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
Lasers—especially lasers used for aesthetic purposes—have come a long way in the last few decades. In the early days of laser hair removal, only people with light skin and dark hair could be safely treated. Now, any skin tone can undergo laser hair removal. However, various types of laser and light-based treatments pose risks to certain skin tones and types. Therefore, if you are interested in one of these treatments, your master esthetician may require you to undergo a patch test first. Northwest Face & Body performs laser patch tests to help patients undergo various laser procedures safely.
Lasers involve medical-grade equipment that needs to be handled carefully. If used on the wrong patient, or on skin that does not respond well to it, it can cause significant issues such as rashes, burns, welts, or scars. Before treating the entire face or body area, a patch test allows your master esthetician to evaluate how your skin will respond to the treatment.
If a negative reaction occurs, this is considered a positive result. To proceed with treatment, patients should have a negative result. Some mild irritation is expected, but it should not be overly painful or hinder your daily life. Anything that becomes raised, more than mildly painful, or produces an abnormal reaction may be considered a positive result.
A patch test offers a safe and effective way to test a small area of skin without causing major issues to the rest of the treatment area if you experience any adverse reactions.
The Fitzpatrick Scale is a measurement of how different skin tones react to UV rays. It has been used in both the medical and aesthetic fields to make many assumptions about a person and their skin. Not all have been fair or accurate. However, when it comes to laser treatments, it is known that people with a Fitzpatrick Type above III are at higher risk of developing complications from some laser and light-based treatments.
With the use of triple wavelength lasers for hair removal, people with a high Fitzpatrick skin tone can undergo hair removal safely and with little added risk. However, some laser and light treatments still pose risks to these individuals such as intense pulsed light and non-ablative laser resurfacing.
It is still sometimes possible for patients with darker skin tones to benefit from these procedures if they undergo a protocol beforehand that includes a laser patch test.
Your master esthetician can evaluate how your skin responds to the treatment immediately and over a couple of weeks. If no major issues arise, you may be able to proceed safely.
Lasers and light-based treatments sometimes require a patch test. Though, they are not the only ones. Possible procedures that may require a patch test include:
The laser patch test protocol can vary slightly depending on the specifics of the patient and their treatment. Below is a description of the average experience with the laser patch test protocol.
At your initial consultation with a master esthetician at Northwest Face & Body, you and your master esthetician will discuss your concerns and the treatments that may potentially treat them. If agreed that a laser procedure may benefit you, but your Fitzpatrick skin tone puts you at a higher risk of hyperpigmentation, your master esthetician may recommend starting the laser patch test protocol.
First, you will begin using our prescription brightening cream. This helps trick the laser into not targeting the melanin in your skin. You will need to use the brightening cream consistently, every night, for four weeks.
After four weeks of using brightening cream and basic skincare, you will come into the office to undergo a patch test. This involves your master esthetician administering the laser at various low settings in a hidden spot of the treatment area. For the face, a laser spot test is often performed behind the ear to disguise any visible changes.
Your master esthetician will observe the immediate skin response. Some redness is normal with most of our laser procedures and not a positive result if it occurs at expected amounts and durations. They will then provide instructions on the ideal way to care for the treated patch of skin and evaluate it over the coming weeks.
You will go home and continue your normal activities sans strenuous exercise or getting the area wet. In about two weeks, your master esthetician will call to follow up. They may also ask you to send photos of the treated patch of skin. At this point, they will determine whether the treatment is a good fit for you or if others pose fewer risks.
Your master esthetician may recommend a few changes to your typical routine to provide reliable results. This may include instructions like:
A positive patch test following laser treatment can depend on the laser being tested, your skin type and tone, and other factors. Reactions that could, but may not always, constitute a positive patch test result include:
Your master esthetician will carefully examine the tested area. This may include viewing pictures, a physical examination, and a discussion of your experience following the laser patch test.
If you do end up with a positive patch test, your skin journey does not have to end. There are possible alternative treatments depending on the skin concerns you want to treat. A few treatments you may be able to undergo instead include:
Brightening cream—when prescribed in high doses—gets a bad reputation because it can dramatically lighten the skin. However, at the dosage prescribed at Northwest Face & Body, this is not the case. The goal is simply to temporarily deactivate the melanin and essentially mask it so that you can undergo a laser procedure without the risk of hyperpigmentation or other complications.
Brightening agents can be used to treat conditions such as melasma or hyperpigmentation. It reduces the melanocytes, but when administered in the prescribed amount, should not lighten the skin. You are also not meant to use the brightening cream for longer than you plan to undergo the laser treatment. Therefore, you are using it temporarily.
Yes, anyone is welcome to do a patch test. People with a Fitzpatrick skin tone below Type III will likely not need to use brightening cream as part of their patch test protocol. Some patients—regardless of skin tone—may need to undergo a patch test due to certain circumstances such as a medical condition, medication, preference, or if they have very sensitive skin.
You can discuss this possibility and how it would work with your particular skin and procedure during a free skin consultation at Northwest Face & Body.
The cost of a laser patch test at Northwest Face & Body is as follows:
This is not included in the listed price of the procedures on our price list or Price Simulator. Northwest Face & Body does work with outside financing companies such as Care Credit to help you find affordable financing for your procedures.
Northwest Face & Body is a premier plastic surgery clinic and medical spa located on the shores of Lake Washington in Kirkland, Washington. Having served the Eastside and surrounding areas for over two decades, the master estheticians at Northwest Face & Body have developed protocols to provide the best laser treatments Bellevue and Kirkland offer.
Master estheticians are estheticians with training and knowledge to use medical-grade procedures to beautify the skin. Traditional estheticians do not perform medically based procedures and focus primarily on the beautification of the skin and hair. Our master estheticians can perform procedures such as chemical peels, microneedling, IPL, and laser treatments to improve the look, feel, and overall health of the skin.
To learn more and schedule a free consultation with a master esthetician, call us at 425-576-1700. You can also reach out online via chat, contact form, and Price Simulator.
Choose one of the contact links belowCall/Text Our OfficeContact Form