Fillers and Injectables
Fillers and Injectables in Pittsburgh
Aging is an ongoing process, but wrinkles don’t have to be a part of it! Utilizing the variety of fillers and injectables available in our Pittsburgh office, Dr. Wooten can help to smooth and reduce the appearance of crow’s feet, forehead furrows, and laugh lines.
Injectable wrinkle relaxers work by paralyzing the muscles in the face at the site of injection, releasing tightness, thereby allowing for a less aged or stressed appearance. This temporary paralysis also serves to prevent further wrinkling by not permitting the muscles to exacerbate existing creases, allowing for a more youthful look for both female and male patients.
Fillers are an excellent way to restore the appearance of volume to a hollow area that has lost fat due to aging or weight loss, or to simply plump and emphasize an area you would prefer to accentuate. Fillers are most often injected in the lips or cheeks, but they have a variety of alternate applications. From temporary chin augmentations to creating the illusion of a straighter nose, you may be surprised at what fillers can achieve.
Our Beleza offices offer several different types of facial fillers, such as BOTOX, Restylane, and Bellafill. This treatments are minimally invasive and require no downtime.
Neuromodulators (a.k.a. Wrinkle Relaxers)
BOTOX is the most popular injectable available in Pittsburgh. The product, manufactured by Allergan, is one of three FDA-approved neuromodulators on the market. Due to its ability to temporarily relax facial muscles which can cause wrinkles and furrows, botulinum toxin, (a.k.a. BOTOX) is a fast way to achieve a more youthful look. Because Botox temporarily paralyzes the muscles of the face, Botox not only minimizes the appearance of wrinkles, but it also discourages the worsening of existing ones. The results are visible after seven to ten days, and can last for up to five months. For Botox injections, Pittsburgh residents can schedule a consultation in our office. Appointments for Botox injections take only thirty minutes.
DYSPORT is a neuromodulator, manufactured by Galderma, that serves to relax existing wrinkles, and prevent the worsening of existing creases. It can be injected in the forehead, between the brows, or in the crow’s feet area to prevent further wrinkling. Appointments for Dysport should not take any longer than half an hour, which makes it the perfect anti-aging ‘pick-me-up’ that can be done on your lunch break. The results of Dysport are visible within seven to ten days, and last up to five months.
XEOMIN is another wrinkle relaxer, similar to Botox and Dysport. Xeomin injections are a fast way to diminish the appearance of fine lines and wrinkles. The results are visible after several days and results can last up to five months.
Dermal Facial Fillers
BELLAFILL is the most long-lasting facial filler available in Pittsburgh, and all areas of the US. This filler has been approved by the FDA for 5 years of efficacy and safety – more than any other filler on the market – and we offer it here at Beleza Plastic Surgery! Bellafill helps the patient to stimulate natural collagen production, helping to increase facial volume. Manufactured by Suneva Medical, Bellafill is designed for the correction of smile lines using their patented microsphere technology. This allows for results that can last up to five years. As patients age and lose their natural facial fullness, Bellafill helps to counteract the formation of fine lines and deep wrinkles by lending a more youthful appearance to the aging face. Results are visible immediately after injection.
JUVEDERM is an injectable gel that had been popular in Europe for years before becoming available for dermatological use in the U.S. It is manufactured by Allergan, the same company that makes Botox. It is made out of a water-soluble substance that is naturally present in our skin, called hyaluronic acid. Juvederm is injected into a skin wrinkle or unwanted crease to erase it or make it more shallow. The greatest advantage of this filler is it’s softness. It is the most common filler used for volumizing lips and the perioral area. The results are visible immediately following the treatment. The results last six months or longer.
RESTYLANE Lyft is a facial filler which restores volume to the skin by filling wrinkles and lines around the nose, mouth and chin at the more superficial skin layer. Our injectors achieve a natural, soft and smooth look with this filler. The results are instantly visible and should last up to six months or longer.
RESTYLANE Silk is in the Galderma family of injectable gel fillers. It is a hyaluronic acid-based filler, designated specifically by the FDA for use in the lip and peri-oral region, for smoothing out fine lines as well as deeper wrinkles on and around the mouth. Restylane Silk contains an anesthetic numbing agent of its own to minimize patient discomfort during and immediately after injection. This filler is, essentially, the latest & greatest in lip smoothing & plumping – having only been introduced to the Pittsburgh market earlier this year.
BELOTERO is a lip and facial filler which has been touted as a “wrinkle killer.” Belotero restores volume to the skin by filling wrinkles and lines at the superficial skin layer. The result is a natural, plumper look that instantly visible and should last up to six months or longer, though the duration of its efficacy varies from person to person, and depends upon the site injected.
