Dermal Fillers

WHAT ARE FILLERS?

Fillers are considered medical device implants which have been approved by the FDA, for the use in helping create a smoother and/ or fuller appearance to the treated areas. Fillers may help improve the appearance of facial wrinkles and creases, enhance contours, improve the appearance of
depressed scars, plump lips, decrease the shadows under the eyes and help to balance asymmetries. Fillers are ideal for both men and women that would like to improve or enhance their features. Fillers are a great option to rejuvenate your appearance without surgical interventions.

The procedure of dermal filler administration is a non-surgical procedure done in our office. Multiple injectable fillers are available on the market that are able to restore youthful complexion and desired facial features. Fillers can be classified as either hyaluronic acid filler or collagen stimulating fillers.

These fillers can also be used in multiple areas on the body including neck, chest, hands, hips and buttocks, some areas are considered off-label according to the FDA, which will be discussed during your appointment. Most dermal fillers are naturally absorbed over time, so patients will need to repeat the procedure after some time to help maintained the desired effect. Allow our Nurse Practitioner to recommend exactly which filler is needed to achieve the results you are looking for.

Here at HPI Therapy we understand how good it feels to have a youthful healthy glow to your skin, contouring your facial features and restoring any loss facial volume due to aging. We use injectable dermal fillers to reduce lines, wrinkles and folds, rejuvenate the skin, facial balancing and help to improve skin texture and tone. It’s no longer just our faces that are a telltale sign of aging, it now includes our earlobes, neck, chest, hands, or knees. Collagen stimulating fillers are a great option for some of these areas. Volume can also be added to areas such as hip dips, buttocks and also help to minimize the appearance of cellulite. Dermal fillers can be used to address all patient concerns with regards to the aging face, neck and chest. Prominent facial features such as cheeks, nose, and chin, can define and slim the face with the right techniques can help to give your face proper proportion. Every patient receives a personalized and custom treatment plan. Your practitioner will discuss your aesthetic goals and choose which dermal filler option is the best option for you. Ask our practitioner today if you are a candidate for dermal fillers!

Most patients experience noticeable improvement within one or two weeks of their first treatment. Full effects of the neurotoxin takes two full weeks after being injected. In conventional medicine, BNT has numerous uses for medical conditions such as the treatment of migraines and blepharospasm to name a few. During the use of neurotoxins for therapeutic treatments, the discovery of BNT for cosmetic uses was founded. Here in the United States, we have four companies that manufacture neurotoxins, Allergan’s product is most recognizable neurotoxin Botox, because it was the first ever to FDA approval in the country, Galderma produces Dysport, Evolus manufacturers Jeuveau and Merz’s product is Xeomin. These neurotoxins have FDA approval for cosmetic purposes in the upper face.

The use of neurotoxins in the lower face and neck is considered off-label, but is still considered safe with proper dosing and correct injection sites. Neurotoxins are relatively painless, and the costs for each treatment is dependent upon the areas treated and the number of units that are used. Common side effects may include minor bruising and discomfort. Since neurotoxin treatment is temporary, to maintain results you will have to retreat every 3 to 4 months. Schedule a consultation with your Practitioner, during the appointment she will thoroughly review your medical history, medications and assess if a neurotoxin treatment is right for you.

TREATMENT AREAS

FOREHEAD WRINKLES

FRONTALIS

The frontalis muscle is responsible for creating horizontal wrinkles across the forehead and raising the eyebrows, making us look worried and stressed out even when we aren’t. Neurotoxins significantly reduces or even eliminates these lines and helps you to appear relaxed and helps to give your eyebrows a slight lifted appearance.

FOREHEAD WRINKLES

ELEVENS

GLABELLA

Glabella is one of the most requested treatment area for neurotoxin, that is made up of 5 muscles. This area is commonly known as “eleven lines” or “frown lines.” The procerus is the center muscle between the eyebrows, the muscles next to the procerus are your medial corrugators and then the lateral corrugators. These muscles are responsible for depressing the eyebrows down and inwards. The position of your brow is partially determined by the balance between a group of muscles pulling the brow up and a group of muscles pulling the brow down. A slight lift of the eyebrows with a neurotoxin is what makes us look friendlier and gives our eyes a more open appearance. Neurotoxins such as Botox, Dysport, Jeuveau or Xeomin work by relaxing the muscles and producing a lift to the medial brows.

