Juvederm Voluma was recently unanimously FDA approved as the only facial filler for age-related loss in the midface. This particular filler is claiming to be the thickest to date. In addition, results may last up to 2 years, which is thought to be the longest lasting hyaluronic acid filler compared to others in the market. Side effect profile of Voluma is said to be similar to other HA fillers which includes, swelling, bruising, pain, redness or discoloration.
What size syringe does Voluma XC come in?
Voluma comes in a 1.0 ml syringe which is slightly more than the .8ml syringe that comes with Juvederm Ultra and Ultra Plus.
What volume of Voluma will I need?
The amount of Voluma you will need depends on your degree of facial aging.
Can Voluma be used elsewhere in the face?
Voluma is indicated to be injected in the mid-face where we tend to loose volume as we age.
Although there are not any recommendations on this from all makers of influenza intranasal vaccine, I do not recommend the use of a live virus in the nose immediately after a rhinoplasty or septoplasty. First of all, immediately after rhinoplasty, the nose is healing and spraying an irritant in the nose is not recommended. The manufacturers of the vaccine note that nasal congestion, nasal irritation, and runny nose are common adverse effects. This leads me to believe that the vaccine or more likely the solution that carries that vaccine is irritating to the nasal passageway, not a good idea after a nasal procedure. In addition, after a septorhinoplasty, it takes several weeks for the cilia and structure of the nose to return to function. This may mean that the vaccine could be less effective than desired. Finally, the CDC suggests that the vaccine not be used in the presence of nasal congestion as it may limit the effectiveness of the vaccine. After a rhinoplasty, there is typically intranasal swelling.
Zinc is necessary in human health and has an array of benefits. For example, when taken as a lozenge it can reduce the time of a common cold, or when used topically can help clear up acne. Zincs most recent perk is the ability to help one's Botox not only last longer, but make Botox more effective.
This is how it works...
Botulinum toxin aka Botox works by temporarily blocking the nerve that activates a muscle. The area of the nerve that Botox affects is called the presynaptic area. The presynaptic area is before the synapse. The nerve stimulates the muscle at the synapse. Botoulinum toxin binds to the presynaptic motoneuron and then is internalized. It acts on a zinc-dependent endoprotease to inhibit acetylcholine release. Acetylcholine is responsible for stimulating the muscle. Hence, no acetylcholine, no muscle movement. If a patient is zinc deficient, botulinum toxin will not be internalized and will not work as effectively.
Try Zytase, a zinc supplement newly introduced to the market. You can also consider taking a zinc supplement or ensuring that you are not zinc deficient.
Are you confused about which peel is right for your skin type?
A chemical peel is the use of chemicals, typically a type of acid, to help remove the top layer of the skin. A laser peel works in a similar fashion; however, it uses light to help ablate the top layers of the skin prior to removal. Both of these peels can help patients get radiant skin.
Chemical peels are a great choice for younger skin. Patients in their teens, twenties, and thirties respond well to chemical peels. Most patients in this category are seeking a lighter rejuvenation. However, patients of all ages can benefit from the glow created by a chemical peel.
Chemical peels are a great treatment for younger skin to help improve the following skin concerns:
There is no downtime; therefore this peel can be the perfect treat during your lunch hour. Your skin will be soft and glowing just after one treatment. We recommend getting 3 to 4 treatments and being on a skincare regimen to enhance the results and really target your skin concern.
Micro-laser peels are theoretically equivalent in depth of penetration. With these peels you can expect for the skin to feel drier following the treatment. Micro-laser peels are great peels for any age, but are especially helpful for more mature skin. Dr. Shah uses a chiller device with his laser peels so that the treatment is more comfortable.
Micro-laser peels are a great treatment for mature skin with the following skin concerns:
Micro-laser peels have minimal to no downtime. Dr Shah can tailor the treatment to accommodate the patient's schedule. The treatment can take about 15-30 minutes depending on the areas treated. Following treatment we will discuss the proper skincare regimen to help speed the recovery of your downtime and also to enhance the results.
Be warned that some patients' skin, with both chemical and especially lasers, needs moisturizing. Patients should moisturize their skin prior to treatment and after treatment to help minimize dryness.