RADIESSE is a filler produced by Suneva Medical which stimulates the body’s own collagen growth at the site of injection. It is a great cheek-volumizing filler that lends a softer and brighter quality to your skin. The results are immediately visible and can last for a year or longer.
VOLUMA XC is the only facial filler indicated for use in the entire face. It is manufactired by Allergan, and is sometimes called Juvederm Voluma. Much like other fillers, it is an excellent way to plump up those tired wrinkles and correct for the volume we naturally lose as we age. This is a preferred injectable for the cheekbones.
During your initial consultation, bring your areas of concern to the attention of Dr. Wooten. If you are planning to have injections done, make sure that you are not taking any medications that can potentially cause bruising (any blood thinners, fish oil, etc.) for up to two weeks prior to the appointment.
Though the majority of our filler patients have significant wrinkling or volume loss, you do not have to wait until your skin develops deep lines to get these procedures. In our practice, age is not relevant. Sometimes, younger faces can still benefit from plumping fillers or ‘preemptive’ Botox. Bring your concerns to our attention during your consultation and you will be counseled on your options.
Injections at Beleza Plastic Surgery are performed by Dr. Wooten herself, or by Marissa Casoli, PA-C. If pain is a concern of yours, you may receive some form of local anesthetic prior to the procedure, which will make the entire process more comfortable. Filler injections take only a few minutes. A small amount of swelling is expected for a few hours after the procedure.
If you tend to bruise and swell easily, advise us of this! We have products to counteract these effects. Bruising is unusual, as long as you have stopped all medication that can potentially cause bruising and swelling for at least two weeks prior to the injections. Unlike many other cosmetic rejuvenation procedures, facial fillers have an extremely short recovery period. Some swelling may last, but only for a few hours and any redness should disappear shortly and can be easily covered by makeup.
Potential Risks for Fillers & Injectables:
As with any medical procedure, the benefits of facial fillers and injectables come with some health risks. While some possible asymmetry, over-correction, or under-correction may still occur even with an experienced surgeon, a skilled board certified plastic surgeon, such as Dr. Wooten, will usually be able to minimize the possibility of these outcomes. In the event of patient dissatisfaction, we encourage patients to call our office to schedule a follow-up for a touch-up.
Before & After Filler Pictures
You may recognize this patient! Our nurse, Helene, had Dr. Wooten inject her with Bellafill, the most long-lasting facial filler approved by the FDA for efficacy up to five years. She wanted just a subtle change. Dr. Wooten focused on the temple area, which really helped fill her face out, fighting the effect that aging can have. Her “after” pictures show her at six months after her treatment, looking naturally fuller. You may also notice her lips looking a bit smoother.
This patient came in for filler injections to make her face plumper and younger, as well as Botox to help release her fine lines. Relaxing the patient’s wrinkles and filling out her deeper lines with a combination of Radiesse filler and Botox, Dr. Wooten was able to achieve a more radiant look for this patient.
This patient scheduled an appointment with Dr. Wooten because she was interested in lip enhancement. Dr. Wooten injected her upper lip with Juvederm to balance them, and the patient is pleased with her result.
This patient came in for injections with Marissa Casoli, PA-C. She wanted just a slightly fuller-looking mouth to complement the rest of her face. She knew her lips already looked good, but she wanted an enhanced upper lip to create better symmetry with her lower lip. Marissa injected the patient with Juvederm and the results are subtle and balanced. The patient is very pleased with her result.
This patient had previously seen Dr. Wooten for filler injections and was interested in a slight augmentation of her chin in order to better balance the rest of her face. Dr. Wooten injected her chin with Radiesse, allowing for a temporary and subtle change.
This patient had injections done for years in other offices, and finally came to pay us a visit at Beleza. Her lips, already nicely shaped, were smoothed out with Restylane Silk by our PA, Marissa Casoli. The patient is pictured here immediately post-injection.
Marissa Casoli, PA-C injected this patient’s lips with Restylane Silk to both smooth out her lines and give her lips a plumper appearance. When looking at her result, pictured right, keep in mind that these photos were taken immediately after the procedure, when her lips were still swollen. The swelling from this procedure dissipates within hours and the final result will be visible within a day or two. Our office will give you instructions on how to minimize the swelling that can sometimes accompany injections.
Injections of Restylane Silk done by Marissa Casoli, PA-C evened out the asymmetry of this patient’s lips, while delivering a smoother and plumper appearance.
This patient had habitually used makeup to correct the asymmetry of her lips for so long, that she barely noticed it anymore. Dr. Wooten used Juvederm to augment the size of her lips, injecting them in such a way that their appearance became more balanced. This patient was extremely satisfied with both Dr. Wooten’s technique for lip augmentation and her result.
To schedule your personal consultation with Beleza Plastic Surgery’s qualified injectors regarding facial fillers and wrinkle reducers in Pittsburgh, call us (724) 759-7777.