You can expect swelling and discoloration to a certain degree in the neck and behind the ears. Both generally dissipate within one to two weeks. If one has flown in for the procedure, it is generally possible to safely fly back one week after the procedure.
Following a facelift procedure, the “hands of the clock” are turned back for the long term. Physiologically you remain the same age, but the appearance of the face stays more youthful. Patients may see anywhere from 10 to 20 years of improvement in one’s facial appearance. However, we will still age and the manifestations of the aging process will continue to exert their effects on the face.
Nevertheless, when comparing one’s appearance after a facelift to one’s peers, the sense of a more youthful appearance continues over time. As a general concept, one can expect that there is a return to baseline appearance in about 10 years. However, one is still 10 years ahead of peers. A percentage of individuals who undergo a facelift may desire a repeat facelift after about ten years. This is easily and effectively accomplished.
Dr. Ludwig Allegra and Dr. David Santos are accomplished plastic surgeons who have performed thousands of facelift surgeries. With decades of individual experience and over fifty years of combined experience, Dr. Allegra and Dr. Santos offer the best facelifts Bellevue, Kirkland, and Seattle provide.
Northwest Face & Body has served the Eastside’s plastic surgery needs since 1983. Located on the shores of Lake Washington, Northwest Face & Body is just minutes from downtown Kirkland and Bellevue. Offering the best in cosmetic surgery and non-surgical procedures, Northwest Face & Body is the Eastside’s premier plastic surgery provider.
To schedule a consultation at Northwest Face & Body, call. us at 425-576-1700. You can also contact us online via our Price Simulator™ app, contact form, and chat.