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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Restylane®, Juvederm®, RHA
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: RHA, Juvederm®, and Restylane® (Hyaluronic Acid)
- 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.
Click Here to Download Walk-Out Sheet
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.
Thanks to Dr Rouch and BPS for such a great surgery experience
by Joan Heron
Category: reviewsI am very glad that I had my procedure done at Boulder Plastic Surgery. I am also very glad that Dr Rouch was my surgeon. He is naturally warm and personable. It is obvious that he really loves his work. When I made an appointment to ask about a surgical procedure that I felt uncertain about, he immediately began a relaxed conversation with me about what he was seeing and what my options might be. He was so at ease that I began to feel at ease and I made my decision. Having surgery at Boulder Plastic Surgery was a high- quality experience. Everyone who was part of my care was responsive and supportive, giving me the information that I needed to make a good recovery. My thanks to everyone involved. Special thanks to Lana for helping me with wound care. It made all the difference. I felt very taken care of by Dr Rouch who was responsive and supportive from start to finish. I really appreciate his skills, his kind demeanor and his thoughtful reassurances. He is a great surgeon. After my surgery, a close friend said, "You look like yourself, but better." I am very happy with my experiences at BPS.
The Best Aesthetician, Heather!
by Carol Semple
Category: reviewsI have been going to IV Seasons Skin Care for over 20 years. From the beginning I have always received top notch skin care and friendly, professional treatments from everyone! For the last 9 years I have been seeing Heather. Heather brings the art of skin care to a whole new level. Her expertise in designing exactly what is right for your skin is beyond compare. She listens to your needs and treats your skin with the utmost professionalism. I trust her advice and the procedures and products she recommends. On top of that, she is super friendly and a joy to work with. If you're looking for the best aesthetician around, I'd highly recomment Heather! Everyone thinks I look 10 years younger than my actual age. Thank you Heather and thank you IV Seasons Skin Care!
Love Love Heather
by Valerie
Category: reviewsI have been seeing Heather for over three years and have been going to the Clinic for over six years. Heather is the ultimate professional. She listens to any concerns I may have and makes recommendations to help me achieve the best skin results. We have a great time together and I love seeing her. The products made especially for the clinic are fantastic and they are always happy to provide trial samples to make sure you are pleased with them. Thank you Heather and look forward to seeing you next month!
8 years of positive and high impact treatments with Heather
by Kimberly
Category: reviewsHeather’s treatments have transformed my skin and appearance. 8 years ago having never done professional skin care, I went in for a free initial consult with Heather. She gradually introduced me to quality skin care and treatments. She takes your lifestyle and goals and develops a high impact, personalized plan for you. No cookie cutter recommendations or high pressure. Genuinely, Heather cares about my personal progress and helps me reach my goals. My skin immediately transformed. And I am still keeping up the facials and peels. My before and after is amazing! Thanks Heather! Finally, I should mention that over the years, she has done many extractions and teen facials for my teens and now continues caring for their skin in their 20’s. Heather cares about her clients and I feel very lucky to have found a rock star skin care expert!
Say Yes to Dr. Maxhimer!
by Linda Connelly
Category: reviewsThere are so many amazing things that I want to convey that I am afraid I won't do this review justice. Dr. Maxhimer and Claudia are a dream team. They are so good at tag-teaming and keeping each other up to date on patient needs and progress that it boosted my confidence in my results during each weekly visit. I had quite a bit of work done - abdominoplasty, blepharoplasty, breast lift and augmentation. Claudia's ability to understand where I was at and what I was feeling at each stage of recovery was so helpful. She was ready with whatever I needed, anticipated each question, but let me ask it anyway, and helped me transition from post-op to healed with such ease that honestly, I was sad at the thought of not having our weekly chats anymore. She is a gem! I have had a substantial number of surgeries in my lifetime - all non-elective, so while I was not scared of surgery, I was very nervous for the outcome. I should never have been concerned. Dr. Maxhimer is smart and super down to earth. He has a sense of humor, he treats you like you are his friend, and he cheers right along with you as you start to see the results during recovery. He is encouraging by nature, so easy to talk to, and I needed that when contemplating massive overhaul at 52! I am now at week 7 post-op and feel amazing. I am so impressed with their servant hearts, their incredible skills and the results that I would not hesitate to recommend Dr. Maxhimer to anyone looking for a surgeon. If I could have a pre-op call with any prospective patient, I would say this: Say YES to yourself. Say yes to Dr. Maxhimer and let he and Claudia take you under their wing for a few weeks of your life. You will not regret it.
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