Botox
BOTOX® Cosmetic is the only approved treatment to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow’s feet lines in adults.
BOTOX® Cosmetic is one of the most extensively studied medical aesthetic treatments and is approved for cosmetic use in 78 countries.* BOTOX® Cosmetic has a record of experience that aesthetic specialists know and trust. And, the safety and efficacy of BOTOX® Cosmetic have been evaluated in both Allergan sponsored clinical trials as well as in 417 peer-reviewed articles in scientific and medical journals.
What is it?
BOTOX® Cosmetic contains tiny amounts of a highly purified botulinum toxin protein refined from the bacterium, Clostridium botulinum. Formulations, potency, and approved doses vary among botulinum toxin products, which means that one product cannot take the place of another. Those are a few reasons why there is no such thing as a “generic” form of BOTOX® Cosmetic. There have been no studies to support that other products are Unit-to-Unit equivalent to BOTOX® Cosmetic.
How It works
BOTOX® Cosmetic targets one of the underlying causes of frown lines and crow’s feet—the repeated muscle contractions from frowning and squinting over the years. Your specialist will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.
Wrinkles result from a combination of many factors. It’s not just about cellular changes that can occur over time, reduction of collagen, or damage caused by free radicals in the sun and the environment. When you frown or concentrate, the muscles between your brows contract, causing your skin to furrow and fold. And when you squint, the muscles around your eyes contract and cause crow’s feet.
BOTOX® Cosmetic works beneath the skin’s surface and targets the underlying muscle activity that causes frown lines and crow’s feet.
Important Information: Botox ® / Dysport ®
- PROCEDURE: Inject a highly diluted protein toxin with a fine needle into facial expression
muscles. Temporary muscle paralysis softens skin lines and furrows caused by specific muscle
action. - LENGTH: 15 minutes; Office Procedure with topical or icing.
- SIDE EFFECTS: Temporary stinging, possible bruising.
- RISK: Poor or asymmetrical effect. Migration of toxin to other muscles causing unwanted
and/or asymmetrical result. Drooping of eyelid or double vision that may last for several weeks.
Temporary nature of the effect with potential need for repeat and maintenance treatment. - RECOVERY: No exercise for 24 hours. Do not rub treated area(s) for 48 hours. Remain upright
for 4 hours. *Full results will not appear until 5- 7 days after treatment. * - DURATION of RESULTS: 3 to 4 months before repeat treatment needed.
- BEFORE TREATMENT: Avoid aspirin or ibuprofen at least 48 hours prior to the treatment. No
makeup in areas to be treated before arriving for treatment.
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Dysport
Dysport treats moderate to severe frown lines between the eyebrows by reducing specific muscle activity. Wrinkles are caused by repeated movements and muscle contractions, which means they can even develop in younger adults. One injection into each of 5 points between and above the eyebrows temporarily prevents muscle contractions that cause frown lines, leaving the rest of your face to move naturally. In other words, no frozen look, just natural-looking results. You can control your look instead of your look controlling you.
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Radiesse
RADIESSE® provides an instant lift by restoring lost volume in areas of the lower face, effectively treating moderate to severe wrinkles and folds. And it continues to work with your body, stimulating the natural production of collagen for a more refreshed appearance that can last up to a year or more in many patients. Radiesse is an ideal option for adding lift to: smile lines, marionette lines, pre-jowl folds, corners of the mouth and chin wrinkles.
Radiesse for the hands
Many people wonder how to get rid of hand wrinkles. Now you can improve the appearance of your aging hands with RADIESSE® — the only dermal filler proven to immediately restore volume loss in the back of hands for smooth, natural-looking results that won’t give away your age.
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Restylane®, Juvederm®, Voluma
Hyaluronic acid fillers are unique in their ability to soften fine to moderate facial wrinkles and restore volume. These newer fillers give immediate improvement with very little downtime and natural results.
Overtime your skin loses elasticity and structure. Elastin and collagen is depleted and weakened. This natural process, plus genetics and environmental factors like sun exposure can cause moderate, sometimes severe, lines and folds.
Age-related volume loss can cause cheeks to flatten and deepen nasolabial and marionette folds. Restoring facial volume can give the perception of the lifting of depressions and folds giving the face a much more youthful contour by softening the abrupt transitions caused by aging.
