DERMAL FILLERS

DERMAL FILLERS

Dermal Injections

There are many types of dermal injections on the market today, the most popular of which consist of a substance called Hyaluronic Acid.

We exclusively inject hyaluronic acid based cosmetic fillers at SDBotox, the reason being is that this type of filler is amongst the safest and results are immediate. Additionally, Hyaluronic Acid based injectable fillers are reversible with the injection of a second substance. Thus, if a patient is unsatisfied with the results, we can safely remove the filler at a future appointment. However, we rarely have to do this.

Hyaluronic Acid is structurally similar to collagen and has the same appearance when injected into various areas and depths of the face. In addition to directly adding volume to the face, Hyaluronic Acid stimulates new collagen formation and acts as a scaffolding for the new collagen.

Because It is a naturally occurring substance in the human body, there is a near-zero risk of an allergic reaction.
Unlike most clinics, SDBotox does not require you use the entire syringe in one visit. If for example, you only want a small area treated or you just want a little amount in a given area, we can save the remaining product for a future visit. By doing so, this prevents overfilling (i.e., Daffy Duck lips).

Dermal Fillers Before and After

FAQ

Disclaimer: SDBotox will not perform the procedure if you are currently pregnant, breastfeeding, or have a skin infection on desired injection site.

Dermal fillers tend to be comparable to Botox with regards to the pain of the procedure itself. That being said, dermal fillers are commonly injected into more sensitive areas of the face. For example, the lips.

Some patients prefer a topical cream to numb treatment sites before injection. This helps but does not eliminate the pain associated with the procedure. Additionally, most are premixed with lidocaine, to further decrease pain.

Filler Pre-treatment Instructions

  • If you have or are currently suffering from cold sores, let your doctor know. A prescription is needed in order to get rid of any infection and eliminate the chance of developing sores post-treatment.
  • Avoid blood thinning and anti-inflammatory medication for 10 to 14 days prior to treatment. They increase the chance of bruising and swelling after treatments. Medications to avoid include Aspirin, Advil, Ibuprofen, Motrin, Fish Oil Supplements, Vitamin E, and other NSAIDs.
  • To reduce the risk of bruising, avoid drinking alcohol for 1 week before your appointment.
  • We recommend scheduling your appointment 1 to 2 weeks prior to a special event to allow ample time for filler to settle, and bruising and swelling to disappear.
  • If a rash, cold sore, or blemish appears in the treatment area, we recommend rescheduling your appointment 48 hours in advance.
  • To reduce symptoms of dizziness, nausea, and lightheadedness make sure to eat a healthy breakfast before the procedure.
  • Consider taking Arnica for 1 week before the procedure to prevent any bruising. Allocate 5 tablets under the tongue 3 times a day.

Filler After Care

  • Immediately after the procedure, you may have some redness and swelling at the injection sites. This is your body’s normal inflammatory response, and it will not last long.
  • Unless otherwise instructed, avoid massaging/touching the treated area for 24 hours after the procedure
  • DO NOT conduct any type of lie heavy lifting, exercise, or active straining for 24 hours after treatment.
  • To avoid excess swelling, do not consume excess sodium or alcohol
  • For swelling, use a cool compress for 5-10 minutes each hour and take Tylenol.
  • If swelling persists, we recommend sleeping slightly elevated on your back.
  • For fillers that contain Hyaluronic Acid, avoid using any type of laser treatments for 4 to 6 weeks after injections.
  • If bruising occurs, ice and Arnica Gel can be used to decrease the duration of the bruise. Additionally, we can reduce the appearance of a bruise by using our Cutera Excel V laser. If a bruise persists for more than two days, please schedule an appointment with us, and we will use our laser to decrease the intensity and duration of the bruise.
  • If you are unhappy with the results, we recommend to wait a few days for swelling to entirely decrease and the product to settle in before making a final decision. Remember we can always add more.

Dermal Products

JUVEDERM ULTRA PLUS

This product has been around for a long time largely as a result of its broad application and consistent results. It is thicker than its predecessor, Juvederm Ultra, but still, delivers a smooth final look.

A major benefit of Juvederm Ultra Plus is its affinity for water. This means the product attracts water and hydrates the area of the face it is injected to further enhance the desired effect. This can be a very favorable quality when filling deep lines or when trying to achieve a significant increase in volume with minimal product.

Common sites: Lips, nasolabial folds, marionette lines

Duration: 9 months*

RESTYLANE

Restylane is a great product for the tear troughs. This is because it does not have the hydrating effect of the Juvederm product line. As a result, the hollow below the eyes is less likely to be overfilled, which lends itself to a very unnatural appearance.

Restylane can certainly be injected elsewhere, but it is rarely the best choice when compared to the Juvederm products or second generation Restylane products.

