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
(includes medication, all supplies necessary, diet & exercise plan, and the consultation with monthly follow up appointments)
(includes medication, diet, & exercise plan, and the consultation with monthly follow up appointments)
Most tummy tuck surgeries use two surgical techniques. First, skin removal is part of nearly every abdominoplasty because it ensures that your skin complements your new contours. Secondly, muscle repair, or muscle plication, is commonly performed during a tummy tuck. This technique provides a tighter, toned abdomen. It can repair the damage done to the body due to pregnancy, weight loss and gain, and even alleviate symptoms of some medical conditions. Dr. Ludwig Allegra of Northwest Face & Body performs the best tummy tuck with muscle plication Bellevue and Kirkland have to offer.
Muscle plication, also called muscle repair, is a surgical technique that tightens the rectus abdominis muscles. This large muscle is technically two muscles joined together by various connective tissues. The rectus abdominis, also known simply as the abdominal muscles, are responsible for the six pack of some people.
The abdominal muscles run from the sternum and down to the pelvis. Due to this, the rectus abdominis muscles play a large role in your anatomy, both cosmetic and medical.
Cosmetically, these muscles can provide the coveted six pack. When in their optimal position, they also provide a more toned look overall. This prevents the stomach from taking on a pooch appearance. Medically, the abdominal muscles help with urination, breathing, and supporting the spine. The rectus abdominis muscles also protect the internal organs.
Pregnancy, weight gain or loss, and previous abdominal surgeries can cause the muscles of the rectus abdominis to separate. While this usually is not dangerous, it can contribute to certain medical and cosmetic problems.
The medical term for the separation of the abdominal muscles is diastasis recti. The condition is fairly common, especially in women who have been pregnant. As many as 60 percent of women experience the condition following pregnancy. It is not limited to women or those who have been pregnant. Diastasis recti can affect men, women, and even children.
Diastasis recti is the term used to describe when the two segments of the abdominal muscle separate from one another. This weakens the overall structure of the abdomen and can cause a pooch appearance to the stomach. Even at a healthy body weight or with little fat, this look will often persist. This is why muscle plication is often necessary during tummy tuck surgery because without it the patient may not achieve a flat stomach.
Additionally, diastasis recti is tied to some medical conditions usually worsening symptoms. For example, the abdominal muscles can lead to pelvic floor weakness which can cause incontinence. This is especially true after giving birth. Diastasis recti can also cause back and pelvic pain, poor posture, and worsen, or in rare cases, cause hernias. The condition may also contribute to bloating and constipation.
How do you know if you have diastasis recti? If you have given birth or large weight fluctuations, you have a higher chance of diastasis recti. It is important to see a certified professional who can diagnose diastasis recti like Dr. Allegra. However, you can self check to determine if you may be experiencing muscle separation.
To check for muscle plication, you will first need to lay back on the floor. Keep your knees bent comfortably. Then, place your fingertips along the middle of your stomach, about halfway between your waist and bellybutton. Use your other hand to support your head and neck. Finally, slowly lift your head and apply pressure downward against your abdomen.
If you do not have diastasis recti, you will likely feel hard, toned muscles. If your fingers sink or feel space, you may have diastasis recti. The condition is not always associated with a stomach bulge and can occur anywhere among the abdominal muscles. Therefore, it can be difficult to tell on your own.
At Northwest Face & Body, Dr. Allegra performs muscle plication and correction of diastasis recti as part of tummy tuck procedures. While a tummy tuck does not always include muscle plication, it is part of most abdominoplasty procedures Dr. Allegra does.
If you undergo a tummy tuck with muscle plication, you will come to Northwest Face & Body’s Medicare certified surgical center. After check-in, marking, and clearance for surgery, a licensed anesthesia provider will place you under general anesthesia.
