What are dermal fillers?

– Collagen and hyaluronic acid beneath our skin helps to keep our skin looking firm and young.  With time, sunlight and other environment pollutants, unfortunately, our skin loses its collagen, leading to a loss of firmness, elasticity and volume.  And as the aging process continues, skin may start sagging and wrinkling, resulting in the formation of lines, wrinkles and folds. 
Dermal fillers can help to “fill in” facial indentations, add volume to your skin, smooth unwanted facial wrinkles and lines and help skin regain its youthful look.  Dermal fillers can also help to enhance facial features such as augmenting nose bridge and cheek bones, and transforming thin lips fuller to that “Angelina Jolie’s pout”. This treatment produces immediate results, with minimal and transient swelling or redness.
Fillers include collagen, hyaluronic acid and fat. We prefer to use these non permanent dermal fillers that are totally biodegradable, and their results usually last from 9 months to about a year. Optimal results can be maintained over a long period of time through regular repeated treatments.

Brand  of  dermal fillers used ?

1. Juverderm:Juverderm Ultra,Juverderm Ultra Plus,Juverderm Voluma
2. Restylane: Restylane,Perlane,Restylane Vital.
3. Perfectha:Perfectha Derm,Perfectha Deep,Perfectha Subcu.
   – All brands ,US FDA Approval for safety dermal filler
   
   Benefits of Dermal Fillers

Dermal Fillers can be used to improve the skin’s contour and reduce depressions in the following:

• Frown lines that run between the eyebrows (glabellar lines)
• Smoker’s lines which are vertical lines on the mouth (perioral lines)
• Marionette lines at the corner of the mouth (oral commissures)
• Worry lines that run across the forehead (forehead lines)
• Crow’s feet at the corner of the eyes (periorbital lines)
• Deep smile lines that run from side of the nose to corners of the mouth (nasolabial furrows)
• Cheek depressions / cheek enhancements
• Lip augmentation
• Lip contouring
• Acne scars
  Are fillers safe?
  Yes. All Brands are safe because they contain no animal proteins allergens or chemicals, thus eliminating the risk of eliciting allergic reactions.  Even people with food sensitivities can receive these fillers safely.   The hyaluronic acid are naturally integrated into the tissue, and allow for the passage of vital nutrients like oxygen and hormones.  As cells are also able to pass between fragments of the gel, the skin will look perfectly healthy and natural. Evolence, a natural collagen, has been used as an injectable beauty treatment for more than two decades with an excellent safety record.  Evolence has also undergone additional extensive safety testing to ensure safe use by its users.

GentleYAG Technologies:
The GentleYAG is the fastest and most powerful Nd:YAG laser on the market today. It effectively treats all skin types, including tanned skin, offering unmatched treatment capabilities in permanent hair reduction, leg veins, facial veins, and wrinkles. Treat patients year-round with GentleYAG’s 1064nm wavelength, multiple spot sizes, variable pulse durations and Candela’s patented cryogen cooling system (DCDtm) for maximum patient comfort and safety.
Fast – With unprecedented 18 mm spot size and repetition rates up to 2 Hz, the GentleYAG offers fast treatment times with fewer laser pulses.
Powerful – 26,333 watts of peak power and capable of delivering fluences up to 600 J/cm² for vascular applications, and hair removal energies in pulse durations as short as 3 ms for unparalleled treatment efficacies.
Treats all skin types – Deep penetration with minimal scattering of laser energy makes the GentleYAG ideal for all skin types, especially dark and tanned skin.
Versatile – Non-ablative treatment, including fine lines and wrinkles, and for pseudofolliculitis barbae (PFB), or beard bumps, leg and facial veins.
Patented Epidermal Cooling – Candela’s Dynamic Cooling Device represents an adjustable epidermal protection technology to maximize patient safety and comfort.

Indication:
1.Hair Removal: GentleYAG is the gold standard for Hair removal all over the world now Permanent
– hair reduction on all skin types
– Beard Bumps (PFB)
2. Skin Rejuvenation
– Skin Tightening
– Wrinkles
3. Vascular lesion
– Facial Veins
– Leg Veins
The GentleYAG effectively treats all skin types, including tanned skin, offering unmatched treatment capabilities in permanent hair reduction, leg veins, facial veins, wrinkles and skin tightening. Treat patients year-round with GentleYAG’s 1064 nm wavelength, multiple spot sizes, variable pulse durations and Candela’s patented cryogen cooling system (DCD™) for maximum patient comfort and safety.

Frequently Asked Questions
Q: How does the laser work?
A: The laser creates a beam of high-intensity light that penetrates deep into skin tissue where it delivers a controlled amount of therapeutic heat. For patient comfort, the Dynamic Cooling Device (DCD) technology protects the upper layers of the skin with a cooling burst of cryogen. Together the long-pulse laser and DCD cooling offer optimal treatments with minimal side effects.
Q: What conditions can be treated?
A: The laser will remove facial and body hair, vascular lesions, pigmented lesions, and wrinkles.
Q: What does the treatment include?
A: Depending on the area treated, the procedure varies from patient to patient. Generally, the treatment will include: wearing safety eyewear to protect the practitioner and patient’s eyes from the laser light during the procedure. A small hand piece will be used that touches the skin to deliver the laser light. A light spray of coolant onto the skin will be felt just before each laser pulse. A test area will be done prior to the entire treatment. Most patients experience little discomfort at the treatment site because of the dynamic cooling device. The degree of discomfort varies with each person, depending on his/her pain threshold. Topical anesthesia may also be requested based on individual preferences or tolerances. The procedure can take as little as 10 minutes or up to an hour, depending on the area treatment. The treated area may become pink or red within 30 minutes of treatment; this may last from a few hours to several days and is relieved with the application of ice or cooling gels.

Q: What precautions should be taken before and after treatment?A: Avoid the sun 4-6 weeks before and after treatment. Hair removal patients must avoid electrolysis, plucking or waxing hair for 6 weeks prior to treatment. If there is a history of per oral herpes, prophylactic antiviral therapy may be prescribed. Photosensitive drugs must be discontinued 3 to 5 days before treatment.
Q: How many treatments will be needed?
A: The number of treatments depends on the treatment require and the condition of the skin. For hair removal, most patients require 4 to 6 treatments, as the process is only effective when the hair follicle is in its active growth stage. Other conditions require anywhere from 2 to 6 treatments. Many factors impact the efficacy of individual treatments, including the severity of the condition being treated.
Q: What are the side effects?
A: Risks are minimal. Side effects may include purpura (a laser bruise), redness, blistering, hyperpigmentation, hypo pigmentation and swelling in the treated area. These side effects usually do not last for more than a few days. Permanent side effects such as hyperpigmentation or hypo pigmentation or scarring are rare
Q: Is this procedure covered by insurance?
A: Most insurance companies do not offer reimbursement for cosmetic procedures. However, consult with your insurance carrier for more information.