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For most of the above conditions, there are different modalities
of management with varying degrees of success.
The patient’s tolerance level for pain and the ability to afford
them will determine what will be chosen.
It is best that if you want therapy you should make an appointment
to have an assessment and discuss the different approaches.
The following are management information for some of the more common
conditions:
A variety of fillers may be used for these areas.
Dr. Liao uses 3 different injectable fillers. A consultation is needed to see which injectable filler is best for you and to assess your needs and expectations. Additional treatments may be needed to achieve the look that you want. Please contact the office at 780-482-1548 to make a free cosmetic consultation.
| Type |
Duration |
Properties |
| Evolence |
Up to a year or more |
Based on collagen and is a porcine product (pig-drived). No test dose required. |
| Sculptra |
May last up to 2 years |
Derived from fruit acids, and is a biocompatible and biodegradable injectable material known as poly-L-lactic acid that naturally stimulates the body to produce its own collagen. Test dose is not required. |
| Radiesse ® |
Up to a year or more |
Contains no human- or animal-derived components. Test dose is not required. |
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The duration indicated above are estimates according to my experience.
Some physicians and manufacturers may indicate a longer duration.
The above materials are sold to the physicians in syringes of 0.4
- 1 cc and the cost to the patient depends on how many syringes
are required to correct the wrinkles or grooves. If large amounts
are required > 5 mls, maybe usage of fat transplants are more
cost effective.
Dr. Liao may advise EMLA, a topical anesthetic that could be applied one hour prior to the procedure. This numbs only the surface of the skin so deeper needles will still be felt.
Regional blocks like those used by the dentist could be done for
the lips, which is the most sensitive area of the face. The effects
of the block lasts at least a few hours, so when both the upper
and lower lips are numb, there will be drooling. Do expect this
after the procedure, plan accordingly and do not make social appointments.
We sometimes use ice for quick numbing and it works well for less
sensitive areas. Also ice packs are used for decreased swelling
and decreased bruising. However if you had been given a nerve block,
please make sure that your ice pack is only on for 10 minutes and
off for 10 minutes, otherwise the numb areas, which do not feel
the cold sensation, will be FROST BITTEN and later on slough off.
SIDE EFFECTS OF THE FILLERS
1. Pain - injections are always painful but we could numb
the areas.
2. Swelling - trauma to the areas will cause swelling. This
may last from hours to days.
3. Bruising - needles going through soft tissues will damage
blood vessels,
some areas worse than others. Pressure, i.e., firm compression after
the procedure may minimize it. Also avoidance of salicylates, NSAID’s,
Vit E, Gingko Biloba for a week prior to the procedure may help,
as these are blood thinners.
When fillers are put into areas, which are highly mobile, e.g. lips,
they are displaced much faster, but in less mobile areas, e.g.,
nasolabial folds they last longer.
* FILLERS CONSENT FORM AVAILABLE AT OUR OFFICE.
Questions are welcome.
E-Mail:jyliao@telusplanet.net
Please do not hesitate to ask our staff.
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