What Benefits can you Expect From Injectables?

As we age, our faces begin to show the effects of gravity, sun exposure and years of facial muscle movement, such as smiling, chewing and squinting. The underlying tissues that keep our skin looking youthful and plumped up begin to break down, often leaving laugh lines, smile lines, crow’s feet or facial creases over the areas where this muscle movement occurs.

Dr. Wilkinson is happy to have a consultation with you in order to understand what concerns or needs that you may have.  She will work with you to decide what products are appropriate for you: Fillers, Neuromodulators or Kybella — so that we can obtain your desired results for the face, hands or that “double chin.

Soft-tissue fillers can help fill in these lines and creases, temporarily restoring a smoother, more youthful-looking appearance. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser or chemical peel treatment, or a recontouring procedure, such as a facelift. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. They can also add fullness to the lips and cheeks. Injectable fillers may be used alone or in conjunction with a resurfacing procedure, such as a laser or chemical peel treatment, or a recontouring procedure, such as a facelift.

The Different Injectables You Can Choose From


Radiesse® is calcium hydroxylapatite microspheres in a gel carrier. It is biocompatible, non-toxic and non-allergenic filler. Radiesse® is commonly used to reduce the appearance of facial wrinkles and folds occurring around the mouth and nose, such as the nasolabial folds and marionette lines. It may also be used to fill in some types of scars as well as to contour facial features like the chin, cheeks and jaw line. It has also been approved for the improvement of aging hands.

Radiesse® produces an initial plumping of the skin during the first three months after injection which is then followed by extended correction as new tissue regenerates. Radiesse cannot be called permanent, although it can last for up to 2 years.

Radiesse® is a safe injectable treatment, however as with any injectable treatment there are potential side effects. Minor swelling, discomfort or bruising may occur which generally clears up within a day or two. The formation of nodules is another rare but possible risk.




Juvederm Voluma XC

Juvéderm Voluma™ XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile.

How is Juvéderm Voluma™ XC different from Juvéderm® XC?
Juvéderm Voluma™ XC works on a different area of the face.Juvéderm Voluma™ XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. Juvéderm Voluma™ XC, however, adds volume to the cheek area. It was developed to give more lift than other hyaluronic acid facial volumizers and results in a smooth, natural look and feel.

What is Juvéderm Voluma™ XC made from?
Juvéderm® is made with hyaluronic acid, a naturally occurring sugar found in your body. As we grow older, the hyaluronic acid we once produced starts to diminish and facial volume decreases. Gravity pulls the skin down, resulting in folds and sagging. The injected hyaluronic acid combines with the water in your skin to restore lost fullness and smooth out lines and wrinkles.

How long does Juvéderm Voluma™ XC last?
Juvéderm Voluma™ XC instantly provides a smooth natural-looking lift for the mid-face that is clinically proven to last up to 2 years with optimal treatment.

Are there any side effects from Juvéderm Voluma™ XC?
Side effects are moderate and generally lasts less than 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

Can Juvéderm Voluma™ XC be injected into the lips?
No. Because Juvéderm Voluma™ XC it is such a thick, viscous product, it is not appropriate for injection into the lips. Other products in the Juvéderm® family (such as Ultra or Ultra Plus) are optimally suited for treatment of the perioral region.

How will I know if Juvéderm Voluma™ XC is right for me?
Dr. Wilkinson will have an in-depth consultation with you to understand your needs and what facial features you would like to enhance. She will explain all the options to make sure that your Juvéderm® treatment totally satisfies your expectations.

Juvederm XC® – Juvederm Ultra XC® – Belotero®

Juvederm XC, Juvederm Ultra XC, and Belotero are sterile gels consisting of non-animal stabilized hyaluronic acid. It is injected into the skin to correct facial lines, wrinkles and folds to enhance the appearance & fullness of lips. Depending on the area treated, these fillers can last 6 months or even longer. Touch-up and follow-up treatments help sustain the desired degree of correction.
After the treatment, common reactions include swelling, redness, itching, bruising, skin discoloration and tenderness at the injection sight. They typically resolve spontaneously 2 – 3 days after injection into the skin and within a week after injection into the lips.

Neuromodulators- Botox® & Xeomin®

Botox and Xeomin injections are used to improve the appearance of dynamic lines, wrinkles and unwanted creases on your face. Dynamic wrinkles are caused by contractions of the underlying facial muscles as you smile, laugh or frown. We move our facial muscles in a repetitive way  which causes wrinkles and fine lines. . Neuromodulators have rapidly evolved into a popular treatment for reversing the visible signs of aging.

Botox and Xeomin can be used to improve:
  • Worry lines in your forehead
  • Lines between the eyebrows
  • Smile lines
  • Laugh lines from nose to mouth
  • Crow’s feet
How do neuromodulators work?

Neuromodulators block impulses from the nerve to the tiny facial muscles that cause these lines so the muscles do not contract. Untreated facial muscles contract in a normal fashion, allowing normal facial expression to be unaffected.

Is it safe?

Cosmetic denervation with Neuromodulators is a simple and safe procedure. Using a tiny needle, a very small amount of the neuromodulator is injected, very precisely, into several locations on the face. Because the needle is so fine and only a small amount of liquid is used, the pain associated with the injections is minimal. No anesthetic is required, and you can resume normal activities immediately. Some patients experience a slight temporary bruising at the injection site. This can easily be covered with make-up.

What benefit can I enjoy?

If dynamic wrinkles make you look older than you are, cosmetic denervation can smooth these out and give you a more youthful and rested appearance. Lines around the eyes and on the forehead, and upper lip, respond as well as horizontal neck lines. Neuromodulators can also be used in the neck region to improve the appearance of platysmal banding. These neuromodulators do not improve wrinkles due to aging and sun-damaged skin, as they are unrelated to facial muscle contractions. These injections will not improve sagging skin or replace the need for a facelift or brow lift.

What are the possible side effects?

While infrequent, mild temporary bruising is the most common side effect. In some cases, the medicine can migrate and cause a temporary weakness of nearby muscles. In rare cases, there can be a drooping of an eyelid or asymmetry of facial expression. The risk of any side effect depends on the muscles injected. Your doctor will discuss this with you in length before your treatment. Because the effects of neuromodulators are completely reversible, any side effects are temporary, lasting only a few weeks.

How long does Botox/Xeomin last?

The effects of the Botox/Xeomin injections last from about three to six months. The early clinical studies indicate that the duration of treatment benefits is increased over time so that you should require injections less frequently in the future.  Also, the duration of effect varies from patient to patient and may be less effective for those over 65 years of age.

If you would like to learn more about your cosmetic options, or find out if Botox/Xeomin treatments might work well for you, please call Dr. Heather and schedule a consultation.