Menu
X
Advertisement
Restylane® Injection


This patient desired larger more shapely lips. She has always had thinner lips, even when she was younger. I explained to her that if I tried to create an Angelina Jolie-type full lips on her that it would look very obvious and possibly look inappropriately large on her. I explained to her that she already had a nice definition to her lips, that a slight augmentation of the edge of her lips as well as filling some of the red portions of the lip would give her enough augmentation and definition, so that when she did put on lipstick, her lips would look more dramatic and pouty. She used the smaller sized 0.4 cc Restylane for her lips, which is less expensive than the 1.0 cc size. My philosophy for lip augmentation is help the lips look better with lipstick on, not to make the lips look bigger without the lipstick. If her lips looked as big in the after photo without lipstick, when she did put lipstick on, they would look too big and she would have to draw in her lipstick inside the edge just to make them look bigger. From a cost stand point, a little bit more lipstick is less expensive than a lot more Restylane. Don't underestimate make-up (no risk, no down-time, dramatic difference.) Cosmetic Procedures and Surgeries are here to complement what you are already doing, not to replace them. _____________________________________________________________________ NOTE: There is a risk of injecting Restylane or any filler into a blood vessel. Since the lips are very vascular (full of blood vessels), your surgeon should be wary of this complication. If it is noticed immediately, which your surgeon should be able to recognize, an immediate massage of the lip where the injection occured should be performed. The injection into the blood vessel will cause an area of the lip and possibly skin to become white, which occurs due to the blood vessel being clogged with the injection material. Massaging the pale/white area, can bring blood flow back into the area, so that skin necrosis (dying skin) does not occur. If this does occur, the skin that was compromised by the injection may turn black or begin to turn into a scab, which will result in an areas of scarring. Although this is a rare risk, it does and can happen. Be sure that your Restylane injector is aware of this risk. They can minimize this risk by pulling back on the syringe slightly, to be sure they are not inside a vessel, before each injection. It takes longer, but it is a safer technique.
Restylane® Injection


This patient wanted and improvement in her smile lines (nasolabial folds) as well as a conservative lip augmentation. Since her smile lines were not very deep, she would not use up all of the 1.0 cc Restylane, and she would have enough for a conservative lip augmentation with her smile line improvement. This set of After photos were taken immediately after the Restylane was injected before any significant swelling set in. The benefit of these types of injectable fillers is that you get a WYSIWYG (What You See is What You Get) result. There is no need to overfill, as would be needed in Fat transfer, or need to wait for several weeks to months to see the result that is desired. _____________________________________________________________________ NOTE: There is a risk of injecting Restylane or any filler into a blood vessel. Since the lips are very vascular (full of blood vessels), your surgeon should be wary of this complication. If it is noticed immediately, which your surgeon should be able to recognize, an immediate massage of the lip where the injection occured should be performed. The injection into the blood vessel will cause an area of the lip and possibly skin to become white, which occurs due to the blood vessel being clogged with the injection material. Massaging the pale/white area, can bring blood flow back into the area, so that skin necrosis (dying skin) does not occur. If this does occur, the skin that was compromised by the injection may turn black or begin to turn into a scab, which will result in an areas of scarring. Although this is a rare risk, it does and can happen. Be sure that your Restylane injector is aware of this risk. They can minimize this risk by pulling back on the syringe slightly, to be sure they are not inside a vessel, before each injection. It takes longer, but it is a safer technique.
Non Surgical Cosmetic Treatment


Facelift Fees:
Total Price: $6,000-$12,000

Surgeons fee: $5,000
Anesthesiologist: $1,200
Facility fee: $1,700
Hospital fee: $600
Average Total Cost: $8,500

Eyelid Surgery Fees:
Total Price: $1,500-$7,000

Surgeons fee: $2,500
Anesthesiologist: $700
Facility fee: $800
Average Total Cost
Upper and Lower Lids: $4,000



COURTESY OF THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY (ASAPS).