Subtle or more profound volume can be added to the lips, including defining the vermillion ridge, the cupid’s bow, and the philtral columns to the nose. Elevating the downturned corners of the mouth can be very beneficial as well.
Important Information: Juvederm®, Voluma®, Volbella®, Vollure® and Restylane® (Hyaluronic Acid), Radiesse® (Hydroxyappetite)
- USES: Fillers and volumizers are designed to restore facial contour and reduce the appearance
of lines and wrinkles due to aging. Typically, Hyaluronic acid fillers are used to add definition to
the nasolabial folds, the lips and fine lines around the mouth. Voluma® and Radiesse® are used
as a deeper facial volumizer to enhance the cheeks (moldable cheek implant) or correct early
jowling and restore a natural jaw line. - PROCEDURE: Office based injections of hyaluronic acid or hydroxyappetite with a small needle
into fine lines around the mouth, the forehead, or to add volume to the cheeks, forehead, lips,
nasolabial and marionette depressions. - LENGTH: approx. 30 minutes Office Procedure with topical anesthesia/dental blocks
- SIDE EFFECTS: Temporary stinging, fullness, faint redness, bruising requiring cover-up
- RECOVERY: Immediate. Chance for mild bruising for 3-5 days. Mild swelling for 3-4 weeks as
filler smooths into tissues. No makeup for 24 hours after treatment. Mild soap and water, facial
wash only. - DURATION of RESULTS: 6-18 months
- OFFICE VISITS: 1st and 2nd (if needed) treatment 4 to 6 weeks apart
- BEFORE TREATMENT: Avoid aspirin or ibuprofen at least 48 hours prior to the treatment. No
makeup in areas to be treated before arriving for treatment.
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Voluma
Wrinkles and lines aren’t the only signs of aging. Over time, age-related volume loss can cause the cheeks to flatten and the skin to sag. JUVÉDERM VOLUMA® XC is designed to add volume to lift and contour the cheek area. Voluma is the first and only injectable facial filler that will correct age-related volume loss for up to two years. Depending on the treatment area, the product is typically injected subcutaneously or supreperiostally.
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Vollure
Vollure is injected into the areas of facial tissue where moderate to severe facial wrinkles and folds occur, lasting up to 18 months with optimal treatment.
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Volbella
Some women may wish to add subtle volume to their lips; others may want to soften the appearance of their vertical lip lines. Unwanted lines such as these are often caused by factors such as sun exposure or repeated muscle movement. JUVÉDERM VOLBELLA® XC adds subtle volume to lips and softens the lines around them.
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PRP
Platelet Rich Plasma (PRP) can also frequently be added to hyaluronic acid fillers to improve the longevity of the filler and to improve tissue health and skin texture.
Recovery
The recovery time for injectable facial fillers is minimal. In most cases, the procedure will be done quickly in the doctor’s office, and you can go about your normal routine as soon as you leave. If you do notice any swelling, pain, or other medical conditions, contact your doctor right away.
Kybella
KYBELLA® is a revolutionary prescription medicine used to improve the appearance of both men and women’s facial structure. It is an effective remedy for eliminating stubborn fat below the chin (submental fat), also called “double chin.” It is so effective because the main component that makes up Kybella is naturally found in the body and is used during digestion for the breakdown of dietary fat. Treatments involve a tiny injection. Once injected, Kybella works to target and destroy problem fat. Results from this advanced solution can be increasingly visible following treatment as your body works to naturally process the destroyed cells.
Whether you have a moderate amount of fat under your chin—or a bit more—ask about KYBELLA®.
Benefits from this advanced treatment include:
- Individually tailored*
- Injectable
- Permanently destroys fat cells in the treatment area under the chin
- Improves the chin profile
With Kybella treatments, you can reclaim the structured contour of your jawline!
Distinguishing Collagen Injectables and Hyaluronic Acid Injectables
While the ultimate end goal through these injectables is younger-looking skin, both collagen injectables and hyaluronic acid take very different approaches. Collagen injectables work to stimulate the body’s natural production of collagen, the main structural protein within the skin. With greater collagen genesis gradually repairing the skin on a cellular level, you can notice softer age lines and a more balanced complexion.
