Introduction to Injectibles
As we age, our face undergoes tissue descent (or sag) as well as loss of volume. We also have more wrinkling. There are two major categories of Injectibles:
1) Neurotoxins - which act on the muscles of facial animation to relax or paralyze them, thus resulting in less wrinkles.
Areas treated include:
Glabella (corrugator muscle) - the frown area, often called the "11's"
Brow (frontalis muscle) - brow wrinkles
Periorbital (orbicularis oculi muscle) - crow's feet wrinkles
Specific types of neurotoxins include:
2) Fillers - these are substances, well researched, that fill wrinkles or support tissue for volume effects.
Fillers may be categorized in 3 manners:
1) Hyaluronic acid based - this is material naturally occurring in human body, promotes fullness and volume
Juvaderm Ultra and Ultra Plus
2) Calcium hydroxyapatite based - heavier and denser than hyaluronic acid, so usually injected deeper levels,
Usually found in bones, so usually does not cause immune or allergic reactions.
Thicker substances that last longer>
Scuptra - poly-L-lactic acid, biodegradable synthetic filler, thicker than hyaluronic acids
Belafill: polymethylmethacrylate (PMMA) microspheres are not absorbed by the body.
Used for thick skin areas such as nasolabial folds, NOT recommended for around eyes or in lips
DR. AFIFI DOES NOT RECOMMEND THIS FILLER DUE TO RISK OF REACTIONS BY TISSUE AND POSSIBLE LUMPS WHICH MAY BE REPLACED BY SCAR TISSUE AND BECOME PERMANENT.
PLEASE NOTE THAT FOR ANY NEUROTOXIN OR FILLER, YOU ARE PAYING NOT JUST FOR THE MATERIAL BUT FOR THE EXPERTISE OF THE INJECTOR. THE INJECTOR WOULD GUIDE YOU ON:
The best option filler for the aesthetic outcome you desire.
The best technical method to place the agent.
The best way to minimize any complication, which is extremely low with Dr. Afifi.