A variety of factors contribute to the formation of wrinkles, sallow skin, facial folds, and an aged appearance. The passing years certainly contribute to these appearance changes, but sunlight, facial expressions, such as frowning and smiling, gravity, and genetics all play a potential role in speeding the ageing process. People concerned about their aged and wrinkled features may want to consider dermal fillers. At Coastal Valley Dermatology in the Monterey Peninsula, Dr. Javid provides dermal fillers to help patients reduce the appearance of their facial folds, wrinkles, and sagging underlying tissues. Dermal fillers can also be used for non-surgical treatments, including, non-surgical chin augmentation, non-surgical brow lift, and non-surgical smile lift, so patients can achieve transformational results without the risks or downtime of traditional surgery. Dermal fillers, however, are only a temporary solution, so patients will be required to keep regular appointments to maintain results. Dr. Javid will discuss the treatment or combination of treatments that will produce the best results for you.
Soft tissue fillers involve injecting a filling substance under the skin to “plump up” or contour and correct wrinkles, furrows, and hollows in the face. Dr. Javid is an expert in administering a variety of fillers, and she chooses the right one for your unique needs, ensuring that you get the best possible results. Dr. Javid’s patients often say, “You are an artist! I can tell you love what you do!” It’s true, Dr. Javid feels that each face is like an artistic project, a sculpture. She understands the entire picture of facial aging, how the internal architecture shrinks as the bones dissolve and thus the scaffolding holding up the cheekbones falls and narrows. The muscles atrophy and the fat shifts with gravity, and, the skin loses elasticity. She works with you to develop the right course of action, and provides you with input during each step of the way, ultimately collaborating with you on your look. You may come once or twice a year, or you may prefer to take baby steps until you find the perfect balance. Each master plan is completely individualized. The integrity of her practice contributes to her patients’ consistent care and her high patient return rate.
Botox, Dysport, and Xeomin are each derived from botulinum toxin and are used to treat dynamic wrinkles, which occur as a result of facial muscle movement, such as frowning or squinting. Common examples of dynamic wrinkles are crow’s feet next to the eyes, and frown lines between the eyebrows, also called glabellar lines. When you frown, scowl, concentrate, or squint, your muscles pull your skin into folds and lines. With age, the elasticity that brings the skin back to its original position decreases, and wrinkles form. These expressions are necessary, but with age they appear to be exaggerated and you may look more worried or upset than you actually are. Each of these injectables works by blocking the transmission of nerve impulses to the underlying facial muscle. Because the muscle cannot contract, the wrinkle relaxes, an effect that lasts for several months.
These toxins are highly purified and highly diluted and, in the case of botulinum toxin, millions of injections have been performed effectively and safely since its first use by Dr. Alan Scott in the 1980s for an eye condition, strabismus. Dr. Jean Carruthers, an ophthalmologist, noticed her patients’ wrinkles were reduced after the treatment of strabismus, and the medicine was approved by the FDA in 1989. Dr. Javid has safely and successfully treated thousands of patients with botulinum toxin to achieve a natural, refreshed look, sometimes through what she calls “baby Botox” — her technique to use tiny amounts in strategic muscles to achieve the best effect.
Belotero is a new, finer, hyaluronic acid-based gel designed to add subtle, natural volume and plumpness to facial tissue. It was developed for the correction of moderate-to-severe facial wrinkles and folds, nasolabial folds (smile lines), and marionette lines (laugh lines), and its smoothness makes it effective in lip augmentation and in filling in lip lines and tear troughs — areas where the skin is more delicate. There is little recovery time, and patients treated with Belotero have said that they see immediate results in the reduction of wrinkles, but that the results are subtle and more natural compared with other fillers. It lasts six to twelve months.
Juvederm injectable gel is a smooth-consistency, synthetic gel made of hyaluronic acid, a naturally occurring substance in your skin that helps to add volume and hydration. Your native hyaluronic acid may diminish with age, contributing to the formation of wrinkles and folds. Juvederm works to correct this by restoring hyaluronic acid in your skin, helping to smooth wrinkles and folds. It is used most effectively for those wrinkles and folds in the lower third of your face, like “laugh lines,” “smile lines” or “parentheses” (nasolabial folds), and “marionette lines” (oral commissures). In the Juvederm injection process, the gel is eased under the skin using a fine needle to augment, or fill, the soft tissue of the dermis — the dense inner layer of skin beneath the epidermis — to add volume and diminish wrinkles and folds. The procedure takes only about 15 minutes and results are immediate, with minimal recovery or downtime, and last six to twelve months. There are two types of Juvederm: Juvederm Ultra is a favorite for lips and Juvederm Ultra Plus is great for cheek bone areas.
Restylane is a hyaluronic acid-based dermal filler that is used to treat fine lines on the upper and lower lip as well as deeper wrinkles and folds in the cheek areas (nasolabial, melolabial, and lines at the corners of the mouth). Restylane is also used to enhance lips, with results that have up to twice the longevity of standard collagen implant treatments. Restylane is injected into the skin to lift the lip, wrinkle, or fold. Depending on the area treated, most folds and wrinkles require one treatment, with minimal recovery time. For most areas of the lips and face, Resylane lasts approximately six months to a year.
Perlane is an injectable cosmetic dermal filler used to soften wrinkles and facial lines. It is also a popular filler for cheek and temple augmentation, facial depressions, and facial scarring. It is made from hyaluronic acid gel; the hyaluronic acid augments the body’s natural supply, which tends to become depleted with age. The effects of a Perlane procedure last for six to twelve months.
Radiesse is a synthetic dermal filler made of calcium hydroxylapatite. When injected into the deep dermis and subcutis, Radiesse provides a matrix into which the body’s own collagen can grow and add volume. It is used for soft tissue augmentation (to add volume to lips and cheeks) and can help to fill in deep skin folds and wrinkles. It is a favorite for non-surgical rhinoplasty (nose surgery) and for jawline definition, cheek augmentation, temple augmentation, and even in the hands. The effects of a Radiesse treatment can last six months to three years.
Sculptra is different from all other fillers. It is diluted into a thinner consistency and thus can be used to add volume to larger areas of the face as well as to standard areas such as wrinkles. Especially for patients with thin faces, or who have lost much of their cheek fat due to extreme fitness, genetics, medications, or other reasons, Sculptra can produce a more youthful, pleasing facial contour in a very elegant way. It can also be used in the back of hands for aging, in the upper chest for deep lines, in areas of depressions that may occur after liposuction, and for cosmetic correction of scars. In the procedure, tiny particles of poly-L-lactic acid (PLLA) are diluted in a suspension of sterile water, carefully injected in the skin, and then molded for optimal results. The PLLA particles stimulate the formation of new collagen in the skin, adding volume over time. Sculptra may require a series of three to five treatments every four to six weeks, with improvement in contour occurring gradually over two to six months. For the optimal final effect, patients should massage all injected areas for five minutes, five times a day, for five days after the procedure.
VOLUMA XC injectable gel is the first and only filler FDA-approved for deep injection in the cheek area to correct age-related volume loss in the cheeks and under the eyes. VOLUMA XC was developed by the makers of BOTOX Cosmetic and Juvederm, with the same standards of safety and effectiveness.
Juvederm VOLUMA XC gives you a subtle lift, helping restore contour and a more youthful profile for up to 2 years. VOLUMA is injected into the cheek area to correct age-related volume loss in the mid-face and under the eyes. The results of VOLUMA are a game changer in injectable fillers and there are currently no alternatives for a mid-face injectable filler with FDA approval.