Hyaluronic acid injectables work a bit differently. Hyaluronic acid is a naturally-occurring molecule within the body that binds moisture together. Once administered, these formulas work to instantly replenish skin moisture resilience, and create a plumping effect that results in a youthful radiance.
Choose Boulder Plastic Surgery
Our doctors at Boulder Plastic Surgery have years of experience helping people get the look they want. Contact us to learn more about injectable facial fillers, lip injections, fat transfers, cheek injections, chin injections, eye injections, Hyaluronic Acid-Based Fillers, Collagen-Based Fillers, or Semi-Permanent Fillers.
Medical Skin Care & Laser Treatments
IV Seasons Skin Care, Boulder’s premier skin care clinic since 1992, specializes in customized treatment plans, offering the greatest variety of therapies to give you the results you want to achieve.
We are a medically directed skin care clinic with board certified cosmetic plastic surgeons
Dr. Hans Kuisle, M.D., Dr. Winfield Hartley, M.D., and Dr. Justin Maxhimer, M.D. as the clinic’s
medical directors. We offer advanced skin care treatments, light and laser therapies, top quality skin care products, along with non-surgical therapies using Botox, Juvederm, Radiesse, Voluma*, and Regenerative Medicine with PRP (Platelet Rich Plasma).
*-All injectables are performed by our team of doctors.
Thankful for Dr. Rouch
by Heather M
Category: reviewsLast fall i was diagnosed with Breast Cancer and was referred to Dr. Rouch by my cancer surgeon for breast reconstruction. Dr. Rouch and his nurse Lana are so caring and thorough and helped me get through a very stressful time. Dr. Rouch explained my procedures in detail and was always available to answer my questions. I am very happy with my results and feel so lucky to have had Dr. Rouch as my surgeon.
Heather is the amazing!
by KAB
Category: reviewsHeather is wonderful to work with and goes above and beyond! She listens carefully and always comes up with a plan to address what is on my mind. Not to mention her approach is so calm and reassuring, explaining everything she is doing throughout the treatment. Heather is an all around wonderful person who is a true professional!
Elective surgery w/ Dr. Maxhimer
by Suzanne Simmons M.D.
Category: reviewsI highly recommend this Plastic Surgery group. The Physicians are fully Board Certified M.D. Plastic Surgeons, and they have fully Board Certified M.D. Anesthesiologists doing their Anesthesia procedures. As an Internal medicine Physician, I was apprehensive as to who, exactly, would be doing my surgery, and who would be managing my airway and my anesthesia ( my Physician colleagues and I see cases more and more frequently of people who have not graduated from 4 years of Medical School, not done a minimum of 1 year of year-round Internship, not done a minimum of 3 years' year-round Residency, not done additional rigorous Fellowship training in their Surgical or Anesthesiology specialty, are not Board Certified from their national and fully accredited Specialy Board(s)and have catastrophic outcomes . A trial just occurred 2 weeks ago in Denver w/ just such a case ( Denver Post, June 14, 2023. "CO plastic surgeon acquitted of homicide in teen patient's death, convicted on lesser charges ").I was relieved to have Dr. Maxhimer explain to me that he would be doing my Surgery, and that a Board Certified Anesthesiologist would be doing my anesthesia. I was amazed at how quickly and seamlessly my surgery went. We are fortunate to have such a high level group here in Boulder. I will return to them if needed, and have referred several people to them. Thank you.
Dr. Rouch is excellent
by Ann
Category: reviewsI had liposuction on my stomach and thighs and under my chin. I’ve never had any surgical procedures before so I was nervous but Dr. Rouch and his team were warm, patient and reassuring from start to finish. My result is beautiful and natural looking and I couldn’t be happier. Recovery was smooth and I felt supported at every step along the way. Highly recommend!
Heather will get you glowing!
by Ann
Category: reviewsI’ve been seeing Heather for years and I’m always recommending her to everyone I know. She’s a rare combo of a wonderful person and a skilled practitioner. She’s honest and kind and always steers me in the right direction. I went to another practice in town and left because it felt like I was just a number. Heather is the exact opposite. She’s warm and cares about each client’s individual needs. She is thoughtful and patient and has great recommendations. You won’t find a better person to take care of your skin. She’s truly one of a kind!
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