Botox Injection - Botox Treatment - Botox San FranciscoBotox Treatment - Jeffrey H. Binstock, M.D. uses a Botox injection to reduce wrinkles on and around the face.

SAN FRANCISCO		MILL VALLEY
22 Battery Street, Suite 905 San Francisco, CA 94111 415.956.8686		535 Miller Avenue Mill Valley, CA 94941 415.383.5475

Whats New in Wrinkle Fillers

Sculptra® was recently approved by the FDA to restore, recontour and fill in volume of sunken facial areas and to smooth away wrinkles. This unique product actually stimulates the skin’s own fibroblasts to grow its own new collagen. Native poly-a-lactic acid, i.e. a safe material used in sutures for over 40 years. Sculptra® does not require skin testing. Sculptra’s® benefits are accrued over several sessions and lasts two years or longer

Restylane® is hyaluronic acid injectable filler that provides for longer lasting correction of facial wrinkles and grooves. Hyaluronic acid is a stabilized gel that occurs naturally in the body, and is used by cells to provide volume and fullness to the skin. There is no pretesting and immediate treatment is available. Most frequent side effects include swelling, redness, tenderness, pain, and bruising initially at the injection site. Restylane® is genetically engineered and not an animal product. It is currently available in 60 countries.

Perlane® is a more concentrated version of Restylane® that is used for correcting deeper acne scars and facial grooves and for restoring facial contours. Not yet FDA approved.

Hylaform® and Hylaform Plus® is another hyaluronic acid product which has been available overseas for many years. This product differs from the Restylane® in that it is made from the combs of roosters, a concentrated source of hyaluronic acid. (People who have an allergy to chicken should not undergo injection with hylaform). This products works similar to the other hyaluronic acid products in that it effectively corrects smile lines, frown lines, lip lines, and can be used to enhance lips, cheeks, etc. It seems to also last longer than Collagen and does not involve a skin test. The reactions that have occurred include temporary redness, and a little bruising like one would see with any injection. Rarely persistent redness or red spots follow the injection, but experience in Europe has shown that incidence of side effects is very low.

Captique® is the latest FDA approved hyluronic acid filler, an organic substance found within your skin. It helps restore the skin's natural look by reducing lines, wrinkles, acne scars, enhance lips, and add definition to chin and cheeks. Captique is a non-animal hyluronic acid filler and can be used immediately without skin testing.

CosmoDerm® and CosmoPlast® are human collagen products that offer an alternative to Zyderm® and Zyplast®. They can be used by those individuals allergic to bovine collagen, and do not require skin testing. CosmoDerm® and CosmoPlast® effect a smoothing of facial lines, and can create full lips and reduce acne scarring.

Artifill® (Artecoll) is a product which combines bovine collagen with PMMA microspheres, i.e., a polymethyl methacrylate microsphere that are suspended in a collagen solution. Collagen is the vehicle with which the permanent PMMA spheres are injected into the skin. As the Artifill® collagen is absorbed, it is replaced by the person’s own collagen as the microspheres act as a stimulus for new collagen formation. This process is permanent and is essentially completed approximately 3-6 months after the area is injected. It is used for both wrinkles, such as the smile lines, frown lines, lip lines, and for acne scarring. It usually takes 2-3 treatments for this benefit. Because Artifill® is permanent filler, unlike Restylane®, Hylaform®, and the collagen products, it is possible that complications as yet unknown could arise years down the road. In addition, on occasion, there have been reports of lumps, and as a consequence the use of Artifill® to enlarge lips will be contraindicated in the United States.

Implants are another option available for filling in deeper wrinkles and creating fuller lips. SoftForm® is a synthetic Gortex-like implantable hollow tube which effects a permanent filling of the lips and softening of the smile line. This implant is surgically placed via a small incision. The potential risk include firmness, position shifting, infection, scarring, etc.

Jeffrey H. Binstock, M.D.
SAN FRANCISCO	MILL VALLEY
415.956.8686	415.383.5475

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