2005 Quick Facts

Procedure Best Candidate Physician Surgeon Fees* Length of Procedure Number of Treatments Results** Back to Work
Abdominoplasty (tummy tuck) Protruding abdomen; excess fat and skin; weak abdominal muscles $5,2322-5 hours One Permanent 1-3 weeks
Botox Frown lines and crow's feet $382 30 minutes Repeat treatments
4-6 months
Temporary No downtime
Breast Augmentation, salineSmall, disproportionate breasts $3,583 1-2 hours One Permanent, possible implant replacement 1-2 weeks
Breast Augmentation, siliconeSmall, disproportionate breasts $4,005 1-2 hours One Permanent, possible implant replacement 1-2 weeks
Breast Lift Sagging, poorly shaped breasts $4,258 1½-3½ hours One Long-lasting 1-2 weeks
Breast Reduction Large, heavy, pendulous, or disproportionate breasts $5,550 2-4 hours One Permanent 1-2 weeks
Buttock Lift Sagging skin, excess fat, weakened muscles in thigh/buttocks area $4,878 2 hours One Long-lasting 10-14 days
Cellulite Treatment
(mechanical roller massage therapy)
Dimpled thighs and buttocks $22330-45 minutes Ongoing Temporary No downtime
Cheek Implants n/a $2,720 2 hours One Permanent 1-2 weeks
Chemical Peel
(ranges from light to deep)
Sun-damaged or unevenly pigmented skin $848 One or multiple Depends on type of peel Long-lasting Depends on type of peel
Chin Augmentation Receding chin $2,095 1 hour One Permanent 1-2 weeks
Dermabrasion Acne, wrinkles around mouth, sun-damaged skin $1,376 A few minutes- 1½ hours Multiple sessions Long-lasting 7-10 days
Ear Surgery Protruding or disproportionate ears $2,9512-3 hoursOne Permanent 5 days
Eyelid Surgery Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes $2,813 1-3 hours One Long-lasting Within 10 days
FaceliftLoose skin, deep lines, wrinkles, jowls $6,298 2-3 hours One Long-lasting Within 2 weeks
Forehead Lift Sagging, low eyebrows, forehead creases, frown lines $3,148 1-2 hours One Long-lasting Within 10 days
GynecomastiaTreatment of Enlarged male breasts $3,305 2 hours One Permanent 1 week
Hair Transplantation Hair loss with the availability of healthy hair in donor areas $5,033 Several hours Multiple sessions over 1-2 years Permanent Several days
Laser Hair Removal Unwanted hair on face or body $347 1-2 hours
Depends on area
Multiple sessions Ongoing No downtime
Laser Skin Resurfacing Fair, non-oily skin; sun-damaged facial skin, wrinkles around mouth and eyes, acne scars $2,484 Variable, up to 1 1/2 hours One or multiple depending on laser and skin condition Long-lasting Variable, up to 14 days
Laser Treatment of Leg Veins Very small spider veins $407 30 minutes - 1 hour Multiple sessions Permanent No downtime
Lip augmentation (surgical) Thin lips $1,819 1 hour One Permanent Within 1 week
Lipoplasty (liposuction) suction-assisted Normal weight with isolated fatty areas $2,697 45 minutes - 2 hours One Permanent 1-2 weeks
Lipoplasty (liposuction) ultrasound-assistedNormal weight with isolated fatty areas $2,979 45 minutes - 2 hours One Permanent 1-2 weeks
Lower Body Lift Skin laxity without significant fat deposits $7,810 Up to 8 hours One Long-lasting Up to 4 weeks
Microdermabrasion Fine lines, crow's feet, age spots, acne scars $149 Multiple sessions 2-3 week intervals Temporary No downtime
Rhinoplasty Nose too large, wide, or tip needs reshaping $4,188 1-2 hours One Permanent 7-10 days
Sclerotherapy Spider veins $326 30 minutes - 1 hour 3-4 treatments Injections Permanent No downtime
Soft Tissue Fillers
1) Autologous Fat
Folds, lips, frown lines, and facial recontouring $1,395 1 hour depending on the sites Highly variable, repeat treatments Temporary 1-4 days, Extensive 7-14 days
2) Calcium hydroxylapatite (Radiesse/Radiance) Nasolabial folds, frown lines, crow's feet, and lips $911 Less than 1 hour Repeat treatments 2 years or longer Temporary No downtime
3) Collagen Frown lines, crow's feet, nasolabial folds $398-488Less than 1 hour Repeat treatments 3-6 months Temporary No downtime
4) Hyaluronic acid (Hylaform, Restylane) Nasolabial folds, forehead wrinkles, smile lines, and lips $527Less than 1 hour Repeat treatments 4 months – 1 year Temporary No downtime
Thigh Lift Loose, excess skin $4,653 2 hours One Long-lasting 2-4 weeks
Upper Arm Lift Excess skin and fat on underside of arm $3,610 2 hours One Long-lasting 1-2 weeks

* National average; surgeon fees are based on ASAPS 2005 Statistics. Fees vary considerably by geographic region. Facility fees, anesthesia and other surgical costs not included.
** With any surgical procedure, a revision or touch-up may sometime be necessary.


Ear Surgery (Otoplasty)


Unilateral Otoplasty (Right Ear only)
Restylane® Injection


Restylane Lip Augmentation
Non-Surgical Cosmetic Procedures


Surgiwire Non-Surgical Procedure for Nasolabial Folds. This treatment does not require any fillers. This patient had a face and necklift with me in the past, who wanted additional treatment to her smile lines (nasolabial folds.) Her main concern was with the left smile line that extended downward and connected with her marionette line. Her right side was not as deep, and she said that if both sides were like the right side she probably wouldn't have anything done to them. The surgiwire was performed in the office, without any additional fillers. She returned 1 month after the procedure for post-procedure photos after the swelling had resolved. She had more improvement on the Left side where the line was deeper relative to the right side which did not show as much improvement. With fillers, the opposite seems to be true. Shallower lines improve more than deeper lines. Therefore, for shallower nasolabial folds, I use Radiesse for a long acting filler of 12-18 months, and for deeper lines, I like to first treat them with the Surgiwire, to get the deeper line released, with a possible touch up with Radiesse, if more correction is desired. The main advantage of this procedure is that it is easy to do in an office setting under local anesthesia. The main disadvantage is that this procedure has some unpredictability which cannot be fine-tuned by the surgeon to produce more or less collagen. _____________________________________________________
Non-Surgical Cosmetic Procedures


