One of the most common signs of aging is wrinkles. BOTOX® a popular non-surgical injectable treatment that can temporarily reduce or eliminate facial wrinkles or frown lines between the brows, forehead, and crow’s feet. Treatment with BOTOX® consists of a few tiny injections and takes about 10 to 20 minutes to complete. Within days there is a noticeable improvement in those persistent lines and wrinkles. Results may vary, but the typical BOTOX® treatment lasts about 3 to 6 months. BOTOX® is a purified protein produced by the Clostridium botulinum bacterium. The BOTOX® solution temporarily paralyzes facial nerves, reducing the activity of the muscles that cause frown lines between the brows, laugh lines around the eyes, and creases in forehead.
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Dysport® is an injectable used to treat moderate to severe frown lines and wrinkles between the brow, forehead and crow’s feet. Very similar to Botox® with the primary neuroprotein, botulinum type A, being the same, Dysport® acts as a muscle relaxant, thereby preventing those areas treated from tensing and creasing. Patients typically see an improvement within a week of having the treatment and depending on the individual, results that last from 3 to 6 months.
XEOMIN® (will be available later this year)
Dr. Tzikas has gained national recognition as an expert injector of dermal fillers due to his many years of experience in developing his lipografting procedure. Today there are many types of volume enhancing products that are utilized to instantly reduce and correct visible lines and wrinkles including nasolabial lines, marionette lines, nasal deformities, chin and cheek creases, hollows under eyes, and lip lines. The injectable fillers can also be used for lip augmentation.
Belotero Balance® is the newest hyaluronic acid filler for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. With Belotero Balance® you can replace lost hyaluronic acid caused by the natural aging process. Once injected, it instantly plumps the skin and smooths lines and wrinkles . Depending on the individual, results can last for 6 months or more.
Juvéderm® provides a smooth, long-lasting correction of moderate to severe facial wrinkles and folds and restores volume and fullness to the skin. Juvéderm® contains the highest concentration of non- animal, cross-linked hyaluronic acid of any dermal filler currently available. It is currently the only approved hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in patients of color. Juvéderm® provides optimal results with a single treatment in the majority of patients and delivers sustained results for 6 months or longer.
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Radiesse™ provides immediate visual improvements, along with the benefit of long-lasting results.. With collagen-generating properties, Radiesse™ is not only an ideal filler for deep creases and folds, it also stimulates development of new tissue. Tiny, smooth calcium Hydroxylapatite (CaHA) microspheres (particles) form a scaffold through which your body’s own collagen grows. This trait of the filler removes the need for multiple injections over a span of a few weeks or months and patients maintain longer optimal results without numerous return trips for additional injections. The results of Radiesse™ may last between one to two years. Using his expertise as a facial plastic surgeon, Dr. Tzikas, has been instrumental in developing the protocol for injections of Radiesse™ for cosmetic soft tissue augmentation. Dr. Tzikas outlined his Radiesse™ findings in an article that has been published in the Archives of Facial Plastic Surgery.
Restylane® restores volume and fullness to the skin to correct facial wrinkles and folds. With a highly favorable safety profile, Restylane® is composed of non-animal stabilized hyaluronic acid (a substance found naturally in the human body. Restylane® maintains its shape using the body’s own moisture. The hyaluronic acid in Restylane® is hydrophilic or “water loving.” As hyaluronic acid gradually degrades, each molecule binds to more water and over time, the same volume can be maintained with less hyaluronic acid. This ability of hyaluronic acid to bind to water is what helps provide long-lasting results.
Sculptra® is a slow acting facial injectable made from poly-L-lactic acid, which helps replace lost collagen that has been depleted over time. Collagen is a key structural component that keeps skin youthful looking and smooth. Sculptra® works to gradually restore volume and refine shallow to deep facial wrinkles and folds resulting in a more refined, natural-appearance that can last for up to two years. On average, 2 to 3 injection sessions are scheduled over a period of a few months to correct shallow to deep contour deficiencies.
Silikon 1000® is an FDA approved, ultra-pure medical grade liquid silicone designed for injection into the eye to treat retinal detachment. The use of liquid silicone off label as an injectable filler material for facial augmentation is widely accepted by many facial plastic surgeons using the microdroplet technique of injection. The major advantages of liquid silicone are its permanence and the smoothness in which it can augment fine lines and wrinkles when injected properly.
Microdroplets of liquid silicone are injected under the skin at multiple points. Because liquid silicone is chemically inert, it remains a liquid after injection and is not altered or changed by the body. Over a period of months, microdroplets of silicone stimulate skin cells (known as fibroblasts) to produce new collagen around each microdroplet. Once a microdroplet is surrounded, collagen production stops. Through repeated injections over several months the combination of silicone microdroplets and new collagen gradually fills depressions. Slight swelling may be seen immediately after injection, giving the appearance of instant improvement; however, this swelling subsides in several days. Microdroplet liquid silicone injections build soft-tissue by encouraging the production of new collagen, the skin’s natural structural protein. Silicone injections are used primarily to fill depressions such as wrinkles and certain acne and chicken pox scars. They can also be used to enhance the natural contours of areas such as lips and cheekbones, and to treat contour defects that result from heredity, surgery, trauma or aging. Dr. Tzikas has been Injecting Silikon 1000® since 2004 and has treated thousands of patients safely with this product.