Dr. Allegra will then make an incision from hip to hip. The incision may be longer or shorter depending on your specific needs for tummy tuck surgery in Bellevue. A mini tummy tuck uses a shorter scar, while an extended tummy tuck uses a longer scar. Through this incision, he will repair the muscles and pull them tight. Dr. Allegra will then remove extra skin and tissue to accommodate for your tighter muscles.
The advantages of correcting diastasis recti will vary for every patient. Some mild cases of muscle separation may experience no symptoms and not experience any cosmetic changes. These people will often have no idea they have diastasis recti. For more serious cases of diastasis recti, the benefits of muscle repair can correct uncomfortable and even painful symptoms.
While diastasis recti is not a dangerous condition, it can worsen other conditions. Therefore, some doctors may recommend muscle plication surgery (with or without a tummy tuck) to improve your quality of life.
Benefits some patients experience following a tummy tuck with muscle repair include:
The traditional surgical technique for correcting diastasis recti is to close the gap between the abdominal muscles with well placed sutures. This creates an internal “corset” of sorts that keeps your muscles together. It does prevent future separation, though it cannot completely stop it from recurring, especially if you get pregnant after surgery.
Following a tummy tuck with muscle plication, you will need to take at least one to two weeks off work. To facilitate healing, you may need to stay hunched over for a few days. When a tummy tuck includes muscle plication, this usually lengthens recovery. However, it also usually yields the best results. If diastasis recti is present, but not repaired, achieving a flat stomach likely will not be possible.
Dr. Allegra will prescribe you medications and give you a compression garment to keep you comfortable. This will also promote good results and reduce swelling. Patients often return to work after two weeks. Depending on the physicality of your job you may need to return on light duty. Exercise and other strenuous activities should not resume for at least two to three weeks. Lifting and other intense exercises will likely need to wait for four to six weeks. Attending your post-operative appointments allows Dr. Allegra to monitor your healing and clear you for work and various activities as soon as possible.
Yes, although most tummy tucks include muscle plication. A skin removal or excision surgery will not take as long to recover from as a surgery that requires muscle repair. This can also be seen with breast augmentation. Implants placed over the muscle do not require as long of recovery as implants placed under the muscle.
During the surgery itself, you will feel no pain. Following surgery, you may experience some post-operative pain and tightness. Some patients also describe a pulling sensation. This is all normal. Dr. Allegra will prescribe pain medications to keep you comfortable and help manage the pain. Wearing your garment and staying in the required positions can reduce pain. After recovery, patients rarely feel pain.
Yes, it is possible to perform a muscle plication procedure without a tummy tuck. Occasionally, doctors will repair diastasis recti during a C-section or hernia surgery. Rarely, it is performed purely by itself. At Northwest Face & Body, our plastic surgeons perform muscle plication only as part of a tummy tuck or other plastic surgery.
This depends on many factors. If you become pregnant, gain a large amount of weight, or sustain an injury, this could reverse the muscle plication procedure. The separation of muscles following a tummy tuck normally only occurs due to outside forces such as pregnancy or weight gain. If you maintain a healthy lifestyle, it is unlikely that you will see the muscles separate after a Kirkland tummy tuck.
In mild cases of diastasis recti, certain exercises and working with a physical therapist can repair the separation. Also, for some women who experience muscle separation after pregnancy, the muscles will naturally repair themselves. A tummy tuck is the most effective correction for diastasis recti.
Dr. Ludwig Allegra of Northwest Face & Body has performed plastic surgeries in the Bellevue and Kirkland areas for over three decades. As an accomplished and talented surgeon, Dr. Allegra knows how to achieve whatever your goals are for your abdomen. He can also accurately diagnose diastasis recti and determine if muscle plication will benefit you.
Northwest Face & Body serves the Eastside with premier plastic surgery and non-surgical procedures. Our team consists of plastic surgeons, a full nursing staff, injectors, and master estheticians. Treating a variety of cosmetic concerns, Northwest face & Body aims to provide the best plastic surgery in Bellevue and Kirkland.