Surgiwire Non-Surgical Procedure for Nasolabial Folds. This treatment does not require any fillers. This patient's main concern was with her smile lines (nasolabial folds.) She came in for a consultation for a mini-facelift and showed me how by lifting her cheeks, her smile lines disappeared. I explained to her that facelifts in general do not do much for smile lines. She had a youthful neck and minimal jawline sagging, so I told her she was not a good candidate for a mini-facelift, since her main concern was her smile lines. In the past, she had tried 1 syringe of Restylane in the past with her dermatologist and felt that it did not give her the result that she wanted. She described that when she left the office, the smile lines looked good, but after a few days she felt that she did not get a significant improvement. I explained to her that because her lines are very deep, she may have needed more than one syringe of Restylane to get her to the result that she wanted. She was also concerned about the cost of needing repeated injections of the injectable fillers such as Restylane. We discussed Radiesse, Fat Transfer to the smile lines and Surgiwire Non-Surgical Procedure for Nasolabial Folds. The Surgiwire is a needle and braided wire thread that is placed under the skin circling around the deep fold or wrinkle. When the wire is pulled out through the same needle entry site, the collagen and fatty tissue under the line is cut and "released" and the body fills in the area with its own collagen. This procedure can be combined with Fat Transfer or other fillers, but is not required. _____________________________________________________
Mole Removal


This patient want the mole removed from her right upper cheek area. The mole removal incision was placed in an angle to coincide with the crow's feet wrinkles in the same area. The incision was healing well at 3 months. There is still a slight redness to the incision which will continue to improve with time.
Restylane® Injection


This patient wanted and improvement in her smile lines (nasolabial folds) as well as a conservative lip augmentation. Since her smile lines were not very deep, she would not use up all of the 1.0 cc Restylane, and she would have enough for a conservative lip augmentation with her smile line improvement. This set of After photos were taken immediately after the Restylane was injected before any significant swelling set in. The benefit of these types of injectable fillers is that you get a WYSIWYG (What You See is What You Get) result. There is no need to overfill, as would be needed in Fat transfer, or need to wait for several weeks to months to see the result that is desired. _____________________________________________________________________ NOTE: There is a risk of injecting Restylane or any filler into a blood vessel. Since the lips are very vascular (full of blood vessels), your surgeon should be wary of this complication. If it is noticed immediately, which your surgeon should be able to recognize, an immediate massage of the lip where the injection occured should be performed. The injection into the blood vessel will cause an area of the lip and possibly skin to become white, which occurs due to the blood vessel being clogged with the injection material. Massaging the pale/white area, can bring blood flow back into the area, so that skin necrosis (dying skin) does not occur. If this does occur, the skin that was compromised by the injection may turn black or begin to turn into a scab, which will result in an areas of scarring. Although this is a rare risk, it does and can happen. Be sure that your Restylane injector is aware of this risk. They can minimize this risk by pulling back on the syringe slightly, to be sure they are not inside a vessel, before each injection. It takes longer, but it is a safer technique. To learn more you can Google: lip necrosis restylane.
Lip Augmentation


This patient complained of having thin lips. She wanted to have an injectable lip augmentation. I do not like big, "done" lips. I prefer a more conservative lip augmentation. Restylane comes in both 1.0 cc and 0.4 cc. For women who want larger more shapely lips, I rarely need more than a 0.4 cc syringe of Restylane. If the have additional lip wrinkles, I would consider using the regular 1.0 cc Restylane. For women with nice shaped lips, and want a little definition, the 0.4 cc works for most of these patients, and it also costs less. If a 1.0 cc Restylane, there is a tendency to try to use it all up, which is why I think that some people have lips that were over-plumped. They would be better off using half of the syringe for their lips and the remaining half for early smile line or other fine wrinkles. _____________________________________________________________________ NOTE: There is a risk of injecting Restylane or any filler into a blood vessel. Since the lips are very vascular (full of blood vessels), your surgeon should be wary of this complication. If it is noticed immediately, which your surgeon should be able to recognize, an immediate massage of the lip where the injection occured should be performed. The injection into the blood vessel will cause an area of the lip and possibly skin to become white, which occurs due to the blood vessel being clogged with the injection material. Massaging the pale/white area, can bring blood flow back into the area, so that skin necrosis (dying skin) does not occur. If this does occur, the skin that was compromised by the injection may turn black or begin to turn into a scab, which will result in an areas of scarring. Although this is a rare risk, it does and can happen. Be sure that your Restylane injector is aware of this risk. They can minimize this risk by pulling back on the syringe slightly, to be sure they are not inside a vessel, before each injection. It takes longer, but it is a safer technique. To learn more you can Google: lip necrosis restylane.

© Copyright 2018 LocateADoc. All rights reserved.