ELEVENS

CROWS FEET

CROW'S FEET

Crow’s feet are wrinkles around the eyes. The orbicularis oculi are the muscles that cause crows feet that can be effectively treated using neurotoxins. Once the muscles around the eyes are relaxed, will help to diminish the appearance of the wrinkles around the eyes and help the eyes appear more open and lifted. Consistent neurotoxin treatment will help the skin becomes smoother and decrease the appearance of lines around the eyes.

CROWS FEET

BUNNY LINES

Bunny lines are the lines that form on the sides or on top nose caused by the contractions of the nasalis muscle. Bunny lines are easy to treat using a Neurotoxin. Just a small amount of this neurotoxin will help to relax the nasalis muscle, which can prevent creases from occurring or worsening. Bunny lines are often very small and shallow so only a small amount of neurotoxin is needed. Once relaxed, the overlying skin will become smoother and the lines less prominent.

BUNNY LINES

DAOs

The Depressor Anguli Oris or DAOs are the muscles that is responsible for pulling the corner of the mouth to a frown. Neurotoxins injections in the DAO muscles can relax the muscles, to let the corners of the mouth resume a more neutral position, which may help in the prevention of marionette lines from developing.

DAOs

GUMMY SMILE

This treatment can be used when the Levator Labii Superioris is overactive, that can cause the upper lip that lifts too far when smiling it exposes the gum and causes retraction of the upper lip. This can can be addressed with the use of neurotoxins. When a small amount of neurotoxin is injected into the levator labii superioris, the muscle temporarily freezes the muscles so they do not contract as hard when you smile allowing more of the upper lip to show and covering the gum line.

GUMMY SMILE

LIP FLIP

The upper portion of the orbicularis oris muscle is injected with a small amount of neurotoxin is used to relax upper lip and by doing this is makes the upper lip appear larger without adding volume. When the muscle is relaxed, this allows for more of the pink of the upper lip to show at rest and makes the upper lip appear larger without adding volume.

LIP FLIP

CHINTOX

Injection of neurotoxin into the mentalis muscle located in the chin. The neurotoxin in this area is used to treat a wrinkled or dimpled chin. When the mentalis muscle relaxes it helps to smooth its appearance of the chin and helps elongate the chins profile.

CHINTOX

MASSETERS

MASSETER

The masseter muscles are located on both sides of the head at the point where the jawbone meets the skull, which is the temporo-mandibular joint (TMJ). TMJ is used during talking, eating, swallowing, and other everyday activities. If this joint becomes displaced or is overworked through excessive teeth grinding, a person may suffer severe tension headaches, as well as sharp pain in the jaw due to the enlarged masseter muscle. Neurotoxins can help to relieve jaw tension by making muscles unable to engage in the powerful, often unconscious movement of the jaw that produces headaches and pain. Neurotoxins to the masseter muscles helps TMJ disorders, jaw tension and helps to give a slimmer appearance to the lower aspect of the face.

MASSETERS

NEFERTITI LIFT

PLATYSMA BANDS

Platysma bands are muscles that run vertically down both sides of your neck. Due to the aging process the overlying platysma muscles are more visible over time causing the appearance of saggy skin, that can result in double chin and neck creases. The use of a neurotoxin into the platysma bands causes relaxation for the platysma bands and helps give a lifting appearance of the jaw and tighter look to the neck.

NEFERTITI LIFT

HYPERHIDROSIS

Hyperhidrosis is a medical condition that causes excessive sweating that’s not necessarily related to heat or exercise. Axillary Hyperhidrosis is severe excessive underarm sweating. Neurotoxin can be injected into the axilla and any other areas of excessive sweating in people 18 years and older.

HYPERHIDROSIS