Common sites: Tear Troughs

Duration: 9 months*

Juvederm Volbella

The second generation of Juvederm products (Volbello, Vollure, and Voluma) use what Allergan calls Vycross technology. This relates to how the different size hyaluronic acid molecules interact and crosslink. As a result of this technology, Allergan has been able to extend the duration of hyaluronic acid fillers beyond Juvederm Ultra Plus’ 9 months.

Volbello is a very smooth product and is used to deliver a subtle result. It is typically used to decrease mild to moderate wrinkles or a very subtle lip augmentation making it a great choice if you are very concerned friends and family will notice you had something done.

Common sites: lips, vertical lines above the mouth, tear troughs

Duration: 1 year*

Juvederm Vollure

Vollure exists in the sweet spot between smooth (Volbello) and firm (Voluma). As such, it has primarily replaced Juvederm Ultra Plus as a great broad application dermal filler. It delivers the same beautiful results with twice the duration. Vollure has a slightly less hydrating effect when compared to Juvederm Ultra Plus but has a slightly smoother final appearance. Additionally, there tends to be less initial swelling/ inflammatory response when injecting Vollure vs. Juvederm Ultra Plus.

Vollure has been the number one dermal filler used in Europe for many years and will likely be the number one filler in the USA in the near future.

Common sites: Lips, nasolabial folds, marionette lines, cheeks, temples, and many other areas

Duration: 18 months*

Juvederm Voluma

Voluma is a firm facial filler used to volumize deep structures, particularly the cheeks. It is made up of large hyaluronic acid molecules- a characteristic that lends itself to both its firm nature and long duration.

Voluma can be used for superficial cosmetic injections, but it is more often used deep in the skin to mimic the bone/tissue loss associated with aging.

Common sites: Cheeks, midface, temples, chin

Duration: 2 years*

Restylane

Restylane is a great product for the tear troughs. This is because it does not have the hydrating effect of the Juvederm product line. As a result, the hollow below the eyes is less likely to be overfilled, which lends itself to a very unnatural appearance.

Restylane can certainly be injected elsewhere, but it is rarely the best choice when compared to the Juvederm products or second generation Restylane products.

Common sites: Tear Troughs

Duration: 9 months*

Restylane Defyne

The new Restylane products use a technology called XPresHAn. It is similar to Allergan’s Vycross technology, but the hyaluronic acid molecules are less tightly bound, allowing for a product more resistant to stretch. Think memory foam. This makes Defyne and Refyne great for injection around highly mobile areas like the mouth.

Defyne is slightly firmer than Refyne which makes it great for deep wrinkles around the mouth.

Common sites: around the mouth- deep lines

Duration: 1 year*

Restylane Refyne

Refyne is a thin injectable filler that is resistant to degradation even in a highly mobile area. It is similar to Defyne but is injected more superficially to address less dramatic wrinkles. It is a great choice for patients just starting to notice lines around the mouth they wish were not there.

Common sites: around the mouth- superficial lines

Duration: 1 year

Dermal Filler Pricing

Dermal fillers come from the manufacturer in pre-drawn 1 ml syringes. As a result, you must buy a minimum of 1 ml as we cannot use part of the syringe on you and part of it on someone else. Most patients only require one syringe, but some people want more depending on which area(s) they want to be treated.
Unlike most clinics, SDBotox does not require you use the entire syringe in one visit. If for example, you only want a small area treated or you just want a little amount in a given area, we can save the remaining product for a future visit. By doing so, this prevents overfilling (i.e., Daffy Duck lips).

We primarily use Juvederm by Allergan, the same company that makes Botox, and Restylane, by Galderma. Both products come pre-mixed with lidocaine for decreased pain during injection.

Juvederm and Restylane last approximately nine months. If you are looking for something longer lasting, however, Allergen recently released Volbello with 12-month duration, Vollure with 18-month duration and Voluma, with a 24-month duration. There are subtle nuances to each product that will be discussed at time of consultation.

Juvederm

$550 Regular
$525 SDBotox Prime
  • 1 syringe of Juvederm (1 ml)

Volbella

$400 Regular
$375 SDBotox Prime
  • 1 syringe of Volbella (0.6 ml)

Vollure

$700 Regular
$675 SDBotox Prime
  • 1 syringe of Vollure (1 ml)

Voluma

$900 Regular
$875 SDBotox Prime
  • 1 syringe of Voluma (1 ml)

Restylane

$550 Regular
$525 SDBotox Prime
  • 1 syringe of Restylane (1 ml)

Restylane Refyne

$700 Regular
$675 SDBotox Prime
  • 1 syringe of Restylane Refyne (1 ml)

Restylane Defyne

$700 Regular
$675 SDBotox Prime
  • 1 syringe of Restylane Defyne (1 ml)

We accept all major credit cards as well as CareCredit. There is no minimum required.

Elena R.

Love this place!! This was my first time getting lip fillers and they made me feel very comfortable. They talked me through the entire process. I really liked the results. Patty helped me out she was very nice. I didn't use all of my syringe so she saved the rest for me for a touch up. I will continue to come here.

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