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.
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Facelift surgeries cannot completely halt aging. Facelifts are designed to reverse aging and lead to a long lasting younger look. For example, if a facelift makes you look ten years younger, in ten years, you will still have aged, but less than if you never underwent the procedure. Sometimes, however, a facelift does not go as planned. Whether the result does not turn out ideal or you simply want to refresh the results of a facelift, revision facelifts require a highly skilled, specialized plastic surgeon. Dr. Ludwig Allegra of Northwest Face & Body is a Bellevue plastic surgeon who performs the top revision facelift Bellevue and Kirkland provide.
A facelift revision can refer to a variety of procedures and surgeries. The common goal of these procedures is to correct or restore the results of previous facelift surgery. While a revision may seem straightforward, it is often more difficult than a standard facelift.
The first facelift will have stretched and thinned the skin from its original position. In some cases, like when restoring a correctly performed facelift from years ago, this challenge is often not as prominent. However, some patients may have thinner skin due to the stretching and tightening of their first surgery.
Additionally, there are many reasons a patient may require a facelift revision that makes it more challenging the second or third time around. Some of these factors could include scar tissue, thinner skin, or too much fat removed. This is why it is imperative to seek a surgeon experienced in facelift surgery and facelift revisions. Dr. Ludwig Allegra has performed facelift surgery for thirty years and offers a deep understanding of facial anatomy and aesthetics.
As discussed, patients have many motivations for seeking revision facelift procedures. Among some of the reasons for a facelift revision include:
Before your procedure, Dr. Allegra will explain the specific differences between your first and second facelift. There is no one revision facelift surgery because it is dependent on each patient and their needs. For example, for one patient a facelift revision may entail only a quick, in-office procedure with local anesthesia. Another patient may require an hour or more of surgery.
Many facelift revision patients may find that the surgery is shorter and the recovery easier. Though, this will largely depend on what is needed to achieve a good result from your facelift revision in Bellevue.
A certainty about the difference between your first and second facelift is that revisions are often more challenging. Even during a small correction, previous surgery in the area complicates what Dr. Allegra can do to provide a good result. Therefore, it is crucial to choose a surgeon experienced in facelift surgery.
Most people who have undergone a facelift and want to enhance their results or received an unsatisfactory result are good candidates. Generally, before undergoing revision surgery, it is advised that you follow up with the plastic surgeon who performed the first facelift. If this is no longer possible, or do not feel comfortable seeing your original surgeon, Dr. Allegra and Northwest Face & Body are happy to see you.
Also, since plastic surgery results can take time to settle, it is recommended you wait at least one year after the first facelift to seek a revision. If you meet both of these requirements, Dr. Allegra can determine if you are a good candidate for a facelift revision.
Once Dr. Allegra determines you are a candidate for revision facelift surgery, you will need to make the necessary preparations. Surgical preparations vary from person to person, but you can expect pre-operative instructions such as:
On the day of your Bellevue facelift revision, you will come to our Medicare certified surgery center. Here, the Northwest Face & Body team will prep you for surgery. Dr. Allegra will also make surgical markings and review the procedure with you. When you are cleared for surgery, a licensed anesthesia provider will place you under general anesthesia.
The surgical technique will vary based on your needs. When performing a full revision, Dr. Allegra will often follow the same incisions. Through these incisions, he will reposition the skin and tissues for a more flattering result. When he achieves the best result possible, Dr. Allegra will close the incisions.
Facelift revision surgery can take anywhere from less than one hour to two hours depending on the extent of the surgery. Based on your needs, Dr. Allegra will create a customized surgical plan that he will review with you before surgery.
Recovering from a revision facelift will be similar to your original surgery recovery. You can expect some side effects like swelling, bruising, and pain. These should subside in about a week. If you underwent a minor revision, you may find the recovery easier than the first one.
Revision facelift patients usually take at least a few days to a week off work. Most other activities can resume at about two weeks. Every revision facelift is different. Therefore, Dr. Allegra may also give you individualized instructions to promote the best results.
Dr. Allegra will prescribe postoperative medications to manage pain and prevent infection. If he requested that you stop certain medications or supplements before surgery, you will likely need to continue avoiding them. Dr. Allegra will tell you when it is okay to begin their use again. Additionally, he may also recommend the use of certain medications or supplements to boost recovery.
Results from your first facelift can take up to a year to settle in. Most plastic surgeons advise patients to wait a year and follow up with their original surgeon before seeking a revision elsewhere. If you are still dissatisfied with your results at that point, Dr. Allegra at Northwest Face & Body is happy to discuss facelift revision.
Yes, some minor corrections and other goals can be achieved with other procedures. For example, if the patient is left with hollowed areas, dermal fillers or a fat transfer can address this. Sometimes, a patient may find that they should’ve undergone an additional procedure, such as a brow lift or chin augmentation. Dr. Allegra can perform these after the fact to enhance facelift results.
Even after surgical correction and tightening the skin, skin quality can remain poor. Treatments like chemical peels and microneedling can resurface the skin to improve skin quality. This can also reduce the appearance of facelift scars.
New facelift techniques provide better results without thinning the skin as much as older techniques. This means that it is possible to undergo more than one facelift successfully. It is not uncommon for patients to undergo a successful mini facelift procedure in their early fifties. Then, a traditional facelift later on in their sixties. Though one facelift surgery can lead to a permanently younger appearance, some patients like to enhance results later on in life.
Technically, there is no one number of facelifts one patient can have. This depends on factors such as skin quality, the success of the previous procedures, age, and general health. Dr. Allegra will take all of these factors into account when determining if you are a candidate for a facelift revision.
If the original facelift was superficially or incorrectly performed, you can likely expect the results of a revision to last longer. If the original facelift was successful, you can expect the results to enhance the first facelift’s results. The face does not quit aging. However, a patient who underwent a facelift will almost always look younger than peers who did not.
The terms “revision” and “secondary” are often used interchangeably to describe when someone undergoes another facelift. The two terms actually have different meanings. A revision facelift refers to the correction of an unsatisfactory or incorrect result. Conversely, a secondary facelift is when someone undergoes another facelift following a successful procedure. Usually, many years later, a secondary facelift simply addresses aging that occurs after the first facelift. It can also enhance the results of the first surgery.
Dr. Ludwig Allegra is an accomplished plastic surgeon with a career spanning four decades. Throughout this time, he pioneered surgical techniques to make facial plastic surgery less invasive and provide better results. With experience in sinus surgery and facial plastic surgery, Dr. Allegra has a broad and deep understanding of facial anatomy. Possessing precise surgical skills and an eye for aesthetics, Dr. Allegra offers the best revision facelift in Bellevue and Kirkland.
Northwest Face & Body proudly serves the Eastside communities including Bellevue, Kirkland, and Redmond. Patients often travel to see us and we offer virtual consultations to make the process of facelift revision easier. Conveniently located on the shores of Lake Washington, Northwest Face & Body is just minutes from both downtown Bellevue and Kirkland.
To learn more about your options for a facelift revision and schedule a consultation, call us at 425-576-1700. You can also reach us online through our chat feature, contact forms, or Price Simulator™ app.
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