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.
Aging affects the face in many unexpected ways. While most people expect to see some fine lines and wrinkles as they grow older, many do not expect the sagging or extra skin that can occur on the face. The eyelids are sometimes affected by extra skin and sagging, especially for people who are experiencing advanced signs of aging. Blepharoplasty surgery can correct this. Dr. Ludwig Allegra at Northwest Face & Body provides the best upper blepharoplasty Bellevue and Kirkland offers.
Blepharoplasty surgery is the technical term for eyelid surgery. It can address either the upper or lower eyelids, or both. It removes extra skin and fat that can collect on the upper lid and addresses the sagging of the eyelid itself. Blepharoplasty is often combined with other anti-aging procedures such as facelifts and brow lifts.
An upper eyelid blepharoplasty normally involves an incision in the natural crease of the eye. This effectively hides it and makes it less likely that a thick scar will form. People of all ages may under an upper eyelid surgery for a variety of reasons. Though, it is most common in people above the age of 45.
The main cause of aging of the eyelids is the reduction in collagen production and overall loss of collagen and elastin. This thins the skin and weakens the structures within it, causing sagging. However, eyelid skin is especially susceptible to this because they consist of some of the thinnest skin on the face. Therefore, additional thinning can cause rather rapid and visible sagging.
Along with the natural aging process, certain medical conditions, environmental factors, or injuries to the eye can cause drooping eyelids. For example, diabetes, nerve issues, and other eye surgeries can impact the rate and amount that eyelids sag. Additionally, sometimes when performed incorrectly, patients may end up with a droopy eyelid due to Botox injections. This will wear off as the Botox does.
Upper blepharoplasty surgery comes with many benefits to people experiencing eyelid ptosis or extra skin. Some of the possible benefits include
An upper blepharoplasty and brow lift surgeries are often performed together. They are also similar surgeries because they both correct the sagging of the upper face. However, they are two separate surgeries. The table below details some of the major differences between an upper blepharoplasty and a brow lift.
The best way to know if a brow lift, blepharoplasty, or combination is right for you is to schedule a consultation with Dr. Allegra. He will examine your unique anatomy and situation to determine what will provide you with the best results.
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 to ensure you are a good candidate for both surgery and an upper 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 as well as any clearances you may require.
Once you arrive, are prepped for surgery, and receive either local or general anesthesia, Dr. Allegra will begin surgery. Generally, an upper blepharoplasty begins with a thin incision in the crease of the eyelid. From there, he will remove extra skin and fat deposits. He may also tighten the underlying muscles if necessary.
Dr. Allegra will repeat this process on the other eyelid. He will maintain your natural anatomy and stitch so that the incision is hidden within the eyelid. An entire upper blepharoplasty can take under an hour to perform. Sometimes the surgical time is as little as 20 minutes. Having other procedures such as a brow lift at the same time will add on surgical time.
For the first few days, your eyes will likely be swollen and red. You may experience some minor pain and the eyes are more prone to dryness and overall more sensitive. Many patients tend to recover from a blepharoplasty within one to two weeks, though they should continue to refrain from strenuous exercise until cleared by Dr. Allegra.
Some of the post-operative instructions may include:
All surgical procedures will come with some pain. However, blepharoplasty is actually considered one of the least painful plastic surgeries. Since the surgical area is so small, as are the incisions, there is less trauma to the body than with other procedures. Dr. Allegra will likely still prescribe prescription pain medications. Though, many patients report a limited need for them.
Technically, yes, though it does so by treating the brows and not the eyelids themselves. This is because Botox can worsen droopiness if not performed correctly. Generally, it is only used in mild cases, or on patients who are younger and naturally have hooded eyes. Dr. Allegra can discuss the possibility of Botox injections with you.
Every surgical procedure comes with some risk. Overall, upper eyelid surgery is extremely safe. Dr. Allegra will also evaluate your individual risks during your consultation to determine that you have a low risk of complications. Some of the associated risks include:
An upper blepharoplasty with Dr. Allegra at Northwest Face & Body starts at $4,285. This only accounts for the upper eyelid surgery, adding the lower 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.
Scarring from blepharoplasty is almost always hidden and minimal. There is a small risk of visible or raised scarring, but this is unlikely when seeing an experienced surgeon like Dr. Allegra. If you are prone to raised scarring or keloids, Dr. Allegra may not recommend surgery.
Northwest Face & Body has served Bellevue and Kirkland for over thirty years. Featuring a luxury surgical suite and on the shores of Lake Washington, it is the quintessential stop for all of your plastic surgery and cosmetic needs. 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. With his expertise in both medical and cosmetic specialties, he treats each patient using both his medical and aesthetic knowledge to promote the best results.