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.
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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.
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Containing the thinnest skin on the face, the under eyes are susceptible to age, skin damage, and discoloration. With age, fat loss in the area can cause extra skin to bunch up under the eyes. It can also cause significantly hollowing and a darkened under eye look. This can age the face prematurely, especially when mixed with environmental damage. Lower eyelid surgery—or a lower blepharoplasty—helps the lower eyelid look younger. Dr. Ludwig Allegra of Northwest Face & Body provides the best lower blepharoplasty Bellevue and Kirkland offers.
Lower blepharoplasty surgery removes excess skin below the eyes and tightens the skin for a more youthful appearance. As one of the first areas to begin showing age, patients often seek this surgery out at a younger age than facelift surgery. Though, it is often combined with other rejuvenating procedures as well.
Since it treats a relatively small area, blepharoplasty surgery is considered one of the least risky facial plastic surgeries. Patients also tend to recover well and fairly quickly when compared to other procedures. It is commonly performed alongside an upper blepharoplasty and may include fat injections or repositioning depending on your anatomy and goals.
All surgeries come with a unique set of benefits and risks. Understanding and weighing them fairly before opting to go under the knife is essential to ensure a good outcome. Overall, the procedure has few risks and the benefits generally outweigh them. However, this will differ between patients. Dr. Allegra will discuss your individual risk profile during your consultation.
First, let’s examine the benefits and advantages of a lower blepharoplasty procedure. Some of the benefits include:
As mentioned, lower eyelid surgery is fairly low risk for most patients. However, it does carry typical surgical risks and higher risks for certain demographics. Some of the possible risks and complications associated with lower blepharoplasty include:
There are two surgical approaches to lower eyelid surgery. First, Dr. Allegra can use a transconjunctival incision which means making the incision inside the lower eyelid. This essentially removes the possibility of visible scarring. It also allows Dr. Allegra access to the structures necessary and keeps incisions pointed away from the eyeball.
A transcutaneous incision is the next option for a lower blepharoplasty. This is probably the most frequently used for under eye surgery. The incision hugs the edge of the lower lid which hides it in the natural transition from skin to the eye. This incision is further from the eye, but also has the possibility of causing visible scarring.
Sometimes both incisions are used during a lower blepharoplasty. This is largely dependent on your needs during surgery and your goals. Both tend to heal well and not scar noticeably. Though, there are times when one incision may be preferred over the other. If a large amount of skin needs to be removed, Dr. Allegra may recommend they transcutaneous incision. If there are concerns about the muscle, a transconjunctival incision may be recommended.
During a consultation at Northwest Face & Body, you will meet with Dr. Allegra who will ask about your goals and concerns. He then may also inquire about aspects of your medical history and lifestyle. This helps him ensure you are a good candidate for both surgery and a lower blepharoplasty specifically. Finally, he will conduct a thorough examination of the eyelids and surrounding areas.
If Dr. Allegra believes you are a good candidate for blepharoplasty surgery, he will create an approach customized to your goals and anatomy. He will explain this in detail as well as any other procedures he may recommend and the results you can expect. Before leaving the office, you will receive a personalized price quote, any clearances you may require, and financing information.
During surgery, Dr. Allegra will make the necessary incision either inside the lower lid or just below it. From there, he will remove unnecessary fat and release certain fat structures to allow him to tighten the muscles and skin. Dr. Allegra will then remove any extra skin left over and tighten it into a natural position.
During the stitching process, Dr. Allegra will ensure proper movement of the eyelids is maintained. This will also involve ensuring the proper function of the muscles as much as possible. Some muscle weakness following blepharoplasty is normal and usually temporary.
Blepharoplasty surgery is often performed under both local and general anesthesia. Regardless, patients remain perfectly comfortable during surgery. Local anesthesia can help reduce side effects and lessen recovery time.
Lower blepharoplasty is a fairly short procedure with minimal post-surgery pain. However, it does still require a traditional surgical recovery. Many patients find that they do not need prescription pain medications. Many can manage their pain with Tylenol or similar over-the-counter pain relievers. Beyond limited activity, some of the post-operative instructions may include:
Every patient will undergo a personalized procedure. Thus their recovery instructions will also be personalized to match them and their procedure. Dr. Allegra will provide you with more detailed aftercare and recovery instructions at multiple points during the surgical process.
Visible swelling usually becomes unnoticeable in ten to fourteen days. Though, some minor, residual swelling may continue for a few months. Patients who smoke or do not follow recovery instructions may see their swelling last longer. Overall, blepharoplasty surgery does not generally cause major swelling for more than two or three days.
Dr. Allegra can better discuss the swelling you may experience following lower blepharoplasty once he understands your medical history, medications you take, and aspects of your lifestyle that may influence your recovery.
Yes, blepharoplasty surgery is considered one of the safest cosmetic procedures in all of plastic surgery. It rarely causes major issues or complications and patients generally are happy with their results. The average patient will not have significantly elevated risks during or after surgery. If a patient has inordinate risks, Dr. Allegra will likely recommend other treatments to address their concerns.
Like other anti-aging surgeries, lower blepharoplasty cannot completely stop aging. Therefore, extra, saggy skin can come back, but it often takes several years, if not well over a decade. Some aspects of the procedure may be essentially permanent such as corrections to vision that may impact how the skin later ages or if the muscles in the area are addressed. Patients can expect to enjoy their results for several years to come.
It can. Though, upper eyelid surgery or temple filler are often better at addressing eye shape than a lower blepharoplasty. If desired, an additional procedure can be added to change the shape of the eye.
Lower blepharoplasty with Dr. Allegra at Northwest Face & Body starts at $4,285. This only accounts for the lower eyelid surgery, adding the upper lids or other procedures will incur additional charges. You can find a comprehensive and searchable list of our prices on our price list.
Northwest Face & Body also works with outside financing companies to help make your Bellevue upper blepharoplasty surgery fit your budget. You can find more about our plastic surgery financing options and links to apply on our financing page.
Northwest Face & Body has served Bellevue and Kirkland for over thirty years. Featuring a luxury surgical suite on the shores of Lake Washington, the facility has accommodated thousands of patients for surgical and non-surgical procedures. Less than ten minutes from both Bellevue and Kirkland, Northwest Face & Body offers the best upper blepharoplasty Bellevue and Kirkland provides.
Dr. Ludwig Allegra is a plastic surgeon and otolaryngologist who has performed facial surgeries for three decades—in both medical and cosmetic capacities. His expertise and experience in the aesthetic and medical treatments of the face make him one of the most skilled plastic surgeons, especially in eyelid surgery.
To learn more and schedule a consultation, call us at 425-576-1700. You can also reach out online using our contact form, chat, or Price Simulator.
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