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Injectibles, Injectibles Everywhere - But Which To Choose?

Originally Posted: November 08, 2010

Dr. Paul E. Kelly, M.D.

Choosing an injector then is probably the most important decision leading to a successful outcome. (babyboomercaretaker.com)

Southampton - Not all injectors are created equal and your physician's understanding of the aging process is directly related to injection success. Those physicians that understand the aging process in reference to how lines and valleys are formed will invariably be the best injectors. They will be able to not only pick the appropriate product but also to explain to you why this product makes the most sense in your care plan. Choosing an injector then is probably the most important decision leading to a successful outcome.

The early aging process is marked by the formation of fine skin lines and shallow folds or valleys. Products to address this early phase of aging will include line fillers such as Juvederm, Radiesse, and Artefill as well as the muscle softening tool BOTOX®. While BOTOX is in general a winning proposition, as we continue to age the line fillers will become less effective. Avoid the use of fillers that don't address your aging stage - expenditure with little return.

When an injectible procedure fails to yield that refreshed appearance this result can be a function of the incorrect aging assessment or failing to purchase enough product to adequately correct the problem. Use enough product to correct the aging change but avoid being over done. It is never wrong to inject conservatively and to schedule a second look visit to complete the process.

During the more pronounced stages of aging, facial volume changes become more significant leading to poorly draped skin which translates into more etched appearing lines and worsening to the valleys and folds of our face. A volumizing effort will provide the best outcome for patients in this stage. Fat injections or the synthetic product Sculptra can keep you looking as good as possible - matching your outside appearance with your inside energy. Research your injector, ask questions about the different products and expect a laymen's explanation and understanding prior to going under the needle.


Dr. Kelly, MD is a facial plastic surgeon certified by the American Board of Facial Plastic and Reconstructive Surgery. Dr. Kelley currently practices with ENT Allergy Associates. www.peconic-faces.com


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